Variation in nutritional quality of plants for deer in relation to sunny versus shady environments

Science.gov (United States)

Thomas A. Hanley; Jeffrey C. Barnard

2014-01-01

Variation in nutritional quality of natural forages for black-tailed deer (Odocoileus hemionus) was studied in summer and winter in southeast Alaska. Freeze-dried samples of 17 summer forages collected in early July and 10 winter forages collected in February from three replicate sites each of shady forest understory and open, sunny habitat were...

The Sunni and Shia Schism: Religion, Islamic Politics, and Why Americans Need to Know the Differences

Science.gov (United States)

Moore, James

2015-01-01

Research indicates that most American citizens know little about Islam and, specifically, the major differences between Sunni Muslims and Shiite Muslims and why this matters to the United States. Although the two major Islamic factions share many common core beliefs and practices, there are some significant religious and political differences…

Annual Performance Assessment of Complex Fenestration Systems in Sunny Climates Using Advanced Computer Simulations

Directory of Open Access Journals (Sweden)

Chantal Basurto

2015-12-01

Full Text Available Complex Fenestration Systems (CFS are advanced daylighting systems that are placed on the upper part of a window to improve the indoor daylight distribution within rooms. Due to their double function of daylight redirection and solar protection, they are considered as a solution to mitigate the unfavorable effects due to the admission of direct sunlight in buildings located in prevailing sunny climates (risk of glare and overheating. Accordingly, an adequate assessment of their performance should include an annual evaluation of the main aspects relevant to the use of daylight in such regions: the indoor illuminance distribution, thermal comfort, and visual comfort of the occupant’s. Such evaluation is possible with the use of computer simulations combined with the bi-directional scattering distribution function (BSDF data of these systems. This study explores the use of available methods to assess the visible and thermal annual performance of five different CFS using advanced computer simulations. To achieve results, an on-site daylight monitoring was carried out in a building located in a predominantly sunny climate location, and the collected data was used to create and calibrate a virtual model used to carry-out the simulations. The results can be employed to select the CFS, which improves visual and thermal interior environment for the occupants.

Bony manifestation of rickets in a sunny city - a case report from Yazd, Iran

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Mohammadhosain Afrand

2014-01-01

Full Text Available Rickets is disease that occurs in growing bones in which defective mineralization occurs in both the bone and the cartilage of the epiphyseal growth plate, resulting in the retardation of growth and skeletal deformities. Rickets is more common in areas with less sunlight. However, this case report presents a case of the bony manifestation of rickets with the intake of vitamin D supplements in Yazd, a city in central Iran that has sunshine almost every day. A patient was referred to an out-patient general pediatric clinic for deformities of the legs and growth disturbance, with his height far below the normal range. The changes that were most evident in his X-rays were the bowing of the long bones of the legs and forearms and the cupping of the wrist metaphyseal region. In summary, we present a patient with bony manifestation of rickets despite living in a sunny area and taking vitamin D supplements. Thus, it is important to remember that rickets is still a common disease among children in Iran. More studies of this issue should be conducted, including the identification of abnormal cases and rescheduling vitamin D supplementation programs.

Bony manifestation of rickets in a sunny city - a case report from Yazd, Iran

Directory of Open Access Journals (Sweden)

Mohammadhosain Afrand

2014-02-01

Full Text Available Rickets is disease that occurs in growing bones in which defective mineralization occurs in both the bone and the cartilage of the epiphyseal growth plate, resulting in the retardation of growth and skeletal deformities. Rickets is more common in areas with less sunlight. However, this case report presents a case of the bony manifestation of rickets with the intake of vitamin D supplements in Yazd, a city in central Iran that has sunshine almost every day. A patient was referred to an out-patient general pediatric clinic for deformities of the legs and growth disturbance, with his height far below the normal range. The changes that were most evident in his X-rays were the bowing of the long bones of the legs and forearms and the cupping of the wrist metaphyseal region. In summary, we present a patient with bony manifestation of rickets despite living in a sunny area and taking vitamin D supplements. Thus, it is important to remember that rickets is still a common disease among children in Iran. More studies of this issue should be conducted, including the identification of abnormal cases and rescheduling vitamin D supplementation programs

Stepping onto sacred ground: the mazar in Uyghur day-to-day life

Directory of Open Access Journals (Sweden)

Patrick Hällzon

2010-01-01

Full Text Available Like most Turkic peoples, the vast majority of the Uyghur people are Muslim and belong to the Sunni branch of Islam. Islam is a contributing factor in Uyghur identity and is manifested in daily life by a number of regulations on food, observation of religious holidays and life cycle celebrations. The point of departure here is to try to describe the ziyara as an integral part of Muslim life in the region. The mazarserves as an important reference point in the day-to-day life of the Uyghur people. Regardless of whether it is a local place of worship or a shrine that attracts pilgrims from a larger geographical area, it is a breathing space where one may escape the hardships of everyday life. At the mazar the people have a saint with whom they can identify and be inspired. The mazar is a venue in which both men and women participate—both as participants and as religious leaders.

[Is there vitamin D deficiency in children in a sunny Mediterranean city?].

Science.gov (United States)

Togo, A; Espadas Maciá, D; Blanes Segura, S; Sivó Díaz, N; Villalba Martínez, C

2016-03-01

Despite the increasing interest in vitamin D functions, new cases of deficiency have been reported in sunny regions where optimal levels are expected. The aim of this study was to analyze 25-hydroxivitamin D levels in children younger than 2 years admitted for acute mild diseases in a tertiary hospital in Valencia and its relationship with factors that can be associated with its deficiency. This one year prospective and observational study was conducted on 169 children admitted for acute mild diseases. 25-hydroxivitamin D levels were analyzed. A standardized physical examination and structured interviews to the parents were performed. Children were classified into two groups, according to 25-hydroxivitamin D levels (cut-off 30 ng/mL). A total of 169 children were included, with a median age of 9 months, being more prevalent Caucasians (75.7%) and youger than one year old (79.3%). Almost one quarter (24.3%) of the children had 25-hydroxivitamin D levels 30 ng/mL were associated with vitamin D prophylaxis during the first year, in children of a Caucasian mother, and those who did not wear a hijab. No statistical differences were found in diet characteristics (P=.65). Prophylaxis was given to 47% of the breastfed children younger than one year. In Valencia, Spain, 25-hydroxivitamin D levels lower than 30 ng/mL were found in a quarter of the children younger than two years. Our results emphasize the importance of vitamin D prophylaxis during the first year of life, even in sunny Mediterranean regions. Copyright © 2015 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

Making muslim babies: Ivf and gamete donation in sunni versus shi’a islam

Science.gov (United States)

2006-01-01

Medical anthropological research on science, biotechnology, and religion has focused on the “local moral worlds” of men and women as they make difficult decisions regarding their health and the beginnings and endings of human life. This paper focuses on the local moral worlds of infertile Muslims as they attempt to make, in the religiously correct fashion, Muslim babies at in vitro fertilization (IVF) clinics in Egypt and Lebanon. As early as 1980, authoritative fatwas issued from Egypt’s famed Al-Azhar University suggested that IVF and similar technologies are permissible as long as they do not involve any form of third-party donation (of sperm, eggs, embryos, or uteruses). Since the late 1990s, however, divergences in opinion over third-party gamete donation have occurred between Sunni and Shi’ite Muslims, with Iran’s leading ayatollah permitting gamete donation under certain conditions. This Iranian fatwa has had profound implications for the country of Lebanon, where a Shi’ite majority also seeks IVF services. Based on three periods of ethnographic research in Egyptian and Lebanese IVF clinics, this paper explores official and unofficial religious discourses surrounding the practice of IVF and third-party donation in the Muslim world, as well as the gender implications of gamete donation for Muslim marriages. PMID:17051430

Targeted doctors, missing patients: obstetric health services and sectarian conflict in northern Pakistan.

Science.gov (United States)

Varley, Emma

2010-01-01

The spectre of exclusionary medical service provision, restricted clinic access and physician targeting in sectarian-divided Iraq underscores the crucial and timely need for qualitative research into the inter-relationship between conflict, identity and health. In response, this paper provides a critical ethnography of obstetric service provision and patient access during Shia-Sunni hostilities in Gilgit Town, capital of Pakistan's Northern Areas (2005). I analyse how services were embedded in and constrained by sectarian affiliation in ways that detrimentally impacted Sunni women patients and hospital staff, resulting in profoundly diminished clinic access, reduced physician coverage and a higher observed incidence of maternal morbidity and mortality. The paper first situates obstetric medicine at the interstices of contested sectarian terrain and competing historical projects of sectarian identity. Gilgiti Sunnis' high clinical reliance is argued to be a response to and consequence of, inter-sectarian dissonance and the ascendance of biomedicine during three decades of regional development. In 2005, conflict-incurred service deprivations and the enactment and strategic use of sectarian identity in clinical settings were associated with differential treatment and patient-perceived adverse health outcomes, leading Sunnis to generate alternative sect-specific health services. Obstetric morbidity and mortality during sectarian conflict are analyzed as distinctive manifestations of the wide range of direct harms routinely associated with violence and political strife.

33 CFR 334.450 - Cape Fear River and tributaries at Sunny Point Army Terminal, Brunswick County, N.C.; restricted...

Science.gov (United States)

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Cape Fear River and tributaries... AND RESTRICTED AREA REGULATIONS § 334.450 Cape Fear River and tributaries at Sunny Point Army Terminal, Brunswick County, N.C.; restricted area. (a) The area. That portion of Cape Fear River due west of the main...

Health status of Seventh-Day Adventists.

Science.gov (United States)

Webster, I W; Rawson, G K

1979-05-19

A comparison of health status between 779 Seventh-day Adventists, who have a strong commitment to heal-related life styles, and two other groups of people--8363 persons referred by general practitioners and 9825 volunteers--was made. The Seventh-day Adventists showed less impairment of systolic and diastolic blood pressures, of plasma cholesterol and plasma urate concentrations, and of lung ventilatory capacity; and less obesity at most specific ages. With increasing age, the level of breathlessness, reported heart disease, hypertension, and hypertensive and diuretic therapy in this sample approached that of the comparative groups, possibly because of natural attrition of high-risk persons in the latter. Depression, sleeplessness, use of sedatives and tranquillizers were lower in the Seventh-day Adventists; although, once again, a drawing together of the three groups in older age categories was evident. It is concluded that the life style of Seventh-day Adventists is conducive to lessened morbidity, delayed mortality, and decreased call on health services in comparison with the general population.

Feeling old today? Daily health, stressors, and affect explain day-to-day variability in subjective age.

Science.gov (United States)

Kotter-Grühn, Dana; Neupert, Shevaun D; Stephan, Yannick

2015-01-01

Subjective age is an important correlate of health, well-being, and longevity. So far, little is known about short-term variability in subjective age and the circumstances under which individuals feel younger/older in daily life. This study examined whether (a) older adults' felt age fluctuates on a day-to-day basis, (b) daily changes in health, stressors, and affect explain fluctuations in felt age, and (c) the daily associations between felt age and health, stressors, or affect are time-ordered. Using an eight-day daily diary approach, N = 43 adults (60-96 years, M = 74.65, SD = 8.19) filled out daily questionnaires assessing subjective age, health, daily stressors, and affect. Data were analysed using multilevel modelling. Subjective age, health, daily stressors, affect. Intra-individual variability in felt age was not explained by time but by short-term variability in other variables. Specifically, on days when participants experienced more than average health problems, stress, or negative affect they felt older than on days with average health, stress, or negative affect. No time-ordered effects were found. Bad health, many stressors, and negative affective experiences constitute circumstances under which older adults feel older than they typically do. Thus, daily measures of subjective age could be markers of health and well-being.

Day-to-day inconsistency in parent knowledge: links with youth health and parents' stress.

Science.gov (United States)

Lippold, Melissa A; McHale, Susan M; Davis, Kelly D; Kossek, Ellen Ernst

2015-03-01

Considerable evidence documents the linkages between higher levels of parental knowledge about youth activities and positive youth outcomes. This study investigated how day-to-day inconsistency in parental knowledge of youth activities was linked to youth behavioral, psychological, and physical health and parents' stress. Participants were employees in the Information Technology Division of a Fortune 500 company and their children (N = 129, mean age of youth = 13.39 years, 55% female). Data were collected from parents and youth via separate workplace and in-home surveys as well as telephone diary surveys on eight consecutive evenings. We assessed day-to-day inconsistency in parental knowledge across these eight calls. Parents differed in their knowledge from day to day almost as much as their average knowledge scores differed from those of other parents. Controlling for mean levels of knowledge, youth whose parents exhibited more knowledge inconsistency reported more physical health symptoms (e.g., colds and flu). Knowledge inconsistency was also associated with more risky behavior for girls but greater psychological well-being for older adolescents. Parents who reported more stressors also had higher knowledge inconsistency. Assessing only average levels of parental knowledge does not fully capture how this parenting dimension is associated with youth health. Consistent knowledge may promote youth physical health and less risky behavior for girls. Yet knowledge inconsistency also may reflect normative increases in autonomy as it was positively associated with psychological well-being for older adolescents. Given the linkages between parental stress and knowledge inconsistency, parent interventions should include stress management components. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Living in the hands of God. English Sunni e-fatwas on (non-)voluntary euthanasia and assisted suicide.

Science.gov (United States)

Van den Branden, Stef; Broeckaert, Bert

2011-02-01

Ever since the start of the twentieth century, a growing interest and importance of studying fatwas can be noted, with a focus on Arabic printed fatwas (Wokoeck 2009). The scholarly study of end-of-life ethics in these fatwas is a very recent feature, taking a first start in the 1980s (Anees 1984; Rispler-Chaim 1993). Since the past two decades, we have witnessed the emergence of a multitude of English fatwas that can easily be consulted through the Internet ('e-fatwas'), providing Muslims worldwide with a form of Islamic normative guidance on a huge variety of topics. Although English online fatwas do provide guidance for Muslims and Muslim minorities worldwide on a myriad of topics including end-of-life issues, they have hardly been studied. This study analyses Islamic views on (non-)voluntary euthanasia and assisted suicide as expressed in English Sunni fatwas published on independent--i.e. not created by established organisations--Islamic websites. We use Tyan's definition of a fatwa to distinguish between fatwas and other types of texts offering Islamic guidance through the Internet. The study of e-fatwas is framed in the context of Bunt's typology of Cyber Islamic Environments (Bunt 2009) and in the framework of Roy's view on the virtual umma (Roy 2002). '(Non-)voluntary euthanasia and assisted suicide' are defined using Broeckaert's conceptual framework on treatment decisions at the end of life (Broeckaert 2008). We analysed 32 English Sunni e-fatwas. All of the e-fatwas discussed here firmly speak out against every form of active termination of life. They often bear the same structure, basing themselves solely on Quranic verses and prophetic traditions, leaving aside classical jurisprudential discussions on the subject. In this respect they share the characteristics central in Roy's typology of the fatwa in the virtual umma. On the level of content, they are in line with the international literature on Islamic end-of-life ethics. English Sunni e-fatwas make

Day-to-Day Inconsistency in Parent Knowledge: Links with Youth Health and Parents’ Stress

Science.gov (United States)

Lippold, Melissa A.; McHale, Susan M.; Davis, Kelly D.; Kossek, Ellen Ernst

2015-01-01

Purpose Considerable evidence documents the linkages between higher levels of parental knowledge about youth activities and positive youth outcomes. This study investigated how day-to-day inconsistency in parental knowledge of youth activities was linked to youth behavioral, psychological, and physical health as well as parents’ stress. Methods Participants were employees in the Information Technology division of a Fortune 500 company and their children (N =129, Mean age youth = 13.39 years, 55% female). Data were collected from parents and youth via separate workplace and in-home surveys as well as telephone diary surveys on 8 consecutive evenings. We assessed day-to-day inconsistency in parental knowledge across these eight calls. Results Parents differed in their knowledge from day to day almost as much as their average knowledge scores differed from those of other parents. Controlling for mean levels of knowledge, youth whose parents exhibited more knowledge inconsistency reported more physical health symptoms (e.g., colds, flu). Knowledge inconsistency was also associated with more risky behavior for girls but greater psychological well-being for older adolescents. Parents who reported more stressors also had higher knowledge inconsistency. Conclusions Assessing only average levels of parental knowledge does not fully capture how this parenting dimension is associated with youth health. Consistent knowledge may promote youth physical health and less risky behavior for girls. Yet knowledge inconsistency also may reflect normative increases in autonomy as it was positively associated with psychological well-being for older adolescents. Given the linkages between parental stress and knowledge inconsistency, parent interventions should include stress-management components. PMID:25703318

Stennis Space Center observes 2009 Safety and Health Day

Science.gov (United States)

2009-01-01

Sue Smith, a medical clinic employee at NASA's John C. Stennis Space Center, takes the temperature of colleague Karen Badon during 2009 Safety and Health Day activities Oct. 22. Safety Day activities included speakers, informational sessions and a number of displays on safety and health issues. Astronaut Dominic Gorie also visited the south Mississippi rocket engine testing facility during the day to address employees and present several Silver Snoopy awards for outstanding contributions to flight safety and mission success. The activities were part of an ongoing safety and health emphasis at Stennis.

Modelling the spectral irradiance distribution in sunny inland locations using an ANN-based methodology

International Nuclear Information System (INIS)

Torres-Ramírez, M.; Elizondo, D.; García-Domingo, B.; Nofuentes, G.; Talavera, D.L.

2015-01-01

This work is aimed at verifying that in sunny inland locations artificial intelligence techniques may provide an estimation of the spectral irradiance with adequate accuracy for photovoltaic applications. An ANN (artificial neural network) based method was developed, trained and tested to model the spectral distributions between wavelengths ranging from 350 to 1050 nm. Only commonly available input data such as geographical information regarding location, specific date and time together with horizontal global irradiance and ambient temperature are required. Historical information from a 24-month experimental campaign carried out in Jaén (Spain) provided the necessary data to train and test the ANN tool. A Kohonen self-organized map was used as innovative technique to classify the whole input dataset and build a small and representative training dataset. The shape of the spectral irradiance distribution, the in-plane global irradiance (G T ) and irradiation (H T ) and the APE (average photon energy) values obtained through the ANN method were statistically compared to the experimental ones. In terms of shape distribution fitting, the mean relative deformation error stays below 4.81%. The root mean square percentage error is around 6.89% and 0.45% when estimating G T and APE, respectively. Regarding H T , errors lie below 3.18% in all cases. - Highlights: • ANN-based model to estimate the spectral irradiance distribution in sunny inland locations. • MRDE value stay below 4.81% in spectral irradiance distribution shape fitting. • RMSPE is about 6.89% for the in-plane global irradiance and 0.45% for the average photon energy. • Errors stay below 3.18% for all the months of the year in incident irradiation terms. • Improvement of assessment of the impact of the solar spectrum in the performance of a PV module

[Modern-day slavery as a public health issue].

Science.gov (United States)

Leão, Luís Henrique da Costa

2016-12-01

Modern-day slave labor is one of the most pernicious and persistent social problems in Brazil. In the light of the need to implement a national occupational health policy, this paper discusses slave labor as a public health concern, highlighting possibilities for broadening strategies for vigilance and comprehensive care for this specific working population. Exploratory qualitative research was carried out based on the "social construction of reality" proposed by Lenoir, Berger and Luckmann. The investigation consisted of a theoretical review of modern-day slave labor on the national and international scene within the scope of the human, social and public health sciences and an analysis of social and political practices to tackle modern-day slave labor was conducted in the State of Rio de Janeiro. Semi-structured individual and group interviews with workers and representatives of social movements and public institutions were organized. The results reveal the theoretical and practical dimensions of slave labor and its relations with the health field and highlight the role and potential of public health in the enhancing of vigilance practices and health care of workers subjected to these chronic social conditions.

Comparison of good days and sick days of school-age children with cancer reflected through their drawings.

Science.gov (United States)

Linder, Lauri A; Bratton, Heather; Nguyen, Anna; Parker, Kori; Phinney, Susanna

2017-10-01

Childhood cancer disrupts children's daily life experiences. Eliciting children's perspectives regarding their life experiences during cancer treatment can be challenging. The purpose of this study was to characterize elementary school-age children's "good days" and "sick days" through their drawings. This study used draw-and-tell interviews, a developmentally sensitive arts-based technique that supports children's recall and communication of information, facilitating a deeper understanding of children's personal interpretation and meaning of a given phenomenon of interest. Children were asked to draw pictures representing both a "good day" and a "sick day." Following completion of each drawing, research team members used a semi-structured interview guide to elicit children's explanations of their pictures. Content analysis techniques were used to descriptively characterize children's drawings followed by thematic analysis to identify commonalities. Participants were 27 children 6.33-12.83 years of age (mean 9.16 years; SD = 1.9) receiving treatment for cancer. "Good day" and "sick day" pictures were similar with regards to the presence of the child, the inclusion of other individuals, and the type of art medium used. Children's pictures characterized "good days" as being happy, outside in sunny weather, and engaged in activities. In contrast, "sick days" were characterized as feeling sad, lying down or reclining, and experiencing illness-related symptoms. Children's drawings illustrate their capacity to provide rich personal data related to their "good days" and "sick days." Incorporating arts-based strategies in the clinical setting may provide a child-centric strategy to understand the child's perspective and direct interventions.

High Prevalence of Vitamin D Deficiency and Associated Risk Factors among Employed Women in a Sunny Industrial City.

Science.gov (United States)

Hassannia, Tahereh; GhaznaviRad, Ehsan; Vakili, Rosita; Taheri, Sohaila; Rezaee, Seyed Abdolrahim

2015-01-01

Vitamin D deficiency is a public health concern associated with the pathogenesis of several chronic disorders, particularly in women. To evaluate serum vitamin D levels and its deficiency and risk factors among employed women in a sunny industrial city. In this cross-sectional study, serum vitamin D levels, biochemical and hematological factors were assessed in 382 healthy employed women. Demographic information was collected using a standard questionnaire and data was analyzed by SPSS software. The mean vitamin D serum level was 22 ± 19.8 ng/ml. Prevalence of vitamin D deficiency and insufficiency were 62 % and 12.94 %, respectively. Deficiency was more common among younger subjects (Organizations (15 ng/ml).Vitamin D deficiency was associated with the lack of sunlight exposure at home, and taking anti-hypertensive medications. The common symptoms in deficiency condition were history of hyperlipidemia, depression, weakness, fatigue, finger tingling, leg cramps, and body and muscle pain. Moreover, LDL-cholesterol serum levels were significantly higher in the vitamin D deficiency group, with a prevalence of 40 %. The symptoms of vitamin D deficiency including depression, weakness, fatigue, tingling, leg cramps and body and muscle pain have been observed in more than 90 % after recruitment and treatment. Therefore, for improving the health and productivity of employees, a routine monitoring system for vitamin D and the other factors should be put in place.

Day-to-day discrimination and health among Asian Indians: a population-based study of Gujarati men and women in Metropolitan Detroit.

Science.gov (United States)

Yoshihama, Mieko; Bybee, Deborah; Blazevski, Juliane

2012-10-01

This study examined the relationship between experiences of day-to-day discrimination and two measures of health among Gujaratis, one of the largest ethnic groups of Asian Indians in the U.S. Data were collected via computer-assisted telephone interviews with a random sample of Gujarati men and women aged 18-64 in Metropolitan Detroit (N = 423). Using structural equation modeling, we tested two gender-moderated models of the relationship between day-to-day discrimination and health, one using the single-item general health status and the other using the 4-item emotional wellbeing measure. For both women and men, controlling for socio-demographic and other relevant characteristics, the experience of day-to-day discrimination was associated with worse emotional wellbeing. However, day-to-day discrimination was associated with the single-item self-rated general health status only for men. This study identified not only gender differences in discrimination-health associations but also the importance of using multiple questions in assessing perceived health status.

[Work days lost due to health problems in industry].

Science.gov (United States)

Yano, Sylvia Regina Trindade; Santana, Vilma Sousa

2012-05-01

This cross-sectional study estimated the prevalence of work days lost due to health problems and associated factors among industrial workers. The study population was a simple random cluster sample of 3,403 workers from 16 to 65 years of age in the city of Salvador, Bahia State, Brazil. Data were collected with individual home interviews. Among industrial workers, one-year prevalence of work days lost to health problems was 12.5%, of which 5.5% were directly work-related and 4.1% aggravated by work. There were no statistically significant differences when compared to other worker categories. Self-perceived workplace hazards, history of work-related injury, and poor self-rated health were associated with work days lost due to work-related injuries/diseases. The findings showed that work days lost are common among both industrial and non-industrial workers, thereby affecting productivity and requiring prevention programs.

Day-to-day variations in health behaviors and daily functioning: two intensive longitudinal studies.

Science.gov (United States)

Flueckiger, Lavinia; Lieb, Roselind; Meyer, Andrea H; Witthauer, Cornelia; Mata, Jutta

2017-04-01

In two intensive longitudinal studies we examined the daily dynamics in health behaviors and their associations with two important indicators of young adults' daily functioning, namely, affect and academic performance. Over a period of 8 months, university students (Study 1: N = 292; Study 2: N = 304) reported sleep, physical activity, snacking, positive and negative affect, and learning goal achievement. A subsample wore an actigraph to provide an additional measurement of sleep and physical activity and participated in a controlled laboratory snacking situation. Multilevel structural equation models showed that better day-to-day sleep quality or more physical activity than usual, but not snacking, were associated with improved daily functioning, namely, affect and learning goal achievement. Importantly, self-report measurements of health behaviors correlated with behavioral measurements. These findings have the potential to inform health promotion programs aimed at supporting young adults in their daily functioning in good physical and mental health.

'Mental health day' sickness absence amongst nurses and midwives: workplace, workforce, psychosocial and health characteristics.

Science.gov (United States)

Lamont, Scott; Brunero, Scott; Perry, Lin; Duffield, Christine; Sibbritt, David; Gallagher, Robyn; Nicholls, Rachel

2017-05-01

To examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as 'mental health days'. The occupational stress associated with the nursing profession is increasingly recognized and nurse/midwifery absenteeism is a significant global problem. Taking a 'mental health day' as sickness absence is a common phenomenon in Australian health care. No previous studies have empirically explored the characteristics of nurses and midwives using such sickness absence. Online cross-sectional survey. Survey comprising validated tools and questions on workplace and health characteristics was distributed to nurses and midwives in New South Wales, Australia, between May 2014 - February 2015. Sample characteristics were reported using descriptive statistics. Factors independently predictive of 'mental health day' reportage were determined using logistic regression. Fifty-four percentage of the n = 5041 nurse and midwife respondents took 'mental health days'. Those affected were significantly more likely to be at younger ages, working shifts with less time sitting at work; to report workplace abuse and plans to leave; having been admitted to hospital in previous 12 months; to be current smokers; to report mental health problems, accomplishing less due to emotional problems and current psychotropic medication use. Specific characteristics of nurses and midwives who report taking 'mental health day' sickness absence offer healthcare administrators and managers opportunities for early identification and intervention with workplace measures and support frameworks to promote well-being, health promotion and safety. © 2016 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.

'Disaster day': global health simulation teaching.

Science.gov (United States)

Mohamed-Ahmed, Rayan; Daniels, Alex; Goodall, Jack; O'Kelly, Emily; Fisher, James

2016-02-01

As society diversifies and globalisation quickens, the importance of teaching global health to medical undergraduates increases. For undergraduates, the majority of exposure to 'hands-on' teaching on global health occurs during optional elective periods. This article describes an innovative student-led initiative, 'Disaster Day', which used simulation to teach global health to undergraduates. The teaching day began with an introduction outlining the work of Médecins Sans Frontières and the basic principles of resuscitation. Students then undertook four interactive simulation scenarios: Infectious Diseases in a Refugee Camp, Natural Disaster and Crush Injury, Obstetric Emergency in a Low-Income Country, and Warzone Gunshot Wound. Sessions were facilitated by experienced doctors and fourth-year students who had been trained in the delivery of the scenarios. Students completed pre- and post-session evaluation forms that included the self-rating of confidence in eight learning domains (using a five-point Likert scale). Twenty-seven students voluntarily attended the session, and all provided written feedback. Analysis of the pre- and post-session evaluations demonstrated statistically significant improvements in confidence across all but one domains (Wilcoxon signed rank test). Free-text feedback was overwhelmingly positive, with students appreciating the practical aspect of the scenarios. For undergraduates, the majority of exposure to 'hands-on' teaching on global health occurs during optional elective periods Simulation-based teaching can provide students with 'hands-on' exposure to global health in a controlled, reproducible fashion and appears to help develop their confidence in a variety of learning domains. The more widespread use of such teaching methods is encouraged: helping tomorrow's doctors develop insight into global health challenges may produce more rounded clinicians capable of caring for more culturally diverse populations. © 2015 John Wiley & Sons

Afican Health Sciences Vol 10 No 3.pmd

African Journals Online (AJOL)

Administrator

senior post employee with stable financial position. Scene Findings and Speculated Chain of Events. This incident occurred on a sunny day in spring season with average temperature of 15 to 20 °C. The scene was located about 200 m away from the post office in a remote area with a relatively small traffic. The height of the ...

Health literacy and 30-day hospital readmission after acute myocardial infarction

Science.gov (United States)

Bailey, Stacy Cooper; Fang, Gang; Annis, Izabela E; O'Conor, Rachel; Paasche-Orlow, Michael K; Wolf, Michael S

2015-01-01

Objective To assess the validity of a predictive model of health literacy, and to examine the relationship between derived health literacy estimates and 30-day hospital readmissions for acute myocardial infarction (AMI). Design Retrospective cohort study. Setting and participants A National Institute of Aging (NIA) study cohort of 696 adult, English-speaking primary care patients, aged 55–74 years, was used to assess the validity of derived health literacy estimates. Claims from 7733 Medicare beneficiaries hospitalised for AMI in 2008 in North Carolina and Illinois were used to investigate the association between health literacy estimates and 30-day hospital readmissions. Measures The NIA cohort was administered 3 common health literacy assessments (Newest Vital Sign, Test of Functional Health Literacy in Adults, and Rapid Estimate of Adult Literacy in Medicine). Health literacy estimates at the census block group level were derived via a predictive model. 30-day readmissions were measured from Medicare claims data using a validated algorithm. Results Fair agreement was found between derived estimates and in-person literacy assessments (Pearson Correlation coefficients: 0.38–0.51; κ scores: 0.38–0.40). Medicare enrollees with above basic literacy according to derived health literacy estimates had an 18% lower risk of a 30-day readmission (RR=0.82, 95% CI 0.73 to 0.92) and 21% lower incidence rate of 30-day readmission (IRR=0.79, 95% CI 0.68 to 0.87) than patients with basic or below basic literacy. After adjusting for demographic and clinical characteristics, the risk of 30-day readmission was 12% lower (p=0.03), and the incidence rate 16% lower (pliteracy. Conclusions Health literacy, as measured by a predictive model, was found to be a significant, independent predictor of 30-day readmissions. As a modifiable risk factor with evidence-based solutions, health literacy should be considered in readmission reduction efforts. PMID:26068508

Day labor and occupational health: time to take a closer look.

Science.gov (United States)

Buchanan, Susan

2004-01-01

The term "day labor" refers to work performed by individuals who are hired on a temporary basis, often for one day at a time. This type of employment has increased in North America as informal work arrangements and immigration have increased. Research on the occupational health of day laborers is minimal. The objectives of this article are to review the current literature pertaining to occupational health in day laborers, and to characterize the issues that affect this population's access to occupational health services. Surveys of day laborers and other immigrant, low-wage workers show that they are at elevated risk for occupational injury and are often unable to access medical care when injured on the job. Reasons include workers' reluctance to complain about unsafe work conditions, inadequate safety training, and lack of incentive for employers to reduce workplace injuries. More research is needed to better characterize the occupational health of this population.

Framing the Mind-Body Problem in Contemporary Neuroscientific and Sunni Islamic Theological Discourse.

Science.gov (United States)

Qazi, Faisal; Fette, Don; Jafri, Syed S; I Padela, Aasim

2018-07-01

Famously posed by seventeenth-century French philosopher René Descartes, the mind-body problem remains unresolved in western philosophy and science, with both disciplines unable to move convincingly beyond the dualistic model. The persistence of dualism calls for a reframing of the problem through interdisciplinary modes of inquiry that include non-western points of view. One such perspective is Islamic theology of the soul, which, while approaching the problem from a distinct point of view, also adopts a position commensurate with (substance) dualism. Using this point of convergence as a conceptual starting point, we argue that bringing into dialogue contemporary neuroscientific, philosophy of mind, and Sunni Islamic theological discourses may provide a fruitful way of reframing the age-old mind-body problem. This paper provides an overview of how these three discourses have approached the issue of the mind-body (-soul) problem. Juxtaposing these three discourses, we hope, may ignite further scholarly dialogue and investigation.

[The Influence of Runoff Pollution to DOM Features in an Urban Wastewater Treatment Plant].

Science.gov (United States)

He, Li; Ji, Fang-ying; Lai, Ming-sheng; Xu, Xuan; Zhou, Wei-wei; Mao, Bo-lin; Yang, Ming-jia

2015-03-01

Combined with wastewater treatment process, the sewage in sunny and rainy day was collected from a wastewater treatment plant in Chongqing. Three-dimensional fluorescence spectra was used to investigate the characteristic fluorescence of dissolved organic matter (DOM). DOM dissolved organic carbon (DOC), chemical oxygen demand (COD), fluorescence index (ƒ450/500) and fluorescence intensity ratio γ (A, C) of fulvic acid in ultraviolet and visible region were used to analyze the impact of rain runoff pollution on sewage DOM. According to the experimental data, the DOM fluorescence fingerprints of this wastewater treatment plant were quite different from typical municipal sewage, and the main component was tryptophan with low excitation wavelength (Peak S), then the tryptophan with long wavelength excitation (Peak T) followed. A2/O process had an approximative degradation of the protein-like both in sunny day and rainy day, but had a better degradation of fulvic-like, DOC and COD in rainy day than that in sunny day. Morever, the fluorescence peaks got red-shifted after the biological treatment. The differences of DOM fluorescence fingerprint between sunny and rainy day were significant, the fluorescence center of UV fulvic (Peak A) in rainy day getting blue-shifted obviously, shifting from 240 - 248/390 - 440 to 240 - 250/370 - 400 nm. Although the DOM types in sunny and rainy day were the same, the source of fulvic got more complex by runoff and the component ratio of DOM also changed. Compared with the sunny day, the proportion of Peak S in DOM dereased by 10%, and the proportion of Peak A increased by 7% in rainy day.

The Relationship between Climatic Factors and the Prevalence of Visceral Leishmaniasis in North West of Iran

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Eslam Moradiasl

2018-02-01

Full Text Available Background Visceral leishmaniasis (VL is most commonly found among children under the age of 10 in some provinces of Iran including Ardabil. As such, this study set out to determine the relationship between some climatic factors and the prevalence of VL in Northwest of Iran. Materials and Methods In this descriptive-analytic study, data collection was done on some climatic factors including rainfall, temperature, and the number of sunny and snowy days from Apr. 2001 to Sep. 2017 from the weather station in Meshkinshahr County of Ardabil province, Iran, and the related information of the VL patients from the health center. Statistical analysis was done using Excel and SPSS version 23.0 software. Pearson correlation coefficient test was utilized for data analysis. Results Over the course of 17 years, 226 cases of VL occurred in rural and urban areas of Meshkinshahr. The highest prevalence of VL disease was reported in February and March. Climatic factors of temperature and the number of sunny days showed a direct relationship with the prevalence of VL disease (P0.05.   Conclusion In spite of the rather cold and humid climate of Meshkinshahr County during much of the year, based on the findings of present study, there was a significantly direct relationship between VL disease and the hot temperature as well as sunny days. Background Visceral leishmaniasis (VL is most commonly found among children under the age of 10 in some provinces of Iran including Ardabil. As such, this study set out to determine the relationship between some climatic factors and the prevalence of VL in Northwest of Iran. Materials and Methods In this descriptive-analytic study, data collection was done on some climatic factors including rainfall, temperature, and the number of sunny and snowy days from Apr. 2001 to Sep. 2017 from the weather station in Meshkinshahr County of Ardabil province, Iran, and the related information of the VL patients from the health center

World health day - 7th april, 2004 "road safety is no accident"

Directory of Open Access Journals (Sweden)

S C Saxena

2004-06-01

Full Text Available In 1948, the First World Health Assembly called for the creation of a "World Health Day". Since 1950, World Health Day has been celebrated on the 7th of April of each year. The objective of World Health Day is to raise global awareness of a specific health theme to highlight a priority area of concern for the World Health Organization (WHO. The Day serves as a launch for a long-term advocacy program for which activities will be undertaken and resources provided well beyond 7th April. To Celebrate the theme of this year "Road Safety is No accident", on 7th April 2004 around the globle, hundreds of organizations hosted events to help raise awareness about road traffic injuries, their grave consequences and enormous casts to society. They also contributed to spreading the message that such injuries can be prevented. In 1948, the First World Health Assembly called for the creation of a "World Health Day". Since 1950, World Health Day has been celebrated on the 7th of April of each year. The objective of World Health Day is to raise global awareness of a specific health theme to highlight a priority area of concern for the World Health Organization (WHO. The Day serves as a launch for a long-term advocacy program for which activities will be undertaken and resources provided well beyond 7th April. To Celebrate the theme of this year "Road Safety is No accident", on 7th April 2004 around the globle, hundreds of organizations hosted events to help raise awareness about road traffic injuries, their grave consequences and enormous casts to society. They also contributed to spreading the message that such injuries can be prevented. The accident is defined as unexpected, unplanned event envolving injury, disability or death. The accidents occur in almost all countries. The most alarming fact is that accidents kill more young trained adults between 15-24 years of age group of males, mainly among two wheelers. All sorts of accidents kill more than 5 million

World health day - 7th april, 2004 "road safety is no accident"

Directory of Open Access Journals (Sweden)

S C Saxena

2006-06-01

Full Text Available In 1948, the First World Health Assembly called for the creation of a "World Health Day". Since 1950, World Health Day has been celebrated on the 7th of April of each year. The objective of World Health Day is to raise global awareness of a specific health theme to highlight a priority area of concern for the World Health Organization (WHO. The Day serves as a launch for a long-term advocacy program for which activities will be undertaken and resources provided well beyond 7th April.To Celebrate the theme of this year "Road Safety is No accident", on 7th April 2004 around the globle, hundreds of organizations hosted events to help raise awareness about road traffic injuries, their grave consequences and enormous casts to society. They alsocontributed to spreading the message that such injuries can be prevented.In 1948, the First World Health Assembly called for the creation of a "World Health Day". Since 1950, World Health Day has been celebrated on the 7th of April of each year. The objective of World Health Day is to raise global awareness of a specific health theme to highlight a priority area of concern for the World Health Organization (WHO. The Day serves as a launch for a long-term advocacy program for which activities will be undertaken and resources provided well beyond 7th April.To Celebrate the theme of this year "Road Safety is No accident", on 7th April 2004 around the globle, hundreds of organizations hosted events to help raise awareness about road traffic injuries, their grave consequences and enormous casts to society. They alsocontributed to spreading the message that such injuries can be prevented.t '            ■The accident is defined as unexpected, unplanned event envolving injury, disability or death. The accidents occur in almost all countries. The most alarming fact is that accidents kill more young trained adults between 15-24 years of age group of males, mainly among two wheelers. All sorts of accidents

Study on analytical modelling approaches to the performance of thin film PV modules in sunny inland climates

International Nuclear Information System (INIS)

Torres-Ramírez, M.; Nofuentes, G.; Silva, J.P.; Silvestre, S.; Muñoz, J.V.

2014-01-01

This work is aimed at verifying that analytical modelling approaches may provide an estimation of the outdoor performance of TF (thin film) PV (photovoltaic) technologies in inland sites with sunny climates with adequate accuracy for engineering purposes. Osterwald's and constant fill factor methods were tried to model the maximum power delivered and the annual energy produced by PV modules corresponding to four TF PV technologies. Only calibrated electrical parameters at STC (standard test conditions), on-plane global irradiance and module temperature are required as inputs. A 12-month experimental campaign carried out in Madrid and Jaén (Spain) provided the necessary data. Modelled maximum power and annual energy values obtained through both methods were statistically compared to the experimental ones. In power terms, the RMSE (root mean square error) stays below 3.8% and 4.5% for CdTe (cadmium telluride) and CIGS (copper indium gallium selenide sulfide) PV modules, respectively, while RMSE exceeds 5.4% for a-Si (amorphous silicon) or a-Si:H/μc-Si PV modules. Regarding energy terms, errors lie below 4.0% in all cases. Thus, the methods tried may be used to model the outdoor behaviour of the a-Si, a-Si:H/μc-Si, CIGS and CdTe PV modules tested – ordered from the lowest to the highest accuracy obtained – in sites with similar spectral characteristics to those of the two sites considered. - Highlights: • Simple analytical methods to model the outdoor behaviour of thin film PV (photovoltaic) technologies. • 8 PV modules were deployed outdoors over a 12-month period in two sunny inland sites. • RMSE (root mean square error) values stay below 3.8% and 4.5% in CdTe (cadmium telluride) and CIGS (copper indium gallium selenide sulfide) PV modules. • Errors remain below 4.0% for all the PV modules and sites in energy terms. • Simple methods: suitable estimation of PV outdoor behaviour for engineering purposes

Visit Sunny Chernobyl: And Other Adventures in the World's Most Polluted Places

International Nuclear Information System (INIS)

Blackwell, Andrew

2013-01-01

This book is the French translation of 'Visit Sunny Chernobyl' published in 2012 by Random House editor. For most of us, traveling means visiting the most beautiful places on Earth. It's rare to book a plane ticket to visit the lifeless moonscape of Canada's oil sand strip mines, or to seek out the Chinese city of Linfen, legendary as the most polluted in the world. But in this book, the author embraces a different kind of travel, taking a jaunt through the most gruesomely polluted places on Earth. From the hidden bars and convenience stores of a radioactive wilderness to the sacred but reeking waters of India, the book fuses immersive first-person reporting with satire and analysis, making the case that it's time to start appreciating our planet as it is not as we wish it would be. Irreverent and reflective, the book is a love letter to our biosphere's most tainted, most degraded ecosystems, and a measured consideration of what they mean for us. Equal parts travelogue, expose, environmental memoir, and faux guidebook, the author careens through a rogue's gallery of environmental disaster areas in search of the worst the world has to offer and approaches a deeper understanding of what's really happening to our planet in the process

World Day for Safety and Health at Work

CERN Multimedia

2012-01-01

27 April is World Day for Safety and Health at Work.   CERN’s health and safety teams look forward to seeing you at their stands in each of the three restaurants. This year, we cast the spotlight on two topics: • ergonomics • electrical hazards. Come and get tips that will help you to ensure your safety and to stay healthy and, you never know, you might be lucky enough to win a nice prize. Don't forget, Friday, 27 April 2012 from 11:30 a.m. to 2:30 p.m. in your nearest restaurant!

[Health agencies and the every day management of bioethics].

Science.gov (United States)

Byk, Christian

2014-06-01

Taking into account their acquired experience, would not health agencies become the place where biomedical practices will be managed on an every day basis? Would in a near future these agencies have the role to interprete the principles of the bioethics law to adapt them to concrete issues?

Increased 30-Day Emergency Department Revisits Among Homeless Patients with Mental Health Conditions

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Chun Nok Lam

2016-09-01

Full Text Available Introduction: Patients with mental health conditions frequently use emergency medical services. Many suffer from substance use and homelessness. If they use the emergency department (ED as their primary source of care, potentially preventable frequent ED revisits and hospital readmissions can worsen an already crowded healthcare system. However, the magnitude to which homelessness affects health service utilization among patients with mental health conditions remains unclear in the medical community. This study assessed the impact of homelessness on 30-day ED revisits and hospital readmissions among patients presenting with mental health conditions in an urban, safety-net hospital. Methods: We conducted a secondary analysis of administrative data on all adult ED visits in 2012 in an urban safety-net hospital. Patient demographics, mental health status, homelessness, insurance coverage, level of acuity, and ED disposition per ED visit were analyzed using multilevel modeling to control for multiple visits nested within patients. We performed multivariate logistic regressions to evaluate if homelessness moderated the likelihood of mental health patients’ 30-day ED revisits and hospital readmissions. Results: Study included 139,414 adult ED visits from 92,307 unique patients (43.5±15.1 years, 51.3% male, 68.2% Hispanic/Latino. Nearly 8% of patients presented with mental health conditions, while 4.6% were homeless at any time during the study period. Among patients with mental health conditions, being homeless contributed to an additional 28.0% increase in likelihood (4.28 to 5.48 odds of 30-day ED revisits and 38.2% increase in likelihood (2.04 to 2.82 odds of hospital readmission, compared to non-homeless, non-mental health (NHNM patients as the base category. Adjusted predicted probabilities showed that homeless patients presenting with mental health conditions have a 31.1% chance of returning to the ED within 30-day post discharge and a 3

Political Action Day: A Student-Led Initiative to Increase Health Advocacy Training Among Medical Students

Directory of Open Access Journals (Sweden)

Harbir Gill

2010-07-01

Full Text Available Background: Health advocacy is a critical aspect of the competent physician's role. It is identified as a core competency by several national physician regulatory organizations, yet few formal training programs exist. We developed an initiative to teach medical students health advocacy skills. Methods: At Political Action Day, students from Alberta medical schools lobbied the provincial government. A day of training seminars preceded Political Action Day that focused on teaching health advocacy and communication strategies. The following day, medical students met with elected representatives at the Legislative Assembly. An entry and exit survey was administered to students. Results: On October 26-27th, 2008, 40 students met with 38/83 (46% elected representatives including the Minister of Health and Wellness. Feedback from students and politicians suggests the event was effective in teaching advocacy skills. This initiative inspired students to be politically active in the future. Conclusions: Political Action Day helps fulfill the health advocacy competency objectives, and requires minimal curriculum time and resources for integration. It is an effective tool to begin teaching advocacy, and should be further expanded and replicated at other Canadian medical schools.

THE SUNNI-SHI'ITE RIVALRY AND ITS INFLUENCE ON THE GEOPOLITICAL SITUATION OF THE MIDDLE EAST

Directory of Open Access Journals (Sweden)

Alexander A. Kuznetsov

2014-01-01

Full Text Available The article "The Sunni-Shi'ite rivalry and its influence on the geopolitical situation of the Middle East" is dedicated to the sectarian conflicts in the Middle East region in last 30 years. Author considers the Islamic revolution of 1979 in Iran as the point of departure of this conflict. Author of the article makes a difference between the Shi'ite Islamic revolutionary doctrine of Khomeini and the Salafi Islamic fundamentalism of Saudi Arabia. Author realizes the analysis of the war between Iran and Iraq in 1980-1988. This analysis is emphasized on the regional geopolitical situation and positions of the outside actors (Saudi Arabia, USA, France, Germany. Then it is covered the American invasion of Iraq in 2003 and its geopolitical consequences. To the author's mind this aggression and further empowerment of the Shi'ite majority reduced to the civil war in Iraq and exacerbation of the sectarian conflict. Author of the article considers these events as a part of the geopolitical rivalry between Iran and Saudi Arabia to unfold in the areas of Iraq, Syria and Lebanon.

The Sunni-Shi'ite Rivalry And Its Influence On The Geopolitical Situation Of The Middle East

Directory of Open Access Journals (Sweden)

Alexander A. Kuznetsov

2014-01-01

Full Text Available The article "The Sunni-Shi'ite rivalry and its influence on the geopolitical situation of the Middle East" is dedicated to the sectarian conflicts in the Middle East region in last 30 years. Author considers the Islamic revolution of 1979 in Iran as the point of departure of this conflict. Author of the article makes a difference between the Shi'ite Islamic revolutionary doctrine of Khomeini and the Salafi Islamic fundamentalism of Saudi Arabia. Author realizes the analysis of the war between Iran and Iraq in 1980-1988. This analysis is emphasized on the regional geopolitical situation and positions of the outside actors (Saudi Arabia, USA, France, Germany. Then it is covered the American invasion of Iraq in 2003 and its geopolitical consequences. To the author's mind this aggression and further empowerment of the Shi'ite majority reduced to the civil war in Iraq and exacerbation of the sectarian conflict. Author of the article considers these events as a part of the geopolitical rivalry between Iran and Saudi Arabia to unfold in the areas of Iraq, Syria and Lebanon.

Sunny hours and variations in the prevalence of asthma in schoolchildren according to the International Study of Asthma and Allergies (ISAAC) Phase III in Spain

Science.gov (United States)

Arnedo-Pena, Alberto; García-Marcos, Luis; Fernández-Espinar, Jorge Fuertes; Bercedo-Sanz, Alberto; Aguinaga-Ontoso, Ines; González-Díaz, Carlos; Carvajal-Urueña, Ignacio; Busquet-Monge, Rosa; Suárez-Varela, Maria Morales; de Andoin, Nagore García; Batlles-Garrido, Juan; Blanco-Quirós, Alfredo; Varela, Angel López-Silvarrey; García-Hernández, Gloria

2011-05-01

The objective of this study was to estimate the relationship between the prevalence of asthma in schoolchildren aged 6-7 years and 13-14 years and the mean annual sunny hours (MASH) in Spain, and to explore predictive models for asthma prevalence. The prevalence of asthma was obtained from the International Study of Asthma and Allergies (ISAAC) Phase III 2002-2003, and climate and socio-economic variables from official sources. Nine centres were studied and a further four centres, two of which are in ISAAC, to test the predictive models. Logistic regression was used to estimate adjusted prevalence rates of asthma for each centre, and multiple regression models to study the effects of MASH and other meteorological and socio-economic variables. The adjusted prevalence rate of asthma decreased 0.6% [95% confidence interval (CI) 0.4-0.8%] for the 6-7 years group and 1.1% (95% CI 0.8-1.3%) for the 13-14 years group with an increase in the MASH of 100 h. Relative humidity was negatively associated with asthma in the older age group, and gross province product per capita (GPP) was positively associated with asthma in the younger age group. The predictive models, which included MASH, gender, relative humidity, and GPP, anticipated prevalence rates of asthma without significant differences between the levels observed and those expected in 9 of the11 measurements carried out. The results indicate that sunny hours have a protective effect on the prevalence of asthma in schoolchildren.

WORLD HEALTH DAY THEMES

Directory of Open Access Journals (Sweden)

S C Saxena

2003-06-01

Full Text Available 1970 - Early Detection of Cancer Saves Life. 1971- A Full Life Despite Diabetes. 1972 - Your Heart is Your Health. 1973 - Health Begins at Home. 1974- Better Food for a Healthier World. 1975 - Small Pox - Point of no Return. 1976 - Foresight Prevents Blindness. 1977 - Immunise and Protect Your Child. 1978 - Down With High Blood Pressure. 1979     - A Health Child-A Sure Future. 1980     - Smoking or Health - The Choice is Yours. 1981     - Health for all for by the Year 2000. 1982     - Add Years to Life. 1983     - Health for all by 2000 - The Count Down has Begun 1984     - Children’s Health: Tomorrows Wealth. 1985     - Health Youth : Our best Resource. 1986     - Health Living - Everyone a Winner. 1987     - Immunisation - A Chance for Every Child. 1988     - Health For All - All for Health. 1989-Let’s Talk Health. 1990    - Our Planet - Ourhealth; Think Globally, Act Locally. 1991    - Should Disaster Strike - Be Prepared. 1992    - Health Beat - The Rhythm of Life. 1993    - Handle Life with Care - Prevent Violence and Negligence. 1994    - Our Health for a Healthy Life. 1995    - Target - 2000 - A World Without Polio. 1996    - Healthy Cities for Better Life. 1997    - Emerging Infectious Diseases. 1998    - Safe Motherhood. 1999 - Active Ageing Makes the Difference. 2000 - Be a Life Saver, Be a Blood Doner; Blood Saves Life. 2001- Stop Exclusion, Dare to Care. 2002 - Move for Health. - Shape the Future of Life, Healthy Environments for Children

Brush Day & Night Phase III to Phase IV: ensuring that good oral health habits are sustainable.

Science.gov (United States)

Melo, Paulo; Fine, Charlotte; Malone, Sinead; Horn, Virginie

2018-05-01

Over the past 10 years, the FDI-Unilever Brush Day & Night partnership has significantly influenced the life of children worldwide through the implementation of school programmes for oral health education and prevention. This article reports the key facts and outcomes of Phase III of the partnership, and announces the launch of Phase IV. During Phase III, the expert advisors of the Brush Day & Night partnership conducted a longitudinal study to evaluate the impact of the '21 Day' programme in almost 8,000 children in 10 countries. Analysis revealed the effectiveness of the 21 Day programme in sustainably educating children to brush their teeth twice a day, with the greatest impact observed in children aged 7-9 years. With the launch of Phase IV, the Brush Day & Night partnership will continue to deliver its oral health school programme for 7-9 year-old children with a strengthened methodology, including randomized sampling and control groups. The scope of the evaluation will be broadened to include oral health-related quality of life indicators, and monitoring of the oral health knowledge of children's parents/carers. © 2018 FDI World Dental Federation.

The spring has arrived: traditional wild vegetables gathered by Yarsanis (Ahl-e Haqq and Sunni Muslims in Western Hawraman, SE Kurdistan (Iraq

Directory of Open Access Journals (Sweden)

Andrea Pieroni

2016-11-01

Full Text Available Kurdistan represents a crucial region in the Middle East for understanding patterns of human evolution in the use of food plants and especially wild vegetables as well as for assessing the influences of the major, surrounding bio-cultural macro-area. In this research, an ethnobotanical filed study focusing on wild vegetables traditionally gathered and consumed during the spring was conducted in a few villages of the Western Hawraman area, in South Kurdistan (Iraq, both among Sunni Muslims and Yarsanis (Ahl-e Haqq, the latter of which represent followers of a tiny, threatened, ancient monotheistic religion. Through interviews with 25 elderly informants, the folk uses of 34 botanical and mycological taxa were recorded. A few of the recorded species have never, or very rarely, been described in the ethnobotanical literature of the Middle East and for some of them (most notably Allium koelzii, Bongardia chrysogonum, Dorema aucheri, and Johrenia aromatica their sensory chemistry and nutraceutical properties are largely unknown. No differences were found between the folk taxa mentioned by Sunni Muslims and those reported by Yarsanis. The high cultural value and consumption of raw young shoots of Imperata cylindrica should be further investigated considering the history of the development of agriculture in the area, as explanations for the domestication of wild grasses have never considered the hypothesis of gastronomic appreciation of their young aerial parts. Moreover, some of the most mentioned vegetables are also considered food-medicines. A comparison with all the pre-existing food ethnobotanical literature of the Middle East shows that the most culturally salient wild vegetables recorded in the Hawraman area are shared with Arabic, Turkish, Caucasian, and especially Persian food heritages. These findings suggest that investigating the ethnobiology of Kurdistan is more than ever urgent in order to document folk plant uses at a crucial crossroad of

The sunny side of lime.

Science.gov (United States)

Quaak, Marjolijn S W; Martens, Herm; Hassing, Robert-Jan; van Beek-Nieuwland, Yvonne; van Genderen, Perry J J

2012-01-01

A 26-year-old woman was affected with a maculopapular rash because of a jellyfish sting on her right leg while surfing in Indonesia. A locally-prepared liniment was applied on the affected skin. She presented with hyperpigmented linear tracks that she noted a few days later. © 2012 International Society of Travel Medicine.

WORLD HEALTH DAY THEMES

Directory of Open Access Journals (Sweden)

S C Saxena

2003-06-01

Full Text Available 1970     - Early Detection of Cancer Saves Life.1971     - A Full Life Despite Diabetes.1972     - Your Heart is Your Health.1973     - Health Begins at Home.1974     - Better Food for a Healthier World.1975     - Small Pox - Point of no Return.1976     - Foresight Prevents Blindness.1977     - Immunise and Protect Your Child.1978     - Down With High Blood Pressure.1979     - A Health Child-A Sure Future.1980     - Smoking or Health - The Choice is Yours.1981     - Health for all for by the Year 2000.1982     - Add Years to Life.1983     - Health for all by 2000 - The Count Down has Begun1984     - Children’s Health: Tomorrows Wealth.1985     - Health Youth : Our best Resource.1986     - Health Living - Everyone a Winner.1987     - Immunisation - A Chance for Every Child.1988     - Health For All - All for Health.1989-Let’s Talk Health.1990    - Our Planet - Ourhealth; Think Globally, Act Locally.1991    - Should Disaster Strike - Be Prepared.1992    - Health Beat - The Rhythm of Life.1993    - Handle Life with Care - Prevent Violence and Negligence.1994    - Our Health for a Healthy Life.1995    - Target - 2000 - A World Without Polio.1996    - Healthy Cities for Better Life.1997    - Emerging Infectious Diseases.1998    - Safe Motherhood.1999    - Active Ageing Makes the Difference.2000     - Be a Life Saver, Be a Blood Doner; Blood Saves Life.2001     - Stop Exclusion, Dare to Care.2002     - Move for Health.- Shape the Future of Life, Healthy Environments for Children

Cold-season solar input and ambivalent thermal behavior brought by climber greenwalls

International Nuclear Information System (INIS)

Jim, C.Y.

2015-01-01

Most greenwall studies focus on cooling and energy conservation in the warm season, and tropical cold-season has received little attention. This field-experimental study in humid-subtropical Hong Kong evaluated winter thermal behavior of climber greenwalls. Orientation and weather factors regulated solar-irradiation regimes with critical impact on vegetation thermal responses. Temperature differentiation occurred mainly on sunny day, with subdued variations on cloudy and rainy days. The south greenwall on sunny day received the highest solar-energy input, bringing divergent surface temperature in three climber species. The daytime descending cooling sequence was: Control-air > Pyrostegia venusta > Bauhinia corymbosa > Ficus pumila > Control-surface. Heat-sink effect related to foliage-thickness and moisture-content influenced climber thermal responses. Exceeding a solar-irradiance threshold of 500 Wm"−"2 was a prerequisite for notable solar-warming and transpiration-cooling, bringing well-differentiated climber-surface temperature. Cooling of vegetation-surface and Anterior-ambient-air was contrasted by warming behind the greenwall. Posterior-airgap with trapped stagnant air and Posterior-concrete-surface were warmed consistently above control concrete-surface on sunny and cloudy days. This winter passive warming mechanism denotes a new dimension in thermal benefits operating behind the greenwall. The thermal-gradient can transmit heat into indoor space, with benefits on human comfort, health and energy conservation. - Highlights: • Cold-season thermal regimes and benefits of climber greenwalls in tropics was studied. • Greenwall plots were installed as a field-experiment to evaluated six related factors. • Descending cooling sequence: Pyrostegia venusta > Bauhinia corymbosa > Ficus pumila. • Solar radiation intensity and foliage heat-sink effect determined climber cooling. • Posterior airgap and Posterior concrete-surface were warmed to provide indoor

[Medicine on mission: The international health reform of Seventh-Day Adventists and their health care facilities in Sweden].

Science.gov (United States)

Eklöf, Motzi

2008-01-01

The international non-conformist denomination, Seventh-day Adventists, have since their foundation in 1863, had a distinctive health care model for their members. The life-style has included vegetarian diet, abstinence from alcohol, tobacco and other drugs and the observance of a day of rest once a week. The health policy has striven to care for God's creation in the hope of resurrection at the Day of Judgment and to reform the conventional medical practice. The Adventists have pursued an extensive international health care system--from the start based on dietary and physical treatment methods, such as hydrotherapy, massage and physiotherapy--in line with the Christian mission. Health care establishments have been inaugurated around the world as a vehicle for enabling the Christian health care message to reach the upper classes. With Adventist and Doctor, John Harvey Kellogg's Battle Creek Sanatorium in Michigan as both inspirational source and educational institution, the health care mission--including a vegetarian health food industry, following in the footsteps of cornflakes--spread to the Nordic countries by the turn of the century, 1900. Skodsborgs Badesanatorium near Copenhagen became the model institution for several health care establishments in Sweden during the 1900's, such as Hultafors Sanatorium. The American-Nordic link has manifested itself through co-publication of papers, exchange of health care personnel and reporting to the central Adventist church. The American non-conformist domain as well as a private sphere of activity, aiming mainly from the outset at society's upper classes, has encountered certain difficulties in maintaining this distinction in Sweden's officially increasing secularised society, and in relation to a state health insurance and a publicly financed health care system. With the passing of time, the socioeconomic composition of patients at Hultafors became more heterogeneous, and conventional medical procedures were increasingly

Process evaluation of child health services at outreach sites during health and nutrition day (Mamta Day) in urban slums of Western India.

Science.gov (United States)

Mehta, Kedar; Pandya, Chandresh; Chavda, Paragkumar; Solanki, Dipak

2017-01-01

Health indicators of rural and urban India show a wide variation. Rural areas have received large focus in child health services, but on the flip side, urban areas have been the last to receive such attention. A cross-sectional study was conducted to include one randomly selected outreach session from all the 19 urban primary health centers of Vadodara city from April 2013 to May 2014. Nineteen session sites were observed for the process evaluation of three components of child health care, namely, "planning of Health and Nutrition Day," "availability of vaccines/logistics," and "direct observation of actual immunization process" at the site using a structured checklist. Most of the vaccines and logistics were present at all 19 sites visited, but adverse events following immunization kit were observed at ten sites (52%) only. Open vial policy, no-touch technique, and immediate cutting of syringe with hub cutter were implemented at all sites; however, completely filled Mamta Card was observed at 9 (47%) sites only. All four key messages were given at 5 (26%) sites only. Immunization services such as proper vaccine administration with no-touch technique and open vial policy were mainly focused; however, other services such as biomedical waste management, record keeping, and delivery of all four key messages need to be strengthened during Mamta Divas. Strengthening of other child health care services such as growth monitoring, Integrated Management of Neonatal and Childhood Illnesses, and referral services is required in urban areas.

Effects of health insurance on non-working married women's medical care use and bed days at home.

Science.gov (United States)

Lee, Changwoo; Shin, Euichul

2013-07-01

This study examines whether bed days are alternative methods to medical care use for treating a particular illness. If bed days at home are considered as an alternative to medical treatment, then medical care use and bed days at home should be influenced by an individual's health insurance status. This study uses data from the 2003 Medical Expenditure Panel Survey (MEPS) on medical care use and bed days at home for each contracted illness of non-working married women. The results suggest that the health insurance status of non-working married women has considerable influence on their choice between medical care use and bed days at home. In addition, those with health insurance are more likely to use medical care and less likely to use bed days at home, but they tend to avoid the simultaneous use of medical care and bed days at home. In contrast to previous studies' findings indicating that absences from work and medical care use among working males may be complements, this study's results for non-working married women without health insurance suggest that they use rest and medical treatment as substitutes, not complements.

Circadian-Time Sickness: Time-of-Day Cue-Conflicts Directly Affect Health.

Science.gov (United States)

van Ee, Raymond; Van de Cruys, Sander; Schlangen, Luc J M; Vlaskamp, Björn N S

2016-11-01

A daily rhythm that is not in synchrony with the environmental light-dark cycle (as in jetlag and shift work) is known to affect mood and health through an as yet unresolved neural mechanism. Here, we combine Bayesian probabilistic 'cue-conflict' theory with known physiology of the biological clock of the brain, entailing the insight that, for a functional pacemaker, it is sufficient to have two interacting units (reflecting environmental and internal time-of-day cues), without the need for an extra homuncular directing unit. Unnatural light-dark cycles cause a time-of-day cue-conflict that is reflected by a desynchronization between the ventral (environmental) and dorsal (internal) pacemaking signals of the pacemaker. We argue that this desynchronization, in-and-of-itself, produces health issues that we designate as 'circadian-time sickness', analogous to 'motion sickness'. Copyright © 2016 Elsevier Ltd. All rights reserved.

25 CFR 36.82 - May behavioral health professional(s) provide services during the academic school day?

Science.gov (United States)

2010-04-01

...) provide services during the academic school day? Behavioral health professional(s) must average at least... 25 Indians 1 2010-04-01 2010-04-01 false May behavioral health professional(s) provide services during the academic school day? 36.82 Section 36.82 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE...

Heroes or Health Victims?: Exploring How the Elite Media Frames Veterans on Veterans Day.

Science.gov (United States)

Rhidenour, Kayla B; Barrett, Ashley K; Blackburn, Kate G

2017-11-27

We examine the frames the elite news media uses to portray veterans on and surrounding Veterans Day 2012, 2013, 2014, and 2015. We use mental health illness and media framing literature to explore how, why, and to what extent Veterans Day news coverage uses different media frames across the four consecutive years. We compiled a Media Coverage Corpora for each year, which contains the quotes and paraphrased remarks used in all veterans news stories for that year. In our primary study, we applied the meaning extraction method (MEM) to extract emergent media frames for Veterans Day 2014 and compiled a word frequency list, which captures the words most commonly used within the corpora. In post hoc analyses, we collected news stories and compiled word frequency lists for Veterans Day 2012, 2013, and 2015. Our findings reveal dissenting frames across 2012, 2013, and 2014 Veterans Day media coverage. Word frequency results suggest the 2012 and 2013 media frames largely celebrate Veterans as heroes, but the 2014 coverage depicts veterans as victimized by their wartime experiences. Furthermore, our results demonstrate how the prevailing 2015 media frames could be a reaction to 2014 frames that portrayed veterans as health victims. We consider the ramifications of this binary portrayal of veterans as either health victims or heroes and discuss the implications of these dueling frames for veterans' access to healthcare resources.

Days of heroin use predict poor self-reported health in hospitalized heroin users

Science.gov (United States)

Meshesha, Lidia Z.; Tsui, Judith I.; Liebschutz, Jane M.; Crooks, Denise; Anderson, Bradley J.; Herman, Debra S.; Stein, Michael D.

2013-01-01

This study examined associations between substance use behaviors and self-reported health among hospitalized heroin users. Of the 112 participants, 53 (47%) reported good or better health. In multivariable logistic regression models, each day of heroin use in the last month was associated with an 8% lower odds of reporting health as good or better (OR=.92; 95%CI 0.87, 0.97, p < .05). Cocaine, cannabis, cigarettes, alcohol use, unintentional overdose, nor injection drug use were associated with health status. PMID:24045030

Process evaluation of child health services at outreach sites during health and nutrition day (Mamta Day in urban slums of Western India

Directory of Open Access Journals (Sweden)

Kedar Mehta

2017-01-01

Full Text Available Introduction: Health indicators of rural and urban India show a wide variation. Rural areas have received large focus in child health services, but on the flip side, urban areas have been the last to receive such attention. Materials and Methods: A cross-sectional study was conducted to include one randomly selected outreach session from all the 19 urban primary health centers of Vadodara city from April 2013 to May 2014. Nineteen session sites were observed for the process evaluation of three components of child health care, namely, “planning of Health and Nutrition Day,” “availability of vaccines/logistics,” and “direct observation of actual immunization process” at the site using a structured checklist. Results: Most of the vaccines and logistics were present at all 19 sites visited, but adverse events following immunization kit were observed at ten sites (52% only. Open vial policy, no-touch technique, and immediate cutting of syringe with hub cutter were implemented at all sites; however, completely filled Mamta Card was observed at 9 (47% sites only. All four key messages were given at 5 (26% sites only. Conclusion: Immunization services such as proper vaccine administration with no-touch technique and open vial policy were mainly focused; however, other services such as biomedical waste management, record keeping, and delivery of all four key messages need to be strengthened during Mamta Divas. Strengthening of other child health care services such as growth monitoring, Integrated Management of Neonatal and Childhood Illnesses, and referral services is required in urban areas.

Keynote speaker Col. Fitch talks to employee audience at Super Safety and Health Day at KSC.

Science.gov (United States)

1999-01-01

Capt. Dennis E. Fitch, a consultant and former pilot instructor with United Airlines, addresses an audience of KSC employees to kick off Super Safety and Health Day at KSC. Fitch related his tale of the catastrophic engine failure in UAL flight 232, which crash landed in Iowa in 1989, and the teamwork that contributed to his survival and the lives of 183 other passengers. For the second time Kennedy Space Center dedicated an entire day to safety and health. Most normal work activities were suspended to allow personnel to attend Super Safety and Health Day activities. The theme, 'Safety and Health Go Hand in Hand,' emphasized KSC's commitment to place the safety and health of the public, astronauts, employees and space-related resources first and foremost. Events also included a panel session about related issues, vendor exhibits, and safety training in work groups. The keynote address and panel session were also broadcast internally over NASA television.

Effects of health insurance on non-working married women’s medical care use and bed days at home

Science.gov (United States)

2013-01-01

Background This study examines whether bed days are alternative methods to medical care use for treating a particular illness. If bed days at home are considered as an alternative to medical treatment, then medical care use and bed days at home should be influenced by an individual’s health insurance status. Method This study uses data from the 2003 Medical Expenditure Panel Survey (MEPS) on medical care use and bed days at home for each contracted illness of non-working married women. Results The results suggest that the health insurance status of non-working married women has considerable influence on their choice between medical care use and bed days at home. In addition, those with health insurance are more likely to use medical care and less likely to use bed days at home, but they tend to avoid the simultaneous use of medical care and bed days at home. Conclusions In contrast to previous studies’ findings indicating that absences from work and medical care use among working males may be complements, this study’s results for non-working married women without health insurance suggest that they use rest and medical treatment as substitutes, not complements. PMID:23816313

77 FR 52748 - 60-Day Proposed Information Collection: Indian Health Service (IHS) Sharing What Works-Best...

Science.gov (United States)

2012-08-30

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service 60-Day Proposed Information Collection: Indian Health Service (IHS) Sharing What Works--Best Practice, Promising Practice, and Local Effort (BPPPLE) Form; Request For Public Comment AGENCY: Indian Health Service, HHS. ACTION: Notice...

Diabetes Dictating Policy: An Editorial Commemorating World Health Day 2016

Directory of Open Access Journals (Sweden)

Amirhossein Takian

2016-10-01

Full Text Available The 21st century is an era of great challenge for humankind; we are combating terrorism, climate change, poverty, human rights issues and last but not least non-communicable diseases (NCDs. The burden of the latter has become so large that it is being recognized by world leaders globally as an area that it is in need of much greater attention. In light of this concern, the World Health Organization (WHO dedicated this year’s World Health Day (held on April 7, 2016 to raising international awareness on diabetes, the fastest growing NCD in the world. This editorial is an account of the macro politics in place for fighting diabetes, both internationally and nationally.

Predicting 30-Day Pneumonia Readmissions Using Electronic Health Record Data.

Science.gov (United States)

Makam, Anil N; Nguyen, Oanh Kieu; Clark, Christopher; Zhang, Song; Xie, Bin; Weinreich, Mark; Mortensen, Eric M; Halm, Ethan A

2017-04-01

Readmissions after hospitalization for pneumonia are common, but the few risk-prediction models have poor to modest predictive ability. Data routinely collected in the electronic health record (EHR) may improve prediction. To develop pneumonia-specific readmission risk-prediction models using EHR data from the first day and from the entire hospital stay ("full stay"). Observational cohort study using stepwise-backward selection and cross-validation. Consecutive pneumonia hospitalizations from 6 diverse hospitals in north Texas from 2009-2010. All-cause nonelective 30-day readmissions, ascertained from 75 regional hospitals. Of 1463 patients, 13.6% were readmitted. The first-day pneumonia-specific model included sociodemographic factors, prior hospitalizations, thrombocytosis, and a modified pneumonia severity index; the full-stay model included disposition status, vital sign instabilities on discharge, and an updated pneumonia severity index calculated using values from the day of discharge as additional predictors. The full-stay pneumonia-specific model outperformed the first-day model (C statistic 0.731 vs 0.695; P = 0.02; net reclassification index = 0.08). Compared to a validated multi-condition readmission model, the Centers for Medicare and Medicaid Services pneumonia model, and 2 commonly used pneumonia severity of illness scores, the full-stay pneumonia-specific model had better discrimination (C statistic range 0.604-0.681; P pneumonia. This approach outperforms a first-day pneumonia-specific model, the Centers for Medicare and Medicaid Services pneumonia model, and 2 commonly used pneumonia severity of illness scores. Journal of Hospital Medicine 2017;12:209-216. © 2017 Society of Hospital Medicine

Latino immigrant day laborer perceptions of occupational safety and health information preferences.

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Díaz Fuentes, Claudia M; Martinez Pantoja, Leonardo; Tarver, Meshawn; Geschwind, Sandy A; Lara, Marielena

2016-06-01

We address immigrant day laborers' experiences with occupational safety in the construction industry in New Orleans, and opinions about content and method of communication for educational interventions to reduce occupational risks. In 2011, we conducted seven focus groups with 48 Spanish-speaking day laborers (8 women, 40 men, 35 years on average). Focus group results are based on thematic analysis. Most employers did not provide safety equipment, threatened to dismiss workers who asked for it, and did not provide health insurance. Attitudes toward accepting unsafe work conditions varied. Women faced lower pay and hiring difficulties than men. Day laborers preferred audio format over written, and content about consequences from and equipment for different jobs/exposures. Day laborers have common occupational experiences, but differences existed by gender, literacy and sense of control over safety. Day laborer information preferences and use of media needs further studying. Am. J. Ind. Med. 59:476-485, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

78 FR 38996 - Proposed Collection; 60-Day Comment Request; Family Life, Activity, Sun, Health, and Eating...

Science.gov (United States)

2013-06-28

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; 60-Day Comment Request; Family Life, Activity, Sun, Health, and Eating (FLASHE) Study (NCI) Summary: In.... Proposed Collection: Family Life, Activity, Sun, Health, and Eating (FLASHE) Study 0925--NEW, National...

The Effects of Adult Day Services on Family Caregivers’ Daily Stress, Affect, and Health: Outcomes From the Daily Stress and Health (DaSH) Study

Science.gov (United States)

Zarit, Steven H.; Kim, Kyungmin; Femia, Elia E.; Almeida, David M.; Klein, Laura C.

2014-01-01

Purpose: We examine the effects of use of adult day service (ADS) by caregivers of individuals with dementia (IWD) on daily stressors, affect, and health symptoms. Participants were interviewed for 8 consecutive days. On some days, the IWD attended an ADS program and on the other days caregivers provide most or all of the care at home. Methods: Participants were 173 family caregivers of IWDs using an ADS program. Daily telephone interviews assessed care-related stressors, noncare stressors, positive events, affect, and health symptoms. Multilevel models with data nested within persons were used to examine effects of ADS use on daily stressor exposure, affect, and health symptoms. Results: Caregivers had lower exposure to care-related stressors on ADS days, more positive experiences, and more noncare stressors. ADS use lowered anger and reduced the impact of noncare stressors on depressive symptoms. Implications: The findings demonstrate that stressors on caregivers are partly lowered, and affect is improved on ADS days, which may provide protection against the effects of chronic stress associated with caregiving. PMID:23690056

Advancing Care Within an Adult Mental Health Day Hospital: Program Re-Design and Evaluation.

Science.gov (United States)

Taube-Schiff, Marlene; Mehak, Adrienne; Marangos, Sandy; Kalim, Anastasia; Ungar, Thomas

2017-11-13

Day hospital mental health programs provide alternate care to individuals of high acuity that do not require an inpatient psychiatric stay. Ensuring provision of best practice within these programs is essential for patient stabilization and recovery. However, there is scant literature to review when creating such a program. This paper provides an overview of the steps an acute care hospital took when designing and implementing new programming within a day hospital program. Qualitative data was collected following initial program rollout. This data helped to inform the ongoing modification of groups offered, group scheduling and content, as well as ensuring patient satisfaction and adequate skill delivery during the rollout period and beyond. The goal of this paper is to inform health service delivery for other programs when attempting to build or re-design a day hospital program.

FDI-Unilever Brush Day & Night partnership: 12 years of improving behaviour for better oral health.

Science.gov (United States)

Kell, Kathryn; Aymerich, Marie-Anne; Horn, Virginie

2018-05-01

Twelve years ago, FDI World Dental Federation and Unilever Oral Care began a partnership to raise awareness of oral health globally. This aim reflects FDI's mission to "lead the world to optimal oral health", and one of the goals set by the Unilever Sustainable Living Plan "to improve health and well-being for more than 1 billion" by 2020. This partnership has developed a series of public health programmes to improve the brushing habits of targeted populations through health promotion and educational campaigns worldwide. Building on the success of the first two phases of the partnership, the third phase (Phase III), named Brush Day & Night, aimed to educate children in brushing twice-daily with fluoride toothpaste via a 21 Day school programme. This article reports the main outcomes of the past 12 years of this partnership, in particular the key outreach and figures of Phase III evaluation. School programmes were implemented in 10 countries, where local teams collected data from children aged between 2 and 12 years to monitor their oral health behaviours using specific indicators. In addition to the school programme, the World Oral Health Day was used as a vehicle to convey oral health awareness to influential governing bodies and the public. As a result, over 4 million people were directly reached by the programme in 2016. © 2018 FDI World Dental Federation.

Diabetes Dictating Policy: An Editorial Commemorating World Health Day 2016.

Science.gov (United States)

Takian, Amirhossein; Kazempour-Ardebili, Sara

2016-06-18

The 21st century is an era of great challenge for humankind; we are combating terrorism, climate change, poverty, human rights issues and last but not least non-communicable diseases (NCDs). The burden of the latter has become so large that it is being recognized by world leaders globally as an area that it is in need of much greater attention. In light of this concern, the World Health Organization (WHO) dedicated this year's World Health Day (held on April 7, 2016) to raising international awareness on diabetes, the fastest growing NCD in the world. This editorial is an account of the macro politics in place for fighting diabetes, both internationally and nationally. © 2016 by Kerman University of Medical Sciences.

D-day for mental health.

Science.gov (United States)

2005-02-16

THERE COULD be no better time for a review of mental health nursing. It is 11 years since the last one, which in itself suggests change must be overdue if professional practice is to keep pace with health service reforms. As the largest professional group in mental health care, nurses will be relied on to deliver the reforms outlined in the Mental Health Bill, as well as the measures to improve race equality in the service. Nurses will also be promoting good mental health as outlined in last autumn's public health white paper. All these initiatives can only benefit from the chance to take stock.

[Towards safe motherhood. World Health Day].

Science.gov (United States)

Plata, M I

1998-06-01

The objective of the 'safe motherhood' initiative is to reduce maternal mortality by 50% by the year 2000. A strong policy is needed to permit development of national and international programs. The lifetime risk of death from causes related to complications of pregnancy is estimated at 1/16 in Africa, 1/65 in Asia, 1/130 in Latin America and the Caribbean, 1/1400 in Europe, and 1/3700 in North America. A minimum of 585,000 women die of maternal causes each year, with nearly 90% of the deaths occurring in Asia and Africa. Approximately 50 million women suffer from illnesses related to childbearing. A principal cause of maternal mortality is lack of medical care during labor, delivery, and the postpartum period. Motherhood will become safe if governments, multilateral and bilateral funding agencies, and nongovernmental organizations give it the high priority it requires. Women also die because they lack rights. Their reduced decision-making power and inequitable access to family and social resources prevents them from overcoming barriers to health care. Women die when they begin childbearing at a very young age, yet an estimated 11% of births throughout the world each year are to adolescents. Adolescents have very limited access to family planning, either through legal restrictions or obstacles created by family planning workers. Maternal deaths would be avoided if all births were attended by trained health workers; an estimated 60 million births annually are not. Prevention of unwanted pregnancy and, thus, of the 50 million abortions estimated to take place each year would avoid over 200 maternal deaths each day. Unsafe abortions account for 13% of maternal deaths. The evidence demonstrates that rates of unsafe abortion and abortion mortality are higher where laws are more restrictive.

Health benefits achieved through the Seventh-Day Adventist Wellness Challenge program.

Science.gov (United States)

Kamieneski, R; Brown, C M; Mitchell, C; Perrin, K M; Dindial, K

2000-11-01

The Wellness Challenge program introduces the philosophy of the healing power of God and stresses the importance of developing a sense of spirituality in conjunction with the promotion of good health. To employ scientific rigor to the outcome measures of the Seventh-Day Adventist Wellness Challenge program. A 2-tailed, paired sample t test. East Pasco Medical Center in Zephyrhills, Fla. 165 participants. Presurvey, 21-day outpatient wellness intervention; postsurvey, 6 weeks after completion of the program. Changes in behaviors related to cigarette smoking, alcohol use, eating patterns, exercise, water consumption, rest, relaxation, and time spent outdoors, as well as demographic data. Statistically significant differences were found between the pre- and postprogram clinical and laboratory test results for the participants' blood pressure, weight, glucose levels, and cholesterol at .05 alpha. Furthermore, self-health improvements measured by a pre- and postsurvey response confirmed statistically significant improvement in participants' willingness to improve their lifestyle behaviors for a potentially greater quality of life. The Wellness Challenge program offers ways to reduce risk factors related to chronic disease while improving the quality of life within an adult population by allowing people to slowly incorporate newly acquired tools into their everyday life.

[Effects of sand-covering on apple trees transpiration and fruit quality in dry land orchards of Longdong, Gansu].

Science.gov (United States)

Zhang, Kun; Yin, Xiao-ning; Liu, Xiao-yong; Wang, Fa-lin

2010-11-01

Aiming at the seasonal drought in the dry land orchards of Longdong, Gansu Province, a sand-covering experiment was conducted with 15-year-old Nagafu No. 2 apple trees, with the soil water content, temperature, stem sap flow velocity, leaf stomatal conductance, and fruit quality measured. In the orchard covered with 5-cm-thick riversand, the increment of soil temperature in February-April was lower than 1 degrees C, while in June-July, it was 2.44 degrees C and 2.61 degrees C on sunny and cloudy days, respectively. The soil water content was over 60% of field capacity throughout the growing season. On sunny days with high soil water content (H season), the stem sap flow curve presented a wide peak. Under sand- covering, the sap flow started 0.6 h earlier, and the maximum sap flow velocity was 25.5% higher than the control. On cloudy days of H season, the maximum sap flow velocity was 165.6% higher than the control. On sunny days with low soil water content (L season), the sap flow curve had a single peak, and under sand covering, the sap flow started 0.5-1 h earlier than the control on sunny days. The maximum sap flow velocity was 794 g x h(-1). On cloudy days of L season, the sap flow started 1 h earlier, and the maximum sap flow velocity was 311.0% higher than the control. The evaporation of the control was 156.0% higher than that of sand-covering from March to July, suggesting that excessive ground water evaporation was the main reason to cause soil drought. Under sand-covering, single fruit mass was improved obviously whereas fruit firmness was reduced slightly, and soluble solids, vitamin C, total sugar, and organic acid contents were somewhat promoted.

What you do every day matters: A new direction for health promotion.

Science.gov (United States)

Gewurtz, Rebecca E; Moll, Sandra E; Letts, Lori J; Larivière, Nadine; Levasseur, Mélanie; Krupa, Terry M

2016-08-15

Canadian health promotion campaigns directed towards healthy living have traditionally emphasized discrete behaviours that influence health and wellbeing, such as diet, physical activity and smoking. Although this traditional approach is important and supported by evidence, it does not account for broader determinants of health. The purpose of this commentary is to propose an innovative health promotion approach that expands the healthy living discourse through a focus on patterns of daily activity. We highlight four key public health messages derived from a synthesis of existing research evidence. The messages are based on the premise that what you do every day has an important impact on health and well-being. Rather than being prescriptive or outlining minimum requirements, this approach invites reflection on various experiences and activity patterns that shape the health and well-being of individuals and communities. This broader and more inclusive approach to healthy living reflects diverse needs and experiences, making it relevant and attainable for people of all ages and abilities. Future efforts directed at operationalizing the key messages for individuals and communities hold much promise for populations that may be at risk of activity patterns believed to contribute to poor health and well-being.

Bioaccessibility and human health risk assessment of lead in soil from Daye City

Science.gov (United States)

Li, Q.; Li, F.; Xiao, M. S.; Cai, Y.; Xiong, L.; Huang, J. B.; Fu, J. T.

2018-01-01

Lead (Pb) in soil from 4 sampling sites of Daye City was studied. Bioaccessibilities of Pb in soil were determined by the method of simplified bioaccessible extraction test (SBET). Since traditional health risk assessment was built on the basis of metal total content, the risk may be overestimated. Modified human health risk assessment model considering bioaccessibility was built in this study. Health risk of adults and children exposure to Pb based on total contents and bioaccessible contents were evaluated. The results showed that bioaccessible content of Pb in soil was much lower than its total content, and the average bioaccessible factor (BF) was only 25.37%. The hazard indexes (HIs) for adults and children calculated by two methods were all lower than 1. It indicated that there were no no-carcinogenic risks of Pb for human in Daye. By comparing with the results, the average bioaccessible HIs for adults and children were lower than the total one, which was due to the lower hazard quotient (HQ). Proportions of non-carcinogenic risk exposure to Pb via different pathways have also changed. Particularly, the most main risk exposure pathway for adults turned from the oral ingestion to the inhalation.

Weather daily variation in winter and its effect on behavior and affective states in day-care children

Science.gov (United States)

Ciucci, Enrica; Calussi, Pamela; Menesini, Ersilia; Mattei, Alessandra; Petralli, Martina; Orlandini, Simone

2011-05-01

This study aimed to analyze the impact of winter weather conditions on young children's behavior and affective states by examining a group of 61 children attending day-care centers in Florence (Italy). Participants were 33 males, 28 females and their 11 teachers. The mean age of the children at the beginning of the observation period was 24.1 months. The day-care teachers observed the children's behavioral and emotional states during the morning before their sleeping time and filled in a questionnaire for each baby five times over a winter period of 3 weeks. Air temperature, relative humidity, air pressure and solar radiation data were collected every 15 min from a weather station located in the city center of Florence. At the same time, air temperature and relative humidity data were collected in the classroom and in the garden of each day-care center. We used multilevel linear models to evaluate the extent to which children's emotional and behavioral states could be predicted by weather conditions, controlling for child characteristics (gender and age). The data showed that relative humidity and solar radiation were the main predictors of the children's emotional and behavioral states. The outdoor humidity had a significant positive effect on frustration, sadness and aggression; solar radiation had a significant negative effect only on sadness, suggesting that a sunny winter day makes children more cheerful. The results are discussed in term of implications for parents and teachers to improve children's ecological environment.

Days out of role due to common physical and mental conditions : results from the WHO World Mental Health surveys

NARCIS (Netherlands)

Alonso, J.; Petukhova, M.; Vilagut, G.; Chatterji, S.; Heeringa, S.; Uestuen, T. B.; Alhamzawi, A. O.; Viana, M. C.; Angermeyer, M.; Bromet, E.; Bruffaerts, R.; de Girolamo, G.; Florescu, S.; Gureje, O.; Haro, J. M.; Hinkov, H.; Hu, C-y; Karam, E. G.; Kovess, V.; Levinson, D.; Medina-Mora, M. E.; Nakamura, Y.; Ormel, J.; Posada-Villa, J.; Sagar, R.; Scott, K. M.; Tsang, A.; Williams, D. R.; Kessler, R. C.; Ustun, T.B.; de, Girolamo G.

2011-01-01

Days out of role because of health problems are a major source of lost human capital. We examined the relative importance of commonly occurring physical and mental disorders in accounting for days out of role in 24 countries that participated in the World Health Organization (WHO) World Mental

Health Trajectories of Family Caregivers: Associations With Care Transitions and Adult Day Service Use

Science.gov (United States)

Liu, Yin; Kim, Kyungmin; Zarit, Steven H.

2017-01-01

Objective The study examines family caregivers’ health changes over 1 year on four health dimensions and explores the association of differential health trajectories with adult day service (ADS) use and caregiving transitions. Method The participants were 153 primary caregivers of individuals with dementia (IWDs) who provided information on care situations and their own health at baseline, 6-month, and 12-month interviews. Results Caregivers showed increasing functional limitations and decreasing bodily pain over time, whereas role limitation and general health perception remained stable. Furthermore, caregivers’ trajectories of functional limitation were associated with their extent of ADS use at baseline and their relatives’ placement. Discussion Health is multidimensional; all dimensions of caregiver health do not change in a uniform manner. The findings underscore the importance of the association of caregiving transitions and caregiver health and the potential health benefits of ADS use for family caregivers. PMID:25348275

The Militarization of Mass Incapacitation and Torture during the Sunni Insurgency and American Occupation of Iraq

Directory of Open Access Journals (Sweden)

John L. Hagan

2016-11-01

Full Text Available While scholars and journalists have focused important attention on the recent militarization of intensive policing and imprisonment policies in the United States, there is little reciprocal recognition of how militarized versions of these policies were also exported for use in the occupation of Iraq. Intensive policing and imprisonment enabled the American-led and Shia-dominated Iraq Ministries of Defense and Interior along with U.S. forces to play significant roles in the ethnic cleansing and displacement of Arab Sunnis from Baghdad neighborhoods, and in their disproportionate detention in military- and militia-operated facilities, of which the Abu Ghraib prison is only the best known. The failure of American authorities alone and working with Iraq’s government to intervene in stopping the use of police and prisons as places of torture is a violation of U.N.-invoked and U.S.-ratified treaties, and thereby subject to prosecution. Such prosecutions have imported into international law the concept of “joint criminal enterprise” anticipated by the criminologist Donald Cressey and incorporated in the American Racketeer Influenced and Corrupt Organizations (RICO statutes used to convict organized criminals. We elaborate how the concept of joint criminal enterprise can be used to understand and possibly prosecute a chain of command responsibility for the use of policing and prisons as sites of torture in Iraq. We analyze the previously neglected international consequences of U.S. policing, prison, and mass incapacitation strategies with links to American criminology.

Preliminary Analyses Showed Short-Term Mental Health Improvements after a Single-Day Manager Training.

Science.gov (United States)

Boysen, Elena; Schiller, Birgitta; Mörtl, Kathrin; Gündel, Harald; Hölzer, Michael

2018-01-10

Psychosocial working conditions attract more and more attention when it comes to mental health in the workplace. Trying to support managers to deal with their own as well as their employees' psychological risk factors, we conducted a specific manager training. Within this investigation, we wanted to learn about the training's effects and acceptance. A single-day manager training was provided in a large industrial company in Germany. The participants were asked to fill out questionnaires regarding their own physical and mental health condition as well as their working situation. Questionnaires were distributed at baseline, 3-month, and 12-month follow-up. At this point of time the investigation is still ongoing. The current article focuses on short-term preliminary effects. Analyses only included participants that already completed baseline and three months follow-up. Preliminary results from three-month follow-up survey ( n = 33, nmale = 30, Mage = 47.5) indicated positive changes in the manager's mental health condition measured by the Patient Health Questionnaire for depression (PHQ-9: Mt1 = 3.82, Mt2 = 3.15). Training managers about common mental disorders and risk factors at the workplace within a single-day workshop seems to promote positive effects on their own mental health. Especially working with the managers on their own early stress symptoms might have been an important element.

Characterization of Bioaerosol Bacterial Communities During Hazy and Foggy Weather in Qingdao, China

Science.gov (United States)

Qi, Jianhua; Li, Mengzhe; Zhen, Yu; Wu, Lijing

2018-06-01

This study was conducted to evaluate the impact of hazy and foggy weather on the bacterial communities in bioaerosols, for which samples were collected from the Qingdao coastal region on sunny, foggy, and hazy days in January and March 2013. Bacterial community compositions were determined using polymerase chain reaction denaturing gradient gel electrophoresis (PCRDGGE). The bacterial community diversity was found to be high on foggy and hazy days, and the dominant species differed during hazy weather. The Shannon-Wiener index revealed that the bacterial community diversity of coarse particles was higher than that of fine particles in the bioaerosols. The bacterial community diversity of fine particles significantly correlated with relative humidity (RH; r 2 = 0.986). The cluster analysis results indicated that the bacterial communities on sunny days differed from those on hazy and foggy days. Compared with sunny days, the bacterial communities in the fine particles during hazy weather exhibited greater changes than those in the coarse particles. Most of the sequenced bacteria were found to be closely affiliated with uncultured bacteria. During hazy weather, members of the classes Bacilli and Gammaproteobacteria ( Pseudomonas and Acinetobacter) were dominant. The DGGE analysis revealed that Proteobacteria and Firmicutes were the predominant phyla, and their relative percentages to all the measured species changed significantly on hazy days, particularly in the fine particles. Haze and fog had a significant impact on the bacterial communities in bioaerosols, and the bacterial community diversity varied on different hazy days.

Limits on same-day billing in Medicaid hinders integration of behavioral health into the medical home model.

Science.gov (United States)

Roby, Dylan H; Jones, Erynne E

2016-02-01

The potential expansion of insurance coverage through the Patient Protection and Affordable Care Act of 2010 can facilitate the reduction of access barriers and improved quality for behavioral health care. More than 5 million of the newly insured are expected to have mental health and substance use disorders. In addition, state and federal efforts to integrate behavioral and medical health needs through patient-centered medical home models and innovations in payment strategies provide an unprecedented opportunity to use federal financial support to improve not only access to care, but also improve quality through active care coordination, use of interdisciplinary teams, colocating services, and engaging in warm hand-offs between providers in the same setting. These potential advances are hindered in 24 different states because of Medicaid payment policy, with 7 explicitly limiting the ability to reimburse for physical health and behavioral health services on the same day for all providers. Without the ability for providers to be reimbursed for different services on the same day to improve behavioral and medical health care coordination, these states could be limited in their ability to improve care via patient-centered approaches and interdisciplinary team-based care that would involve physicians, clinical psychologists, psychiatrists, and other mental health professionals. Limits on same-day billing in Medicaid programs could impact up to 36.7 million people in 24 states, which is approximately 52.6% of all Medicaid enrollees. (c) 2016 APA, all rights reserved).

Days out of role due to common physical and mental conditions: results from the Northern Ireland study of health and stress.

Science.gov (United States)

Ennis, Edel; O'Neill, S; Murphy, S; Bunting, B

2016-11-01

Days out of role due to health problems are a major source of lost human capital. We examined the relative importance of common physical and mental disorders in accounting for days out of role in Northern Ireland using the Northern Ireland Study of Health and Stress (NISHS) WHO World Mental Health (WMH) Survey. Face-to-face interviews were carried out with 4340 respondents (68.4 % response rate). Multiple regression analysis estimated associations of specific chronic physical disorders and mental disorders conditions and comorbidities with days out of role controlling for basic socio-demographics. Overall, 16.8 % of respondents had at least one day totally out of role in the previous year. The strongest population-level effect was associated with arthritis, which accounted for 23.5 % of all days out of role. The strongest individual-level effects (days out of role per year) were associated with any anxiety disorder (32.3) arthritis (26.1) and pain (22.0). The 11 conditions accounted for 93 % of all days out of role, as measured by population attributable risk proportions (PARPs). Common health conditions, including mental disorders, make up a large proportion of the number of days out of role and should be addressed to substantially increase overall productivity.

Performance assessment issues in utility-scale photovoltaics in warm and sunny climates★

Directory of Open Access Journals (Sweden)

Ruther Ricardo

2017-01-01

operational issues that were not previously described in the literature. Inverter Loading Ratios commonly described in the literature (for less sunny sites led to considerable annual energy losses.

"Happy feet": evaluating the benefits of a 100-day 10,000 step challenge on mental health and wellbeing.

Science.gov (United States)

Hallam, K T; Bilsborough, S; de Courten, M

2018-01-24

An increased awareness of the health benefits of walking has emerged with the development and refinement of accelerometer equipment. Evidence is beginning to highlight the value of promoting walking, particularly focusing on the Japanese mark of obtaining 10,000 steps per day. Workplace based step challenges have become popular to engage large cohorts in increasing their daily physical activity in a sustainable and enjoyable way. Findings are now highlighting the positive health effects of these medium-term programs (typically conducted over a few months) in terms of cardiovascular health, reducing diabetes risk and improving lifestyle factors such as weight and blood pressure. As yet, research has not focused on whether similar improvements in psychological health and wellbeing are present. This study investigated the impact of a 100-day, 10,000 step program on signs of depression, anxiety and stress as well as general wellbeing using standardised psychological scales. The results indicated a small but consistent effect on all of these measures of mental health over the term of the program. This effect appeared irrespective of whether a person reached the 10,000 step mark. These results highlight improved mental health and wellbeing in people undertaking this 100-day 10,000 step program and indicates the efficacy and potential of these programs for a modest, yet important improvement in mental health. Notably, targets reached may be less important than participation itself.

Circulating 25-hydroxyvitamin D concentrations are correlated with cardiometabolic risk among American black and white adolescents living in a year-round sunny climate.

Science.gov (United States)

Parikh, Samip; Guo, De-Huang; Pollock, Norman K; Petty, Karen; Bhagatwala, Jigar; Gutin, Bernard; Houk, Chris; Zhu, Haidong; Dong, Yanbin

2012-05-01

Low vitamin D status is common among healthy black and white adolescents residing at southern U.S. latitudes with a year-round sunny climate. Thus we aimed to study the relationships between circulating 25-hydroxyvitamin D [25(OH)D] and cardiometabolic risk factors in this population. 25(OH)D concentrations were measured with liquid chromatography tandem mass spectroscopy in 701 girls and boys (14-18 years old, 54% blacks, 49% females). Cardiometabolic risk was indexed by adipokines, inflammatory markers, fasting glucose, homeostatic model assessment-insulin resistance (HOMA-IR), lipid profile, and blood pressure (BP). Controlling for age, sex, race, sexual maturation, season, physical activity, and percent body fat, 25(OH)D concentrations were significantly correlated with adiponectin (r = 0.06, P = 0.05), leptin (r = -0.32, P risk factors, independent of adiposity. Clinical trials addressing the effects of vitamin D supplementation on cardiometabolic risk are warranted in adolescents irrespective of their geographical regions.

The Effects of Adult Day Services on Family Caregivers’ Daily Stress, Affect, and Health: Outcomes From the Daily Stress and Health (DaSH) Study

OpenAIRE

Zarit, Steven H.; Kim, Kyungmin; Femia, Elia E.; Almeida, David M.; Klein, Laura C.

2013-01-01

Purpose: We examine the effects of use of adult day service (ADS) by caregivers of individuals with dementia (IWD) on daily stressors, affect, and health symptoms. Participants were interviewed for 8 consecutive days. On some days, the IWD attended an ADS program and on the other days caregivers provide most or all of the care at home. Methods: Participants were 173 family caregivers of IWDs using an ADS program. Daily telephone interviews assessed care-related stressors, noncare stressors, p...

Days out-of-role due to common physical and mental health problems: Results from the Sao Paulo Megacity Mental Health Survey, Brazil

Directory of Open Access Journals (Sweden)

Laura Helena Andrade

2013-11-01

Full Text Available OBJECTIVES: To investigate the relative importance of common physical and mental disorders with regard to the number of days out-of-role (DOR; number of days for which a person is completely unable to work or carry out normal activities because of health problems in a population-based sample of adults in the São Paulo Metropolitan Area, Brazil. METHODS: The São Paulo Megacity Mental Health Survey was administered during face-to-face interviews with 2,942 adult household residents. The presence of 8 chronic physical disorders and 3 classes of mental disorders (mood, anxiety, and substance use disorders was assessed for the previous year along with the number of days in the previous month for which each respondent was completely unable to work or carry out normal daily activities due to health problems. Using multiple regression analysis, we examined the associations of the disorders and their comorbidities with the number of days out-of-role while controlling for socio-demographic variables. Both individual-level and population-level associations were assessed. RESULTS: A total of 13.1% of the respondents reported 1 or more days out-of-role in the previous month, with an annual median of 41.4 days out-of-role. The disorders considered in this study accounted for 71.7% of all DOR; the disorders that caused the greatest number of DOR at the individual-level were digestive (22.6, mood (19.9, substance use (15.0, chronic pain (16.5, and anxiety (14.0 disorders. The disorders associated with the highest population-attributable DOR were chronic pain (35.2%, mood (16.5%, and anxiety (15.0% disorders. CONCLUSIONS: Because pain, anxiety, and mood disorders have high effects at both the individual and societal levels, targeted interventions to reduce the impairments associated with these disorders have the highest potential to reduce the societal burdens of chronic illness in the São Paulo Metropolitan Area.

The impact of silicon solar cell architecture and cell interconnection on energy yield in hot & sunny climates

KAUST Repository

Haschke, Jan

2017-03-23

Extensive knowledge of the dependence of solar cell and module performance on temperature and irradiance is essential for their optimal application in the field. Here we study such dependencies in the most common high-efficiency silicon solar cell architectures, including so-called Aluminum back-surface-field (BSF), passivated emitter and rear cell (PERC), passivated emitter rear totally diffused (PERT), and silicon heterojunction (SHJ) solar cells. We compare measured temperature coefficients (TC) of the different electrical parameters with values collected from commercial module data sheets. While similar TC values of the open-circuit voltage and the short circuit current density are obtained for cells and modules of a given technology, we systematically find that the TC under maximum power-point (MPP) conditions is lower in the modules. We attribute this discrepancy to additional series resistance in the modules from solar cell interconnections. This detrimental effect can be reduced by using a cell design that exhibits a high characteristic load resistance (defined by its voltage-over-current ratio at MPP), such as the SHJ architecture. We calculate the energy yield for moderate and hot climate conditions for each cell architecture, taking into account ohmic cell-to-module losses caused by cell interconnections. Our calculations allow us to conclude that maximizing energy production in hot and sunny environments requires not only a high open-circuit voltage, but also a minimal series-to-load-resistance ratio.

California's "5 a day--for better health!" campaign: an innovative population-based effort to effect large-scale dietary change.

Science.gov (United States)

Foerster, S B; Kizer, K W; Disogra, L K; Bal, D G; Krieg, B F; Bunch, K L

1995-01-01

The annual toll of diet-related diseases in the United States is similar to that taken by tobacco, but less progress has been achieved in reaching the Public Health Service's Healthy People 2000 objectives for improving food consumption than for reducing tobacco use. In 1988, the California Department of Health Services embarked upon an innovative multi-year social marketing program to increase fruit and vegetable consumption. The 5 a Day--for Better Health! Campaign had several distinctive features, including its simple, positive, behavior-specific message to eat 5 servings of fruits and vegetables every day as part of a low-fat, high fiber diet; its use of mass media; its partnership between the state health department and the produce and supermarket industries; and its extensive use of point-of-purchase messages. Over its nearly three years of operation in California, the 5 a Day Campaign appears to have raised public awareness that fruits and vegetables help reduce cancer risk, increased fruit and vegetable consumption in major population segments, and created an ongoing partnership between public health and agribusiness that has allowed extension of the campaign to other population segments, namely children and Latino adults. In 1991 the campaign was adopted as a national initiative by the National Cancer Institute and the Produce for Better Health Foundation. By 1994, over 700 industry organizations and 48 states, territories, and the District of Columbia were licensed to participate. Preventive medicine practitioners and others involved in health promotion may build upon the 5 a Day Campaign experience in developing and implementing efforts to reach the nation's dietary goals.

Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30 and 60 Day Hospitalization: The Depression CAREPATH Cluster-Randomized Trial

Science.gov (United States)

Bruce, Martha L.; Lohman, Matthew C.; Greenberg, Rebecca L.; Bao, Yuhua; Raue, Patrick J.

2016-01-01

OBJECTIVES To determine whether a depression care management intervention among Medicare home health recipients decreases risks of hospitalization. DESIGN Cluster-randomized trial. Nurse teams were randomized to Intervention (12 teams) or Enhanced Usual Care (EUC; 9 teams). SETTING Six home health agencies from distinct geographic regions. Patients were interviewed at home and by telephone. PARTICIPANTS Patients age>65 who screened positive for depression on nurse assessments (N=755), and a subset who consented to interviews (N=306). INTERVENTION The Depression CAREPATH (CARE for PATients at Home) guides nurses in managing depression during routine home visits. Clinical functions include weekly symptom assessment, medication management, care coordination, patient education, and goal setting. Researchers conducted biweekly telephone conferences with team supervisors. MEASUREMENTS The study examined acute-care hospitalization and days to hospitalization. H1 used data from the home health record to examine hospitalization over 30-day and 60-day periods while a home health patient. H2 used data from both home care record and research assessments to examine 30-day hospitalization from any setting. RESULTS The adjusted hazard ratio (HR) of being admitted to hospital directly from home health within 30 days of start of home health care was 0.65 (p=.013) for CAREPATH compared to EUC patients, and 0.72 (p=.027) within 60 days. In patients referred to home health directly from hospital, the relative hazard of being rehospitalized was approximately 55% lower (HR = 0.45, p=.001) among CAREPATH patients. CONCLUSION Integrating CAREPATH depression care management into routine nursing practice reduces hospitalization and rehospitalization risk among older adults receiving Medicare home health nursing services. PMID:27739067

Minimization of Impact from Electric Vehicle Supply Equipment to the Electric Grid Using a Dynamically Controlled Battery Bank for Peak Load Shaving

Energy Technology Data Exchange (ETDEWEB)

Castello, Charles C [ORNL

2013-01-01

This research presents a comparison of two control systems for peak load shaving using local solar power generation (i.e., photovoltaic array) and local energy storage (i.e., battery bank). The purpose is to minimize load demand of electric vehicle supply equipment (EVSE) on the electric grid. A static and dynamic control system is compared to decrease demand from EVSE. Static control of the battery bank is based on charging and discharging to the electric grid at fixed times. Dynamic control, with 15-minute resolution, forecasts EVSE load based on data analysis of collected data. In the proposed dynamic control system, the sigmoid function is used to shave peak loads while limiting scenarios that can quickly drain the battery bank. These control systems are applied to Oak Ridge National Laboratory s (ORNL) solar-assisted electric vehicle (EV) charging stations. This installation is composed of three independently grid-tied sub-systems: (1) 25 EVSE; (2) 47 kW photovoltaic (PV) array; and (3) 60 kWh battery bank. The dynamic control system achieved the greatest peak load shaving, up to 34% on a cloudy day and 38% on a sunny day. The static control system was not ideal; peak load shaving was 14.6% on a cloudy day and 12.7% on a sunny day. Simulations based on ORNL data shows solar-assisted EV charging stations combined with the proposed dynamic battery control system can negate up to 89% of EVSE load demand on sunny days.

The effect of regular walking and alternate day fasting on health-related factors in overweight and obese females

Directory of Open Access Journals (Sweden)

Roya Seighali

2017-03-01

Full Text Available Introduction: Obesity is a complex health problem. The aim of this study was to determine the effects of regular walking with alternate day fasting (ADF on health-related factors of overweight and obese females.‎  Methods: 30 healthy inactive, overweight and obese women were divided randomly into three equal groups.  The groups were: control group (BMI: 30.72±4.40 kg/m2; the experimental group I: ADF along with regular walking with 50% to 65% maximal heart rate (BMI: 28.69 ±2.81 kg/m2 and the experimental group II: ADF (BMI: 30.56 ±3.66 kg/m2. Participants were under the diet for six weeks. The diet ADF means that, they had days of fasting and free day (with regular walking, alternately. Two days before and two days after the end of the study, the participants’ fasting blood sugar were measured after 12 hours. Resting heart rate, blood pressure and body composition were assessed in the same day. The collected data were analyzed using paired t-test and ANOVA test. Results: Body mass index in both experimental groups had significant decrease‎ (P

The nutritional health of New Zealand vegetarian and non-vegetarian Seventh-day Adventists: selected vitamin, mineral and lipid levels.

Science.gov (United States)

Harman, S K; Parnell, W R

1998-03-27

To determine whether adult non-vegetarian Seventh-day Adventists differ in selected nutrition related health aspects from adult vegetarian Seventh-day Adventists. One hundred and forty-one Seventh-day Adventist church members responded to a general health questionnaire. Forty-seven sex and age matched subjects (23 non-vegetarians and 24 vegetarians) were selected for further investigation. Blood lipids, serum vitamin B12, folate, haemoglobin and ferritin levels were measured along with stature, weight and blood pressure. A quantitative 7-day diet record was also completed. Body mass index was similar between the non-vegetarian and vegetarian groups but diastolic blood pressure was higher for non-vegetarian than vegetarian males. Even though the dietary vitamin B12 intake was significantly lower (p Seventh-day Adventists appear likely to enjoy a lower risk of nutrition related chronic degenerative disease than the average New Zealander and have a satisfactory iron and vitamin B12 status.

Day Care: Other Countries.

Science.gov (United States)

Hjartarson, Freida; And Others

This collection of 5 bilingual papers on day care programs in foreign countries (China, the Soviet Union, and 3 Scandinavian countries) is part of a series of papers on various aspects of day care published by the Canadian Department of Health and Welfare. Each paper is presented in both English and French. Paper I considers day care services in…

The impact of a peer-led participatory health and safety training program for Latino day laborers in construction.

Science.gov (United States)

Williams, Quintin; Ochsner, Michele; Marshall, Elizabeth; Kimmel, Louis; Martino, Carmen

2010-06-01

Immigrant Latino day laborers working in residential construction are at particularly high risk of fatal and non-fatal traumatic injury and benefit from targeted training. To understand the impact of a participatory, peer-facilitated health and safety awareness training customized to the needs of Latino day laborers. Baseline surveys exploring exposures, PPE use, attitudes, work practices and work-related injuries were collected from more than 300 New Jersey Latino day laborers in construction prior to their participation in a one day (minimum of six hour) Spanish language health and safety training class. The classes, led by trained worker trainers, engaged participants in a series of tasks requiring teamwork and active problem solving focused on applying safe practices to situations they encounter at their worksites. Follow-up surveys were difficult to obtain among mobile day laborers, and were collected from 70 men (22% response rate) 2-6 months following training. Chi-square analysis was used to compare pre- and post-intervention PPE use, self protective actions, and self-reported injury rates. Focus groups and in-depth interviews addressing similar issues provided a context for discussing the survey findings. At baseline, the majority of day laborers who participated in this study reported great concern about the hazards of their work and were receptive to learning about health and safety despite limited influence over employers. Changes from baseline to follow-up revealed statistically significant differences in the use of certain types of PPE (hard hats, work boots with steel toes, safety harnesses, and visible safety vests), and in the frequency of self-protective work practices (e.g., trying to find out more about job hazards on your own). There was also a suggestive decrease in self-reported injuries (receiving an injury at work serious enough that you had to stop working for the rest of the day) post-training based on small numbers. Sixty-six percent of

Comparative study of two weir type cascade solar stills with and without PCM storage using energy and exergy analysis

International Nuclear Information System (INIS)

Sarhaddi, Faramarz; Farshchi Tabrizi, Farshad; Aghaei Zoori, Halimeh; Mousavi, Seyed Amir Hossein Seyed

2017-01-01

Highlights: • Performance evaluation of cascade solar stills with PCM storage is carried out. • Model of cascade solar still is weir type. • Present study is based on numerical simulation. • Effect of operating parameters is studies on yield, energy and exergy efficiencies. - Abstract: In this paper, the comparative study of energy and exergy performance of two weir type cascade solar stills with and without PCM storage in sunny and semi-cloudy days is carried out. The governing equations of energy analysis include a set of nonlinear equations which is obtained by writing energy balance for the various components of a solar still (i.e. glass cover, brackish water, absorber plate, phase change materials). A detailed exergy analysis is carried out and various irreversibility rates in the solar still system and its exergy efficiency are introduced. In order to solve the governing equations a computer simulation program is developed. The results of a numerical simulation of the present study are in good agreement with the experimental data of previous literatures. The numerical results of the present study show that the energy and exergy performance of solar still without PCM storage is better than the solar still with PCM storage in sunny days. On the other hand, the solar still with PCM storage is preferred for semi-cloudy days due to its better energy and exergy performance. The maximum value of the energy and exergy efficiencies of the solar still without PCM for a typical sunny day are 76.69% and 6.53%, respectively. While, the maximum energy and exergy efficiencies of the solar still with PCM for a sample semi-cloudy day are 74.35% and 8.59%, respectively. Furthermore, it is observed that the highest irreversibility rate belongs to the absorber plate and its value for the solar still without PCM on typical sunny day and the solar still with PCM on semi-cloudy days is 83.1% and 78.8% of the whole of system irreversibility rates, respectively. Whereas, the

Study of environmental conditions in the repositories of the National Archive of the Republic of Cuba

Directory of Open Access Journals (Sweden)

Isbel Vivar González

2016-01-01

Full Text Available The aim was to study the behavior of the temperature (T, relative humidity (RH and illuminance (I in the repositories of the National Archive of the Republic of Cuba. The values of T and RH were measured twice daily for four consecutive years. I was measured in sunny and cloudy days. The result sallow us to affirm that the environmental conditions (T, RH of these repositories are favorable for the conservation of paper documents. In cloudy days, I of the repositories located in lower-ground floor does not exceed the allowed 50 lux; but in sunny days, due to the incidence of sunlight, in all repositories I exceeds 50 lux. Artificial light caused an increase in I in all repositories, but this is not significant because the light bulbs are kept turned off most of the time.

Day-to-day Consistency in Positive Parent-Child Interactions and Youth Well-Being.

Science.gov (United States)

Lippold, Melissa A; Davis, Kelly D; Lawson, Katie M; McHale, Susan M

2016-12-01

The frequency of positive parent-child interactions is associated with youth adjustment. Yet, little is known about daily parent-child interactions and how day-to-day consistency in positive parent-child interactions may be linked to youth well-being. Using a daily diary approach, this study added to this literature to investigate whether and how day-to-day consistency in positive parent-child interactions was linked to youth depressive symptoms, risky behavior, and physical health. Participants were youth whose parents were employed in the IT division of a Fortune 500 company ( N = 129, youth's mean age = 13.39, 55 % female), who participated in an 8 day daily diary study. Analyses revealed that, controlling for cross-day mean levels of positive parent-child interactions, older (but not younger) adolescents who experienced more consistency in positive interactions with parents had fewer depressive and physical health symptoms (e.g., colds, flu). The discussion focuses on the utility of daily diary methods for assessing the correlates of consistency in parenting, possible processes underlying these associations, and intervention implications.

Health Inequalities during the First 1000 days in EU and Nordic countries

DEFF Research Database (Denmark)

Robertson, Aileen

2016-01-01

-for-gestational age (LGA) newborns; furthermore, the prevalence of both breast-feeding rates and correct infant feeding practices is lower in mothers with low levels of education. Opportunities to reduce the social gradient in health inequalities in Nordic countries by intervening during the first 1000 days...... to breastfeed exclusively for 6 months. Moreover, it is key for parents to learn about “anticipatory feeding” methods and to know when, what and how much safe, nutritious foods to feed their infant. A more “joined up” health sector requires much better integration and communication between maternal and infant...... benefits. Central governments can initiate joined-up approaches through creating joint priorities and building social safety-nets for the most disadvantaged. This includes honouring pledges concerning the Convention of Rights of Child and other UN Resolutions, including the length of paid maternity leave...

Predicting number of hospitalization days based on health insurance claims data using bagged regression trees.

Science.gov (United States)

Xie, Yang; Schreier, Günter; Chang, David C W; Neubauer, Sandra; Redmond, Stephen J; Lovell, Nigel H

2014-01-01

Healthcare administrators worldwide are striving to both lower the cost of care whilst improving the quality of care given. Therefore, better clinical and administrative decision making is needed to improve these issues. Anticipating outcomes such as number of hospitalization days could contribute to addressing this problem. In this paper, a method was developed, using large-scale health insurance claims data, to predict the number of hospitalization days in a population. We utilized a regression decision tree algorithm, along with insurance claim data from 300,000 individuals over three years, to provide predictions of number of days in hospital in the third year, based on medical admissions and claims data from the first two years. Our method performs well in the general population. For the population aged 65 years and over, the predictive model significantly improves predictions over a baseline method (predicting a constant number of days for each patient), and achieved a specificity of 70.20% and sensitivity of 75.69% in classifying these subjects into two categories of 'no hospitalization' and 'at least one day in hospital'.

Correcting for day of the week and public holiday effects: improving a national daily syndromic surveillance service for detecting public health threats.

Science.gov (United States)

Buckingham-Jeffery, Elizabeth; Morbey, Roger; House, Thomas; Elliot, Alex J; Harcourt, Sally; Smith, Gillian E

2017-05-19

As service provision and patient behaviour varies by day, healthcare data used for public health surveillance can exhibit large day of the week effects. These regular effects are further complicated by the impact of public holidays. Real-time syndromic surveillance requires the daily analysis of a range of healthcare data sources, including family doctor consultations (called general practitioners, or GPs, in the UK). Failure to adjust for such reporting biases during analysis of syndromic GP surveillance data could lead to misinterpretations including false alarms or delays in the detection of outbreaks. The simplest smoothing method to remove a day of the week effect from daily time series data is a 7-day moving average. Public Health England developed the working day moving average in an attempt also to remove public holiday effects from daily GP data. However, neither of these methods adequately account for the combination of day of the week and public holiday effects. The extended working day moving average was developed. This is a further data-driven method for adding a smooth trend curve to a time series graph of daily healthcare data, that aims to take both public holiday and day of the week effects into account. It is based on the assumption that the number of people seeking healthcare services is a combination of illness levels/severity and the ability or desire of patients to seek healthcare each day. The extended working day moving average was compared to the seven-day and working day moving averages through application to data from two syndromic indicators from the GP in-hours syndromic surveillance system managed by Public Health England. The extended working day moving average successfully smoothed the syndromic healthcare data by taking into account the combined day of the week and public holiday effects. In comparison, the seven-day and working day moving averages were unable to account for all these effects, which led to misleading smoothing

78 FR 56901 - Submission for OMB Review; 30-day Comment Request: Family Life, Activity, Sun, Health, and Eating...

Science.gov (United States)

2013-09-16

...; 30-day Comment Request: Family Life, Activity, Sun, Health, and Eating (FLASHE) Study (NCI) SUMMARY... Collection: Family Life, Activity, Sun, Health, and Eating (FLASHE) Study (NCI), 0925-NEW, Expiration Date xx... behaviors (but also examining other behaviors such as sleep, sun-safety, and tobacco) in new ways not...

Days out of role due to mental and physical illness in the South African stress and health study.

Science.gov (United States)

Mall, Sumaya; Lund, Crick; Vilagut, Gemma; Alonso, Jordi; Williams, David R; Stein, Dan J

2015-03-01

Both mental and physical disorders can result in role limitation, such as 'days out of role', which have an important impact on national productivity losses. This paper analyses data from the South African Stress and Health Study (SASH) on the association of both mental and physical disorders with days out of role. Face-to-face interviews were conducted with a representative sample of 4,351 adult South Africans. The World Health Organization's Composite International Diagnostic Interview (WHO-CIDI) was used to assess the presence of 21 mental and physical disorders that were grouped into 10 disorder categories for the analysis: major depressive disorder, any anxiety disorders, any substance abuse disorders, headaches or migraine, arthritis, chronic pain, cardiovascular, respiratory, diabetes and digestive disorders. Multiple regression techniques were used to explore associations between individual disorders, comorbid conditions, and annual days spent out of role. The estimated societal effects of the disorders [population attributable risk proportion (PARP)] were obtained. The majority of respondents who reported a mental or physical disorder also reported another disorder (62.98 %). The average number of disorders reported by respondents who had at least one disorder was 2.3. Overall 12.4 % of respondents reported any days out of role due to mental or physical disorder. Anxiety disorders and depression were associated with highest days out of role (28.2 and 27.2, respectively) followed closely by arthritis and pain (24.7 and 21.7, respectively). Any mental disorder was associated with 23.6 days out of role, while any physical disorder was associated with 15.5 days out of role. Of the mental disorders, anxiety disorders had the highest PARP in relation to days out of role (9.0 %) followed by depression (4.8 %) and substance disorder (3.3. %). More than one-third (37.6 %) of days out of role are attributable to physical disorders and 16.1 % to mental

[Health promotion in day-care centres in Reykjavík--intervention and result of actions].

Science.gov (United States)

Gudmarsdóttir, Agústa; Tómasson, Kristinn

2007-03-01

The purpose of the study was to compare wellbeing, health and work environment before and after intervention among employees of Reykjavík city day-care centre. The study is a prospective interventions study. In the year 2000 employees of 16 day-care centres responded to a questionnaire regarding work environment, health and wellbeing. Work environment evaluation was completed and the centre classified into four groups accordingly. Subsequently, the "equipment was renewed" noise protection improved and the employee received education concerning occupational health. Six months, after interventions, in the year 2002 the same questionnaire was readministered. Response rate in 2002 was 88% (n=267) but 90% in the year 2000. Work environment had improved. More employees had received instruction on good workposture and good work technique than 2 years earlier. Fewer employees used awkward posture than before. Better workspace resulted in reduced number of symptoms, also for the youngest employees. Symptoms were also fewer where unskilled employees were in majority and where the fewest of them had received proper education on work posture. In the year 2002, psychosocial wellbeing was better or equal than two years earlier. This was associated with better education and higher age even despite less workspace. Employees awareness towards noise was greatly improved. It is possible to improve work methods and work environment of employees with goal directed intervention, thus laying the ground for wellbeing at work. The interplay between the factors education and age is complex, though. Thus it is important, that all workplaces, adopt the process of "risk assessment", intervention, and then reassessment of the work environment. By doing so the goals of health promotion and good occupational health can be reached.

The effect of an occupational therapy mental health day treatment centre on the use of inpatient services in the Western Cape, South Africa.

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Engelbrecht, Riekie; Plastow, Nicola; Botha, Ulla; Niehaus, Djh; Koen, Liezl

2018-04-27

The aim of this study was to determine whether attendance at an occupational therapy-led day treatment centre for mental health care users affects the use of inpatient services in South Africa. A retrospective pre-test/post-test quasi-experimental study design was used to compare admissions and days spent in hospital during the 24 months before and after attendance at the centre, using the hospital's electronic records. Total population sampling yielded data for 44 mental health care users who made first contact with the service between July 2009 and June 2010. Data were compared using the Kruskal-Wallis test, Wilcoxon Signed Ranks test and Mann-Whitney U test. There was a significant decrease in the number of admissions (z = -4.093, p = 0.00) and the number of days spent in hospital (z = -4.730, p = 0.00). Participants were admitted to psychiatric care 33 times less in the 24 months' post-intervention, indicating a medium effect (r = 0.436). They also spend 2569 days less in hospital, indicating a large effect (r = 0.504). The findings suggest that an occupational therapy-led day treatment centre could be effective in reducing the use of inpatient mental health services in South Africa. Implications for Rehabilitation Attendance at an occupational therapy-led community day treatment centre decreases the number of admissions and number of days spent in hospital and is therefore beneficial to mental health care users and service providers. The study indicates that the successful implementation of a community day treatment centre for mental health care users on the grounds of a tertiary hospital by utilising existing resources is possible.

Influence of day length and temperature on the content of health-related compounds in broccoli (Brassica oleracea L. var. italica).

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Steindal, Anne Linn Hykkerud; Mølmann, Jørgen; Bengtsson, Gunnar B; Johansen, Tor J

2013-11-13

Vegetables grown at different latitudes are exposed to various temperatures and day lengths, which can affect the content of health- and sensory-related compounds in broccoli florets. A 2 × 2 factorial experiment was conducted under controlled growth conditions, with contrasting temperatures (15/9 and 21/15 °C) and day lengths (12 and 24 h), to investigate the effect on glucosinolates, vitamin C, flavonols, and soluble sugars. Aliphatic glucosinolates, quercetin, and kaempferol were at their highest levels at high temperatures combined with a 12 h day. Levels of total glucosinolates, d-glucose, and d-fructose were elevated by high temperatures. Conversely, the content of vitamin C was highest with a 12 h day length combined with 15/9 °C. Our results indicate that temperature and day length influence the contents of health-related compounds in broccoli florets in a complex way, suggesting no general superiority of any of the contrasting growth conditions.

Day-to-day measurement of patient-reported outcomes in exacerbations of chronic obstructive pulmonary disease

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Kocks, Jan Willem H; van den Berg, Jan Willem K; Kerstjens, Huib AM; Uil, Steven M; Vonk, Judith M; de Jong, Ynze P; Tsiligianni, Ioanna G; van der Molen, Thys

2013-01-01

Background Exacerbations of chronic obstructive pulmonary disease (COPD) are a major burden to patients and to society. Little is known about the possible role of day-to-day patient-reported outcomes during an exacerbation. This study aims to describe the day-to-day course of patient-reported health status during exacerbations of COPD and to assess its value in predicting clinical outcomes. Methods Data from two randomized controlled COPD exacerbation trials (n = 210 and n = 45 patients) were used to describe both the feasibility of daily collection of and the day-to-day course of patient-reported outcomes during outpatient treatment or admission to hospital. In addition to clinical parameters, the BORG dyspnea score, the Clinical COPD Questionnaire (CCQ), and the St George’s Respiratory Questionnaire were used in Cox regression models to predict treatment failure, time to next exacerbation, and mortality in the hospital study. Results All patient-reported outcomes showed a distinct pattern of improvement. In the multivariate models, absence of improvement in CCQ symptom score and impaired lung function were independent predictors of treatment failure. Health status and gender predicted time to next exacerbation. Five-year mortality was predicted by age, forced expiratory flow in one second % predicted, smoking status, and CCQ score. In outpatient management of exacerbations, health status was found to be less impaired than in hospitalized patients, while the rate and pattern of recovery was remarkably similar. Conclusion Daily health status measurements were found to predict treatment failure, which could help decision-making for patients hospitalized due to an exacerbation of COPD. PMID:23766644

Interest in health promotion among Korean American Seventh-day Adventists attending a religious retreat.

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Jo, Angela M; Maxwell, Annette E; Choi, Sunhye; Bastani, Roshan

2012-01-01

Little is known about interest in faith-based health promotion programs among Asian American populations. Among the Christian denominations, the Seventh-day Adventist (SDA) church is known to place a strong doctrinal emphasis on health. To understand appropriate ways to develop and implement health promotion programs and to conduct research among Korean American SDAs. We collaborated with the North American Division of Korean SDA Churches which sponsors annual week-long religious retreats for their church members. We developed and administered a 10-page questionnaire at their 2009 retreat in order to assess socio-demographic and church characteristics, religiosity, perceived relationship between health and religion, and interest and preferences for church-based health promotion programs. Overall, 223 participants completed our survey (123 in Korean and 100 in English). The sample consisted of regular churchgoers who were involved in a variety of helping activities, and many holding leadership positions in their home churches. The vast majority was interested in receiving health information at church (80%) in the form of seminars, cooking classes and workshops (50-60%). Fewer respondents were interested in support groups (27%). Some interests and preferences differed between English and Korean language groups. Korean American SDA church retreat participants from a large geographic area are very interested in receiving health information and promoting health at their churches and can potentially serve as "agents of influence" in their respective communities.

The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities.

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Kimura, Akiko C; Nguyen, Christine N; Higa, Jeffrey I; Hurwitz, Eric L; Vugia, Duc J

2007-04-01

We examined barriers to influenza vaccination among long-term care facility (LTCF) health care workers in Southern California and developed simple, effective interventions to improve influenza vaccine coverage of these workers. In 2002, health care workers at LTCFs were surveyed regarding their knowledge and attitudes about influenza and the influenza vaccine. Results were used to develop 2 interventions, an educational campaign and Vaccine Day (a well-publicized day for free influenza vaccination of all employees at the worksite). Seventy facilities were recruited to participate in an intervention trial and randomly assigned to 4 study groups. The combination of Vaccine Day and an educational campaign was most effective in increasing vaccine coverage (53% coverage; prevalence ratio [PR]=1.45; 95% confidence interval [CI]=1.24, 1.71, compared with 27% coverage in the control group). Vaccine Day alone was also effective (46% coverage; PR= 1.41; 95% CI=1.17, 1.71). The educational campaign alone was not effective in improving coverage levels (34% coverage; PR=1.18; 95% CI=0.93, 1.50). Influenza vaccine coverage of LTCF health care workers can be improved by providing free vaccinations at the worksite with a well-publicized Vaccine Day.

Correcting for day of the week and public holiday effects: improving a national daily syndromic surveillance service for detecting public health threats

Directory of Open Access Journals (Sweden)

Elizabeth Buckingham-Jeffery

2017-05-01

Full Text Available Abstract Background As service provision and patient behaviour varies by day, healthcare data used for public health surveillance can exhibit large day of the week effects. These regular effects are further complicated by the impact of public holidays. Real-time syndromic surveillance requires the daily analysis of a range of healthcare data sources, including family doctor consultations (called general practitioners, or GPs, in the UK. Failure to adjust for such reporting biases during analysis of syndromic GP surveillance data could lead to misinterpretations including false alarms or delays in the detection of outbreaks. The simplest smoothing method to remove a day of the week effect from daily time series data is a 7-day moving average. Public Health England developed the working day moving average in an attempt also to remove public holiday effects from daily GP data. However, neither of these methods adequately account for the combination of day of the week and public holiday effects. Methods The extended working day moving average was developed. This is a further data-driven method for adding a smooth trend curve to a time series graph of daily healthcare data, that aims to take both public holiday and day of the week effects into account. It is based on the assumption that the number of people seeking healthcare services is a combination of illness levels/severity and the ability or desire of patients to seek healthcare each day. The extended working day moving average was compared to the seven-day and working day moving averages through application to data from two syndromic indicators from the GP in-hours syndromic surveillance system managed by Public Health England. Results The extended working day moving average successfully smoothed the syndromic healthcare data by taking into account the combined day of the week and public holiday effects. In comparison, the seven-day and working day moving averages were unable to account for all

Aspirin administered to women at 100 mg every other day produces less platelet inhibition than aspirin administered at 81 mg per day: implications for interpreting the women's health study.

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Swaim, Lisa; Hillman, Robert S

2009-07-01

We aimed to determine the relative level of platelet inhibition achieved with low-dose aspirin (81 mg daily) compared with a very low-dose (100 mg every other day). The Womens Health Study (WHS) found that a dose of 100 mg every other day of aspirin provided protection against stroke as primary prophylaxis, but not myocardial infarction. In the United States, the most commonly prescribed dose of aspirin for primary prophylaxis is 81 mg per day. As a result, it is important to know whether these doses are equivalent before extrapolating the results of the WHS to women in the U.S. To achieve this goal, we have studied the effects of these two dosing regimens on platelet function in healthy women meeting the WHS inclusion criteria using a randomized design. We enrolled 49 healthy female volunteers and used a sequential, crossover design to compare the two regimens. The participants received a 17-day course of each aspirin-dosing regimen separated by a 7-day washout period. The degree of platelet inhibition was measured on days 14-17 of each dosing regimen using a point-of-care platelet function assay utilizing arachidonic acid to activate platelets (VerifyNow-Aspirin). Participants platelet response, expressed as Aspirin Response Unit (ARU) attained a significantly greater level of platelet inhibition on days 14-17 while taking aspirin 81 mg daily compared to aspirin 100 mg every other day (31.3% vs. 12.7%, P or=550 ARU, a value correlated with clinical outcomes in several studies, with the 100 mg every other day regimen (72.0% vs. 6.4% with 81 mg daily, P day regimen also resulted in more day-to-day variability in platelet function (P = 0.0002). We found significantly less inhibition of platelet function with the dose used in the WHS than the usual U.S. dose. We observed that the degree of platelet inhibition was significantly less with aspirin 100 mg every other day compared with aspirin 81 mg daily, suggesting that results of the Women's Health Study may have

International convention on World Homoeopathy Day: Integrating Homoeopathy in health care delivery

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Anil Khurana

2016-01-01

Full Text Available An International Convention on World Homoeopathy Day was held to commemorate the 261 st birth anniversary of Dr. Samuel Hahnemann on 9 th -10 th April 2016, at Vigyan Bhawan, New Delhi, India. The theme of the Convention was "Integrating Homoeopathy in Healthcare" for achieving Universal Health Coverage (UHC as advocated by the World Health Organization (WHO. The Convention made for an ideal platform for extensive deliberations on the existing global scenario of Homoeopathy, with particular reference to India, strategy building and formulation of national policies for worldwide promotion, safety, quality, and effectiveness of medicines, evolving standards of education, international cooperation, and evidence-based practice of Homoeopathy. Organized jointly by Central Council for Research in Homoeopathy (CCRH, an autonomous research organization of Ministry of AYUSH, Government of India, and Liga Medicorum Homoeopathica Internationalis (LMHI, the Convention witnessed presentations of more than 100 papers during 21 technical sessions held in parallel in four halls, each named after homoeopathic stalwarts, viz., Hahnemann, Boenninghansen, Hering, and Kent.

Environmental Health assessment 200 Days after Earthquake-Affected Region in East Azerbaijan Earthquake, North-Western of Iran, 2012

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Alihossein Zeinalzadeh

2017-04-01

Full Text Available Evaluating of health status and explore the challenges of health problems that threaten human life following disasters and major earthquakes providing windows of opportunities for health care providers in future planning of disasters. The main purpose of this report was to survey the environmental sanitation statues after 200 days of the affected populations in earthquakes of East Azerbaijan, northwestern of Iran, 2012. The survey was carried out in earthquake zones 200 days after the occurrence of the earthquake. A single stage cluster sampling from among 95 villages damaged in the earthquake of 2012 East Azerbaijan of three towns Ahar, Varzeghan and Heris were selected. The data were collected with questionnaire, site visits and evaluation of water and sanitation. In a twin Earthquake, East Azerbaijan province that 399 villages of Ahar, Varzeghan, Heris, Tabriz and Kaleibar cities were affected and 356 (89.2 % villages were destroyed between 30-100%.  Evaluation of water and sanitation infrastructure after 200 days, shown that only half of these villages consumed healthy water with high coverage and adequate. Half of the villages in 200 days after the earthquake were covered safe drinking water (treated drinking water. The bacteriological quality of drinking-water supply of the affected area was assessed in randomly collected 146 samples from this region and ten (6.8% reported as unsuitable. Solid waste management facilities in residents have not been acceptable that affect public health. Solid waste disposal was done by district residents (cooperation rural residents 68.4%, 36.8% and 76.3% in Ahar, Varzeghan and Heris, respectively. Overall, the impact of infectious and communicable diseases after Earthquake was reported 42.1% (16 villages in the Varzeghan. The lack of geographical view with a focus in mountainous and rural areas, partial support and dispersion of earthquake-stricken people in affected villages and lack of participatory need

Marginalisation, discrimination and the health of Latino immigrant day labourers in a central North Carolina community.

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Fleming, Paul J; Villa-Torres, Laura; Taboada, Arianna; Richards, Chelly; Barrington, Clare

2017-03-01

The morbidity and mortality of Latino immigrants in the United States (US) stem from a complex mix of policy, culture, discrimination and economics. Immigrants working as day labourers may be particularly vulnerable to the negative influences of these social factors due to limited access to social, financial and legal resources. We aimed to understand how the health of male Latino day labourers in North Carolina, US is influenced by their experiences interacting with their community and perceptions of their social environment. To respond to our research questions, we conducted three focus groups (n = 9, n = 10, n = 10) and a photovoice project (n = 5) with Latino male immigrants between October 2013 and March 2014. We conducted a thematic analysis of transcripts from the discussions in the focus groups and the group discussions with Photovoice participants. We found that men's health and well-being were primarily shaped by their experiences and feelings of discrimination and marginalisation. We identified three main links between discrimination/marginalisation and poor health: (i) dangerous work resulted in workplace injuries or illnesses; (ii) unsteady employment caused stress, anxiety and insufficient funds for healthcare; and (iii) exclusionary policies and treatment resulted in limited healthcare accessibility. Health promotion with Latino immigrant men in new settlement areas could benefit from community-building activities, addressing discrimination, augmenting the reach of formal healthcare and building upon the informal mechanisms that immigrants rely on to meet their health needs. Reforms to immigration and labour policies are also essential to addressing these structural barriers to health for these men. © 2016 John Wiley & Sons Ltd.

Religious involvement and health-related behaviors among Black Seventh-Day Adventists in Canada.

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McKenzie, Monica M; Modeste, Naomi N; Marshak, Helen Hopp; Wilson, Colwick

2015-03-01

Most studies that involve Black Seventh-Day Adventists (SDAs) have been conducted in the United States. We sought to examine the association between religious involvement and lifestyle practices among Black SDAs in Canada. A convenience sample of 509 Black SDA church members 18 years and older completed a self-administered questionnaire, assessing religious involvement and seven lifestyle practices promoted by the SDA church: diet, physical activity, water intake, exposure to sunlight, alcohol use, caffeine and tobacco use, and rest. Compliance with lifestyle practices ranged from a low of 10% meeting fitness guidelines to a high of 99% abstaining from tobacco products. Religious involvement and lifestyle were positively related (rs = .11, p < .05). Multivariate analyses indicated that private religious practice (β = .16, p =.003), importance of the health principles (β = .17, p = .003), and acceptance of health principles (β = .65, p = .00001) significantly predicted the number of behaviors practiced. Greater religious involvement is associated with positive lifestyle practices but is not an independent predictor of lifestyle practices for Black Canadian SDAs. © 2014 Society for Public Health Education.

Adult Day Services

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... Home Health Aide Semi Private Private $25,000 Adult Day Servi Acesssisted Living Home Care Nursing Homes $0 1. General information based on industry views of various members of the National Adult ...

Environment and Health in Children Day Care Centres (ENVIRH) - Study rationale and protocol.

Science.gov (United States)

Araújo-Martins, J; Carreiro Martins, P; Viegas, J; Aelenei, D; Cano, M M; Teixeira, J P; Paixão, P; Papoila, A L; Leiria-Pinto, P; Pedro, C; Rosado-Pinto, J; Annesi-Maesano, I; Neuparth, N

2014-01-01

Indoor air quality (IAQ) is considered an important determinant of human health. The association between exposure to volatile organic compounds, particulate matter, house dust mite, molds and bacteria in day care centers (DCC) is not completely clear. The aim of this project was to study these effects. This study comprised two phases. Phase I included an evaluation of 45 DCCs (25 from Lisbon and 20 from Oporto, targeting 5161 children). In this phase, building characteristics, indoor CO2 and air temperature/relative humidity, were assessed. A children's respiratory health questionnaire derived from the ISAAC (International Study on Asthma and Allergies in Children) was also distributed. Phase II encompassed two evaluations and included 20 DCCs selected from phase I after a cluster analysis (11 from Lisbon and 9 from Oporto, targeting 2287 children). In this phase, data on ventilation, IAQ, thermal comfort parameters, respiratory and allergic health, airway inflammation biomarkers, respiratory virus infection patterns and parental and child stress were collected. In Phase I, building characteristics, occupant behavior and ventilation surrogates were collected from all DCCs. The response rate of the questionnaire was 61.7% (3186 children). Phase II included 1221 children. Association results between DCC characteristics, IAQ and health outcomes will be provided in order to support recommendations on IAQ and children's health. A building ventilation model will also be developed. This paper outlines methods that might be implemented by other investigators conducting studies on the association between respiratory health and indoor air quality at DCC. Copyright © 2013 Sociedade Portuguesa de Pneumologia. Published by Elsevier España. All rights reserved.

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

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

2018-01-01

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

Family environment, coping, and mental health in adolescents attending therapeutic day schools.

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Rodriguez, Erin M; Donenberg, Geri R; Emerson, Erin; Wilson, Helen W; Brown, Larry K; Houck, Christopher

2014-10-01

This study examined associations among family environment, coping, and emotional and conduct problems in adolescents attending therapeutic day schools due to mental health problems. Adolescents (N = 417; 30.2% female) ages 13-20 (M = 15.25) reported on their family environment (affective involvement and functioning), coping (emotion-focused support-seeking, cognitive restructuring, avoidant actions), and emotional and conduct problems. Poorer family environment was associated with less emotion-focused support-seeking and cognitive restructuring, and more emotional and conduct problems. Emotional problems were negatively associated with cognitive restructuring, and conduct problems were negatively associated with all coping strategies. Cognitive restructuring accounted for the relationship between family environment and emotional problems. Cognitive restructuring and emotion-focused support-seeking each partially accounted for the relationship between family functioning and conduct problems, but not the relationship between family affective involvement and conduct problems. Findings implicate the role of coping in the relationship between family environment and adolescent mental health. Copyright © 2014 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

The readmission risk flag: using the electronic health record to automatically identify patients at risk for 30-day readmission.

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Baillie, Charles A; VanZandbergen, Christine; Tait, Gordon; Hanish, Asaf; Leas, Brian; French, Benjamin; Hanson, C William; Behta, Maryam; Umscheid, Craig A

2013-12-01

Identification of patients at high risk for readmission is a crucial step toward improving care and reducing readmissions. The adoption of electronic health records (EHR) may prove important to strategies designed to risk stratify patients and introduce targeted interventions. To develop and implement an automated prediction model integrated into our health system's EHR that identifies on admission patients at high risk for readmission within 30 days of discharge. Retrospective and prospective cohort. Healthcare system consisting of 3 hospitals. All adult patients admitted from August 2009 to September 2012. An automated readmission risk flag integrated into the EHR. Thirty-day all-cause and 7-day unplanned healthcare system readmissions. Using retrospective data, a single risk factor, ≥ 2 inpatient admissions in the past 12 months, was found to have the best balance of sensitivity (40%), positive predictive value (31%), and proportion of patients flagged (18%), with a C statistic of 0.62. Sensitivity (39%), positive predictive value (30%), proportion of patients flagged (18%), and C statistic (0.61) during the 12-month period after implementation of the risk flag were similar. There was no evidence for an effect of the intervention on 30-day all-cause and 7-day unplanned readmission rates in the 12-month period after implementation. An automated prediction model was effectively integrated into an existing EHR and identified patients on admission who were at risk for readmission within 30 days of discharge. © 2013 Society of Hospital Medicine.

Towards a sunny future for Canada

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-01-01

This document states the official positions of the Canadian Solar Industries Association regarding where Canada should be heading in terms of renewable energy policy. The main positions can be summarized as follows. Renewable energy policy should be integrated with an overall national energy strategy. Solar projects should be integrated with energy efficiency measures buildings. Government funding of research and development, demonstration projects, and commercialization is needed. In particular the paper cites funding for model solar communities. Finally it calls for the government to account for all hidden health, environmental, and social costs associated with fossil fuel use. The paper criticizes the low level of government funding for photovoltaic research and the lack of any photovoltaic rooftop deployment program. It encourages the establishment of a program to install 80,000 solar domestic hot water heaters in a ten year time frame.

Multicausal analysis on water deterioration processes present in a drinking water treatment system.

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Wang, Li; Ma, Fang; Pang, Changlong; Firdoz, Shaik

2013-03-01

The fluctuation of water turbidity has been studied during summer in the settling tanks of a drinking water treatment plant. Results from the multiple cause-effect model indicated that five main pathways interactively influenced thequalityof tank water. During rain, turbidity levels increased mainly as a result of decreasing pH and anaerobic reactions (partial effect = 68%). Increasing water temperature combined with dissolved oxygen concentration (partial effect = 64%) was the key parameterforcontrolling decreases in water turbidity during nighttime periods after a rainy day. The dominant factor influencing increases in turbidity during sunny daytime periods was algal blooms (partial effect = 86%). However, short-circuiting waves (partial effect = 77%) was the main cause for increased nighttime water turbidity after a sunny day. The trade offbetween regulatory pathways was responsible for environmental changes, and the outcome was determined by the comparative strengths of each pathway.

World Heart Day

Centers for Disease Control (CDC) Podcasts

2009-09-01

For World Heart Day, learn more about what heart-healthy steps you can take in the workplace.  Created: 9/1/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 9/9/2009.

Day-to-day measurement of patient-reported outcomes in exacerbations of chronic obstructive pulmonary disease

Directory of Open Access Journals (Sweden)

Kocks JWH

2013-06-01

Full Text Available Jan Willem H Kocks,1,2 Jan Willem K van den Berg,3 Huib AM Kerstjens,2,4 Steven M Uil,3 Judith M Vonk,2,5 Ynze P de Jong,3 Ioanna G Tsiligianni,1,2 Thys van der Molen1,2 1Department of General Practice, 2Groningen Research Institute for Asthma and COPD, University of Groningen, University Medical Center Groningen, Groningen, 3Department of Pulmonary Diseases, Isala Klinieken, Zwolle, 4Department of Pulmonary Diseases and Tuberculosis, 5Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands Background: Exacerbations of chronic obstructive pulmonary disease (COPD are a major burden to patients and to society. Little is known about the possible role of day-to-day patient-reported outcomes during an exacerbation. This study aims to describe the day-to-day course of patient-reported health status during exacerbations of COPD and to assess its value in predicting clinical outcomes. Methods: Data from two randomized controlled COPD exacerbation trials (n = 210 and n = 45 patients were used to describe both the feasibility of daily collection of and the day-to-day course of patient-reported outcomes during outpatient treatment or admission to hospital. In addition to clinical parameters, the BORG dyspnea score, the Clinical COPD Questionnaire (CCQ, and the St George's Respiratory Questionnaire were used in Cox regression models to predict treatment failure, time to next exacerbation, and mortality in the hospital study. Results: All patient-reported outcomes showed a distinct pattern of improvement. In the multivariate models, absence of improvement in CCQ symptom score and impaired lung function were independent predictors of treatment failure. Health status and gender predicted time to next exacerbation. Five-year mortality was predicted by age, forced expiratory flow in one second % predicted, smoking status, and CCQ score. In outpatient management of exacerbations, health status was found

Effects of statewide health promotion in primary schools on children's sick days, visits to a physician and parental absence from work: a cluster-randomized trial.

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Kesztyüs, Dorothea; Lauer, Romy; Traub, Meike; Kesztyüs, Tibor; Steinacker, Jürgen Michael

2016-12-12

Based on the World Health Organization's global school health initiative we investigate intervention effects of statewide health promotion in schools on the numbers of children's sick days and visits to a physician, and parental days off work due to child illness. Cluster-randomized trial with 1-year follow-up in primary schools in the state of Baden-Württemberg, Germany. Anthropometric measurements of first and second grade school children were taken by trained staff. Parents filled in questionnaires for information about socio-demographics, health-related variables, numbers of children's sick days, visits to a physician, and days parents had to stay off work to care for a sick child. Longitudinal differences in the outcome variables were calculated between baseline and follow-up. Intraclass correlation coefficients were determined to quantify a possible clustering of data in schools. Accordingly, linear models and linear mixed models were applied to identify relationships and ascertain significances. Data from 1943 children (1 st grade n = 1024, 6.6 ± 0.4 years old; 2 nd grade n = 919, 7.6 ± 0.4 years old) were available at baseline. Unadjusted differences regarding both grades were found between mean longitudinal changes in intervention and control group in children's sick days (-3.2 ± 7.1 vs. -2.3 ± 5.6, p = 0.013), and maternal days off work (-0.9 ± 2.4 vs. -0.5 ± 2.8, p = 0.019). The intervention effect on sick days was adjusted in a linear regression for baseline values, gender and migration background and confirmed for first grade children (B = -0.83, p = 0.003). The intervention effect on maternal days off work lost its significance after adjusting for baseline values. No significant differences were detected in the numbers of children's visits to a physician and paternal days off work. School-based health promotion slightly reduces sick days in first grade children. Subsequently, parents may not

Effect of a 21-day balneotherapy program on blood cell counts, ponogen levels, and blood biochemical indexes in servicemen in sub-health condition.

Science.gov (United States)

Xu, Li; Wu, Lin; Liu, Tingting; Xing, Wenrong; Cao, Xinsheng; Zhang, Shu; Su, Zongyi

2017-09-01

[Purpose] The aim of our study was to explore the changes in the blood of servicemen in sub-health conditions during a 21-day balneotherapy program. [Subjects and Methods] For this study, 129 servicemen in sub-health condition were recruited. The subjects were randomly divided into either the balneotherapy group (70) or the control group (59). Subjects in the balneotherapy group received whole-body immersion bath therapy in thermomineral water (30 min daily) for 21 days. Their blood samples were examined 1 day before and after balneotherapy. The parameters studied included mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), white blood cell (WBC), lactic acid (LAC), alanine aminotransferase (ALT), glucose (GLU), and triglycerides (TG) levels. [Results] After 21 days of balneotherapy, MCH levels and MCHC increased significantly and WBC counts increased significantly. LAC levels decreased significantly. ALT, GLU, and TG levels decreased significantly. In the control group, there were no statistical differences before and after tap water baths following the same procedure. [Conclusion] A 21-day balneotherapy program significantly improved blood cell counts and blood biochemical indexes and reduced ponogen levels in servicemen in sub-health condition.

Health Impacts of Religious Practices and Beliefs Associated with The Church of Jesus Christ of Latter-Day Saints.

Science.gov (United States)

de Diego Cordero, Rocío; Badanta Romero, Bárbara

2017-08-01

The aim of the study is to discuss the relationship between lifestyle marked by The Church of Jesus Christ of Latter-day Saints and health. PubMed, CINAHL, PsycINFO, WOS y Scopus were the databases used for this literature review, with these descriptors: "Mormons", "mormons religion", "health". Inclusion criteria were articles with full text available, published between 2005 and 2016, in English or Spanish language. Results show that following the restrictive Mormon doctrine generates beneficial effects for the health. Habits related to toxics and food, as well as social support, from family and Mormon community are an important basis for good health. On the other hand, not following the prescriptions or leaving the group, opposed sexual identities or not fulfilling the roles associated with women are associated with worse mental and physical health.

Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health

Directory of Open Access Journals (Sweden)

César Augusto Trinta Weber

Full Text Available Summary Introduction: Since the second half of the twentieth century the discussions about mental patient care reveal ongoing debate between two health care paradigms: the biomedical/biopsychosocial paradigm and the psychosocial paradigm. The struggle for hegemony over the forms of care, on how to deal optimally with the experience of becoming ill is underpinned by an intentionality of reorganizing knowledge about the health/disease dichotomy, which is reflected in the models proposed for the implementation of actions and services for the promotion, prevention, care and rehabilitation of human health. Objective: To discuss the guidelines of care in mental health day hospitals (MHDH in contrast to type III psychosocial care centers (CAPS III. Method: Review of mental health legislation from 1990 to 2014. Results: A definition of therapeutic project could not be found, as well as which activities and techniques should be employed by these health services. Conclusion: The MHDH and PCC III are services that replace psychiatric hospital admission and are characterized by their complementarity in the care to the mentally ill. Due to their varied and distinctive intervention methods, which operate synergistically, the contributions from both models of care are optimized. Discussions on the best mental health care model reveal polarization between the biomedical/biopsychosocial and psychosocial paradigms. This reflects the supremacy of the latter over the former in the political-ideological discourse that circumscribes the reform of psychiatric care, which may hinder a better clinical outcome for patients and their families.

Economic evaluation of a Child Health Days strategy to deliver multiple maternal and child health interventions in Somalia.

Science.gov (United States)

Vijayaraghavan, Maya; Wallace, Aaron; Mirza, Imran Raza; Kamadjeu, Raoul; Nandy, Robin; Durry, Elias; Everard, Marthe

2012-03-01

Child Health Days (CHDs) are increasingly used by countries to periodically deliver multiple maternal and child health interventions as time-limited events, particularly to populations not reached by routine health services. In countries with a weak health infrastructure, this strategy could be used to reach many underserved populations with an integrated package of services. In this study, we estimate the incremental costs, impact, cost-effectiveness, and return on investment of 2 rounds of CHDs that were conducted in Somalia in 2009 and 2010. We use program costs and population estimates reported by the World Health Organization and United Nations Children's Fund to estimate the average cost per beneficiary for each of 9 interventions delivered during 2 rounds of CHDs implemented during the periods of December 2008 to May 2009 and August 2009 to April 2010. Because unstable areas were unreachable, we calculated costs for targeted and accessible beneficiaries. We model the impact of the CHDs on child mortality using the Lives Saved Tool, convert these estimates of mortality reduction to life years saved, and derive the cost-effectiveness ratio and the return on investment. The estimated average incremental cost per intervention for each targeted beneficiary was $0.63, with the cost increasing to $0.77 per accessible beneficiary. The CHDs were estimated to save the lives of at least 10,000, or 500,000 life years for both rounds combined. The CHDs were cost-effective at $34.00/life year saved. For every $1 million invested in the strategy, an estimated 615 children's lives, or 29,500 life years, were saved. If the pentavalent vaccine had been delivered during the CHDs instead of diphtheria-pertussis-tetanus vaccine, an additional 5000 children's lives could have been saved. Despite high operational costs, CHDs are a very cost-effective service delivery strategy for addressing the leading causes of child mortality in a conflict setting like Somalia and compare

Quasi-experimental Study of Systematic Screening for Family Planning Services among Postpartum Women Attending Village Health and Nutrition Days in Jharkhand, India.

Science.gov (United States)

Balasubramaniam, Sudharsanam; Kumar, Somesh; Sethi, Reena; Charurat, Elaine; Lalchandani, Kamlesh; Schuster, Anne; Sood, Bulbul

2018-01-25

Systematic screening helps increase family planning uptake through integration with other services, including immunization. Though successfully demonstrated at health facilities, this strategy has not been demonstrated in communities. This study assessed the effectiveness of systematic screening to increase postpartum family planning use during community health days in India without adversely affecting immunization services. The study was conducted during 180 individual Village Health and Nutrition Days in Jharkhand, India. All health workers were trained in postpartum family planning counseling. Intervention providers were also trained in systematic screening. 217 postpartum women aged 15-49 years participated in baseline and endline exit interviews and routine service statistics were analyzed from 2,485 facility visits at affiliated health centers. No difference in family planning service use was found in the intervention group, but significantly fewer interviewed women reported receiving family planning services at endline in the comparison group (p = 0.014). Family planning acceptance at affiliated health centers increased significantly in intervention areas (p family planning services when integrated with community-based services in Jharkhand.

Islamic logics, reproductive rationalities: family planning in northern Pakistan.

Science.gov (United States)

Varley, Emma

2012-01-01

This paper explores the use of Islamic doctrine and jurisprudence by family planning organizations in the Gilgit-Baltistan region of northern Pakistan. It examines how particular interpretations of Islam are promoted in order to encourage fertility reductions, and the ways Muslim clerics, women and their families react to this process. The paper first discusses how Pakistan's demographic crisis, as the world's sixth most populous nation, has been widely blamed on under-funding for reproductive health services and wavering political commitment to family planning. Critics have called for innovative policy and programming to counter 'excessive reproduction' by also addressing socio-cultural and religious barriers to contraceptive uptake. Drawing on two years of ethnographic research, the paper examines how family planning organizations in Gilgit-Baltistan respond to this shift by employing moderate interpretations of Islam that qualify contraceptive use as a 'rational' reproductive strategy and larger families as 'irrational'. However, the use of Islamic rhetoric to enhance women's health-seeking agency and enable fertility reductions is challenged by conservative Sunni ulema (clergy), who seek to reassert collective control over women's bodies and fertility by deploying Islamic doctrine that honors frequent childbearing. Sunnis' minority status and the losses incurred by regional Shia-Sunni conflicts have further strengthened clerics' pronatalist campaigns. The paper then analyses how Sunni women navigate the multiple reproductive rationalities espoused by 'Islamized' family planning and conservative ulema. Although Islamized family planning legitimizes contraceptive use and facilitates many women's stated desire for smaller families, it frequently positions women against the interests of family, community and conservative Islam.

Medication Days Supply, Adherence, Wastage, and Cost

Data.gov (United States)

U.S. Department of Health & Human Services — In an attempt to contain Medicaid pharmacy costs, nearly all states impose dispensing limits on medication days supply. Although longer days supply appears to...

“Happy feet”: evaluating the benefits of a 100-day 10,000 step challenge on mental health and wellbeing

OpenAIRE

Hallam, K. T.; Bilsborough, S.; de Courten, M.

2018-01-01

Background An increased awareness of the health benefits of walking has emerged with the development and refinement of accelerometer equipment. Evidence is beginning to highlight the value of promoting walking, particularly focusing on the Japanese mark of obtaining 10,000 steps per day. Workplace based step challenges have become popular to engage large cohorts in increasing their daily physical activity in a sustainable and enjoyable way. Findings are now highlighting the positive health ef...

An experimental study on the application of polyalcohol solid-solid phase change materials in solar drying with cross-corrugated solar air collectors

Science.gov (United States)

Gao, W. F.; Lin, W. X.; Liu, T.; Li, M.

2017-11-01

In this paper, two identical solar driers with the same cross-corrugated solar air collectors and drying chamber were developed, one with phase-change materials (PCMs) and the other without PCMs. These two solar drying systems were tested in typical sunny and cloudy days in Kunming and their thermal performances were analyzed. The experimental results show that the temperature changing is smoother in the collector with the PCMs, which is beneficial for the drying as the useful drying time was prolonged. The same trend was also found in the chamber with the PCMs. The PCMs in solar drying system was found to play a role in temperature regulating. There were several cycles of heat charging-discharging in a cloudy testing day while the temperatures on collectors and in chambers with the polyalcohol PCMs is higher than each phase-change temperature. Nevertheless, there was only one cycle of heat charging-discharging in a sunny testing day. The collector with PCMs has higher daily useful heat gain than the collector without PCMs.

Comparison of 3 tests to detect acaricide resistance in Boophilus decoloratus on dairy farms in the Eastern Cape Province, South Africa

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S. Mekonnen

2003-06-01

Full Text Available The susceptibility of the larval offspring of engorged female Boophilus decoloratus, and of the engorged females, collected from cattle on the dairy farms Brycedale, Sunny Grove and Welgevind in the Eastern Cape Province, South Africa, was tested against the acaricides amitraz, chlorfenvinphos and cypermethrin. Resistance was determined by means of the Shaw Larval Immersion Test (SLIT for larvae and the Reproductive Estimate Test (RET and Egg Laying Test (ELT for adults. At Brycedale the tests all indicated resistance to chlorfenvinphos, and RET and ELT indicated resistance to amitraz and emerging resistance to cypermethrin. At Sunny Grove, B. decoloratus was resistant to cypermethrin using SLIT and exhibited emerging resistance to chlorfenvinphos with SLIT and to cypermethrin with both RET and ELT. At Welgevind, resistance was recorded against chlorfenvinphos (SLIT and against cypermethrin (ELT, and emerging resistance against permethrin (RET. The results obtained with RET and ELT were generally comparable, but often differed from those obtained with SLIT. Resistance could be detected within 7 days with ELT compared to 42 days with RET and 60 days with SLIT.

Effects of statewide health promotion in primary schools on children’s sick days, visits to a physician and parental absence from work: a cluster-randomized trial

Directory of Open Access Journals (Sweden)

Dorothea Kesztyüs

2016-12-01

Full Text Available Abstract Background Based on the World Health Organization’s global school health initiative we investigate intervention effects of statewide health promotion in schools on the numbers of children’s sick days and visits to a physician, and parental days off work due to child illness. Methods Cluster-randomized trial with 1-year follow-up in primary schools in the state of Baden-Württemberg, Germany. Anthropometric measurements of first and second grade school children were taken by trained staff. Parents filled in questionnaires for information about socio-demographics, health-related variables, numbers of children’s sick days, visits to a physician, and days parents had to stay off work to care for a sick child. Longitudinal differences in the outcome variables were calculated between baseline and follow-up. Intraclass correlation coefficients were determined to quantify a possible clustering of data in schools. Accordingly, linear models and linear mixed models were applied to identify relationships and ascertain significances. Results Data from 1943 children (1st grade n = 1024, 6.6 ± 0.4 years old; 2nd grade n = 919, 7.6 ± 0.4 years old were available at baseline. Unadjusted differences regarding both grades were found between mean longitudinal changes in intervention and control group in children’s sick days (−3.2 ± 7.1 vs. -2.3 ± 5.6, p = 0.013, and maternal days off work (−0.9 ± 2.4 vs. -0.5 ± 2.8, p = 0.019. The intervention effect on sick days was adjusted in a linear regression for baseline values, gender and migration background and confirmed for first grade children (B = −0.83, p = 0.003. The intervention effect on maternal days off work lost its significance after adjusting for baseline values. No significant differences were detected in the numbers of children’s visits to a physician and paternal days off work. Conclusions School-based health promotion

Annual Running Festival a Chance for the Frederick Community to Stretch Its Legs | Poster

Science.gov (United States)

May will soon be here, ushering in the season of cookouts, sunny days—and the annual Frederick Running Festival. Organized by Corrigan Sports Enterprises, the two-day event gives athletes of all backgrounds chances for exercise and friendly competition against their fellow community members.

Impact of a five-day short course on integration of health promotion into practice in north Queensland.

Science.gov (United States)

Devine, Susan G; Llewellyn-Jones, Lorraine; Lloyd, Jacqui

2009-04-01

Workforce development is one element of health promotion capacity building. This paper describes the extent to which participants in a five-day short course in health promotion, delivered three times in north Queensland during 2007, reported greater adoption of health promotion within their work roles, and the factors that affected the level of adoption. Out of 54 course attendees, 39 completed a post-course survey five to nine months after completing the course (72% response rate). Additionally, 11 course attendees participated in a focus group or phone interview to explore survey findings. The courses succeeded in providing knowledge, skills, confidence and enthusiasm to undertake health promotion work. Eighty per cent of participants stated they had incorporated health promotion into their work frequently or all of the time since undertaking the course. Lack of understanding of health promotion from co-workers and managers, lack of organisational support and commitment, lack of resources, competing clinical priorities, and lack of time were cited as the main barriers for undertaking health promotion. The course met participant training needs. However, similar training across all levels of staff including management may help to develop organisational capacity, thereby building a more knowledgeable workforce that is supported to undertake health promotion as a core part of an organisation's business.

42 CFR 409.65 - Lifetime reserve days.

Science.gov (United States)

2010-10-01

... HOSPITAL INSURANCE BENEFITS Scope of Hospital Insurance Benefits § 409.65 Lifetime reserve days. (a... private insurance coverage that begins after the first 90 inpatient days in a benefit period, or if the... 42 Public Health 2 2010-10-01 2010-10-01 false Lifetime reserve days. 409.65 Section 409.65 Public...

Mainstream media and the social determinants of health in Canada: is it time to call it a day?

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Raphael, Dennis

2011-06-01

This article explores the dearth of coverage of the social determinants of health by the Canadian mainstream media. It is argued that this neglect is primarily a reflection of political and economic societal structures that has been associated with increasing corporate control of the mainstream media. Applying a critical political economy lens, it is argued that the barriers to having the Canadian mainstream media report on the social determinants of health are so numerous that it may indeed be 'time to call it a day' in regard to having them assist in the dissemination of social determinants of health findings. Recognizing this reality should spur the development of alternative means of communicating with the public in order to develop a citizens' movement to create health-promoting public policy. Recent dissemination efforts related to the Social Determinants of Health: The Canadian Facts provide an example of how this might be accomplished.

Global Handwashing Day 2012: a qualitative content analysis of Chinese social media reaction to a health promotion event.

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Fung, Isaac Chun-Hai; Cai, Jingxian; Hao, Yi; Ying, Yuchen; Chan, Benedict Shing Bun; Tse, Zion Tsz Ho; Fu, King-Wa

2015-01-01

Global Handwashing Day (GHD) is a handwashing promotion campaign organized by the Global Public-Private Partnership of Handwashing with Soap. In China, it has been promoted by the Chinese public health authorities, international organizations and multinational corporations through various channels including social media such as Sina Weibo, the leading Chinese microblogging site similar to Twitter. The objective of this study is to qualitatively assess Chinese social media users' reactions to a health promotion campaign using Global Handwashing Day (GHD) 2012 as an example. We conducted a qualitative content analysis of 552 Weibo posts generated on GHD 2012 by Weibo users with 1000 or more followers with the Chinese keyword for "handwashing." We categorized the Weibo posts into groups by keywords that frequently appeared in the data set. These groups were either exact reposts of an original post, or they conveyed similar information. We observed the interconnections between traditional media and social media in handwashing promotion. Social media were found to serve as amplifiers of contents provided by traditional media. We observed the contextualization of global hygiene messages in a unique national social media market in China. Our study showed that social media and traditional media are two interconnected arms of the GHD campaign in China. Our analysis demonstrated that public health campaigns in China can be evaluated using social media data. The themes and topics identified in this study will help public health practitioners evaluate future social media handwashing promotion campaigns.

Health Risk Assessment of Vegetables Grown on the Contaminated Soils in Daye City of Hubei Province, China

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Jun Yang

2017-11-01

Full Text Available China is an agriculturally-producing country and the safety of its vegetables will have an extensive attention at home and abroad. Recently, contamination of soils and vegetables caused by mining activities is of great social concern because of the potential risk to human health, especially to the residents whom live near metal or metalloid mines. In this study, 18 topsoil and 141 vegetable samples were collected from the contaminated areas in Daye City Hubei Province, China and the concentrations of copper (Cu, zinc (Zn, arsenic (As, cadmium (Cd and lead (Pb were analyzed. A self-designed questionnaire was assigned to obtain the exposure scenario and the USEPA health risk assessment model was adopted to assess two type of risks (non-carcinogenic risks and carcinogenic risks of vegetables to humans. The results showed that the average contents of metal(loids in soils exceeded the background value of Daye City. The average contents of metal(loids, especially As, Cd, Pb, in three kinds of vegetables were significantly higher than the permissible values based on Chinese national standard. Leafy vegetables had relatively higher concentrations and the transfer factors of As (0.015, Cd (0.080 and Pb (0.003 were comparable to leguminous and fruit vegetables. Leguminous vegetables had relatively higher concentrations and transfer factors of Cu (0.032 and Zn (0.094 than leafy and fruit vegetables. The transfer factors from soil to plants follows a decreasing order as Cd (0.068, Zn (0.047 > Cu (0.023 > As (0.006, Pb (0.002. Furthermore, health risk assessment revealed the following results: the non-carcinogenic risk decreased in the order of children, adult, adolescent, while the carcinogenic risk followed a decreasing order of adult, adolescent, children; the calculated carcinogenic and non-carcinogenic risk of the metal(loids by vegetable consumption decreased in the order of leafy vegetables > fruit vegetables > leguminous vegetables. The relatively

The Ethical Imperative to Move to a Seven-Day Care Model.

Science.gov (United States)

Bell, Anthony; McDonald, Fiona; Hobson, Tania

2016-06-01

Whilst the nature of human illness is not determined by time of day or day of week, we currently structure health service delivery around a five-day delivery model. At least one country is endeavouring to develop a systems-based approach to planning a transition from five- to seven-day healthcare delivery models, and some services are independently instituting program reorganization to achieve these ends as research, amongst other things, highlights increased mortality and morbidity for weekend and after-hours admissions to hospitals. In this article, we argue that this issue does not merely raise instrumental concerns but also opens up a normative ethical dimension, recognizing that clinical ethical dilemmas are impacted on and created by systems of care. Using health policy ethics, we critically examine whether our health services, as currently structured, are at odds with ethical obligations for patient care and broader collective goals associated with the provision of publicly funded health services. We conclude by arguing that a critical health policy ethics perspective applying relevant ethical values and principles needs to be included when considering whether and how to transition from five-day to seven-day models for health delivery.

Gross domestic product and health expenditure associated with incidence, 30-day fatality, and age at stroke onset: a systematic review.

Science.gov (United States)

Sposato, Luciano A; Saposnik, Gustavo

2012-01-01

Differences in definitions of socioeconomic status and between study designs hinder their comparability across countries. We aimed to analyze the correlation between 3 widely used macrosocioeconomic status indicators and clinical outcomes. We selected population-based studies reporting incident stroke risk and/or 30-day case-fatality according to prespecified criteria. We used 3 macrosocioeconomic status indicators that are consistently defined by international agencies: per capita gross domestic product adjusted for purchasing power parity, total health expenditures per capita at purchasing power parity, and unemployment rate. We examined the correlation of each macrosocioeconomic status indicator with incident risk of stroke, 30-day case-fatality, proportion of hemorrhagic strokes, and age at stroke onset. Twenty-three articles comprising 30 population-based studies fulfilled the eligibility criteria. Age-adjusted incident risk of stroke using the standardized World Health Organization World population was associated to lower per capita gross domestic product adjusted for purchasing power parity (ρ=-0.661, P=0.027, R(2)=0.32) and total health expenditures per capita at purchasing power parity (ρ=-0.623, P=0.040, R(2)=0.26). Thirty-day case-fatality rates and proportion of hemorrhagic strokes were also related to lower per capita gross domestic product adjusted for purchasing power parity and total health expenditures per capita at purchasing power parity. Moreover, stroke occurred at a younger age in populations with low per capita gross domestic product adjusted for purchasing power parity and total health expenditures per capita at purchasing power parity. There was no correlation between unemployment rates and outcome measures. Lower per capita gross domestic product adjusted for purchasing power parity and total health expenditures per capita at purchasing power parity were associated with higher incident risk of stroke, higher case-fatality, a greater

Modification of the 'ten-day rule'

International Nuclear Information System (INIS)

Klempfner, G.

1985-01-01

In a 1964 decision the National Health and Medical Research Council recommended that radiological examinations of the lower abdomen and pelvis of women of childbearing age should be confined to the 10-day interval following the onset of menstruation. Recent evidence suggests that the first four weeks from the first day of the last menstrual period is not a critically radiosensitive period and consequently strict adherence to the ten-day rule is no longer indicated

Dental Care Every Day: A Caregiver's Guide

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DENTAL CARE EVERY DAY A Caregiver’s Guide U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL INSTITUTES OF HEALTH National Institute of Dental and Craniofacial Research Contents Getting Started ................................................................................ 2 Three ...

Effects of different endurance exercise modalities on migraine days and cerebrovascular health in episodic migraineurs: A randomized controlled trial.

Science.gov (United States)

Hanssen, H; Minghetti, A; Magon, S; Rossmeissl, A; Rasenack, M; Papadopoulou, A; Klenk, C; Faude, O; Zahner, L; Sprenger, T; Donath, L

2018-03-01

Aerobic exercise training is a promising complementary treatment option in migraine and can reduce migraine days and improve retinal microvascular function. Our aim was to elucidate whether different aerobic exercise programs at high vs moderate intensities distinctly affect migraine days as primary outcome and retinal vessel parameters as a secondary. In this randomized controlled trial, migraine days were recorded by a validated migraine diary in 45 migraineurs of which 36 (female: 28; age: 36 (SD:10)/BMI: 23.1 (5.3) completed the training period (dropout: 20%). Participants were assigned (Strata: age, gender, fitness and migraine symptomatology) to either high intensity interval training (HIT), moderate continuous training (MCT), or a control group (CON). Intervention groups trained twice a week over a 12-week intervention period. Static retinal vessel analysis, central retinal arteriolar (CRAE) and venular (CRVE) diameters, as well as the arteriolar-to-venular diameter ratio (AVR) were obtained for cerebrovascular health assessment. Incremental treadmill testing yielded maximal and submaximal fitness parameters. Overall, moderate migraine day reductions were observed (ηP2 = .12): HIT revealed 89% likely beneficial effects (SMD = 1.05) compared to MCT (SMD = 0.50) and CON (SMD = 0.59). Very large intervention effects on AVR improvement (ηP2 = 0.27), slightly favoring HIT (SMD=-0.43) over CON (SMD=0), were observed. HIT seems more effective for migraine day reduction and improvement of cerebrovascular health compared to MCT. Intermittent exercise programs of higher intensities may need to be considered as an additional treatment option in migraine patients. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Pakistan-U.S. Relations

Science.gov (United States)

2009-02-06

Peshawar. Days later, an Iranian diplomat in Peshawar was kidnaped by suspected Sunni militants, and a Japanese journalist and his Afghan colleague were...center, a café frequented by foreigners, a cinema house, and two hospitals. Six American citizens were among the 26 foreigners reported dead. Indian

Solar Spectral and Module Temperature Influence on the Outdoor Performance of Thin Film PV Modules Deployed on a Sunny Inland Site

Directory of Open Access Journals (Sweden)

G. Nofuentes

2013-01-01

Full Text Available This work aims at analysing the influence of both module temperature and solar spectrum distribution on the outdoor performance of the following thin film technologies: hydrogenated amorphous silicon (a-Si:H, cadmium telluride (CdTe, copper indium gallium selenide sulfide (CIGS, and hydrogenated amorphous silicon/hydrogenated microcrystalline silicon hetero-junction (a-Si:H/μc-Si:H. A 12-month experimental campaign carried out in a sunny inland site in which a module of each one of these technologies was tested and measured outdoors has provided the necessary empirical data. Results show that module temperature exerts a limited influence on the performance of the tested a-Si:H, CdTe, and a-Si:H/μc-Si:H modules. In contrast, the outdoor behaviour of the CIGS module is the most affected by its temperature. Blue-rich spectra enhance the outdoor behaviour of the a-Si:H and a-Si:H/μc-Si:H modules while it is the other way round for the CIGS module. However, the CdTe specimen shows little sensitivity to the solar spectrum distribution. Anyway, spectral effects are scarcely relevant on an annual basis, ranging from gains for the CIGS module (1.5% to losses for the a-Si:H module (1.0%. However, the seasonal impact of the spectrum shape is more noticeable in these two materials; indeed, spectral issues may cause performance gains or losses of up to some 4% when winter and summer periods are considered.

Computational Fluid Dynamic Analysis of Enhancing Passenger Cabin Comfort Using PCM

Science.gov (United States)

Purusothaman, M.; Valarmathi, T. N.; Dada Mohammad, S. K.

2016-09-01

The main purpose of this study is to determine a cost effective way to enhance passenger cabin comfort by analyzing the effect of solar radiation of a open parked vehicle, which is exposed to constant solar radiation on a hot and sunny day. Maximum heat accumulation occurs in the car cabin due to the solar radiation. By means of computational fluid dynamics (CFD) analysis, a simulation process is conducted for the thermal regulation of the passenger cabin using a layer of phase change material (PCM) on the roof structure of a stationary car when exposed to ambient temperature on a hot sunny day. The heat energy accumulated in the passenger cabin is absorbed by a layer of PCM for phase change process. The installation of a ventilation system which uses an exhaust fan to create a natural convection scenario in the cabin is also considered to enhance passenger comfort along with PCM.

Perancangan Interior Healthy Day Care Di Surabaya

OpenAIRE

Chandra, Shirley Vionita

2017-01-01

Healthy Day Care is a child care center which designed with priority of children's health that applied to all room elements which designed with healthy and attractive design that its application is done by making the formation, color, circulation space, lighting, which draw the attention of the child to can do their activities cheerfully but not excessive. Healthy Day Care is designed to solve the problem of any women who has some problems with her children, seeing the health of children toda...

Good days and bad days in dementia: a qualitative chart review of variable symptom expression.

Science.gov (United States)

Rockwood, Kenneth; Fay, Sherri; Hamilton, Laura; Ross, Elyse; Moorhouse, Paige

2014-08-01

Despite its importance in the lived experience of dementia, symptom fluctuation has been little studied outside Lewy body dementia. We aimed to characterize symptom fluctuation in patients with Alzheimer's disease (AD) and mixed dementia. A qualitative analysis of health records that included notations on good days and bad days yielded 52 community-dwelling patients (women, n = 30; aged 39-91 years; mild dementia, n = 26, chiefly AD, n = 36). Good days/bad days were most often described as changes in the same core set of symptoms (e.g. less/more verbal repetition). In other cases, only good or only bad days were described (e.g., no bad days, better sense of humor on good days). Good days were typically associated with improved global cognition, function, interest, and initiation. Bad days were associated with frequent verbal repetition, poor memory, increased agitation and other disruptive behaviors. Clinically important variability in symptoms appears common in AD and mixed dementia. Even so, what makes a day "good" is not simply more (or less) of what makes a day "bad". Further investigation of the factors that facilitate or encourage good days and mitigate bad days may help improve quality of life for patients and caregivers.

Outcomes of a Freedom of Choice Reform in Community Mental Health Day Center Services.

Science.gov (United States)

Eklund, Mona; Markström, Urban

2015-11-01

A freedom-of-choice reform within mental health day center services was evaluated. The reform aimed to (1) facilitate users' change between units and (2) increase the availability of service providers. Seventy-eight users responded to questionnaires about the reform, empowerment, social network, engagement and satisfaction and were followed-up after 15 months. Fifty-four percent knew about the reform. A majority stated the reform meant nothing to them; ~25 % had a negative and ~20 % a positive opinion. Satisfaction with the services had decreased after 15 months. Empowerment decreased for a more intensively followed subgroup. No positive consequences of the reform could thus be discerned.

Integrated risk assessment for the natomas basin (California) analysis of loss of life and emergency management for floods

NARCIS (Netherlands)

Jonkman, S.N.; Hiel, L.A.; Bea, R.G.; Foster, H.; Tsioulou, A.; Arroyo, P.; Stallard, T.; Harris, L.

2012-01-01

This article assesses the risk to life for the Natomas Basin, a low-lying, rapidly urbanizing region in the Sacramento-San Joaquin Delta in California. Using an empirical method, the loss of life is determined for a flood (high water), seismic, and sunny-day levee breach scenario. The analysis

Antibiotics in agroecosystems: state of the science “ARASOS” workshop summary

Science.gov (United States)

In August 2014, the Biosphere2 Conference Center in Oracle, Arizona was the site of a sunny three-day workshop on “Antibiotics in Agroecosystems: State of the Science.” Attended by 42 people, participants included scientists and others from academia, government agencies (including EPA and USDA), an...

The solar noise barrier project: 1. Effect of incident light orientation on the performance of a large-scale luminescent solar concentrator noise barrier

NARCIS (Netherlands)

Kanellis, M.; de Jong, M.; Slooff, L.H.; Debije, M.G.

2017-01-01

In this work we describe the relative performance of the largest luminescent solar concentrator (LSC) constructed to date. Comparisons are made for performance of North/South and East/West facing panels during a sunny day. It is shown that the East/West panels display much more varied performance

Religious Engagement in a Risky Family Model Predicting Health in Older Black and White Seventh-day Adventists.

Science.gov (United States)

Morton, Kelly R; Lee, Jerry W; Haviland, Mark G; Fraser, Gary E

2012-11-01

In a structural equation model, associations among latent variables - Child Poverty, Risky Family exposure, Religious Engagement, Negative Social Interactions, Negative Emotionality, and Perceived Physical Health - were evaluated in 6,753 Black and White adults aged 35-106 years (M = 60.5, SD = 13.0). All participants were members of the Seventh-day Adventist church surveyed in the Biopsychosocial Religion and Health Study (BRHS). Child Poverty was positively associated with both Risky Family exposure (conflict, neglect, abuse) and Religious Engagement (intrinsic religiosity, religious coping, religiousness). Risky Family was negatively associated with Religious Engagement and positively associated with both Negative Social Interactions (intrusive, failed to help, insensitive, rejecting) and Negative Emotionality (depression, negative affect, neuroticism). Religious Engagement was negatively associated with Negative Emotionality and Negative Social Interactions at a given level of risky family. Negative Social Interactions was positively associated with Negative Emotionality, which had a direct, negative effect on Perceived Physical Health. All constructs had indirect effects on Perceived Physical Health through Negative Emotionality. The effects of a risky family environment appear to be enduring, negatively affecting one's adult religious life, emotionality, social interactions, and perceived health. Religious engagement, however, may counteract the damaging effects of early life stress.

Self-reported health and sleep complaints among nursing personnel working under 12 h night and day shifts.

Science.gov (United States)

Portela, Luciana F; Rotenberg, Lúcia; Waissmann, William

2004-01-01

This cross-sectional exploratory study involved health care workers of various skill types and levels. We tested the hypothesis that the prevalence of diseases, sleep complaints, and insufficient time for nonprofessional activities (family, leisure, and rest) are higher among night than day workers. Data collection was carried out in two public hospitals using questionnaires and other forms. Night work was explored as a risk factor, considering a night worker as one who had at least one night job on the occasion of the research. Data were assessed by a univariate analysis. The association between work schedule and the dependent variables--health conditions, sleep complaints, and insufficient time for nonprofessional activities--was evaluated through the estimation of the prevalence ratio, with a confidence interval of 95%. Two hundred and fifty-eight female nursing personnel participated; 41.5% were moonlighters, and only 20 worked a shift of less than 12h in length. Reports of migraine and need of medical care the 2 weeks before the survey were more prevalent among day than night workers (PR=0.71; CI=0.55-0.92 and PR=0.71; CI=0.52-0.95, respectively). Migraine headaches occurred less frequently among night than day workers as confirmed by comparing the reports of the night workers and day workers whose work history was always day shifts (PR = 0.74; CI = 0.57-0.96). Reports of mild emotional disorders (mild depression, tension, anxiety, or insomnia) were less frequent among night (PR=0.76; CI=0.59-0.98) and ex-night workers (PR=0.68; CI=0.50-0.91) than day workers who never had worked a night job. The healthy worker effect does not seem to explain the results of the comparisons between day and night workers. The possible role of exposure by day workers to some risk factors, such as stress, was suggested as an explanation for these results. No significant difference was observed between night and day workers as to sleep complaints, a result that may have been

Assessment of unhealthy days of urban marginal inhabitants and effective factors in Mashhad, Iran

Directory of Open Access Journals (Sweden)

Maliheh Ziaee

2016-01-01

Full Text Available Background: The concept of the quality of life (HRQOL related to health and its determinants contain aspects of quality of life that clearly affect people’s physical or mental health. One of the newest ways to assess the health and also the quality of life-related to health is the self-assessed health of the individual. The aim of the present study was assessment of unhealthy days, self-reported health status, and its influencing factors on residents of the marginalpart of Mashhad, Iran. Methods: In the current cross-sectional study, 580 citizens of the marginal regions and slum areas of Mashhad city were enrolled through cluster sampling method using governmental health care services divisions. The Persian version of the questionnaire CDC HRQOL-4 was used to measure the unhealthy days. Data was analyzed using SPSS, version 11.5, running ANOVA, chi-square, and t-tests. P-value of less than 0.05 was considered as statistically significant. Results: In the present study, 359 persons (61% were women and the mean age of participants was 32.6±11.51 years. The means of unhealthy days, physically unhealthy days, mentally unhealthy days, and days with dysfunction were found to be 7.2, 2.8, 4.1, and 1.7 days, respectively. The unhealthiest days (physical and mental were seen in unemployed people and the best to excellent health days were seen in housewives. Conclusion: Unhealthy days and days with dysfunction were reported higher in slum inhabitants, especially female, low literacy, and housewife participants. Providing the education and employment facilities for people who live in marginal city areas might decrease the unhealthy days.Keywords: Unhealthy days; Health; Urban Marginal Inhabitants; Mashhad

Working 9-5: Causal Relationships Between Singers' "Day Jobs" and Their Performance Work, With Implications for Vocal Health.

Science.gov (United States)

Bartlett, Irene; Wilson, Pat H

2017-03-01

It is acknowledged generally that professional contemporary commercial music (CCM) singers engage in supplementary employment ("the day job") to achieve and maintain a reliable living wage. In this paper, consideration is given to the impact of such nonperformance employment on CCM's sustainable vocal health. Collected data from a survey of 102 professional contemporary gig singers were analysed using descriptive statistical procedures from the Statistical Package for the Social Sciences. Although these data provided descriptions of the personal characteristics of individuals in the sample, the inclusion of open format questions encouraged participants to report details of their "lived" experience. Additionally, a meta-analysis of a range of associated literature was undertaken. Sixty-five participants (N = 102) reported that in addition to their heavy performance voice use, they were employed in "other" work (the "day job") where their speaking voice loads were high. In responding to open-ended questions, many proffered written comments that were unprompted. The collected data from this element of the research study are reported here. We propose that at least some causal factors of singers' reported voice problems may lie in the misuse or overuse of their everyday speaking voice (as demanded by their "day job") rather than a misuse of their singing voice. These findings have practical application to all whose concern is care for the vocal or emotional health and performance longevity of professional singers. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

A Bear At My Door: How To Stop Future Russian Aggression

Science.gov (United States)

2016-02-16

Sunni controlled Organization of Petroleum Exporting Countries’ (OPEC) saturation of the oil market has had a major impact on the Russian economy ...Shirtless horse rides with media coverage, military incursion into Crimea days after the closing ceremony of the Olympics , or having his Russian...Russian incursion and once this occurs what will be the impact ? Is the occupied nation militarily capable of a quick ten day victory as in Slovenia or

Oral health status and treatment needs of children and young adults attending a day centre for individuals with special health care needs

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Akindayomi Yinka

2008-10-01

Full Text Available Abstract Background The oral health condition of individuals with special health care needs have been reported in literature to be influenced by various sociodemographic factors, including living conditions and severity of impairment. This study was carried out to determine the oral health status and treatment needs of children and young adults attending a day institution for those with special needs. Methods This study was carried out as part of an oral health screening program organized by the institution and consent was obtained from parents and guardians before the screening. All information was supplied by the parents during the screening using a questionnaire completed by the dentist. Oral examination was carried out on all consenting subjects in attendance on the days of screening in the school clinic with parents and teachers in attendance, using standard World Health Organisation oral health indices to assess dental caries, oral hygiene status, malocclusion and other oral health parameters. Results Fifty-four subjects aged 3–26 years (mean 12.28 ± 6.82 years and comprising 72.2% males and 27.8% females participated in the study. Over 90% were from parents of high and middle level educational background. Thirty-six (66.7% were caries free, with a mean dmft score of 0.7 ± 1.77 and mean DMFT score of 0.4 ± 1.44 with no significant difference across gender (p = 0.5 and parents' educational status (p = 0.43. The mean OHI-S of the total population in this study was 1.36 ± 0.16. Females had a mean score of 0.88 ± 1.10 while males had a mean score of 1.55 ± 1.24 with no significant difference (p = 0.6. Twenty-five (46.3% had good oral hygiene, 17 (31.5% had fair oral hygiene and 12 (22.2% had poor oral hygiene, with no significant difference across gender (p = 1.11 and age groups (p = 0.07. Fifteen (27.8% had gingivitis with no significant difference across age groups (p = 0.17. Forty-five (83.3% had Angle's class I malocclusion, 6

Bishnu D. Pradhan PhD, FNAE Mumbai

Indian Academy of Sciences (India)

RURAL ENVIRONMENT · INSTALLING IN NEPAL NETWORK · UNIT BEING WASHED ON A SUNNY DAY ! Rural Microwave – 6RU10 · CORDECT WLL · Vigyan Ashram in Pabal · PABAL INTERNET SERVICE · Wireless LAN: 802.11b · Regulatory Issues · Technology Customization Example: Internet Access in Rural India.

Exploring the day-to-day life of mothers dealing with preschool children who have behavioral disorders.

Science.gov (United States)

Coke, Sallie; Spratling, Regena; Minick, Ptlene

2013-01-01

The purpose of this study was to explore the day-to-day life of mothers dealing with preschool children who have behavioral disorders and to explore the mothers' experiences with their children's health care. A qualitative design was used to explore mothers' experiences in their day-to-day lives. A purposive sample of eight mothers was interviewed in their homes. A recorded face-to-face format was used that included open-ended, semi-structured questions. Two major themes emerged from the day-to-day experiences of these mothers: "abandoning my other child" and "parenting in unsupportive environments". The theme of "parenting in unsupportive environments" reflects the frustrations the mothers felt in their day-to-day lives while trying to find help for their children. The theme of "abandoning my other child" refers to the siblings of the children with behavioral disorders being overlooked by the mothers because so much of the mothers' attention and time was given to the child with the behavioral disorder. Copyright © 2013 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30- and 60-Day Hospitalization: The Depression Care for Patients at Home Cluster-Randomized Trial.

Science.gov (United States)

Bruce, Martha L; Lohman, Matthew C; Greenberg, Rebecca L; Bao, Yuhua; Raue, Patrick J

2016-11-01

To determine whether a depression care management intervention in Medicare home health recipients decreases risk of hospitalization. Cluster-randomized trial. Nurse teams were randomized to intervention (12 teams) or enhanced usual care (EUC; 9 teams). Six home health agencies from distinct geographic regions. Home health recipients were interviewed at home and over the telephone. Individuals aged 65 and older who screened positive for depression on nurse assessments (N = 755) and a subset who consented to interviews (n = 306). The Depression CARE for PATients at Home (CAREPATH) guides nurses in managing depression during routine home visits. Clinical functions include weekly symptom assessment, medication management, care coordination, patient education, and goal setting. Researchers conducted telephone conferences with team supervisors every 2 weeks. Hospitalization while receiving home health services was assessed using data from the home health record. Hospitalization within 30 days of starting home health, regardless of how long recipients received home health services, was assessed using data from the home care record and research assessments. The relative hazard of being admitted to the hospital directly from home health was 35% lower within 30 days of starting home health care (hazard ratio (HR) = 0.65, P = .01) and 28% lower within 60 days (HR = 0.72, P = .03) for CAREPATH participants than for participants receiving EUC. In participants referred to home health directly from the hospital, the relative hazard of being rehospitalized was approximately 55% lower (HR = 0.45, P = .001) for CAREPATH participants. Integrating CAREPATH depression care management into routine nursing practice reduces hospitalization and rehospitalization risk in older adults receiving Medicare home health nursing services. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

Faltas ao trabalho por problemas de saúde na indústria Work days lost due to health problems in industry

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Sylvia Regina Trindade Yano

2012-05-01

Full Text Available Neste estudo transversal, estima-se a prevalência de episódios de faltas ao trabalho por motivo de saúde (FTS, e fatores associados, focalizando o trabalho na indústria. A população do estudo foi uma amostra aleatória por conglomerado de 3.403 trabalhadores de 16 a 65 anos residentes em Salvador, Bahia, Brasil. Dados foram obtidos em entrevistas domiciliares. Entre os trabalhadores da indústria, a prevalência em um ano de FTS em geral, foi 12,5%, 5,5% para FTS relacionados ao trabalho, e 4,1% para FTS agravados pelo trabalho. Não houve diferenças estatisticamente significantes em relação aos demais trabalhadores. Fatores associados à FTS foram percepção de perigo no trabalho, história de acidente de trabalho, e saúde autopercebida como ruim. Os resultados indicam que a ocorrência de faltas ao trabalho é comum, tanto na indústria como nos demais ramos de atividade, podem afetar a produtividade, o que requer programas de prevenção de agentes de risco em locais de trabalho.This cross-sectional study estimated the prevalence of work days lost due to health problems and associated factors among industrial workers. The study population was a simple random cluster sample of 3,403 workers from 16 to 65 years of age in the city of Salvador, Bahia State, Brazil. Data were collected with individual home interviews. Among industrial workers, one-year prevalence of work days lost to health problems was 12.5%, of which 5.5% were directly work-related and 4.1% aggravated by work. There were no statistically significant differences when compared to other worker categories. Self-perceived workplace hazards, history of work-related injury, and poor self-rated health were associated with work days lost due to work-related injuries/diseases. The findings showed that work days lost are common among both industrial and non-industrial workers, thereby affecting productivity and requiring prevention programs.

Assessment of unhealthy days among Iranian reproductive age women in 2012.

Science.gov (United States)

Jarahi, Lida; Ziaee, Maliheh

2015-01-01

Unhealthy days are defined as the number of days during the past 30 days that a woman has not had a feeling of wellbeing. Wellbeing includes the woman's judgments about the level of satisfaction and quality in her life. Assessment of a woman's perception of unhealthy days can be used to help her determine the extent of the burdens associated with mental and physical feelings that things are not going well in her life, job and relationship. This study was conducted to measure unhealthy days and the general health status in Iranian women of reproductive age based on their own perceptions. The participants of this study were women of reproductive age who were referred to health centers in Mashhad, Iran, in 2012. With the stratified random sampling method, 220 women were included in the study. The health-related quality of life-4 (HRQOL-4) questionnaire was used to assess the women's self-perceived unhealthy days. The data that were collected were analyzed by Kruskal-Wallis, chi-squared, Pearson correlation, and logistic linear regression tests with SPSS 11.5. The mean age of the participants was 32.6 years, and the median number of the self-perceived unhealthy days was 7.1 days (per month). In the domains of physical, mental, and disability unhealthy days, the data indicated 2 days, 2.1 days, and 0.1 day in a month, respectively. Also, nearly half of the participants reported that their general health status was poor to fair. The Kruskal-Wallis test showed that there was a significant difference between unhealthy days in the different age groups (p=0.01) as well as for the physical (p=0.02) and mental domains (p=0.4). The results of the regression analysis showed that the number of physical unhealthy days increased with age, number of children, and education. The number of mental unhealthy days increased with age, and the number of disability days increased as the age at which they were married decreased (pWomen with less education who were older than 40, who married

Effects of summer microclimates on behavior of lions and tigers in zoos

Science.gov (United States)

Young, Tory; Finegan, Esther; Brown, Robert D.

2013-05-01

The surrounding thermal environment has a direct influence on the well-being of an animal. However, few studies have investigated the microclimatic conditions that result from outdoor zoo enclosure designs and whether this affects where animals choose to spend time. Two African lions ( Panthera leo) and two Siberian/Amur tigers ( Panthera tigris altaica) were observed for a total of 18 full days during the summer and fall of 2009. Their activities and locations were recorded to the nearest minute of each test day. Simultaneous on-site microclimate measurements were taken of air temperature, relative humidity, solar radiation, and wind. Observations indicated that the locations where the animals chose to spend time were influenced by the microclimatic conditions. All subjects spent more time in the shade on their sunny warm days than on other days and differed from one another in their choice of shade source on all days. Temperature-comparable sunny and cloudy days showed a greater use of sun on the cloudy days. Species-specific differences between the lions (whose native habitat is hot) and the tigers (whose native habitat is temperate with cold winters) were observed with the tigers displaying more cooling behaviors than the lions in terms of solar radiation input and evaporative heat loss. The tigers were also more active than the lions. The results of this study provide new insight into how lions and tigers respond to microclimatic conditions in a captive environment.

Pre-school manager training: a cost-effective tool to promote nutrition- and health-related practice improvements in the Irish full-day-care pre-school setting.

LENUS (Irish Health Repository)

Johnston Molloy, Charlotte

2013-10-18

To evaluate the impact on nutrition- and health-related practice of two methods of delivery of a nutrition and health intervention in Irish full-day-care pre-schools: training of pre-school managers only or training of managers and their staff.

Exploring relationships among social integration, social isolation, self-rated health, and demographics among Latino day laborers.

Science.gov (United States)

Steel, Kenneth C; Fernandez-Esquer, Maria Eugenia; Atkinson, John S; Taylor, Wendell C

2018-05-01

Research indicates social integration and social isolation are related to health, and Latino day laborers (LDLs) tend to be socially isolated and, thus, at high risk for adverse health consequences. relationships among social isolation, social integration, self-rated health (SRH), and demographics were examined in a sample of LDLs to contribute to the literature on social networks and health in this and other migrant populations. We analyzed data from 324 LDLs who participated in Proyecto SHILOS (Salud del Hombre Inmigrante Latino), a Houston-based survey of Latino immigrant men's health. Based on the literature, we hypothesized SRH would be (1) positively associated with social integration and (2) negatively associated with social isolation. All proposed measures were first entered into a correlation matrix to identify significant bivariate relationships (p ≤ .05, two-tailed). Associations between variables that were directly correlated with SRH and variables that were, in turn, proximally associated with these variables were then used to develop a structural equation path model of SRH. Individual paths in the model were measured for significance, and goodness of fit was assessed by the model chi-square, the Comparative Fit Index, and the Root Mean Square Error of Approximation. Inconsistent with the first hypothesis, SRH was negatively associated with social integration, as measured by the number of trusted friends. Consistent with the second hypothesis, SRH was negatively associated with social isolation, as measured by needing someone to talk to. More frequent contact with family was also negatively associated with social isolation. Our findings suggest social integration may not always protect and promote health. Therefore, assessing the quality of LDLs' different relationships, not just the quantity, is vital. Future studies should further analyze the effects that social resources have on perceptions of social isolation and health in LDLs and other

Aoyama Gakuin University team winning the second prize in junior class in a solar car race; Aogaku team wa junior nii (solar car race ni sankashite)

Energy Technology Data Exchange (ETDEWEB)

Hayashi, Y. [Aoyama Gakuin University, Tokyo (Japan)

1994-09-20

This paper introduces how the Aoyama Gakuin University team competed in the World Solar Car Rally race held at Ogata Village in Akita Prefecture, Japan, in the summer of 1994. The race was formed with solar cars mounting a solar panel with the maximum area of 8 m{sup 2} and batteries with a total output of 3 kWh to compete how many rounds the cars can run around a course of 31 km during three days (25 hours in total). The solar car used by the University team had consumed power of about 600 W at a speed of 40 km/h, with the solar panel generating power of 800 Wp. The first day morning was sunny making possible to set the average speed to 45 km/h (power generation of 500 W or more), but the weather worsened in the afternoon compelling the car to change the speed to 30 km/h (power generation of 200 W). The power generated on the second day, which was cloudy all day, stayed at 250 W at the maximum, hence the speed was kept at 30 km/h to suppress the power consumption. On the sunny third day, the team drove the car worrying about the remaining battery capacity, and succeeded the drive of 23 rounds in total, winning the second prize among 30 cars participated in the junior class race.

Predicting sleep quality from stress and prior sleep--a study of day-to-day covariation across six weeks.

Science.gov (United States)

Åkerstedt, Torbjörn; Orsini, Nicola; Petersen, Helena; Axelsson, John; Lekander, Mats; Kecklund, Göran

2012-06-01

The connection between stress and sleep is well established in cross-sectional questionnaire studies and in a few prospective studies. Here, the intention was to study the link between stress and sleep on a day-to-day basis across 42 days. Fifty participants kept a sleep/wake diary across 42 days and responded to daily questions on sleep and stress. The results were analyzed with a mixed model approach using stress during the prior day to predict morning ratings of sleep quality. The results showed that bedtime stress and worries were the main predictors of sleep quality, but that, also, late awakening, short prior sleep, high quality of prior sleep, and good health the prior day predicted higher sleep quality. Stress during the day predicts subsequent sleep quality on a day-to-day basis across 42 days. The observed range of variation in stress/worries was modest, which is why it is suggested that the present data underestimates the impact of stress on subsequent sleep quality. Copyright © 2012 Elsevier B.V. All rights reserved.

Impact of soil moisture and winter wheat height from the Loess Plateau in Northwest China on surface spectral albedo

Science.gov (United States)

Li, Zhenchao; Yang, Jiaxi; Gao, Xiaoqing; Zheng, Zhiyuan; Yu, Ye; Hou, Xuhong; Wei, Zhigang

2018-02-01

The understanding of surface spectral radiation and reflected radiation characteristics of different surfaces in different climate zones aids in the interpretation of regional surface energy transfers and the development of land surface models. This study analysed surface spectral radiation variations and corresponding surface albedo characteristics at different wavelengths as well as the relationship between 5-cm soil moisture and surface albedo on typical sunny days during the winter wheat growth period. The analysis was conducted using observational Loess Plateau winter wheat data from 2015. The results show that the ratio of atmospheric downward radiation to global radiation on typical sunny days is highest for near-infrared wavelengths, followed by visible wavelengths and ultraviolet wavelengths, with values of 57.3, 38.7 and 4.0%, respectively. The ratio of reflected spectral radiation to global radiation varies based on land surface type. The visible radiation reflected by vegetated surfaces is far less than that reflected by bare ground, with surface albedos of 0.045 and 0.27, respectively. Thus, vegetated surfaces absorb more visible radiation than bare ground. The atmospheric downward spectral radiation to global radiation diurnal variation ratios vary for near-infrared wavelengths versus visible and ultraviolet wavelengths on typical sunny days. The near-infrared wavelengths ratio is higher in the morning and evening and lower at noon. The visible and ultraviolet wavelengths ratios are lower in the morning and evening and higher at noon. Visible and ultraviolet wavelength surface albedo is affected by 5-cm soil moisture, demonstrating a significant negative correlation. Excluding near-infrared wavelengths, correlations between surface albedo and 5-cm soil moisture pass the 99% confidence test at each wavelength. The correlation with 5-cm soil moisture is more significant at shorter wavelengths. However, this study obtained surface spectral radiation

Chronic disease risk factors, healthy days and medical claims in South African employees presenting for health risk screening

Directory of Open Access Journals (Sweden)

Kolbe-Alexander Tracy L

2008-07-01

Full Text Available Abstract Background Non-communicable diseases (NCD accounts for more than a third (37% of all deaths in South Africa. However, this burden of disease can be reduced by addressing risk factors. The aim of this study was to determine the health and risk profile of South African employees presenting for health risk assessments and to measure their readiness to change and improve lifestyle behaviour. Methods Employees (n = 1954 from 18 companies were invited to take part in a wellness day, which included a health-risk assessment. Self-reported health behaviour and health status was recorded. Clinical measures included cholesterol finger-prick test, blood pressure and Body Mass Index (BMI. Health-related age was calculated using an algorithm incorporating the relative risk for all case mortality associated with smoking, physical activity, fruit and vegetable intake, BMI and cholesterol. Medical claims data were obtained from the health insurer. Results The mean percentage of participation was 26% (n = 1954 and ranged from 4% in transport to 81% in the consulting sector. Health-related age (38.5 ± 12.9 years was significantly higher than chronological age (34.9 ± 10.3 yrs (p Conclusion SA employees' health and lifestyle habits are placing them at increased risk for NCD's, suggesting that they may develop NCD's earlier than expected. Inter-sectoral differences for health-related age might provide insight into those companies which have the greatest need for interventions, and may also assist in predicting future medical expenditure. This study underscores the importance of determining the health and risk status of employees which could assist in identifying the appropriate interventions to reduce the risk of NCD's among employees.

Association of a full-day vs part-day preschool intervention with school readiness, attendance, and parent involvement.

Science.gov (United States)

Reynolds, Arthur J; Richardson, Brandt A; Hayakawa, Momoko; Lease, Erin M; Warner-Richter, Mallory; Englund, Michelle M; Ou, Suh-Ruu; Sullivan, Molly

2014-11-26

Early childhood interventions have demonstrated positive effects on well-being. Whether full-day vs part-day attendance improves outcomes is unknown. To evaluate the association between a full- vs part-day early childhood program and school readiness, attendance, and parent involvement. End-of-preschool follow-up of a nonrandomized, matched-group cohort of predominantly low-income, ethnic minority children enrolled in the Child-Parent Centers (CPC) for the full day (7 hours; n = 409) or part day (3 hours on average; n = 573) in the 2012-2013 school year in 11 schools in Chicago, Illinois. The Midwest CPC Education Program provides comprehensive instruction, family-support, and health services from preschool to third grade. School readiness skills at the end of preschool, attendance and chronic absences, and parental involvement. The readiness domains in the Teaching Strategies GOLD Assessment System include a total of 49 items with a score range of 105-418. The specific domains are socioemotional with 9 items (score range, 20-81), language with 6 items (score range, 15-54), literacy with 12 items (score range, 9-104), math with 7 items (score, 8-60), physical health with 5 items (score range, 14-45), and cognitive development with 10 items (score range, 18-90). Full-day preschool participants had higher scores than part-day peers on socioemotional development (58.6 vs 54.5; difference, 4.1; 95% CI, 0.5-7.6; P = .03), language (39.9 vs 37.3; difference, 2.6; 95% CI, 0.6-4.6; P = .01), math (40.0 vs 36.4; difference, 3.6; 95% CI, 0.5-6.7; P = .02), physical health (35.5 vs 33.6; difference, 1.9; 95% CI, 0.5-3.2; P = .006), and the total score (298.1 vs 278.2; difference, 19.9; 95% CI, 1.2-38.4; P = .04). Literacy (64.5 vs 58.6; difference, 5.9; 95% CI, -0.07 to 12.4; P = .08) and cognitive development (59.7 vs 57.7; difference, 2.0; 95% CI, -2.4 to 6.3; P = .38) were not significant. Full-day preschool graduates also had higher

77 FR 60617 - Child Health Day, 2012

Science.gov (United States)

2012-10-04

... healthy communities, we are working to reduce contaminants in our drinking water by updating standards and better protecting our water sources from pollution. We are also building on the successes of the Clean..., child health professionals, faith-based and community organizations, and all levels of government to...

Development of a direct expansion solar assisted heat pump for hot water supply

International Nuclear Information System (INIS)

Abdesselam Hamloui; Ong, K.S.; Than Cheok Fah; Masjuki Hassan

2000-01-01

Experimental investigations were conducted on the direct expansion solar assisted Heat Pump (DESAHP). Refrigerant R-22 was expanded in the solar collector which also acted as the evaporator in a conventional vapor compression refrigerating machine. The experiments were conducted under conditions of high and low solar radiation, with evaporator completely shaded from the sun, and at night. System thermal performance was determined by measuring refrigerant flow rate, temperature and pressure at numerous points in the system. The results showed that 227-l of water could be heated from 3O degree to 55 degree C in about 105 minutes. Higher water temperatures were obtained during hot sunny days. The coefficient of performance of heating, COP h , ranged from 11 to 4.7, depending upon operating conditions. The total saving of electric energy during hot sunny days was about 460 %. It means that for 1 kWh of electrical input to the system, we achieve 4.6 kWh. This percentage decreases as the evaporator temperature decreases and is a function of solar energy input. (Author)

76 FR 62295 - Child Health Day, 2011

Science.gov (United States)

2011-10-07

... based on pre-existing conditions. Getting children off to a healthy start at home and at school is vital... Challenge, thousands of child care providers are adopting healthier practices, and 1.7 million Americans... health professionals, faith-based and community organizations, and all levels of government to help...

Admission to day stay early parenting program is associated with improvements in mental health and infant behaviour: A prospective cohort study

Directory of Open Access Journals (Sweden)

Rowe Heather

2012-08-01

Full Text Available Abstract Background Australia’s Early Parenting Services support families and intervene early in mental health problems in parents. The Victorian Early Parenting Strategy, a platform for government policy recommended a stronger evidence base for early parenting services. Tweddle Child and Family Health Service (TCFHS is a not-for-profit public sector early parenting centre, which provides residential, day stay, home visiting and outreach programs. This study aimed i to examine the health, social circumstances and presenting needs of clients attending the Tweddle Day Stay Program (DSP with infants under 12 months old and ii to assess the parent mental health and infant behaviour outcomes and the factors associated with program success. Methods A cohort of clients was recruited prior to admission and followed-up 8 weeks after discharge. Data were collected using standardised measures in a study specific questionnaire at baseline, participant’s Tweddle records and a follow-up telephone interview. Health, social circumstances and presenting needs of clients were described. Changes in parents’ symptoms of depression and infants’ sleep and settling between admission and follow-up were calculated. Multiple regression analyses were conducted to examine factors associated with changes in primary outcomes. Results Of the total 162 clients who were eligible and invited to participate, 115 (72% were recruited. Parents admitted to the DSP had worse general self-reported physical and mental health than community samples. Infants of DSP participants were no more likely to be premature or have low birth weight, but significantly more unsettled than other community samples. Participants’ mental health and their infants’ behaviours were significantly improved after DSP admission. In multivariate analysis, higher depression score at baseline and greater educational attainment were significantly associated with improvements in parents’ mental

Leading Comorbidity associated with 30-day post-anesthetic mortality in geriatric surgical patients in Taiwan: a retrospective study from the health insurance data

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Chun-Lin Chu

2017-10-01

Full Text Available Abstract Background Elderly patients with aged physical status and increased underlying disease suffered from more postoperative complication and mortality. We design this retrospective cohort study to investigate the relationship between existing comorbidity of elder patients and 30 day post-anesthetic mortality by using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM from Health Insurance Database. Methods Patients aged above 65 years old who received anesthesia between 2000 and 2010 were included from 1 million Longitudinal Health Insurance Database in (LHID 2005 in Taiwan. We use age, sex, type of surgery to calculate propensity score and match death group and survival one with 1:4 ratio (death: survival = 1401: 5823. Multivariate logistic model with stepwise variable selection was employed to investigate the factors affecting death 30 days after anesthesia. Results Thirty seven comorbidities can independently predict the post-anesthetic mortality. In our study, the leading comorbidities predict post-anesthetic mortality is chronic renal disease (OR = 2.806, acute myocardial infarction (OR = 4.58, and intracranial hemorrhage (OR = 3.758. Conclusions In this study, we present the leading comorbidity contributing to the postoperative mortality in elderly patients in Taiwan from National Health Insurance Database. Chronic renal failure is the leading contributing comorbidity of 30 days mortality after anesthesia in Taiwan which can be explained by the great number of hemodialysis and prolong life span under National Taiwan Health Insurance. Large scale database can offer enormous information which can help to improve quality of medical care.

Leading Comorbidity associated with 30-day post-anesthetic mortality in geriatric surgical patients in Taiwan: a retrospective study from the health insurance data.

Science.gov (United States)

Chu, Chun-Lin; Chiou, Hung-Yi; Chou, Wei-Han; Chang, Po-Ya; Huang, Yi-You; Yeh, Huei-Ming

2017-10-24

Elderly patients with aged physical status and increased underlying disease suffered from more postoperative complication and mortality. We design this retrospective cohort study to investigate the relationship between existing comorbidity of elder patients and 30 day post-anesthetic mortality by using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) from Health Insurance Database. Patients aged above 65 years old who received anesthesia between 2000 and 2010 were included from 1 million Longitudinal Health Insurance Database in (LHID) 2005 in Taiwan. We use age, sex, type of surgery to calculate propensity score and match death group and survival one with 1:4 ratio (death: survival = 1401: 5823). Multivariate logistic model with stepwise variable selection was employed to investigate the factors affecting death 30 days after anesthesia. Thirty seven comorbidities can independently predict the post-anesthetic mortality. In our study, the leading comorbidities predict post-anesthetic mortality is chronic renal disease (OR = 2.806), acute myocardial infarction (OR = 4.58), and intracranial hemorrhage (OR = 3.758). In this study, we present the leading comorbidity contributing to the postoperative mortality in elderly patients in Taiwan from National Health Insurance Database. Chronic renal failure is the leading contributing comorbidity of 30 days mortality after anesthesia in Taiwan which can be explained by the great number of hemodialysis and prolong life span under National Taiwan Health Insurance. Large scale database can offer enormous information which can help to improve quality of medical care.

A brief description of South Africa's present-day climate

CSIR Research Space (South Africa)

Engelbrecht, F

2010-08-01

Full Text Available positive chill units. 31 Winter (Apr - Sep) CASE STUDY - Global change impacts on agriculture and water: South Africa?s Garden Route 33 7 Global change and human health 35 CASE STUDY - Environmental health: Bridging the gap between traditional... days). Annual (Jan - Dec) 31 Map 6.2 Intermediate future - present (degree days). Accumulated heat units. 31 Annual (Jan - Dec) Map 6.3 Accumulated positive chill units. Winter (Apr - Sep) 31 Map 6.4 Intermediate future - present. Accumulated...

Coming of spring in Europe and on Day Night Year Globe

Science.gov (United States)

Marković-Topalović, Tatjana; Božić, Mirjana; Stojićević, Goran

2014-05-01

Day and night cycles, change of seasons, secular variations of climate on Earth are phenomena that depend on insolation of the Earth, its internal rotation and the orientation of its axis with respect to the Sun. For teaching about these phenomena, we have been using, since 2011, the outdoor globe that has the same orientation in space as the Earth. We call it Day Night Year Globe (DING). It was erected in the Center for advanced education of teachers in Šabac, Serbia [1]. Such globes were also erected in the Weizmann Institute in Israel, near the Max Valier Observatory in Italy, in the courtyard of the Tre University in Rome, in the Science Park in Zurich. During 2010 and 2011, the High Medical School took part and coordinated the realization of the Greenwave project [2] in the Šabac region. Twenty-two teachers, in seven primary schools, inspired and instructed their students to observe how exactly spring arrives and moves across Europe. Their task was to measure on daily basis: wind speed, temperature and rain precipitation. They also recorded sightings of species (barn swallow and frog spawns), common to all European countries, and of local species, which act as early indicators of the arrival of spring. The scientific contribution of the Šabac team consisted of correlating these observations and observations of changes of illumination on DING. During one sunny day, students observe the mapping of Earth's daily rotation onto DING. By observing the circle of illumination, day by day, students see how the inclination of this circle changes during the year. At the spring equinox the circle of illumination lies along the meridian. Our idea was that participants in other country could incorporate observations on DING, or a hands-on globe with two-rotation axes, properly oriented. We tried to induce interest for this idea to the authors and leaders of the Greenwave project. In Milanković's theory of the climate change of Earth, the orientation of Earth's axis with

Regional differences in attitudes that may affect health behavior and willingness to participate in research among Black Seventh-day Adventists.

Science.gov (United States)

Lampkin, Andy; Yancey, Antronette; Wilson, Colwick; Fraser, Gary E

2009-01-01

To identify the attitudes and perceptions of Black Seventh-day Adventists regarding health research and the healthcare system in two regions of the United States. Church members were selected from those who participated in the Adventist Health Study-2 (AHS-2) and those who chose not to participate. Participants were selected from two regions of the United States. Participants were interviewed in their churches, in their homes, and in the research study office at Loma Linda University. Interviews were done in the Western and Southern regions of the United States. 384 Black Seventh-day Adventists, aged >30 years. Responses to the structured interviews from those in the Western region were compared to those in the Southern region. Those in the Southern region included more elderly subjects; they were more likely to own their home despite earning less; and were more likely to be married. Compared to the Western region participants, we found Southern participants to have greater participation in church activities, greater mistrust of the healthcare system and particular concerns about racial inequalities in care. In contrast, they also reported more positive experiences with their personal healthcare provider than Western participants. Southerners felt that they had greater control over their own health, perhaps in part due to a greater identification with the health teachings of the Adventist church. A number of clear differences were found between Black Adventist subjects living in either the Western or Southern regions of the United States. These factors should be considered carefully when planning the promotion for a research study.

How many steps/day are enough? for adults

Directory of Open Access Journals (Sweden)

Rowe David A

2011-07-01

Full Text Available Abstract Physical activity guidelines from around the world are typically expressed in terms of frequency, duration, and intensity parameters. Objective monitoring using pedometers and accelerometers offers a new opportunity to measure and communicate physical activity in terms of steps/day. Various step-based versions or translations of physical activity guidelines are emerging, reflecting public interest in such guidance. However, there appears to be a wide discrepancy in the exact values that are being communicated. It makes sense that step-based recommendations should be harmonious with existing evidence-based public health guidelines that recognize that "some physical activity is better than none" while maintaining a focus on time spent in moderate-to-vigorous physical activity (MVPA. Thus, the purpose of this review was to update our existing knowledge of "How many steps/day are enough?", and to inform step-based recommendations consistent with current physical activity guidelines. Normative data indicate that healthy adults typically take between 4,000 and 18,000 steps/day, and that 10,000 steps/day is reasonable for this population, although there are notable "low active populations." Interventions demonstrate incremental increases on the order of 2,000-2,500 steps/day. The results of seven different controlled studies demonstrate that there is a strong relationship between cadence and intensity. Further, despite some inter-individual variation, 100 steps/minute represents a reasonable floor value indicative of moderate intensity walking. Multiplying this cadence by 30 minutes (i.e., typical of a daily recommendation produces a minimum of 3,000 steps that is best used as a heuristic (i.e., guiding value, but these steps must be taken over and above habitual activity levels to be a true expression of free-living steps/day that also includes recommendations for minimal amounts of time in MVPA. Computed steps/day translations of time in

10 April 2014: Safety Day at CERN

CERN Multimedia

Antonella Del Rosso

2014-01-01

A wide variety of chemicals is used every day in the different laboratories and workshops around CERN. Potentially toxic, corrosive, polluting or hazardous in other ways, these chemicals all have to be handled carefully, as we will be reminded by the Safety Day campaign to be held by the HSE Unit on 10 April to mark World Day for Safety and Health at Work.   The use of chemicals at CERN is regulated by "Safety Regulation SR-C, Chemical Agents", which defines the minimum health and safety protection requirements for people exposed to the potentially hazardous effects of dangerous chemicals. This regulation is complemented by other Safety guides. Regretfully, despite strict procedures and regular inspections, accidents caused by the improper use of chemicals do occur every year. "Unfortunately, each year we see a small number of accidents related to the handling of chemicals," confirms chemicals expert Jonathan Gulley, who is a member of the Prevention and Sa...

Magnitude of Anemia at Discharge Increases 30-Day Hospital Readmissions.

Science.gov (United States)

Koch, Colleen G; Li, Liang; Sun, Zhiyuan; Hixson, Eric D; Tang, Anne; Chagin, Kevin; Kattan, Michael; Phillips, Shannon C; Blackstone, Eugene H; Henderson, J Michael

2017-12-01

Anemia during hospitalization is associated with poor health outcomes. Does anemia at discharge place patients at risk for hospital readmission within 30 days of discharge? Our objectives were to examine the prevalence and magnitude of anemia at hospital discharge and determine whether anemia at discharge was associated with 30-day readmissions among a cohort of hospitalizations in a single health care system. From January 1, 2009, to August 31, 2011, there were 152,757 eligible hospitalizations within a single health care system. The endpoint was any hospitalization within 30 days of discharge. The University HealthSystem Consortium's clinical database was used for demographics and comorbidities; hemoglobin values are from the hospitals' electronic medical records, and readmission status was obtained from the University HealthSystem Consortium administrative data systems. Mild anemia was defined as hemoglobin of greater than 11 to less than 12 g/dl in women and greater than 11 to less than 13 g/dl in men; moderate, greater than 9 to less than or equal to 11 g/dl; and severe, less than or equal to 9 g/dl. Logistic regression was used to assess the association of anemia and 30-day readmissions adjusted for demographics, comorbidity, and hospitalization type. Among 152,757 hospitalizations, 72% of patients were discharged with anemia: 31,903 (21%), mild; 52,971 (35%), moderate; and 25,522 (17%), severe. Discharge anemia was associated with severity-dependent increased odds for 30-day hospital readmission compared with those without anemia: for mild anemia, 1.74 (1.65-1.82); moderate anemia, 2.76 (2.64-2.89); and severe anemia, 3.47 (3.30-3.65), P < 0.001. Anemia at discharge is associated with a severity-dependent increased risk for 30-day readmission. A strategy focusing on anemia treatment care paths during index hospitalization offers an opportunity to influence subsequent readmissions.

Knowledge, attitude and practice of oral health promoting factors among caretakers of children attending day-care centers in Kubang Kerian, Malaysia: A preliminary study

Directory of Open Access Journals (Sweden)

Mani S

2010-06-01

Full Text Available Background and Aim: The role of caretakers at day-care centers has become more imperative in promoting oral health care in children since many new mothers opt to work outside their homes, leaving their children at day-care centers. The aim of this study is to assess the knowledge, attitude and practice of oral health promoting factors among secondary caretakers of children attending day-care centers. Settings and Design: This was a cross-sectional exploratory study conducted among secondary caretakers in Kubang Kerian, Malaysia. Materials and Methods: Thirty-four caretakers fulfilling the inclusion and exclusion criteria participated in the study. The data were collected using a self-administered questionnaire addressing various aspects of knowledge, attitude and practice of oral health in children. Analysis was done using SPSS version 12.0. Results: The knowledge of factors causing dental caries was found to be good among majority of the caretakers, but the concepts of transmissibility of caries and effect of hidden sugars were not evident. Seventy one percent did not know that frequent bottle feeding could cause tooth decay. Attitudes seemed to be governed by the cultural practices of the region rather than the knowledge obtained. The knowledge was not translated to practice adequately. Giving sweetened liquid in bottles was practiced by 53% of the caretakers. Conclusion: Implementation of nursery-based oral health promotion programs for secondary caretakers is needed to counteract early childhood caries.

Find Your School's Analemma

Science.gov (United States)

Lough, Tom; Vanover, Courtney

2014-01-01

On any given sunny day, Courtney Vanover's third graders were like alarm clocks, making sure everyone in the room knew when 9:30 was approaching. Why? Because they were participating in a yearlong science project to answer the question, "Where is the tip of the shadow of the school flagpole each morning at 9:30?" Although they did not…

Second plenary conference of the tensions of Europe Network : Lappeenranta, Finland, 24-28 may 2006

NARCIS (Netherlands)

Schipper, F.

2006-01-01

The package unexpectedly arrived on a sunny day in July. Judging from its size and shape, I wondered whether it was a CD I had ordered and forgotten about. Then I saw "South Karelian Institute" on the address label, and with a big smile on my face I opened the package. In it was a CD-ROM with a

National Latino AIDS Awareness Day

Centers for Disease Control (CDC) Podcasts

2014-10-08

This podcast highlights National Latino AIDS Awareness Day, to increase awareness of the disproportionate impact of HIV on the Hispanic or Latino population in the United States and dependent territories. The podcast reminds Hispanics or Latinos that they have the power to take control of their health and protect themselves against HIV.  Created: 10/8/2014 by Office of Health Equity, Office of the Director, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Division of HIV/AIDS Prevention.   Date Released: 10/14/2014.

Pediatric day case surgery: Experience from a tertiary health ...

African Journals Online (AJOL)

surgical service is in great demand in developing countries, and in-patient beds and surgical supplies are insufficient. Method: A ..... Day Case Surgery in Children in Ile-Ife, Nigeria-An Audit. ... as a clinical indicator for quality assurance.

Modification of the 'ten-day rule'

Energy Technology Data Exchange (ETDEWEB)

Klempfner, G.

1985-02-01

In a 1964 decision the National Health and Medical Research Council recommended that radiological examinations of the lower abdomen and pelvis of women of childbearing age should be confined to the 10-day interval following the onset of menstruation. Recent evidence suggests that the first four weeks from the first day of the last menstrual period is not a critically radiosensitive period and consequently strict adherence to the ten-day rule is no longer indicated.

The National Day for the Libyan Physician

Directory of Open Access Journals (Sweden)

Elmahdi A. Elkhammas

2007-03-01

it is time to celebrate a Libyan Physician Day (Youm attabeeb alleebi during which the Libyan physician is recognized in all health institutions at the level of the ministry, press, television, radio, as well as hospitals and rural health care units. During this day, we thank the Libyan physician for his/her hard work under diverse conditions and circumstances (1. During this day, we remind the physician of his/her duty toward humanity in general and Libyan citizens in particular. The physicians need to know that they have a moral and ethical (2 duty toward the Libyan citizen from birth to death. This duty extends to the poor and to the wealthy and it does not discriminate against colour, race, or religion of the citizen. This duty is purely humane and has no allegiance to political beliefs. We also remind the Libyan physician to extend his/her hands to colleagues in basic science, in different sectors of medical education, and the allied medical personnel. We all know that without nurses, pharmacists, physiotherapists, respiratory therapist, laboratory technicians, physicists and radiology technicians we can not perform our jobs. On this day, we inform the Libyan physicians that we love them and respect their field. The society and government should be united in providing them with decent living standards. The Libyan physicians are human and have needs and responsibilities toward their families and deserve a decent life. This acknowledgment by the society and the government gives them a moral boost. Hopefully, it would provide an incentive to work harder and to be creative to minimize the flux of the Libyan patients to the neighbouring countries for the treatment of simple ailments. I truly believe that the creation of a national day for the Libyan physician will be fruitful within few years of its initiation. It will certainly shed the light on this group of the Libyan society. It will remind physicians to give more consideration to interactions with members of the

Observed and predicted measurements of photosynthesis in a phytoplankton culture exposed to natural irradiance

International Nuclear Information System (INIS)

Marra, J.; Heinemann, K.; Landriau, G. Jr.

1985-01-01

Photosynthesis-irradiance (P-I) curves were produced (using artificial illumination) from samples taken at one or more times per day from a continuous culture illuminated with sunlight. The continuous culture housed an oxygen electrode used to measure photosynthesis semi-continuously. Rates of photosynthesis predicted from P-I curves agreed with photosynthesis observed in the culture only for days of low irradiance. For sunny days or for days of variable irradiance, P-I curves predicted neither the morning photosynthesis maximum nor the afternoon depression. Daily integrals of predicted and observed photosynthesis, however, were probably within the possible errors of measurement. (orig.)

Day-to-day and within-day variation in urinary iodine excretion

DEFF Research Database (Denmark)

Rasmussen, Lone Banke; Ovesen, L.; Christiansen, E.

1999-01-01

Objective: To examine the day-to-day and within-day variation in urinary iodine excretion and the day-to-day variation in iodine intake. Design: Collection of consecutive 24-h urine samples and casual urine samples over 24 h. Setting: The study population consisted of highly motivated subjects fr...

National Latino AIDS Awareness Day

Centers for Disease Control (CDC) Podcasts

This podcast highlights National Latino AIDS Awareness Day, to increase awareness of the disproportionate impact of HIV on the Hispanic or Latino population in the United States and dependent territories. The podcast reminds Hispanics or Latinos that they have the power to take control of their health and protect themselves against HIV.

REGIONAL DIFFERENCES IN ATTITUDES THAT MAY AFFECT HEALTH BEHAVIOR AND WILLINGNESS TO PARTICIPATE IN RESEARCH AMONG BLACK SEVENTH-DAY ADVENTISTS

Science.gov (United States)

Lampkin, Andy; Yancey, Antronette; Wilson, Colwick; Fraser, Gary E.

2012-01-01

Objective To identify the attitudes and perceptions of Black Seventh-day Adventists regarding health research and the healthcare system in two regions of the United States. Design Church members were selected from those who participated in the Adventist Health Study-2 (AHS-2) and those who chose not to participate. Participants were selected from two regions of the United States. Setting Participants were interviewed in their churches, in their homes, and in the research study office at Loma Linda University. Interviews were done in the Western and Southern regions of the United States. Participants 384 Black Seventh-day Adventists, aged >30 years. Main Outcome Measures Responses to the structured interviews from those in the Western region were compared to those in the Southern region. Results Those in the Southern region included more elderly subjects; they were more likely to own their home despite earning less; and were more likely to be married. Compared to the Western region participants, we found Southern participants to have greater participation in church activities, greater mistrust of the healthcare system and particular concerns about racial inequalities in care. In contrast, they also reported more positive experiences with their personal healthcare provider than Western participants. Southerners felt that they had greater control over their own health, perhaps in part due to a greater identification with the health teachings of the Adventist church. Conclusions A number of clear differences were found between Black Adventist subjects living in either the Western or Southern regions of the United States. These factors should be considered carefully when planning the promotion for a research study. PMID:20073146

Effects of synchronous irradiance monitoring and correction of current-voltage curves on the outdoor performance measurements of photovoltaic modules

Science.gov (United States)

Hishikawa, Yoshihiro; Doi, Takuya; Higa, Michiya; Ohshima, Hironori; Takenouchi, Takakazu; Yamagoe, Kengo

2017-08-01

Precise outdoor measurement of the current-voltage (I-V) curves of photovoltaic (PV) modules is desired for many applications such as low-cost onsite performance measurement, monitoring, and diagnosis. Conventional outdoor measurement technologies have a problem in that their precision is low when the solar irradiance is unstable, hence, limiting the opportunity of precise measurement only on clear sunny days. The purpose of this study is to investigate an outdoor measurement procedure, that can improve both the measurement opportunity and precision. Fast I-V curve measurements within 0.2 s and synchronous measurement of irradiance using a PV module irradiance sensor very effectively improved the precision. A small standard deviation (σ) of the module’s maximum output power (P max) in the range of 0.7-0.9% is demonstrated, based on the basis of a 6 month experiment, that mainly includes partly sunny days and cloudy days, during which the solar irradiance is unstable. The σ was further improved to 0.3-0.5% by correcting the curves for the small variation of irradiance. This indicates that the procedure of this study enables much more reproducible I-V curve measurements than a conventional usual procedure under various climatic conditions. Factors that affect measurement results are discussed, to further improve the precision.

The role of grid-connected, building-integrated photovoltaic generation in commercial building energy and power loads in a warm and sunny climate

International Nuclear Information System (INIS)

Braun, P.; Ruether, R.

2010-01-01

For large commercial buildings, power load delivery limits are contracted with the local electricity distribution utility, and are usually fixed at one or more levels over the year, according to the seasonal building loads, and depending on the specific country regulations. Especially in warm and sunny climates, solar electricity generation using building-integrated photovoltaics (BIPV) can assist in reducing commercial building loads, offering peak-shaving (power) benefits on top of the on-site generation of electricity (energy). This on-site power delivery capability gives these consumers the possibility of renegotiating demand contracts with their distribution utility. Commercial buildings that operate during daytime quite often have an energy consumption profile that is well matched by solar radiation availability, and depending on the building's available surface areas, BIPV can generate considerable portions of the energy requirements. In this work we present the role of grid-connected BIPV in reducing the load demands of a large and urban commercial building located in a warm climate in Brazil. The building and adjacent car parking lots can accommodate a 1 MWp BIPV generator, which closely matches the building's typical maximum power demands. Based on real solar radiation data and simultaneous building electricity demands for the year 2007, simulation of the annual solar generation profile of this on-site generator showed that the 1 MWp BIPV system could account for around 30% of the total building's energy consumption. In addition to the energy benefit, maximum power demands were reduced due to a good match between midday air-conditioning cooling loads and solar radiation availability on both a daily and seasonal basis. Furthermore, we have simulated the effect of this considerably large urban-sited generator on the local distribution network load, and have shown that the 1 MWp BIPV installation can also offer considerable benefits to the local utility in

Estimating the opportunity costs of bed-days.

Science.gov (United States)

Sandmann, Frank G; Robotham, Julie V; Deeny, Sarah R; Edmunds, W John; Jit, Mark

2018-03-01

Opportunity costs of bed-days are fundamental to understanding the value of healthcare systems. They greatly influence burden of disease estimations and economic evaluations involving stays in healthcare facilities. However, different estimation techniques employ assumptions that differ crucially in whether to consider the value of the second-best alternative use forgone, of any available alternative use, or the value of the actually chosen alternative. Informed by economic theory, this paper provides a taxonomic framework of methodologies for estimating the opportunity costs of resources. This taxonomy is then applied to bed-days by classifying existing approaches accordingly. We highlight differences in valuation between approaches and the perspective adopted, and we use our framework to appraise the assumptions and biases underlying the standard approaches that have been widely adopted mostly unquestioned in the past, such as the conventional use of reference costs and administrative accounting data. Drawing on these findings, we present a novel approach for estimating the opportunity costs of bed-days in terms of health forgone for the second-best patient, but expressed monetarily. This alternative approach effectively re-connects to the concept of choice and explicitly considers net benefits. It is broadly applicable across settings and for other resources besides bed-days. © 2017 The Authors Health Economics published by John Wiley & Sons Ltd.

Effects of 10,000 steps a day on physical and mental health in overweight participants in a community setting: a preliminary study.

Science.gov (United States)

Yuenyongchaiwat, Kornanong

2016-01-01

Being overweight is associated not only with physical health problems, but also with risk of mental health problems. Increased physical activity (PA) has been recommended for the prevention of cardiovascular disease; however, little is known about the effect of walking on physical and mental health outcomes. The purpose of the study was to explore the effectiveness of a pedometer-based PA intervention on physical and mental health states. Thirty-five overweight participants with body mass index (BMI) ≥25 kg•m-2 were selected and assigned to a 12-week pedometer-based walking program (10,000 steps•d-1). The profile of mood states, BMI, waist circumference (WC), body fat percentage (%BF), and lean body mass (LBM) were measured before and after the 12-week intervention. The number of step counts was recorded 5 days a week in a diary booklet. The 30 participants who accumulated 10,000 steps•d-1 had significantly lower anxiety, depression, anger, fatigue, confusion, and total mood distress scores compared with measurements taken prior to the intervention. Further, the participants had higher vigor scores compared to baseline. Regarding physical health, the participants who accrued 10,000 steps a day had significantly lower body weight, WC, BMI, and %BP. After adjustment for gender, height, and daily steps at follow-up, changes in WC were negatively associated with depression, fatigue, confusion, and total mood distress. An increase in PA by accumulating at least 10,000 steps•d-1 over a 12-week period improves physical and mood states in sedentary, overweight individuals.

Medicare FFS 30 Day Readmission Rate PUF

Data.gov (United States)

U.S. Department of Health & Human Services — The hospital readmission rate PUF presents nation-wide information about inpatient hospital stays that occurred within 30 days of a previous inpatient hospital stay...

The impact of common mental and physical health conditions on days out of role: costs for the individual and society.

Directory of Open Access Journals (Sweden)

Corina Benjet

2013-05-01

Full Text Available Objective. To estimate the individual and societal costs of common mental and physical health conditions in the Mexican population with regards to the number of days out of role. Materials and methods. 5 826 adults were evaluated in 2001-2002 with the Composite International Diagnostic Interview and the WHO Disability Assessment Schedule. General linear models were used to estimate individuallevel effects. Societal-level effects were estimated with the population attributable risk proportion which takes into account prevalence and comorbidity of disorders. Results. The conditions with the strongest individual-level effects were major depression, post-traumatic stress disorder and bipolar disorder. The strongest societal-level effects were associated with major depression, pain, insomnia and cardiovascular conditions. Conclusion. The findings suggest the importance of investing in mental health expenditure to a level commensurate with the costs to society of mental health disorders.

Climate Change and Wildlife in the Northern Rockies Region [Chapter 9

Science.gov (United States)

Kevin S. McKelvey; Polly C. Buotte

2018-01-01

Temperature and moisture affect organisms through their operational environment and the thin boundary layer immediately above their tissues, and these effects are measured at short time scales. When a human (a mammal) wearing a dark insulative layer walks outdoors on a cold but sunny day, he or she feels warm because energy from the sun is interacting with the dark...

Incremental health expenditure and lost days of normal activity for individuals with mental disorders: results from the São Paulo Megacity Study.

Science.gov (United States)

Chiavegatto Filho, Alexandre Dias Porto; Wang, Yuan-Pang; Campino, Antonio Carlos Coelho; Malik, Ana Maria; Viana, Maria Carmen; Andrade, Laura Helena

2015-08-05

With the recent increase in the prevalence of mental disorders in developing countries, there is a growing interest in the study of its consequences. We examined the association of depression, anxiety and any mental disorders with incremental health expenditure, i.e. the linear increase in health expenditure associated with mental disorders, and lost days of normal activity. We analyzed the results from a representative sample survey of residents of the Metropolitan Region of São Paulo (n = 2,920; São Paulo Megacity Mental Health Survey), part of the World Mental Health (WMH) Survey Initiative, coordinated by the World Health Organization and performed in 28 countries. The instrument used for obtaining the individual results, including the assessment of mental disorders, was the WMH version of the Composite International Diagnostic Interview 3.0 (WMH-CIDI 3.0) that generates psychiatric diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. Statistical analyses were performed by multilevel generalized least squares (GLS) regression models. Sociodemographic determinants such as income, age, education and marital status were included as controls. Depression, anxiety and any mental disorders were consistently associated with both incremental health expenditure and missing days of normal activity. Depression was associated with an incremental annual expenditure of R$308.28 (95% CI: R$194.05-R$422.50), or US$252.48 in terms of purchasing power parity (PPP). Anxiety and any mental disorders were associated with a lower, but also statistically significant, incremental annual expenditure (R$177.82, 95% CI: 79.68-275.97; and R$180.52, 95% CI: 91.13-269.92, or US$145.64 and US$147.85 in terms of PPP, respectively). Most of the incremental health costs associated with mental disorders came from medications. Depression was independently associated with higher incremental health expenditure than the two most prevalent chronic

Volatile organic compounds

International Nuclear Information System (INIS)

Silseth, May Liss

1998-01-01

The goal is: Not more emission of volatile organic compounds (VOCs) than necessary. The items discussed in this presentation are the VOCs, how to calculate emission of VOCs, how to reduce or avoid them, and different recovery processes. The largest source of Norwegian emissions of non methane VOCs (NMVOCs) is offshore loading of raw petroleum. Emissions of VOCs should be reduced mainly for two reasons: (1) on sunny days NMVOCs may react with NOx to form ozon and smog close to the surface, (2) ozone and smog close to the surface may be harmful to plants and animals, and they are hazardous to human health. As for the calculation of VOC emissions, the VOCON project will release the calculation program HCGASS in 1999. This project is a cooperative project headed by SINTEF/Marintek

CGH Celebrates Take Your Child To Work Day 2015

Science.gov (United States)

Shady Grove celebrated Take Your Child To Work Day this year with a variety of activities and sessions aimed at inspiring school-aged children to explore career paths in science and public service. CGH hosted its inaugural Take Your Child To Work Day session: An Introduction to Global Health.

Unnoticed professional competence and knowledge in day care work

DEFF Research Database (Denmark)

Warring, Niels; Ahrenkiel, Annegrethe; Nielsen, Birger Steen

In research on professions in the public care and health sector the issue of professional competence and knowledge is central. Discussions on tacit knowledge (Polanyi), modus 1 and 2 knowledge (Gibbons), intuitive expertise (Dreyfus), reflective practice (Schön), practical knowledge (Bourdieu...... has had an important impact on care and health work imposing demands for documentation, standardization and evaluation. These increasing demands seem to be in contrast with the tacit and embodied parts of professional competence that not easily can be documented, standardized and evaluated. It can...... educators in day care centers. The paper is based on material from two research projects (Ahrenkiel et al. 2009, 2011) involving social educators and union representatives in day care institutions. We have observed everyday work activities in day care centres and various meetings involving union...

Day care for pre-school children.

Science.gov (United States)

Zoritch, B; Roberts, I; Oakley, A

2000-01-01

The debate about how, where and by whom young children should be looked after is one which has occupied much social policy and media attention in recent years. Mothers undertake most of the care of young children. Internationally, out-of-home day-care provision ranges widely. These different levels of provision are not simply a response to different levels of demand for day-care, but reflect cultural and economic interests concerning the welfare of children, the need to promote mothers' participation in paid work, and the importance of socialising children into society's values. At a time when a decline in family values is held responsible for a range of social problems, the day-care debate has a special prominence. To quantify the effects of out-of-home day-care for preschool children on educational, health and welfare outcomes for children and their families. Randomised controlled trials of day-care for pre-school children were identified using electronic databases, hand searches of relevant literature, and contact with authors. Studies were included in the review if the intervention involved the provision of non-parental day care for children under 5 years of age, and the evaluation design was that of a randomised or quasi-randomised controlled trial. A total of eight trials were identified after examining 920 abstracts and 19 books. The trials were assessed for methodological quality. Day-care increases children's IQ, and has beneficial effects on behavioural development and school achievement. Long-term follow up demonstrates increased employment, lower teenage pregnancy rates, higher socio-economic status and decreased criminal behaviour. There are positive effects on mothers' education, employment and interaction with children. Effects on fathers have not been examined. Few studies look at a range of outcomes spanning the health, education and welfare domains. Most of the trials combined non-parental day-care with some element of parent training or education

Solar–terrestrial radiant-energy regimes and temperature anomalies of natural and artificial turfs

International Nuclear Information System (INIS)

Jim, C.Y.

2016-01-01

Highlights: • Solar and terrestrial radian energy regimes affect temperature response of sports turfs. • Adjacent natural and artificial turfs were monitored with replications on sunny days. • Artificial turf has meager albedo, low specific heat and moisture to augment warming. • Artificial turf surface and substrate reach 70 °C but cool down effectively at night. • Artificial turf may induce heat stress on athletes in hot summer afternoon. - Abstract: Artificial turf can develop unusually high surface temperature on hot sunny days. Solar and terrestrial radiant energy regimes as key determinants of thermal performance deserve detailed investigation. This study evaluated six components of the radiant-energy environment of a natural turf (NT) and a contiguous artificial turf (AT) sports fields in Hong Kong: direct solar, reflected solar, net solar, sky thermal, ground thermal, and net thermal. Temperature was monitored at five positions: air at 150 cm, 50 cm and 15 cm height, turf surface, and substrate. The experiment included four replications, namely two summer sunny days, and two duplicated instrument sets at each turf site. The two sites reacted very differently to the same intense daily sum of solar radiation input of 23.70 MW m −2 with 9 h of bright sunshine (>120 W m −2 ), and daily sum of sky thermal radiation input of 38.59 MW m −2 . The maximum direct solar radiation reached 976.1 W m −2 at 1245 h. NT albedo of 0.23 vis-à-vis AT of merely 0.073, and higher moisture content and specific heat of NT materials, presented critical differences. The hydrophobic and generally dry plastic (polyethylene) pile-fibers and black rubber-granule infill materials have low specific heat. Intense incoming shortwave and longwave radiation absorbed readily by AT materials raised turf surface temperature to 70.2 °C and substrate 69.3 °C, in comparison with <40 °C at NT. A cascading warming effect was triggered, beginning with low albedo, high net solar

Nutrition in the first 1000 days and respiratory health: A descriptive review of the last five years' literature.

Science.gov (United States)

Verduci, E; Martelli, A; Miniello, V L; Landi, M; Mariani, B; Brambilla, M; Diaferio, L; Peroni, D G

The aim of this paper is to discuss the current evidence regarding short and long-term health respiratory effects of nutrients and dietary patterns during the first 1000 days from conception. Population of interest included children from birth to two years and their mothers (during pregnancy and lactation). Studies were searched on MEDLINE® and Cochrane database, inserting individually and using the Boolean ANDs and ORs, 'nutrients', 'micronutrients', 'LC-PUFA', 'Mediterranean Diet', 'human milk', 'complementary food', 'pregnancy', 'respiratory disease', 'pulmonary disease', 'asthma', 'epigenetics', 'first 1000 days', 'maternal diet' and 'respiratory health'. All sources were retrieved between 01-09-2015 and 07-12-2016. While unhealthy maternal dietary patterns (high fat intake) during pregnancy can result in alteration of foetal lung development, with increased risk of respiratory disorders, Mediterranean diet has been associated with a lower risk of allergic sensitisation and allergic rhinitis. Breastfeeding has beneficial effects on respiratory infections while evidences about its protective effect on allergic disorders are unclear. During complementary feeding there is no evidence to avoid or encourage exposition to 'highly allergenic' foods to have modification of tolerance development. In children from birth to two years of age, Mediterranean diet has been associated with a lower risk of atopy, wheezing and asthma. Micronutrients, antioxidant and LCPUFA supplementation is not recommended and a whole food approach should be preferred, except for Vitamin D. Copyright © 2017 SEICAP. Published by Elsevier España, S.L.U. All rights reserved.

eHealth Technology Competencies for Health Professionals Working in Home Care to Support Older Adults to Age in Place: Outcomes of a Two-Day Collaborative Workshop.

Science.gov (United States)

Barakat, Ansam; Woolrych, Ryan D; Sixsmith, Andrew; Kearns, William D; Kort, Helianthe S M

2013-01-01

The demand for care is increasing, whereas in the near future the number of people working in professional care will not match with the demand for care. eHealth technology can help to meet the growing demand for care. Despite the apparent positive effects of eHealth technology, there are still barriers to technology adoption related to the absence of a composite set of knowledge and skills among health care professionals regarding the use of eHealth technology. The objective of this paper is to discuss the competencies required by health care professionals working in home care, with eHealth technologies such as remote telecare and ambient assisted living (AAL), mobile health, and fall detection systems. A two-day collaborative workshop was undertaken with academics across multiple disciplines with experience in working on funded research regarding the application and development of technologies to support older people. The findings revealed that health care professionals working in home care require a subset of composite skills as well as technology-specific competencies to develop the necessary aptitude in eHealth care. This paper argues that eHealth care technology skills must be instilled in health care professionals to ensure that technologies become integral components of future care delivery, especially to support older adults to age in place. Educating health care professionals with the necessary skill training in eHealth care will improve service delivery and optimise the eHealth care potential to reduce costs by improving efficiency. Moreover, embedding eHealth care competencies within training and education for health care professionals ensures that the benefits of new technologies are realized by casting them in the context of the larger system of care. These care improvements will potentially support the independent living of older persons at home. This paper describes the health care professionals' competencies and requirements needed for the use of eHealth

Evaluating Home Day Care Mothers' Work with Young Children.

Science.gov (United States)

Seattle Community Coll., Washington.

This checklist was developed to determine the skills of day care home mothers before and after training as observed by a day care home educator. Areas evaluated are: Professional Attitude; Parent Relationships; Nutrition; Health and Safety; Baby Care; Preparing the Teaching Environment; Guidance; Teaching Techniques, Language and Literature; Art;…

The Effects of the Practice of the Newstart Health Regimen on Faculty Stress among Faculty at Seventh-Day Adventist Colleges and Universities

Science.gov (United States)

Ashley, George; Cort, Malcolm

2007-01-01

Utilizing an availability sample of (n = 124) faculty from three postsecondary Seventh-day Adventists institutions that promote a healthy lifestyle philosophy encapsulated in the acronym NEWSTART, this study explored effects of this health/religious regimen on faculty stress among this group. The findings reported in this paper indicate that three…

Effects of 10,000 steps a day on physical and mental health in overweight participants in a community setting: a preliminary study

Directory of Open Access Journals (Sweden)

Kornanong Yuenyongchaiwat

2016-01-01

Full Text Available ABSTRACT Background Being overweight is associated not only with physical health problems, but also with risk of mental health problems. Increased physical activity (PA has been recommended for the prevention of cardiovascular disease; however, little is known about the effect of walking on physical and mental health outcomes. Objective The purpose of the study was to explore the effectiveness of a pedometer-based PA intervention on physical and mental health states. Method Thirty-five overweight participants with body mass index (BMI ≥25 kg•m–2 were selected and assigned to a 12-week pedometer-based walking program (10,000 steps•d–1. The profile of mood states, BMI, waist circumference (WC, body fat percentage (%BF, and lean body mass (LBM were measured before and after the 12-week intervention. The number of step counts was recorded 5 days a week in a diary booklet. Results The 30 participants who accumulated 10,000 steps•d–1 had significantly lower anxiety, depression, anger, fatigue, confusion, and total mood distress scores compared with measurements taken prior to the intervention. Further, the participants had higher vigor scores compared to baseline. Regarding physical health, the participants who accrued 10,000 steps a day had significantly lower body weight, WC, BMI, and %BP. After adjustment for gender, height, and daily steps at follow-up, changes in WC were negatively associated with depression, fatigue, confusion, and total mood distress. Conclusions An increase in PA by accumulating at least 10,000 steps•d–1 over a 12-week period improves physical and mood states in sedentary, overweight individuals.

Global Ozone Distribution relevant to Human Health: Metrics and present day levels from the Tropospheric Ozone Assessment Report (TOAR)

Science.gov (United States)

Fleming, Z. L.; Doherty, R. M.; von Schneidemesser, E.; Cooper, O. R.; Malley, C.; Colette, A.; Xu, X.; Pinto, J. P.; Simpson, D.; Schultz, M. G.; Hamad, S.; Moola, R.; Solberg, S.; Feng, Z.

2017-12-01

Using stations from the TOAR surface ozone database, this study quantifies present-day global and regional distributions of five ozone metrics relevant for both short-term and long-term human exposure. These metrics were explored at ozone monitoring sites globally, and re-classified for this project as urban or non-urban using population densities and night-time lights. National surface ozone limit values are usually related to an annual number of exceedances of daily maximum 8-hour running mean (MDA8), with many countries not even having any ozone limit values. A discussion and comparison of exceedances in the different ozone metrics, their locations and the seasonality of exceedances provides clues as to the regions that potentially have more serious ozone health implications. Present day ozone levels (2010-2014) have been compared globally and show definite geographical differences (see Figure showing the annual 4th highest MDA8 for present day ozone for all non-urban stations). Higher ozone levels are seen in western compared to eastern US, and between southern and northern Europe, and generally higher levels in east Asia. The metrics reflective of peak concentrations show highest values in western North America, southern Europe and East Asia. A number of the metrics show similar distributions of North-South gradients, most prominent across Europe and Japan. The interquartile range of the regional ozone metrics was largest in East Asia, higher for urban stations in Asia but higher for non-urban stations in Europe and North America. With over 3000 monitoring stations included in this analysis and despite the higher densities of monitoring stations in Europe, north America and East Asia, this study provides the most comprehensive global picture to date of surface ozone levels in terms of health-relevant metrics.

Day case inguinal hernia surgery in Nigerian children: Prospective ...

African Journals Online (AJOL)

required readmission into the hospital. Conclusion: Day case inguinal hernia surgery in children is safe and well accepted by patients and parents alike. Health institutions in which children with inguinal hernias still queue for long periods for space on the operation list need to adopt day case surgery for inguinal hernia in ...

Simulation of Hybrid Photovoltaic Solar Assisted Loop Heat Pipe/Heat Pump System

Directory of Open Access Journals (Sweden)

Nannan Dai

2017-02-01

Full Text Available A hybrid photovoltaic solar assisted loop heat pipe/heat pump (PV-SALHP/HP water heater system has been developed and numerically studied. The system is the combination of loop heat pipe (LHP mode and heat pump (HP mode, and the two modes can be run separately or compositely according to the weather conditions. The performances of independent heat pump (HP mode and hybrid loop heat pipe/heat pump (LHP/HP mode were simulated and compared. Simulation results showed that on typical sunny days in spring or autumn, using LHP/HP mode could save 40.6% power consumption than HP mode. In addition, the optimal switchover from LHP mode to HP mode was analyzed in different weather conditions for energy saving and the all-year round operating performances of the system were also simulated. The simulation results showed that hybrid LHP/HP mode should be utilized to save electricity on sunny days from March to November and the system can rely on LHP mode alone without any power consumption in July and August. When solar radiation and ambient temperature are low in winter, HP mode should be used

Early Retirement in the Day-Care Sector

DEFF Research Database (Denmark)

Gørtz, Mette

2012-01-01

the child-to-teacher ratio or the size of the institution and early retirement (ERP). However, working conditions measured by the social background of the children and the share of trained day-care teachers have a significant effect on the probability of early retirement. Finally, a poor health condition......This paper studies the role of working conditions and health for elderly female day-care teachers’ decision to enter early retirement. Entry into retirement is analysed in a duration framework that allows for unobserved heterogeneity in the baseline hazard. Data are from a Danish longitudinal data...... set based on administrative register records for 1997-2006. Working conditions is measured by four indicators. First, work pressure is measured by the child-to-teacher ratio, which varies across municipalities and over time. Second, working conditions is measured by the proportion of children...

Living in 'Sunny Woods'; Wohnen in Sunny Woods - Zuerich Hoengg

Energy Technology Data Exchange (ETDEWEB)

Naef, R.; Widmer, P.

2003-07-01

This final report for the Swiss Federal Office of Energy (SFOE) takes a look at the results of a study made on the energy-efficiency of an apartment house with six maisonette apartments built on a south-facing slope in Zurich, Switzerland. The report describes the construction and the building services installations of this zero-energy building which features buried conduits for air-preheating, individual solar-thermal and photovoltaic installations and air/water heat pumps. The performance of these installations is commented on and differences in performance between individual apartments are examined. The architectural design of the building, which won both Swiss and European solar prizes, is described and commented on. The monitoring systems employed and the results obtained for the various components of the building technical services including vacuum solar collectors and thin-film photovoltaics are presented and commented on.

Impact of a 7-Day Field Training on Oral Health Condition in Japan Ground Self-Defense Force Personnel.

Science.gov (United States)

Yamashita, Koji; Nishiyama, Takeshi; Nagata, Emi; Ramadhani, Atik; Kawada-Matsuo, Miki; Komatsuzawa, Hitoshi; Oho, Takahiko

2017-07-01

In the Japan Ground Self-Defense Force (JGSDF), personnel periodically perform intensive training that mimics the conditions seen in battle and during natural disasters. Military training involves intensive, stressful conditions, and changes in immune responses have been found in personnel following training. Good oral condition is important for military personnel to fulfill their duties; however, they have difficulty performing daily oral care under training conditions. In this study, we investigated the impact of a 7-day field training on the oral health status of JGSDF personnel by comparing their oral condition before and just after training. The participants were 59 male and 3 female JGSDF personnel undergoing a 7-day field training. All personnel provided informed written consent to participate, and this study was approved by the ethics committee of the Kagoshima University Graduate School of Medical and Dental Sciences. Oral health behaviors before and during the training period were surveyed using a self-administered questionnaire. Dental caries was assessed before training in terms of decayed, missing and filled teeth (DMFT), and periodontal condition was examined before and immediately after training using the community periodontal index (CPI). The presence of eight species of bacteria in dental plaque, including commensal streptococci that are early colonizers on the tooth surface, cariogenic bacteria, and periodontopathic bacteria, was determined using real-time polymerase chain reaction. We also assessed antibacterial factors and a stress marker in saliva samples. Sample collection was performed before and just after training. In addition to difference analysis between groups, logistic regression analysis was performed to examine the association between each health behavior and periodontal deterioration. The frequency of toothbrushing decreased, and snacking increased during the training period. Thirty-five personnel (56.5%) showed an increase in

'Have a nice day': consumerism, compassion and health care.

Science.gov (United States)

Sturgeon, David

Plans to implement a quality measurement framework that will rate nurses according to the level of care and compassion they demonstrate have been proposed and discussed in a number of Department of Health documents. From September 2010 degree-level nursing students in Wales will receive regular feedback on their communication skills and whether they are exhibiting sufficient levels of compassion. This article examines the reasons why there have been such moves by both politicians and health professionals to demonstrate, in quantifiable terms, that they are able to measure something that is frequently contextual and subject to individual interpretation. It explores how these moves have been influenced by the disclosure of unacceptable standards of care by the Patients Association report and the enquiry into Mid-Staffordshire NHS Foundation Trust. It also discusses how the adoption of targets to evaluate care and compassion seems to reflect a market-driven and bureaucratic approach to health care that has resulted in a system in which measurability and outcome are considered the most important indicator of quality.

THE IDENTITY OF SHI‘A SYMPATHIZERS IN CONTEMPORARY INDONESIA

Directory of Open Access Journals (Sweden)

Hilman Latief

2008-12-01

Full Text Available This paper sheds some light on Indonesian Shi‘a sympathizers, their particular relations among themselves as well as with others. Following the Iranian Revolution by the late 1970, Indonesian Muslims witnessed a remarkable religious enthusiasm marked by the proliferation of Shi‘a literature. This, in turn, is followed by the establishment of Shi‘a- based institutions, Islamic schools, publishers and associations over the regions. However, in a Sunni majority country like Indonesia, the identity of Shi‘a sympathizers is contested by various religious inclinations among themselves as well as with Indonesian Sunnis. Due to strong suspicion from the Sunnis, the outward appearance of Indonesian Shi‘i identity is not as visible as the Sunnis. It goes without saying that public discourse disappears. Some efforts to communicate with broader scope of Indonesian Muslims have been made by Shi‘a sympathizers, especially among new generations, in order to strengthen their community as well as carry out a more open and productive dialog with the Sunnis.

Power Prediction and Technoeconomic Analysis of a Solar PV Power Plant by MLP-ABC and COMFAR III, considering Cloudy Weather Conditions

Directory of Open Access Journals (Sweden)

M. Khademi

2016-01-01

Full Text Available The prediction of power generated by photovoltaic (PV panels in different climates is of great importance. The aim of this paper is to predict the output power of a 3.2 kW PV power plant using the MLP-ABC (multilayer perceptron-artificial bee colony algorithm. Experimental data (ambient temperature, solar radiation, and relative humidity was gathered at five-minute intervals from Tehran University’s PV Power Plant from September 22nd, 2012, to January 14th, 2013. Following data validation, 10665 data sets, equivalent to 35 days, were used in the analysis. The output power was predicted using the MLP-ABC algorithm with the mean absolute percentage error (MAPE, the mean bias error (MBE, and correlation coefficient (R2, of 3.7, 3.1, and 94.7%, respectively. The optimized configuration of the network consisted of two hidden layers. The first layer had four neurons and the second had two neurons. A detailed economic analysis is also presented for sunny and cloudy weather conditions using COMFAR III software. A detailed cost analysis indicated that the total investment’s payback period would be 3.83 years in sunny periods and 4.08 years in cloudy periods. The results showed that the solar PV power plant is feasible from an economic point of view in both cloudy and sunny weather conditions.

Formative Assessment Probes: Wet Jeans

Science.gov (United States)

Keeley, Page

2015-01-01

Picture a wet towel or a puddle of water on a hot, sunny day. An hour later, the towel is dry and the puddle no longer exists. What happened to the water? Where did it go? These are questions that reveal myriad interesting student ideas about evaporation and the water cycle--ideas that provide teachers with a treasure trove of data they can use to…

Day-night contrast as source of health for the human circadian system.

Science.gov (United States)

Martinez-Nicolas, Antonio; Madrid, Juan Antonio; Rol, Maria Angeles

2014-04-01

Modern societies are characterized by a 24/7 lifestyle (LS) with no environmental differences between day and night, resulting in weak zeitgebers (weak day light, absence of darkness during night, constant environmental temperature, sedentary LS and frequent snacking), and as a consequence, in an impaired circadian system (CS) through a process known as chronodisruption. Both weak zeitgebers and CS impairment are related to human pathologies (certain cancers, metabolic syndrome and affective and cognitive disorders), but little is known about how to chronoenhance the CS. The aim of this work is to propose practical strategies for chronoenhancement, based on accentuating the day/night contrast. For this, 131 young subjects were recruited, and their wrist temperature (WT), activity, body position, light exposure, environmental temperature and sleep were recorded under free-living conditions for 1 week. Subjects with high contrast (HC) and low contrast (LC) for each variable were selected to analyze the HC effect in activity, body position, environmental temperature, light exposure and sleep would have on WT. We found that HC showed better rhythms than LC for every variable except sleep. Subjects with HC and LC for WT also demonstrated differences in LS, where HC subjects had a slightly advanced night phase onset and a general increase in day/night contrast. In addition, theoretical high day/night contrast calculated using mathematical models suggests an improvement by means of LS contrast. Finally, some individuals classified as belonging to the HC group in terms of WT when they are exposed to the LS characteristic of the LC group, while others exhibit WT arrhythmicity despite their good LS habits, revealing two different WT components: an exogenous component modified by LS and another endogenous component that is refractory to it. Therefore, intensifying day/night contrast in subject's LS has proven to be a feasible measure to chronoenhance the CS.

Design and performance evaluation of a new hybrid solar dryer for banana

International Nuclear Information System (INIS)

Amer, B.M.A.; Hossain, M.A.; Gottschalk, K.

2010-01-01

A hybrid solar dryer was designed and constructed using direct solar energy and a heat exchanger. The dryer consists of solar collector, reflector, heat exchanger cum heat storage unit and drying chamber. The drying chamber was located under the collector. The dryer was operated during normal sunny days as a solar dryer, and during cloudy day as a hybrid solar dryer. Drying was also carried out at night with stored heat energy in water which was collected during the time of sun-shine and with electric heaters located at water tank. The efficiency of the solar dryer was raised by recycling about 65% of the drying air in the solar dryer and exhausting a small amount of it outside the dryer. Under Mid-European summer conditions it can raise up the air temperature from 30 to 40 deg. C above the ambient temperature. The solar dryer was tested for drying of ripe banana slices. The capacity of the dryer was to dry about 30 kg of banana slices in 8 h in sunny day from an initial moisture content of 82% to the final moisture content of 18% (wb). In the same time it reduced to only 62% (wb) moisture content in open sun drying method. The colour, aroma and texture of the solar dried products were better than the sun drying products.

Diet quality on meatless days: National Health and Nutrition Examination Survey (NHANES), 2007-2012.

Science.gov (United States)

Conrad, Zach; Karlsen, Micaela; Chui, Kenneth; Jahns, Lisa

2017-06-01

To compare diet quality scores between adult non-meat eaters and meat eaters, and to compare the consumption of diet components across quintiles of diet quality. Cross-sectional analysis. The Healthy Eating Index-2010 (HEI-2010) and Alternative Healthy Eating Index-2010 (AHEI-2010) were used to assess mean diet quality. Differences in consumption of diet components between quintiles of diet quality were tested using post hoc Wald tests and z tests. The National Health and Nutrition Examination Survey (NHANES), 2007-2012. The sample consisted of 16810 respondents aged≥18 years, including 280 individuals who reported not consuming meat, poultry, game birds or seafood on two non-consecutive days of dietary recall. Dietary data were obtained from one dietary recall per individual. Non-meat eaters had substantially greater HEI-2010 and AHEI-2010 scores than meat eaters (Pempty calories and unsaturated:saturated fatty acids. Mean consumption across AHEI-2010 quintiles demonstrated different (Pempty calories, and increased consumption of nuts and legumes, PUFA and vegetables, as a way to improve overall dietary quality.

Between Anzac Day and Waitangi Day

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Czerwińska Anna

2017-12-01

Full Text Available This paper discusses the historical background and significance of the two most important national holidays in New Zealand: Waitangi Day and Anzac Day. Waitangi Day is celebrated on the 6th February and it commemorates the signing of the Treaty of Waitangi between British representatives and a number of Māori chiefs in 1840. Following the signing of the treaty New Zealand became effectively a British colony. Anzac Day is celebrated on 25th April, i.e., on the anniversary of the landing of soldiers of the Australian and New Zealand Army Corps (ANZAC on the Gallipoli peninsula in Turkey in 1915, during World War One. There are three major differences between these two holidays: the process of those days becoming national holidays, the level of contestation, and the changing messages they have carried. The present study analyzes the national discourse around Anzac Day and Waitangi Day in New Zealand, and attempts to reveal how the official New Zealand government rhetoric about national unity becomes deconstructed. The following analysis is based on a selection of online articles from the New Zealand Herald and Stuff published in Auckland and Wellington, respectively. Both cities are populated by multi-ethnic groups, with Auckland featuring the largest Māori population.

World Sight Day 2013 Memorandum - Farabi Statement on the Prevention of Blindness and Eye Health

Directory of Open Access Journals (Sweden)

S-Farzad Mohammadi

2013-12-01

Full Text Available The World Sight Day (WSD is held on the 2nd Thursday of October to emphasize the importance of sight and impact of vision impairment. This observance is a joint initiative of the International Agency for the Prevention of Blindness (IAPB, the World Health Organization (WHO and other international non-governmental organizations.1 The celebration resonates with Vision 2020 initiative for the control of avoidable blindness by the year 2020. It can promote professional as well as public awareness about sight and vision impairment. This is wise as we know that most cases of visual impairment are preventable or treatable; nonetheless there are more than 280 million people, including 19 million children, who live with visual impairment.2 This is much more a priority for the developing countries because they inhabit 90% of the visually impaired.3 Epidemiological transition has already commenced in the developing world4-7 but they are not ready to take care of the age-related blinding conditions. Non-governmental and community organizations would probably be the ideal entities to organize and celebrate WSD on a national level. But participation from a wide range of state and humanitarian bodies and even leading figures and celebrities is conceivable and welcomed. This should culminate in community initiatives for wanting resources and fund raising, and should influence policy-makers to develop and implement blindness prevention programs. The WHO Action Plan 2013 on the prevention of avoidable blindness and visual impairment has suggested the theme ‘Universal Eye Health’ for WSD 2013. The plan seeks “integration of comprehensive eye care (from promotion to rehabilitation services into health systems”, and expects to address equity challenge. The theme is so ambitious and encompassing that might continue as a consistent one in the next years, focusing on a different aspect of the theme each year. The call to action in 2013 was ‘Get your Eyes

WITHDRAWN: Day care for pre-school children.

Science.gov (United States)

Zoritch, Bozhena; Roberts, Ian; Oakley, Ann

2016-10-11

The debate about how, where and by whom young children should be looked after is one which has occupied much social policy and media attention in recent years. Mothers undertake most of the care of young children. Internationally, out-of-home day-care provision ranges widely. These different levels of provision are not simply a response to different levels of demand for day-care, but reflect cultural and economic interests concerning the welfare of children, the need to promote mothers' participation in paid work, and the importance of socialising children into society's values. At a time when a decline in family values is held responsible for a range of social problems, the day-care debate has a special prominence. To quantify the effects of out-of-home day-care for preschool children on educational, health and welfare outcomes for children and their families. Randomised controlled trials of day-care for pre-school children were identified using electronic databases, hand searches of relevant literature, and contact with authors. Studies were included in the review if the intervention involved the provision of non-parental day care for children under 5 years of age, and the evaluation design was that of a randomised or quasi-randomised controlled trial. A total of eight trials were identified after examining 920 abstracts and 19 books. The trials were assessed for methodological quality. Day-care increases children's IQ, and has beneficial effects on behavioural development and school achievement. Long-term follow up demonstrates increased employment, lower teenage pregnancy rates, higher socio-economic status and decreased criminal behaviour. There are positive effects on mothers' education, employment and interaction with children. Effects on fathers have not been examined. Few studies look at a range of outcomes spanning the health, education and welfare domains. Most of the trials combined non-parental day-care with some element of parent training or education

Governance: Blending Bureaucratic Rules with Day to Day Operational Realities Comment on "Governance, Government, and the Search for New Provider Models".

Science.gov (United States)

Chinitz, David P

2016-05-31

Richard Saltman and Antonio Duran take up the challenging issue of governance in their article "Governance, Government and the Search for New Provider Models," and use two case studies of health policy changes in Sweden and Spain to shed light on the subject. In this commentary, I seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro levels of health systems, with the case studies on which they report. While the case studies focus on the shifts in governance between the macro and meso levels and their impacts on achievement of desired policy outcomes, they also highlight the need to better integrate the dynamics of day to day operations within micro organizations into the overall governance picture. © 2016 by Kerman University of Medical Sciences.

Assessment of the use of xerogenic medications for chronic medical and dental conditions among adult day health participants.

Science.gov (United States)

Lam, Annie; Kiyak, Asuman; Gossett, Allison M; McCormick, Lawrence

2009-10-01

To describe the health conditions, dental problems, and use of xerogenic medications among dental patients in adult day health (ADH) centers. Cross-sectional descriptive study. ADH centers in King County, Washington. ADH clients who were patients of a mobile dental service. Pharmacist-conducted chart reviews and in-person medication reviews with patients. Demographic description, mean numbers of medical and dental problems, medications, xerogenic medications used per subject, and identification of xerogenic medications by therapeutic class. At five sites, 97 patients were interviewed (average age 73.8 +/- 11.8 years, 61% female); ethnicities included: Asian-American (37.1%), Caucasian (30.9%), Russian (29%), and African-American (3%). Mean numbers of chronic health problems, medications, and xerogenic medications per patient were 5.2 +/- 2.7, 10.9 +/- 4.4, and 3.3 +/- 1.8, respectively. Antidepressants were the most commonly used xerogenic medication, followed by antipsychotics, antiemetics, analgesics, and antihistamines. Among 74 patients who received dental treatment, 33 (44.6%) wore dentures. Among 58 patients with teeth, a mean number of 2.8 dental problems per patient was identified. Dental caries (51.7%) was the most prevalent problem, followed by periodontitis (29.3%), soft tissue lesions (10.3%), gingivitis (5.2%), and candidiasis (3.4%). Multiple systemic diseases, use of multiple xerogenic medications, and poor oral health were prevalent among the ADH clients in this study. However, self-reports of dry mouth were unrelated to number of xerogenic medications or oral conditions. Further research is needed to determine the association between self-reported dry mouth, chronic health conditions, use of xerogenic medications, tooth loss, and/or denture use.

Iraq: Post-Saddam Governance and Security

National Research Council Canada - National Science Library

Katzman, Kenneth

2008-01-01

Operation Iraqi Freedom overthrew Saddam Hussein's regime, but during 2004-2007 much of Iraq was wracked by violence caused by Sunni Arab resentment and a related insurgency, resulting Sunni-Shiite...

A Mixed-Methods Study of the Recovery Concept, "A Meaningful Day," in Community Mental Health Services for Individuals with Serious Mental Illnesses.

Science.gov (United States)

Myers, Neely A L; Smith, Kelly; Pope, Alicia; Alolayan, Yazeed; Broussard, Beth; Haynes, Nora; Compton, Michael T

2016-10-01

The recovery concept encompasses overcoming or managing one's illness, being physically and emotionally healthy, and finding meaningful purpose through work, school, or volunteering, which connects one to others in mutually fulfilling ways. Using a mixed-methods approach, we studied the emphasis on "a meaningful day" in the new Opening Doors to Recovery (ODR) program in southeast Georgia. Among 100 participants, we measured the meaningful day construct using three quantitative items at baseline (hospital discharge) and at 4-, 8-, and 12-month follow-up, finding statistically significant linear trends over time for all three measures. Complementary qualitative interviews with 30 individuals (ODR participants, family members, and ODR's Community Navigation Specialists and program leaders) revealed themes pertaining to companionship, productivity, achieving stability, and autonomy, as well as the concern about insufficient resources. The concept of "a meaningful day" can be a focus of clinical attention and measured as a person-centered outcome for clients served by recovery-oriented community mental health services.

Governance, Identity, and Counterinsurgency: Evidence from Ramadi and Tal Afar

Science.gov (United States)

2013-03-01

can represent disen- franchised Sunnis.”65 39 It is telling that Ramadi remained among the most obstinate of the Sunni-dominated areas in coming to...also efforts to provide jobs for Ramadi’s thousands of unemployed military-age males. Interviewees differed on the ex- tent to which unemployment ...grievances that fueled the insur- gency had far more to do with a deep sense of disen- franchisement within Iraq’s Sunni community and the related fear of

Occams Quantum Strop: Synchronizing and Compressing Classical Cryptic Processes via a Quantum Channel (Open Source)

Science.gov (United States)

2016-02-15

series of sunny days interrupted only rarely by rain–a pattern now all too familiar to residents. Analogously, a one- dimensional spin system in a...computation of Cq(L) that is independent of the diverging embedding dimension . Another source of difficulty is the exponentially increasing number of words...alternatives. For example, more general quantum hidden Markov models (QHMMs) may yield a greater advantage3. Proving minimality among QHMMs is of great

Effect through inhalation on human health of PM1 bound polycyclic aromatic hydrocarbons collected from foggy days in northern part of India.

Science.gov (United States)

Singh, Dharmendra Kumar; Gupta, Tarun

2016-04-05

We investigated the health risk from 16 polycyclic aromatic hydrocarbons (PAHs) adsorbed on submicron particles and also reported their concentrations, spatial distribution and possible sources during foggy days at Kanpur. Twenty-four urban foggy day's samples gathered from Kanpur, an urban center in North India and most densely populated city in the Indo-Gangetic plain of India, were examined for 16 PAHs (2-6 rings).The mean concentration of PM1 was found to be 160.16±37.70μg/m(3). ∑16PAHs concentrations were 529.17ng/m(3) with a mean of 33.07ng/m(3). The compounds of higher molecular weight (4-6 rings) added to 70.67% of ∑PAHs mass concentration in the foggy day's samples. The results of source identification by using principle component analysis (PCA) and diagnostic ratios proposed that the primary sources of PAHs were vehicular emission (primarily driven by diesel fuel) and coal combustion and the secondary source. Exposure to total PAHs in the ambient air resulted in, 95% probability total Incremental Lifetime Cancer Risk (TILCR) 3.57×10(-5) for adults and 2.08×10(-5) for children or (∼35 cancer case per million in adults and ∼20 cancer case per million in children) due to inhalation in terms of ILCR were higher than the baseline value of acceptable risk (one cancer case per million people) suggesting moderate health risk to resident human population. Copyright © 2015 Elsevier B.V. All rights reserved.

Discharge on the day of birth, parental response and health and schooling outcomes

DEFF Research Database (Denmark)

Sievertsen, Hans Henrik; Wüst, Miriam

Exploiting the Danish roll-out of same-day discharge policies, we find that treated newborns have a higher probability of first-month hospital readmission. This result may suggest that parents substitute postpartum hospital stays with readmissions. However, a same-day discharge also increases the...

Thermal performance of climber greenwalls: Effects of solar irradiance and orientation

International Nuclear Information System (INIS)

Jim, C.Y.

2015-01-01

Highlights: • Field experiment tested solar irradiance effect on greenwall thermal performance. • Climber greenwalls were planted on four orientations of circular concrete tank. • High solar-energy input had high bare-surface temperature but maximum cooling. • Threshold solar intensity of 300 Wm −2 was needed for effective greenwall cooling. • Transpiration cooled anterior air better than shading and thermal insulation. - Abstract: Thermal performance of greenwalls, a critical and common concern, is regulated by solar irradiance vis-à-vis orientation and shading. A field experiment was conducted in humid-tropical Hong Kong to address the research question under typical summer-weather scenarios: sunny, cloudy and rainy. On a large circular concrete tank, climber-greenwall experimental plots were established with duplication in four cardinal compass directions. Air and infrared-radiometer surface temperature sensors monitored at different greenwall positions: ambient-air (control), bare-concrete-surface (control), vegetation-surface, behind-mesh-airgap, and behind-mesh-concrete surface. Pyranometers were installed vertically at four orientations and horizontally at tank-top (control) to monitor solar-energy input. Habitat verticality induces notable variations in solar-energy capture at four orientations by daily total, peak level, intensity, duration and timing. On sunny day, solar fraction reaching east side was only 37.1% of tank-top. Early morning sunshine striking east side nearly perpendicularly brings maximum intensity. South side facing the sun but at tangential incident angle has only 23.3% reception. Strong irradiance drives high control-surface temperature, but also induces notable vegetation-surface and adjacent ambient-air cooling by transpiration. A threshold solar intensity of about 300 Wm −2 is necessary to impart notable cooling-effect. Summer-sunny day and rainy-day sunshine-burst episodes could satisfy this condition; cloudy day and

Governance: Blending Bureaucratic Rules with Day to Day Operational Realities; Comment on “Governance, Government, and the Search for New Provider Models”

Directory of Open Access Journals (Sweden)

David P Chinitz

2016-09-01

Full Text Available Richard Saltman and Antonio Duran take up the challenging issue of governance in their article “Governance, Government and the Search for New Provider Models,” and use two case studies of health policy changes in Sweden and Spain to shed light on the subject. In this commentary, I seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro levels of health systems, with the case studies on which they report. While the case studies focus on the shifts in governance between the macro and meso levels and their impacts on achievement of desired policy outcomes, they also highlight the need to better integrate the dynamics of day to day operations within micro organizations into the overall governance picture.

Drying of Rosella (Hibiscus sabdariffa Flower Petals using Solar Dryer with Double Glass Cover Collector

Directory of Open Access Journals (Sweden)

Tjukup Marnoto

2014-10-01

Full Text Available Chemical ingredients in rosella petals are very beneficial for health. Rosella petals needed to be drained for storage and packing purpose. The traditional drying takes 5 days and less healthy. Solar dryer technology can speed up the drying process and protect materials from dust contamination. Solar dryer with double glass covered collector has been designed and made for drying of agricultural products such as rosella flowers. Rosella petals as much as 2300 grams with initial moisture content of 90.84 % be dried with this dryer until the moisture content of 7.67 % takes only 2 days, although the weather was less sunny . The temperature in the drying chamber was not more than 50° C, so it was good for drying groceries, not damaging chemical ingredients. The relative humidity in the space dryeris was about 40 % and it was still relative low. Drying rate and drying performance was expressed by the efficiency and Specific Moisture Evaporation Rate ( SMER were influenced by water content of the dried material and weather. Daily efficiency at the first and the second day: 14.931 % and 5.78%, while the daily SMER on the first and the second day: 0.222 and 0.0256 ( kg / kWh .

76 FR 45574 - Agency Information Collection Request: 30-Day Public Comment Request

Science.gov (United States)

2011-07-29

... actuaries at health insurers. Data collection activities will be completed within 60 days (two months) of...-administered web survey Chief Actuary at health insurance 408 1 45/60 306 companies. Mary Forbes, Paperwork...

Discharge on the day of birth, parental response and health and schooling outcomes

DEFF Research Database (Denmark)

Sievertsen, Hans Henrik; Wüst, Miriam

2017-01-01

also find that—in the longer run—a same-day discharge decreases children's 9th grade GPA. This effect is driven by children and mothers, who prior to the policy change would have been least likely to experience a same-day discharge. Using administrative and survey data to assess potential mechanisms...

Day-to-day changes in ionospheric electron content

International Nuclear Information System (INIS)

Tyagi, T.R.

1978-01-01

Large day-to-day variations have been observed in the ionospheric electron content or the so-called Faraday content derived from ATS-6 measurements at Gauhati (26.15 deg N, 91.75 deg E) for the period November 1975 to July 1976. The changes occur in the form of single-day abnormality, alternate day-to-day fluctuations and long-term periodic fluctuations with a periodicity of about 45 days. In all the cases the fluctuations are as large as plus or minus 40% from the average level. These changes are not correlated with solar or magnetic activity

Methodology of Day-To-Day Ship Costs Assessment

Directory of Open Access Journals (Sweden)

Milojka Počuča

2006-09-01

Full Text Available The paper presents a methodology of assessing the day-to-day fixed costs of maritime cargo ships. The authoress refersthe reader to factors that affect the amount affixed daily costsand the day-to-day voyage costs of ships. In the last chapter thepaper presents an estimation of the average daily fixed costsand day-to-day voyage costs of ships per type and size for theyear 2003. Besides particular explanations, the reader is refe"ed to data bases that authentically impart data on the structureof maritime fleets and their technical characteristics, aswell as databases on prices and costs in maritime transport.

Analysis and Comparison of Shading Strategies to Increase Human Thermal Comfort in Urban Areas

Directory of Open Access Journals (Sweden)

Ivan Lee

2018-03-01

Full Text Available With the expected increase in warmer conditions caused by climate change, heat-related illnesses are becoming a more pressing issue. One way that humans can protect themselves from this is to seek shade. The design of urban spaces can provide individuals with a variety of ways to obtain this shade. The objective of this study was to perform a detailed evaluation and comparison of three shading strategies that could be used in an urban environment: shade from a building, from a tree, and from an umbrella. This was done through using field measurements to calculate the impact of each strategy on a thermal comfort index (Comfort Formula (COMFA in two urban settings during sunny days of the summer of 2013 and 2014 in London, Canada. Building shade was found to be the most effective cooling strategy, followed by the tree strategy and the umbrella strategy. As expected, the main determinant of this ranking was a strategy’s ability to block incoming shortwave radiation. Further analysis indicated that changes in the convective loss of energy and in longwave radiation absorption had a smaller impact that caused variations in the strategy effectiveness between settings. This suggests that under non-sunny days, these rankings could change.

How many steps/day are enough? For children and adolescents

LENUS (Irish Health Repository)

Tudor-Locke, Catrine

2011-07-28

Abstract Worldwide, public health physical activity guidelines include special emphasis on populations of children (typically 6-11 years) and adolescents (typically 12-19 years). Existing guidelines are commonly expressed in terms of frequency, time, and intensity of behaviour. However, the simple step output from both accelerometers and pedometers is gaining increased credibility in research and practice as a reasonable approximation of daily ambulatory physical activity volume. Therefore, the purpose of this article is to review existing child and adolescent objectively monitored step-defined physical activity literature to provide researchers, practitioners, and lay people who use accelerometers and pedometers with evidence-based translations of these public health guidelines in terms of steps\\/day. In terms of normative data (i.e., expected values), the updated international literature indicates that we can expect 1) among children, boys to average 12,000 to 16,000 steps\\/day and girls to average 10,000 to 13,000 steps\\/day; and, 2) adolescents to steadily decrease steps\\/day until approximately 8,000-9,000 steps\\/day are observed in 18-year olds. Controlled studies of cadence show that continuous MVPA walking produces 3,300-3,500 steps in 30 minutes or 6,600-7,000 steps in 60 minutes in 10-15 year olds. Limited evidence suggests that a total daily physical activity volume of 10,000-14,000 steps\\/day is associated with 60-100 minutes of MVPA in preschool children (approximately 4-6 years of age). Across studies, 60 minutes of MVPA in primary\\/elementary school children appears to be achieved, on average, within a total volume of 13,000 to 15,000 steps\\/day in boys and 11,000 to 12,000 steps\\/day in girls. For adolescents (both boys and girls), 10,000 to 11,700 may be associated with 60 minutes of MVPA. Translations of time- and intensity-based guidelines may be higher than existing normative data (e.g., in adolescents) and therefore will be more

Destigmatizing day-to-day practices: what developed countries can learn from developing countries.

Science.gov (United States)

Rosen, Alan

2006-02-01

The nature of and threshold for stigma associated with mental disorders appears to be different between developed and developing countries. Decreasing stigma can be achieved through a combination of the best Western educational and media strategies and the systematization of some important lessons from developing countries. At the macro-level, this involves: societal changes leading to being more inclusive and re-integrating people with mental illness into our communities; finding socially useful and culturally valued work roles for such marginalized people; re-extending our kinship networks, and re-valuing contact with people with mental illness and learning from their experiences. At the micro-level, this involves developing more destigmatizing day-to-day clinical practices, including: more holistic appraisal of disorder, abilities and needs; therapeutic optimism; a strengths orientation; engaging family and redeveloping an extended support network; celebration of age appropriate rites of passage; invoking the language of recovery; valuing veterans of mental illness as "spirit guides"; promoting consumers' community living as full citizens; engaging and involving the local community in taking responsibility for their own mental health.

Nursing and mHealth

Directory of Open Access Journals (Sweden)

Catherine Samples

2014-12-01

Full Text Available Innovations in mobile health (mHealth technology offer applications to promote wellness management and health behavior change outside of formal clinical settings. Nurses can help to move mHealth into mainstream health care by understanding its potential to change the landscape of health intervention delivery, incorporating mHealth into patients' day to day preventive care strategies, and supporting the science of mHealth's effectiveness.

Return-on-Investment (ROI) Analyses of an Inpatient Lay Health Worker Model on 30-Day Readmission Rates in a Rural Community Hospital.

Science.gov (United States)

Cardarelli, Roberto; Bausch, Gregory; Murdock, Joan; Chyatte, Michelle Renee

2017-07-07

The purpose of the study was to assess the return-on-investment (ROI) of an inpatient lay health worker (LHW) model in a rural Appalachian community hospital impacting 30-day readmission rates. The Bridges to Home (BTH) study completed an evaluation in 2015 of an inpatient LHW model in a rural Kentucky hospital that demonstrated a reduction in 30-day readmission rates by 47.7% compared to a baseline period. Using the hospital's utilization and financial data, a validated ROI calculator specific to care transition programs was used to assess the ROI of the BTH model comparing 3 types of payment models including Diagnosis Related Group (DRG)-only payments, pay-for-performance (P4P) contracts, and accountable care organizations (ACOs). The BTH program had a -$0.67 ROI if the hospital had only a DRG-based payment model. If the hospital had P4P contracts with payers and 0.1% of its annual operating revenue was at risk, the ROI increased to $7.03 for every $1 spent on the BTH program. However, if the hospital was an ACO as was the case for this study's community hospital, the ROI significantly increased to $38.48 for every $1 spent on the BTH program. The BTH model showed a viable ROI to be considered by community hospitals that are part of an ACO or P4P program. A LHW care transition model may be a cost-effective alternative for impacting excess 30-day readmissions and avoiding associated penalties for hospital systems with a value-based payment model. © 2017 National Rural Health Association.

When Every Day Is Professional Development Day

Science.gov (United States)

Tienken, Christopher H.; Stonaker, Lew

2007-01-01

In the Monroe Township (New Jersey) Public Schools, teachers' learning occurs daily, not just on one day in October and February. Central office and school-level administrators foster job-embedded teacher growth. Every day is a professional development day in the district, but that has not always been so. How did the district become a system with…

16 Days of Activism against Gender-Based Violence | IDRC ...

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

2017-11-25

Nov 25, 2017 ... The International Day for the Elimination of Violence against Women on ... contributes to Canada's strong voice in the fight against sexual violence. ... maternal and child health, and women's economic empowerment — also ...

4th annual Safety Day: full of colour!

CERN Multimedia

HSE Unit

2014-01-01

On Thursday 10 April, more than 240 people took part in the 4th annual Safety Day, organised on the occasion of the World Day for Safety and Health at Work. The HSE Unit, in partnership with the Fire Brigade (GS/FB) and the TE and BE Departments, organised various stands and activities connected with this year’s theme, chosen by the International Labour Organization: "Safety and health in the use of chemicals at work”.   The stands, set up at lunchtime in all three of CERN’s restaurants as well as in the entrance hall of Building 500, were designed to: Remind visitors of the need to use personal protective equipment appropriate to the chemicals they are using; Make visitors aware of the potential environmental impact of using chemicals; Encourage visitors to always read the labels and safety data sheets of dangerous chemicals and everyday domestic products; Inform visitors that a safety training course called “Chemical Risk Awareness&r...

Characteristics of radon concentration distributions measurement with two-filter method in the storage rooms of Ra-Be neutron source and the adjacent laboratories

International Nuclear Information System (INIS)

Liu Shuhuan; Chu Jun; Zhao Yaolin; Bao Lihong; Chen Wei; Wu Yuelei

2012-01-01

The basic principle of radon measurement with two-filter method is introduced in this paper. The levels of radon concentration in the storage rooms and the adjacent laboratories are measured and compared with the type of FT-648 radon measurement instrument. The measurement results showed that the levels of radon concentration in Ra-Be neutron source storage rooms are not higher than those in the adjacent laboratories, then it can be deduced that no radon gas was leaked out form the shielded and sealed Ra-Be neutron sources. The radon concentrations measured in the laboratories were near to the average level compared to the statistical results of the indoor dwellings' radon concentrations in Xi'an. The values didn't exceed the national standard limits(200 Bq·m -3 ). Furthermore, it is found that the radon concentration value measured at rainy or cloudy day is lesser than that at sunny day, and good ventilation conditions can effectively decrease the indoor radon concentration level. Meanwhile, the mechanisms of the radon concentration distributions in the laboratories influenced by the factors including various weather conditions (rainy, sunny and cloudy), ventilation and different measurement time periods in a day, etc. are primarily analyzed. The measurement results in this work provide some relative reference data for prediction the situations of Ra-Be neutron sources safety storage and experimenters' radiation protection in the laboratories. (authors)

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

Science.gov (United States)

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

2014-12-05

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

Working Together for Mental Health: Evaluation of a one-day mental health course for human service providers

Science.gov (United States)

Grootemaat, Pam; Gillan, Cathie; Holt, Gillian; Forward, Wayne; Heywood, Narelle; Willis, Sue

2006-01-01

Background The Working Together For Mental Health course is an 8-hour course designed to demystify mental illness and mental health services. The main target group for the course is people working in human service organisations who provide services for people with mental illness. Methods A questionnaire was administered to all participants attending the course during 2003 (n = 165). Participants completed the questionnaire before and immediately after the course, and at three month follow-up. Results A response rate of 69% was achieved with 114 people completing the questionnaire on all three occasions. The responses showed a significant improvement in the self-assessed knowledge and confidence of participants to provide human services to people with a mental health problem or disorder, three months after the course. There was no significant improvement in participants' attitudes or beliefs about people with a mental health problem or disorder at three month follow-up; however, participants' attitudes were largely positive before entering the course. Conclusion The Working Together For Mental Health course was successful in improving participants' confidence and knowledge around providing human services to people with a mental health illness. PMID:17074097

Prediction of the intensity and diversity of day-to-day activities among people with schizophrenia using parameters obtained during acute hospitalization.

Science.gov (United States)

Lipskaya-Velikovsky, Lena; Jarus, Tal; Kotler, Moshe

2017-06-01

Participation in day-to-day activities of people with schizophrenia is restricted, causing concern to them, their families, service providers and the communities at large. Participation is a significant component of health and recovery; however, factors predicting participation are still not well established. This study examines whether the parameters obtained during acute hospitalization can predict the intensity and diversity of participation in day-to-day activities six months after discharge. In-patients with chronic schizophrenia (N = 104) were enrolled into the study and assessed for cognitive functioning, functional capacity in instrumental activities of daily living (IADL), and symptoms. Six months after discharge, the intensity and diversity of participation in day-to-day activities were evaluated (N = 70). Multiple correlations were found between parameters obtained during hospitalization and participation diversity, but not participation intensity. The model that is better suited to the prediction of participation diversity contains cognitive ability of construction, negative symptoms and number of previous hospitalizations. The total explained variance is 37.8% (F 3,66  =   14.99, p process for the prediction of participation diversity in day-to-day activities six months after discharge. Participation diversity is best predicted through a set of factors reflecting personal and environmental indicators. Implications for rehabilitation Results of in-patient evaluations can predict the diversity of participation in day-to-day activities six months after discharge. Higher prediction of participation diversity is obtained using a holistic evaluation model that includes assessments for cognitive abilities, negative symptoms severity and number of hospitalizations.

[Day surgery: the role and training needs of nurses].

Science.gov (United States)

Agozzino, Erminia; Naddei, Maria; Schiavone, Beniamino

2014-01-01

Medicine and health care are increasingly directed towards the achievement of high quality standards and of costs reduction. It is in this framework that same-day surgery finds its role, being able to satisfy both of the above needs. Despite its recognized benefits, in Italy this efficient model of hospitalization still meets several obstacles and the ratio of services provided in day hospital with respect to ordinary hospital admission is about 1 to 3. Day Surgery services depend on team work and the nurse's role is of utmost importance and responsibility since it involves both clinical care and managerial activities. Through a careful analysis of the skills required of a day surgery nurse, the authors discuss aspects of nurses' training in view of the pre- and post-graduate courses currently offered, including on-the-job training.

Diurnal cycling of urban aerosols under different weather regimes

Science.gov (United States)

Gregorič, Asta; Drinovec, Luka; Močnik, Griša; Remškar, Maja; Vaupotič, Janja; Stanič, Samo

2016-04-01

A one month measurement campaign was performed in summer 2014 in Ljubljana, the capital of Slovenia (population 280,000), aiming to study temporal and spatial distribution of urban aerosols and the mixing state of primary and secondary aerosols. Two background locations were chosen for this purpose, the first one in the city center (urban background - KIS) and the second one in the suburban background (Brezovica). Simultaneous measurements of black carbon (BC) and particle number size distribution of submicron aerosols (PM1) were conducted at both locations. In the summer season emission from traffic related sources is expected to be the main local contribution to BC concentration. Concentrations of aerosol species and gaseous pollutants within the planetary boundary layer are controlled by the balance between emission sources of primary aerosols and gases, production of secondary aerosols, chemical reactions of precursor gases under solar radiation and the rate of dilution by mixing within the planetary boundary layer (PBL) as well as with tropospheric air. Only local emission sources contribute to BC concentration during the stable PBL with low mixing layer height, whereas during the time of fully mixed PBL, regionally transported BC and other aerosols can contribute to the surface measurements. The study describes the diurnal behaviour of the submicron aerosol at the urban and suburban background location under different weather regimes. Particles in three size modes - nucleation (humidity, wind speed and direction), diurnal profile differs for sunny, cloudy and rainy days. Nucleation mode particles were found to be subjected to lower daily variation and only slightly influenced by weather, as opposed to Aitken and accumulation mode particles. The highest correlation between BC and particle number concentration is observed during stable atmospheric conditions in the night and morning hours and is attributed to different particle size modes, depending on the

Effect of Offering Same-Day ART vs Usual Health Facility Referral During Home-Based HIV Testing on Linkage to Care and Viral Suppression Among Adults With HIV in Lesotho: The CASCADE Randomized Clinical Trial.

Science.gov (United States)

Labhardt, Niklaus D; Ringera, Isaac; Lejone, Thabo I; Klimkait, Thomas; Muhairwe, Josephine; Amstutz, Alain; Glass, Tracy R

2018-03-20

Home-based HIV testing is a frequently used strategy to increase awareness of HIV status in sub-Saharan Africa. However, with referral to health facilities, less than half of those who test HIV positive link to care and initiate antiretroviral therapy (ART). To determine whether offering same-day home-based ART to patients with HIV improves linkage to care and viral suppression in a rural, high-prevalence setting in sub-Saharan Africa. Open-label, 2-group, randomized clinical trial (February 22, 2016-September 17, 2017), involving 6 health care facilities in northern Lesotho. During home-based HIV testing in 6655 households from 60 rural villages and 17 urban areas, 278 individuals aged 18 years or older who tested HIV positive and were ART naive from 268 households consented and enrolled. Individuals from the same household were randomized into the same group. Participants were randomly assigned to be offered same-day home-based ART initiation (n = 138) and subsequent follow-up intervals of 1.5, 3, 6, 9, and 12 months after treatment initiation at the health facility or to receive usual care (n = 140) with referral to the nearest health facility for preparatory counseling followed by ART initiation and monthly follow-up visits thereafter. Primary end points were rates of linkage to care within 3 months (presenting at the health facility within 90 days after the home visit) and viral suppression at 12 months, defined as a viral load of less than 100 copies/mL from 11 through 14 months after enrollment. Among 278 randomized individuals (median age, 39 years [interquartile range, 28.0-52.0]; 180 women [65.7%]), 274 (98.6%) were included in the analysis (137 in the same-day group and 137 in the usual care group). In the same-day group, 134 (97.8%) indicated readiness to start ART that day and 2 (1.5%) within the next few days and were given a 1-month supply of ART. At 3 months, 68.6% (94) in same-day group vs 43.1% (59) in usual care group had linked to care

76 FR 68191 - Agency Information Collection Request. 60-Day Public Comment Request

Science.gov (United States)

2011-11-03

.... Proposed Project: Consumer Survey of Attitudes Toward the Privacy and Security Aspects of Electronic Health... collection will permit us to better understand individuals' attitudes toward the privacy and security aspects... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS-0990-New; 60-day Notice] Agency...

Abstracts from the Fourteenth Rambam Research Day, December 7, 2017

OpenAIRE

Shraga Blazer (Editor); Ehud Klein (Editor)

2018-01-01

This Supplement of Rambam Maimonides Medical Journal presents the abstracts from the Fourteenth Annual Rambam Research Day. These abstracts represent the newest basic and clinical research coming out of Rambam Health Care Campus—research that is the oxygen for education and development of tomorrow’s generation of physicians. Hence, the research presented on Rambam Research Day is the foundation for understanding patient needs and improving treatment modalities. Bringing research from the benc...

a comparative analysis of first day neonatal mortality between

African Journals Online (AJOL)

East African Medical Journal Vol. 90 No. 11 November 2013. A COMPARATIVE ANALYSIS OF FIRST DAY NEONATAL MORTALITY BETWEEN ADOLESCENTS AND ADULT. FEMALES GIVING BIRTH AT LIGULA HOSPITAL IN MTWARA, SOUTH EASTERN TANZANIA 2008 – 2009. A. Ramaiya, MSc, Ifakara Health ...

Scientific days on electromagnetic fields: from dosimetry to human health - Conference proceedings

International Nuclear Information System (INIS)

Wiart, J.; Ghanmi, A.; Picon, O.; Conil, E.; Varsier, N.; Hadjem, A.; Sudret, B.; Magne, I.; Souques, M.; Gaudaire, F.; De Seze, R.; Jawad, O.; Lautru, D.; Dricot, J.M.; Horlin, F.; De Doncker, P.; Drissaoui, A.; Musy, F.; Nicolas, L.; Perrussel, R.; Scorretti, R.; Voyer, D.; Jala, M.; Moulines, E.; Levy-Leduc, C.; Mahfouz, Z.; Gati, A.; Fouad Hanna, V.; Leveque, P.; Arnaud-Cormos, D.; Zhadobov, M.; Jarrige, P.; Gaborit, G.; Kohler, S.; Ticaud, N.; Duvillaret, L.; Guelilia, Z.; Loison, R.; Gillard, R.; Laisne, A.; Favet, D.; Benadhira, R.; Mir, L.; Nadi, M.; Kourtiche, D.; Gazeau, F.; Wilhelm, C.; Delemotte, L.; Breton, M.; Tarek, M.; Marc-Vergnes, J.P.; Yardin, C.; Perrin, A.; Le Drean, Y.; Sauleau, R.; Lambrozo, J.; Selmaoui, B.; Ghosn, R.; Thuroczy, G.; Villegier, A.S.; Loos, N.; Brenet-Dufour, V.; Liabeuf, S.; Bach, V.; Moretti, D.; Lewis, N.; Garenne, A.; Poulletier De Gannes, F.; Haro, E.; Lagroye, I.; Bornat, Y.; Boutaib, Y.; Saighi, S.; Renaud, S.; Veyre, B.; Schuz, J.; Deltour, I.; Van Deventer, E.; Vecchia, P.; Merckel, O.; Bellaouel, A.; Demaret, P.; Donati, P.; Jovanovic, D.; Chauvin, S.; Desreumaux, J.P.; Fouquet, L.; Picard, D.; Massardier-Pilonchery, A.; Hours, M.; Bergeret, A.; Person, C.; Toutain, Y.; Butet, R.; Berrahma, K.; Balderelli, I.; Stelmaszyk, V.; Cretallaz, C.; Lamproglou, I.; Amourette, C.; Diserbo, M.; Fauquette, W.; Martigne, P.; Collin, A.; Lagroye, I.; Ait Aissa, S.; Hurtier, A.; Taxile, M.; Le Montagner, L.; Athane, A.; Duleu, S.; Percherancier, Y.; Geffard, M.; Ruffie, G.; Billaudel, B.; Veyret, B.; Pelletier, A.; Delanaud, S.; Libert, J.P.; Schunck, T.; Bieth, F.; Soubere Mahamoud, Y.; Le Quement, C.; Ferrand, G.; Le Guevel, R.; Carton, P.H.; Luong, M.; Tanvir, S.; Selmaoui, B.; Silva Pires-Antonietti, V.; Sonnet, P.; Pulvin, S.; Kuster, O.; Tetelin, C.

2012-04-01

This document brings together the available presentations (articles and slides) given at the URSI scientific days on electromagnetic fields: dosimetry, peoples' exposure, biological and health risks, risk management, and medical uses. 48 presentations are compiled in this document and deal with: 1 - Stochastic dosimetry: variability challenge; 2 - How to estimate the exposure to 50/60 Hz magnetic field in an epidemiological study?; 3 - Joint analysis of population exposure and radio coverage of GSM and UMTS mobile phone networks; 4 - Study of the specific energy absorption rate (SAR) sensitiveness to phone positions near the head for 2 GSM mobile phones; 5 - Statistical Study of SAR under Wireless Channel - Exposure in Indoor Environment; 6 - Uncertainty propagation in numerical dosimetry: how to reduce calculation costs?; 7 - Use of a simplified pregnant woman model for foetus exposure analysis; 8 - SAR estimation using multi-exposure with a mobile phone; 9 - State-of-the-art in experimental dosimetry (RF and pulses); 10 - Mm-waves dosimetry: issues, stakes and actual solutions; 11 - Use of DG-FDTD for a dosimetry calculation in a strongly multi-scale problem: determination of the eye-SAR near a HF/VHF vehicle-borne source; 12 - Dosimetric measurements with a fiber-type electro-optical sensor; 13 - Partial experimental evaluation of basic restrictions in the HF/VHF range; 14 - Repetitive trans-cranial magnetic stimulation Stimulation (rTMS) in psychiatry: present day situation and perspectives; 15 - Medical applications of electric fields; 16 - Measurements for life: new perspectives? 17 - Nano-particles and magnetic stimuli for medical imaging and therapy; 18 - Molecular Insights into electroporation and siRNA electro-transfer through model cell membranes; 19 - State of knowledge on electromagnetic fields hypersensitivity (HS-CEM); 20 - Experimentation methodology: from results to interpretation; 22 - Mm waves - update on biological effects at 40-60 GHz; 23

Five fruit and vegetables and five praises a day: the case for a proactive approach.

Science.gov (United States)

Sutton, Carole; Herbert, Martin

2008-04-01

The government has adopted the five outcomes of Every Child Matters as guiding principles for all those caring for and working with children. One of the ways in which efforts are being made to help children achieve good physical health is to encourage them to eat 'five fruit and vegetables a day'. This article sets out the case that practitioners can help children achieve good mental health by encouraging parents and those who care for children to give them at least'five praises a day'. Babies are predisposed from birth to make close social and emotional attachments with their main caregivers, and typically receive generous and loving admiration and appreciation. However, we know that some parents may not understand how infants and toddlers continue to need active nurturing attention, praise and positive messages from those who care for them as they grow. The authors seek to develop their inter-professional campaign to extend the 'five fruit and vegetables a day' maxim to include'five praises a day' for children. Health visitors are uniquely placed to help parents, to explain and encourage the contribution that praise and positive feedback make toward children's general wellbeing and sound mental health.

Influence of the day care, home and neighbourhood environment on young children's physical activity and health: protocol for the PLAYCE observational study.

Science.gov (United States)

Christian, Hayley; Maitland, Clover; Enkel, Stephanie; Trapp, Georgina; Trost, Stewart G; Schipperijn, Jasper; Boruff, Bryan; Lester, Leanne; Rosenberg, Michael; Zubrick, Stephen R

2016-12-08

The early years are a critical period in a child's health and development, yet most preschool children fail to meet physical activity guidelines. Outside of the home and neighbourhood, children spend a large proportion of time within early childhood education and care (ECEC) services such as long day care. Research is required to determine how the design of day care outdoor (and indoor) spaces provides opportunities or constraints for physical activity. A significant evidence gap surrounds what objectively measured attributes of the home and neighbourhood environment influence preschoolers' physical activity. The PLAY Spaces & Environments for Children's Physical Activity (PLAYCE) study will empirically investigate the relative and cumulative influence of the day care, home and neighbourhood environment on preschoolers' physical activity. The PLAYCE study is a cross-sectional observational study (April 2015 to April 2018) of 2400 children aged 2-5 years attending long day care in metropolitan Perth, Western Australia. Accelerometers will measure physical activity with indoor physical activity measured using radio frequency identification. Global positioning systems will be used to determine outdoor location of physical activity around the home and neighbourhood for a subsample (n=310). The day care environment will be objectively measured using a validated audit tool. Other potential individual, social and physical environmental influences on preschoolers' physical activity will be collected by geographic information systems measures, parent and day care educator surveys. Ethical approval has been granted by The University of Western Australia Human Ethics Research Committee, approval number RA/4/1/7417. Findings will be published in international peer-reviewed journals and presented at international conferences. Key findings will be disseminated to stakeholders, collaborators, policymakers and practitioners working in the ECEC sector. Day care centre directors

Innovative Basis of Research of Energy-Efficient Potential and Effectiveness of Renewable Energy Sources

OpenAIRE

Hasanov Seymur Latif oglu; Hasanov Elnur Latif oglu

2018-01-01

In recent years, countries of the world have been trying to attract new energy sources (wind, sun, biogas, waves, drainage, non-conventional energy sources such as hydroelectric power of small rivers) in their fuel-energy balance. Azerbaijan has renewable natural resources, favorable for its energy-efficient potential, according to the amount of sunny and windy days. In this article was given total information about renewable energy potential of Azerbaijan Republic. In this article we use inf...

77 FR 2297 - Agency Information Collection Request. 30-Day Public Comment Request

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2012-01-17

... integrity or research ethics course for the treatment group. The control group will use the existing... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS-0990-new; 30-Day Notice] Agency... of the Secretary (OS), Department of Health and Human Services, is publishing the following summary...

77 FR 9928 - Agency Information Collection Request. 30-Day Public Comment Request

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2012-02-21

...: Consumer Survey of Attitudes Toward the Privacy and Security Aspects of Electronic Health Records and... permit us to better understand individuals' attitudes toward the privacy and security aspects of the use... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS-0990-New; 30-day Notice] Agency...

Iraq bleeds: the remorseless rise of violence and displacement

Directory of Open Access Journals (Sweden)

Ashraf al-Khalidi

2007-06-01

Full Text Available “I will never believe in differences between people,” the young man said. “I am a Sunni and my wife is a Shi’a. I received threats to divorce her or be killed. We have left Dora now [a once-mixed, now Sunni-dominated neighbourhood in central Baghdad]. My wife is staying with her family in Shaab [a Shi’a area] and I am staying with my friends in Mansur [a Sunni area]. I am trying to find a different house but it’s difficult now to find a place that accepts both of us in Baghdad.”

Does the social gradient remain in the dietary habits of a health-conscious population? A study of Seventh-Day Adventists in West Malaysia.

Science.gov (United States)

Tan, Min Min; Chan, Carina K Y; Reidpath, Daniel D

2017-12-01

Socioeconomic status (SES) is a strong predictor of health, and individuals with higher SES generally have better health than those with lower SES. One of the pathways that SES influences health is through health behaviors, such as dietary intake, and a higher SES has been associated with a better diet. The purpose of this study was to determine whether there was a social gradient in dietary habits among the Seventh-Day Adventists, a group of conservative Christians, where healthy eating is part of the doctrinal teaching. Data from a survey of 574 Adventists residing in West Malaysia, aged 18-80 years, were analyzed. Dietary habits were measured using the Nutrition subscale of Health Promoting Lifestyle Profile II. Education and income were significantly associated with dietary habits before and after controlling for demographics. There was a gradient of association; a higher level of education and higher income were associated with better dietary habits. However, only education remained significantly associated with dietary habits when the other two socioeconomic variables were included. Employment was not significantly associated with dietary habits before or after controlling for demographic variables and the other two sociodemographic variables. This study showed that education is the strongest predictor of healthy diet, and a social gradient in dietary habits still exists even among health-conscious population. © The Author 2016. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

"I just cope from day to day": unpredictability and anxiety in the lives of women.

Science.gov (United States)

Walters, V; Charles, N

1997-12-01

Data are presented from in-depth interviews with 35 women in an industrial town in South Wales, U.K., many of whom were from low income households. The research aimed to explore women's own concerns about their health and the ways in which health problems affected their lives. This paper focuses on one prominent theme in these interviews: unpredictability. In particular, women described how their lives had become less predictable and amenable to control as a result of health problems--epilepsy, asthma, ME, anxiety, nerves and panic attacks, for example. Women's accounts are used to show how they experienced these problems, how they influenced women's self-identity and the ways in which women struggled to cope with the dreadful uncertainty that characterized their days. They often hid these problems, and the privacy of this aspect of their lives is striking. The data are set within the context of class and gender relations which diminish women's control over their lives and erode their self-esteem and sense of autonomy. Class and gender combine with ill health to create the conditions for women's sense of unpredictability and powerlessness. They can aggravate and provoke the health problems women described: women spoke of the challenges they faced in their roles as wives and mothers, the problems associated with widowhood, the loss of their jobs, the impact of unemployment and their efforts to cope with severe financial problems. In part, these provided them with a framework for understanding the uncertainty, anxiety, nerves and panic they experienced.

Is shade for horses a comfort resource or a minimum requirement?

Science.gov (United States)

Holcomb, K E

2017-09-01

Shade or shelter as protection from extremes of weather is required for horses at agricultural research and teaching facilities and is recommended or required by many states, professional organizations, and industry groups. The focus of this paper is the recent research on the responses of horses to hot, sunny weather, which has begun to provide scientific evidence that characterizes how and when shade is used and any benefits shade confers on horses. These behavioral and physiological findings support provision of shade as a resource for thermal comfort and the expression of normal behavior that should be included as a standard of best care practices for healthy adult horses living in the environmental conditions reviewed, rather than an absolute minimum care requirement. Additional research is required for horses living under other environmental conditions, for very young or old horses, horses in very poor body condition, or those with compromised health to determine if their responses to hot, sunny weather differ from those presented here.

JA’FAR AL-ṢĀDIQ DAN PARADIGMA HUKUM MAZHAB JA’FARI

Directory of Open Access Journals (Sweden)

Dani Muhtada

2015-04-01

Full Text Available This article explores the legal paradigm of the Ja’fari school of law. The article presents the profile of Imam Ja’far, the founder of this school of law. It also discusses some legal thoughts presented by the Ja’fari school of law, which seemed to be fundamentally different from the legal thoughts of the Sunni school of law (e.g., khumus and mut’ah. This article concludes that the legal sources used in the Ja’fari school of law are not fundamentally different from those used in the Sunni school of law, which include the Quran, the Sunnah, Ijma, and reasoning. Although there might be different approaches among the Ja’fari school of law and the Sunni school of laws in defining these legal sources, this article indicates no principle difference in legal making procedure. As a matter of fact, the differences in the legal making process could also exist among the Sunni school of laws.

Groundhog Day for Medical Artificial Intelligence.

Science.gov (United States)

London, Alex John

2018-05-01

Following a boom in investment and overinflated expectations in the 1980s, artificial intelligence entered a period of retrenchment known as the "AI winter." With advances in the field of machine learning and the availability of large datasets for training various types of artificial neural networks, AI is in another cycle of halcyon days. Although medicine is particularly recalcitrant to change, applications of AI in health care have professionals in fields like radiology worried about the future of their careers and have the public tittering about the prospect of soulless machines making life-and-death decisions. Medicine thus appears to be at an inflection point-a kind of Groundhog Day on which either AI will bring a springtime of improved diagnostic and predictive practices or the shadow of public and professional fear will lead to six more metaphorical weeks of winter in medical AI. © 2018 The Hastings Center.

A Pilot test of an oral health education module for community health ...

African Journals Online (AJOL)

Objectives: The purpose of this paper is to report the experience of developing, facilitating, and evaluating a 3-day module on oral health education for Primary Health Care Workers (CHW) in Ikeja LGA Lagos State. Methods: Twenty-one CHW in Ikeja LGA were invited for a 3-day oral health education-training program in ...

Complex families, the social determinants of health and psychosocial interventions: Deconstruction of a day in the life of hospital social workers.

Science.gov (United States)

Muskat, Barbara; Craig, Shelley L; Mathai, Biju

2017-09-01

The roles of hospital social workers are delineated in the literature; however, their daily interventions have only been described anecdotally. This study analyzes the daily work of social workers in a pediatric hospital through a survey completed which examined factors related to interventions utilized and time spent per case over a 1-day period. Length and types of interventions were associated with the social determinants of health, time since diagnosis, biopsychosocial issues, and perception of complexity. The study offers a snapshot of the personalized expertise, provided by social workers that addresses complex contextual and biopsychosocial concerns of patient and families.

Subjective health complaints, functional ability, fear avoidance beliefs, and days on sickness benefits after work rehabilitation - a mediation model.

Science.gov (United States)

Øyeflaten, Irene; Opsahl, Jon; Eriksen, Hege R; Braathen, Tore Norendal; Lie, Stein Atle; Brage, Søren; Ihlebæk, Camilla M; Breivik, Kyrre

2016-05-23

Long-term sick leave and withdrawal from working life is a concern in western countries. In Norway, comprehensive inpatient work rehabilitation may be offered to sick listed individuals at risk of long-term absence from work. Knowledge about prognostic factors for work outcomes after long-term sick leave and work rehabilitation is still limited. The aim of this study was to test a mediation model for various hypothesized biopsychosocial predictors of continued sick leave after inpatient work rehabilitation. One thousand one hundred fifty-five participants on long-term sick leave from eight different work rehabilitation clinics answered comprehensive questionnaires at arrival to the clinic, and were followed with official register data on sickness benefits for 3 years. Structural equation models were conducted, with days on sickness benefits after work rehabilitation as the outcome. Fear avoidance beliefs for work mediated the relation between both musculoskeletal complaints and education on days on sickness benefits after work rehabilitation. The relation between musculoskeletal complaints and fear avoidance beliefs for work was furthermore fully mediated by poor physical function. Previous sick leave had a strong independent effect on continued sick leave after work rehabilitation. Fear avoidance beliefs for work did not mediate the small effect of pseudoneurological complaints on continued sick leave. Poor coping/interaction ability was neither related to continued sick leave nor fear avoidance beliefs for work. The mediation model was partly supported by the data, and provides some possible new insight into how fear avoidance beliefs for work and functional ability may intervene with subjective health complaints and days on sickness benefits after work rehabilitation.

Small-Sized Parabolic Trough Collector System for Solar Dehumidification Application: Design, Development, and Potential Assessment

Directory of Open Access Journals (Sweden)

Ghulam Qadar Chaudhary

2018-01-01

Full Text Available The current study presents a numerical and real-time performance analysis of a parabolic trough collector (PTC system designed for solar air-conditioning applications. Initially, a thermodynamic model of PTC is developed using engineering equation solver (EES having a capacity of around 3 kW. Then, an experimental PTC system setup is established with a concentration ratio of 9.93 using evacuated tube receivers. The experimental study is conducted under the climate of Taxila, Pakistan in accordance with ASHRAE 93-1986 standard. Furthermore, PTC system is integrated with a solid desiccant dehumidifier (SDD to study the effect of various operating parameters such as direct solar radiation and inlet fluid temperature and its impact on dehumidification share. The experimental maximum temperature gain is around 5.2°C, with the peak efficiency of 62% on a sunny day. Similarly, maximum thermal energy gain on sunny and cloudy days is 3.07 kW and 2.33 kW, respectively. Afterwards, same comprehensive EES model of PTC with some modifications is used for annual transient analysis in TRNSYS for five different climates of Pakistan. Quetta revealed peak solar insolation of 656 W/m2 and peak thermal energy 1139 MJ with 46% efficiency. The comparison shows good agreement between simulated and experimental results with root mean square error of around 9%.

User experiences of wearable activity monitor among 3-6-year-old preschool children – Are children willing to wear monitor 7 days 24 hours per day?

Directory of Open Access Journals (Sweden)

Suvi Määttä

2015-10-01

This study was conducted as a part of long-term DAGIS project that aims to improve the health behaviors and diminish socioeconomic inequalities in health behaviors among preschool children in Finland. A large cross-sectional survey is conducted in autumn 2015. Children (N=800, aged 3-6 years wear Actigraph WGT3X-BT accelerometer for seven days, 24 hours per day. Simultaneously with accelerometer use, parents fill in diary with informing the user experiences of accelerometer and possible non-wearing times. Parents are advised that the child wears accelerometer 24 hours and remove the belt only when in water (e.g. in shower. The accelerometer data are checked straight after data collection. Choi (2011 wear time analyses are conducted for data. The device acceptability, compliance for wearing times and reported barriers for using accelerometer 24 hours in seven days among 3-6-year-old children are reported. Conclusions This study provides new information about the usability of wearable activity monitors among 3-6-year-old children, an age group that is less studied.

World AIDS day 1991 observances urge sharing the challenge.

Science.gov (United States)

1992-01-01

The Region of the Americas took part in World AIDS DAy 1991, whose theme, "Sharing the Challenge," urged all sectors of society to support AIDS-related education, services, and advocacy. The day of observance was intended to encourage the participation of public, private, nongovernmental, and religious leaders in promoting AIDS-related activities. Although World AIDS Day took place on December 1, activities in the Region of the Americans began from the last week of November and into the first week of December. Most of these activities were designed to educate the public on how to avoid infection, as well as inform and sensitize audiences on the health and social needs of those infected. These activities took the form of press conferences, exhibitions, lectures, public concerts, television adds, etc. One such activity, sponsored by the Pan American Health Organization (PAHO) and held at its headquarters in Washington, D.C., focused on the AIDS crisis and the need for educational activities. The program opened with a speech by Dr. Carlyle Guerra de Macedo, PAHO's director, who warned against complacency in confronting the disease. US Surgeon General Antonia Novello also spoke at the occasion, addressing the growing threat of AIDS among women. Already, 12% of AIDS victims in the US are women, and heterosexual transmissions of AIDS will likely continued to increase. Pointing out that a vaccine is not expected in the short term, PAHO's Dr. David Brandling-Bennet stressed that the fight against AIDS depends on disseminating information. The PAHO meeting also featured a panel discussion composed of educators and health professionals, who discussed the educational responsibility of television in transmitting the AIDS-prevention message to the public.

A step-defined sedentary lifestyle index: <5000 steps/day.

Science.gov (United States)

Tudor-Locke, Catrine; Craig, Cora L; Thyfault, John P; Spence, John C

2013-02-01

Step counting (using pedometers or accelerometers) is widely accepted by researchers, practitioners, and the general public. Given the mounting evidence of the link between low steps/day and time spent in sedentary behaviours, how few steps/day some populations actually perform, and the growing interest in the potentially deleterious effects of excessive sedentary behaviours on health, an emerging question is "How many steps/day are too few?" This review examines the utility, appropriateness, and limitations of using a reoccurring candidate for a step-defined sedentary lifestyle index: 10 000) to lower (sedentary lifestyle index for adults is appropriate for researchers and practitioners and for communicating with the general public. There is little evidence to advocate any specific value indicative of a step-defined sedentary lifestyle index in children and adolescents.

Topical Day on Biological Effects of Radiation

Energy Technology Data Exchange (ETDEWEB)

Baatout, S.; Jacquet, P.

1997-05-15

The topical day has been focussed on the potential effects of ionizing radiation on human health. A general overview on molecular and biophysical aspects of radiation, its effects on cells and organisms, and the contribution of radiobiology to radiation protection and risk assessment is given. The genetic effects of radiation and its effects on the developing organism, the effects of radiation on the cell cycle and the mechanisms of radiation induced apoptosis were also discussed.

Topical Day on Biological Effects of Radiation

International Nuclear Information System (INIS)

Baatout, S.; Jacquet, P.

1997-01-01

The topical day has been focussed on the potential effects of ionizing radiation on human health. A general overview on molecular and biophysical aspects of radiation, its effects on cells and organisms, and the contribution of radiobiology to radiation protection and risk assessment is given. The genetic effects of radiation and its effects on the developing organism, the effects of radiation on the cell cycle and the mechanisms of radiation induced apoptosis were also discussed

Urinary protein profiles in ketorolac-associated acute kidney injury in patients undergoing orthopedic day surgery

Directory of Open Access Journals (Sweden)

Mariano F

2017-09-01

Full Text Available Filippo Mariano,1 Chiara Cogno,1 Fulvia Giaretta,2,3 Ilaria Deambrosis,2,3 Simona Pozza,4 Maurizio Berardino,5 Giuseppe Massazza,6 Luigi Biancone1,3 1Department of General and Specialist Medicine, Nephrology, Dialysis and Transplantation Unit, City of Health and Science, CTO Hospital, Turin, 2Department of General and Specialist Medicine, Laboratory of Nephrology and Immunopathology, City of Health and Science, Molinette Hospital, Turin, 3Department of Medical Sciences, University of Turin, Turin, 4Department of Radiology and Radiotherapy, CTO Radiology, City of Health and Science, CTO Hospital, Turin, 5Department of Anesthesiology and Intensive Care, Anesthesiology and Intensive Care 5, City of Health and Science, CTO Hospital, Turin, 6Department of Orthopedics and Traumatology, Week Hospital Unit, City of Health and Science, CTO Hospital, and University of Turin, Turin, Italy Background: Parenteral administration of ketorolac is very effective in controlling postoperative pain for orthopedic surgery. Ketorolac can induce clinically relevant renal alterations in elderly patients, whereas its short course is considered safe for young adults with normal preoperative renal function. In this study, of a cohort of young adults undergoing elective orthopedic day surgery, we sought cases complicated by readmission due to acute kidney injury (AKI.Patients and methods: Among 1397 young adults, aged 18–32 years who were admitted to undergo orthopedic day surgery from 2013 to 2015, four patients (0.29%, three males/one female treated in postprocedure with ketorolac (from 60 to 90 mg/day for 1–2 days were readmitted for suspected severe AKI. We evaluated functional outcome, urinary protein profiles and kidney biopsy (1 patient.Results: After day surgery discharge, they experienced gastrointestinal disturbances, flank pain and fever. Readmitted on post-surgery days 3–4, they presented with oliguric AKI (creatinine range 158.4–466.4 µmol/L and

Premarket Approval (PMA) Summary Review Memos for 180-Day Design Changes

Data.gov (United States)

U.S. Department of Health & Human Services — A 180-day supplement is a request for a significant change in components, materials, design, specification, software, color additive, and labeling to an approved...

Exposure to Pb, Cd, and As mixtures potentiates the production of oxidative stress precursors: 30-day, 90-day, and 180-day drinking water studies in rats.

Science.gov (United States)

Whittaker, Margaret H; Wang, Gensheng; Chen, Xue-Qing; Lipsky, Michael; Smith, Donald; Gwiazda, Roberto; Fowler, Bruce A

2011-07-15

Exposure to chemical mixtures is a common and important determinant of toxicity and is of particular concern due to their appearance in sources of drinking water. Despite this, few in vivo mixture studies have been conducted to date to understand the health impact of chemical mixtures compared to single chemicals. Interactive effects of lead (Pb), cadmium (Cd) and arsenic (As) were evaluated in 30-, 90-, and 180-day factorial design drinking water studies in rats designed to test the hypothesis that ingestion of such mixtures at individual component Lowest-Observed-Effect-Levels (LOELs) results in increased levels of the pro-oxidant delta aminolevulinic acid (ALA), iron, and copper. LOEL levels of Pb, Cd, and As mixtures resulted in the increased presence of mediators of oxidative stress such as ALA, copper, and iron. ALA increases were followed by statistically significant increases in kidney copper in the 90- and 180-day studies. Statistical evidence of interaction was identified for six biologically relevant variables: blood delta aminolevulinic acid dehydratase (ALAD), kidney ALAD, urinary ALA, urinary iron, kidney iron, and kidney copper. The current investigations underscore the importance of considering interactive effects that common toxic agents such as Pb, Cd, and As may have upon one another at low-dose levels. The interactions between known toxic trace elements at biologically relevant concentrations shown here demonstrate a clear need to rigorously review methods by which national/international agencies assess health risks of chemicals, since exposures may commonly occur as complex mixtures. Copyright © 2011. Published by Elsevier Inc.

EXPERIMENTAL INVESTIGATION ON THE PERFORMANCE OF THERMOSYPHON SOLAR WATER HEATER IN THE SOUTH CASPIAN SEA

Directory of Open Access Journals (Sweden)

Abdollah Riahi

2011-01-01

Full Text Available In the present study, a natural circulation closed thermosyphon flat plate solar water heater has been tested at the Faculty of Engineering of University of Mazandaran located in Babol city (36N, 52E. Data were collected for several sunny and cloudy days. Dynamic response of the system to variations in solar insolation was studied and analyzed. It was found that such systems can provide ample energy to satisfy the demand for hot water, contrary to misperception among locals

Glazed yard climate in the Kredittkassen office block in Middelthunsgt. 17. [Oslo, Norway]. Glassgaardsklima i Kredittkassens kontorbygg i Middelthunsgt. 17

Energy Technology Data Exchange (ETDEWEB)

Novakovic, V; Harsem, T T

1986-09-01

The report deals with the glazed yard climate in the Kredittkassen head office block in Oslo (Norway). The climate has been simulated by means of the computer program Royal-DEBAK. Considered in particular are the summery and bright sunny day conditions together with the annual power required and energy consumption. The use of insulating glasses, indoor curtains, ventilation systems in the narrow zone of the glass roof, and cooling systems in the floor are important parts of the concept. 9 drawings.

The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts.

Science.gov (United States)

Ferri, Paola; Guadi, Matteo; Marcheselli, Luigi; Balduzzi, Sara; Magnani, Daniela; Di Lorenzo, Rosaria

2016-01-01

Shift work is considered necessary to ensure continuity of care in hospitals and residential facilities. In particular, the night shift is one of the most frequent reasons for the disruption of circadian rhythms, causing significant alterations of sleep and biological functions that can affect physical and psychological well-being and negatively impact work performance. The aim of this study was to highlight if shift work with nights, as compared with day work only, is associated with risk factors predisposing nurses to poorer health conditions and lower job satisfaction. This cross-sectional study was conducted from June 1, 2015 to July 31, 2015 in 17 wards of a general hospital and a residential facility of a northern Italian city. This study involved 213 nurses working in rotating night shifts and 65 in day shifts. The instrument used for data collection was the "Standard Shift Work Index," validated in Italian. Data were statistically analyzed. The response rate was 86%. The nurses engaged in rotating night shifts were statistically significantly younger, more frequently single, and had Bachelors and Masters degrees in nursing. They reported the lowest mean score in the items of job satisfaction, quality and quantity of sleep, with more frequent chronic fatigue, psychological, and cardiovascular symptoms in comparison with the day shift workers, in a statistically significant way. Our results suggest that nurses with rotating night schedule need special attention due to the higher risk for both job dissatisfaction and undesirable health effects.

Sunny Side Up in Science.

Science.gov (United States)

LaHart, David, Ed.

Fossil fuels, upon which we now depend almost exclusively, are finite resources. Because the environmental problems inherent in large scale fossil fuel consumption are increasingly apparent, the reality of developing alternative energy sources must be faced. Solar energy is the obvious solution to the problem. It is a renewable, clean source that…

Ventilation, indoor air quality, and human health and comfort in dwellings and day-care centers

Energy Technology Data Exchange (ETDEWEB)

Ruotsalainen, R.

1995-12-31

The objective of the study was to assess the actual ventilation and indoor air quality in the Finnish building stock (dwellings and day-care centers) with special reference to the existing guideline values. Furthermore, the objective was to evaluate the occurrence of symptoms and perceptions among occupants (adult residents, children, workers) in relation to ventilation system, ventilation rate and dampness. The measurements of ventilation and indoor air quality in the dwellings and day-care centers included ventilation rate, CO{sub 2} concentration, and temperature and humidity. Self- and parent-administered questionnaires were distributed to the occupants inquiring their personal characteristics, occurrence of symptoms of interest, perceived indoor air quality and details of their home and work environments. Airflows and air change rates varied remarkably both in the dwellings and day-care centers. In the majority of the dwellings and day-care centers, the Finnish guideline values of ventilation rates were not achieved. No consistent associations were observed between the magnitude of mechanical ventilation rates and the occurrence of eye, respiratory, skin and general symptoms, that is, symptoms of sick building syndrome (SBS) among the day-care workers. The results indicate that there is much room for improvement in the ventilation and indoor air quality of Finnish dwellings and day-care centers. The control of ventilation, temperature and humidity and the prevention of water damage are important issues on which to concentrate in the future. There is need to improve the quality in all phases of construction: design, installation, adjustment, operation, and maintenance

Ventilation, indoor air quality, and human health and comfort in dwellings and day-care centers

Energy Technology Data Exchange (ETDEWEB)

Ruotsalainen, R

1996-12-31

The objective of the study was to assess the actual ventilation and indoor air quality in the Finnish building stock (dwellings and day-care centers) with special reference to the existing guideline values. Furthermore, the objective was to evaluate the occurrence of symptoms and perceptions among occupants (adult residents, children, workers) in relation to ventilation system, ventilation rate and dampness. The measurements of ventilation and indoor air quality in the dwellings and day-care centers included ventilation rate, CO{sub 2} concentration, and temperature and humidity. Self- and parent-administered questionnaires were distributed to the occupants inquiring their personal characteristics, occurrence of symptoms of interest, perceived indoor air quality and details of their home and work environments. Airflows and air change rates varied remarkably both in the dwellings and day-care centers. In the majority of the dwellings and day-care centers, the Finnish guideline values of ventilation rates were not achieved. No consistent associations were observed between the magnitude of mechanical ventilation rates and the occurrence of eye, respiratory, skin and general symptoms, that is, symptoms of sick building syndrome (SBS) among the day-care workers. The results indicate that there is much room for improvement in the ventilation and indoor air quality of Finnish dwellings and day-care centers. The control of ventilation, temperature and humidity and the prevention of water damage are important issues on which to concentrate in the future. There is need to improve the quality in all phases of construction: design, installation, adjustment, operation, and maintenance

Living Day by Day

Science.gov (United States)

Kaplan, Rachel L.; Khoury, Cynthia El; Field, Emily R. S.; Mokhbat, Jacques

2016-01-01

We examined the meaning of living with HIV/AIDS among women in Lebanon. Ten women living with HIV/AIDS (WLWHA) described their experiences via semistructured in-depth interviews. They navigated a process of HIV diagnosis acceptance that incorporated six overlapping elements: receiving the news, accessing care, starting treatment, navigating disclosure decisions, negotiating stigma, and maintaining stability. Through these elements, we provide a framework for understanding three major themes that were constructed during data analysis: Stand by my side: Decisions of disclosure; Being “sick” and feeling “normal”: Interacting with self, others, and society; and Living day by day: focusing on the present. We contribute to the existing literature by providing a theoretical framework for understanding the process of diagnosis and sero-status acceptance among WLWHA. This was the first study of its kind to examine the meaning of living with HIV/AIDS among women in a Middle Eastern country. PMID:28462340

Living Day by Day

Directory of Open Access Journals (Sweden)

Rachel L. Kaplan

2016-05-01

Full Text Available We examined the meaning of living with HIV/AIDS among women in Lebanon. Ten women living with HIV/AIDS (WLWHA described their experiences via semistructured in-depth interviews. They navigated a process of HIV diagnosis acceptance that incorporated six overlapping elements: receiving the news, accessing care, starting treatment, navigating disclosure decisions, negotiating stigma, and maintaining stability. Through these elements, we provide a framework for understanding three major themes that were constructed during data analysis: Stand by my side: Decisions of disclosure; Being “sick” and feeling “normal”: Interacting with self, others, and society; and Living day by day: focusing on the present. We contribute to the existing literature by providing a theoretical framework for understanding the process of diagnosis and sero-status acceptance among WLWHA. This was the first study of its kind to examine the meaning of living with HIV/AIDS among women in a Middle Eastern country.

A 1-day course to improve the teaching effectiveness of health professions faculty members.

Science.gov (United States)

Stein, Susan M; Fujisaki, Brad S; Davis, Shawn E; Maclean, Linda Garrelts

2012-02-10

To determine the effect of a 1-day teaching-methods course for pharmacy and nursing faculty members on teaching proficiency and perceptions of effective teaching. A 1-day teaching-methods course was created and presented to 12 pharmacy and nursing faculty members. Participants' teaching sessions were video-recorded pre- and post-course. A panel of educators evaluated pre- and post-course video-recorded teaching presentations to assess teaching effectiveness. Participants completed pre- and post-course self-evaluations and surveys. Panelists' assessments confirmed significant improvement in 7 of 10 domains. Perceptions of teaching efficacy and proficiency to teach effectively improved after completion of the course. A 1-day teaching-methods course, requiring minimal resources, is a valuable development resource that can improve teaching effectiveness through enhanced communication and teaching techniques. Because effective teaching is positively correlated with students' learning, training seminars can be integral to comprehensive quality improvement.

Autonomous Motivation Predicts 7-Day Physical Activity in Hong Kong Students.

Science.gov (United States)

Ha, Amy S; Ng, Johan Y Y

2015-07-01

Autonomous motivation predicts positive health behaviors such as physical activity. However, few studies have examined the relation between motivational regulations and objectively measured physical activity and sedentary behaviors. Thus, we investigated whether different motivational regulations (autonomous motivation, controlled motivation, and amotivation) predicted 7-day physical activity, sedentary behaviors, and health-related quality of life (HRQoL) of students. A total of 115 students (mean age = 11.6 years, 55.7% female) self-reported their motivational regulations and health-related quality of life. Physical activity and sedentary behaviors were measured using accelerometers for seven days. Using multilevel modeling, we found that autonomous motivation predicted higher levels of moderate-to-vigorous physical activity, less sedentary behaviors, and better HRQoL. Controlled motivation and amotivation each only negatively predicted one facet of HRQoL. Results suggested that autonomous motivation could be an important predictor of physical activity behaviors in Hong Kong students. Promotion of this form of motivational regulation may also increase HRQoL. © 2015 The International Association of Applied Psychology.

The management pattern carried out in a cataract surgery day ward.

Science.gov (United States)

Lin, Jing; Fang, Xiaoqun; Wu, Suhong

2013-06-01

To evaluate the management practice and process of a cataract surgery day ward. From January to December in 2012, a portion of the cataract patients were evaluated for the pattern of day ward management. Methods were as follows: 1) Establish the cataract day ward. 2) Enroll the patients who met the following criteria: voluntary, local residents or outsiders who stayed in a hotel near the hospital, accompanied by family, and who had simple senile cataract without any systemic major diseases. 3) Establish the hospitalization process. 4) Analyze the nursing process. After cataract day surgery, the patients were followed for 2 hours and completed a questionnaire about their needs and sentiments. A total of 3971 cases were observed in this study; 49 cases were switched to a normal pattern of hospitalization because of operative complications, 1 case had a strong desire to switch to a normal pattern of hospitalization because of ocular discomfort, 8 cases went back to the hospital for treatment because of ocular pain, and 52 cases called on the phone to seek help. Overall, 3820 cases(96.2%) returned on time the next day to visit the doctor. No patients showed severe postoperative complications and 98% expressed great satisfaction with the day ward process. Only 200 cases expressed great concern about not knowing how to deal with postoperative pain, the changes in condition outside the hospital, the therapeutic effects, and the problem of expense reimburse-ment. Day ward cataract surgery is an efficient and safe mode, and has the potential to relieve the demand for inpatient beds and to ensure timely treatment of the patients. In addition, it helps the patients enjoy health care at public expense, reserving reimbursement for those who need to be hospitalized. Nurses should pay more attention to systemic evaluation of the patients, health education, and psychological guidance, and keep in close communication with doctors, which is the key to ensure the safety of day ward

Impact of a Patient Navigator Program on Hospital-Based and Outpatient Utilization Over 180 Days in a Safety-Net Health System.

Science.gov (United States)

Balaban, Richard B; Zhang, Fang; Vialle-Valentin, Catherine E; Galbraith, Alison A; Burns, Marguerite E; Larochelle, Marc R; Ross-Degnan, Dennis

2017-09-01

With emerging global payment structures, medical systems need to understand longer-term impacts of care transition strategies. To determine the effect of a care transition program using patient navigators (PNs) on health service utilization among high-risk safety-net patients over a 180-day period. Randomized controlled trial conducted October 2011 through April 2013. Patients admitted to the general medicine service with ≥1 readmission risk factor: (1) age ≥ 60; (2) in-network inpatient admission within prior 6 months; (3) index length of stay ≥ 3 days; or (4) admission diagnosis of heart failure or (5) chronic obstructive pulmonary disease. The analytic sample included 739 intervention patients, 1182 controls. Through hospital visits and 30 days of post-discharge telephone outreach, PNs provided coaching and assistance with medications, appointments, transportation, communication with primary care, and self-care. Primary outcomes: (1) hospital-based utilization, a composite of ED visits and hospital admissions; (2) hospital admissions; (3) ED visits; and (4) outpatient visits. We evaluated outcomes following an index discharge, stratified by patient age (≥ 60 and safety-net patients differentially impacted patients based on age, and among younger patients, outcomes varied over time. Our findings highlight the importance for future research to evaluate care transition programs among different subpopulations and over longer time periods.

Managing Health Information System | Campbell | Nigerian ...

African Journals Online (AJOL)

The effective planning, management monitoring and evaluation of health services, health resources and indeed the health system requires a wealth of health information, with its simultaneous effective and efficient management. It is an instrument used to help policy-making, decision making and day to day actions in the ...

Costs of day hospital and community residential chemical dependency treatment.

Science.gov (United States)

Kaskutas, Lee Ann; Zavala, Silvana K; Parthasarathy, Sujaya; Witbrodt, Jane

2008-03-01

Patient placement criteria developed by the American Society of Addiction Medicine (ASAM) have identified a need for low-intensity residential treatment as an alternative to day hospital for patients with higher levels of severity. A recent clinical trial found similar outcomes at social model residential treatment and clinically-oriented day hospital programs, but did not report on costs. This paper addresses whether the similar outcomes in the recent trial were delivered with comparable costs, overall and within gender and ethnicity stratum. This paper reports on clients not at environmental risk who participated in a randomized trial conducted in three metropolitan areas served by a large pre-paid health plan. Cost data were collected using the Drug Abuse Treatment Cost Analysis Program (DATCAP). Costs per episode were calculated by multiplying DATCAP-derived program-specific costs by each client's length of stay. Differences in length of stay, and in per-episode costs, were compared between residential and day hospital subjects. Lengths of stay at residential treatment were significantly longer than at day hospital, in the sample overall and in disaggregated analyses. This difference was especially marked among non-Whites. The average cost per week was USD 575 per week at day hospital, versus USD 370 per week at the residential programs. However, because of the longer stays in residential, per-episode costs were significantly higher in the sample overall and among non-Whites (and marginally higher for men). These cost results must be considered in light of the null findings comparing outcomes between subjects randomized to residential versus day hospital programs. The longer stays in the sample overall and for non-White clients at residential programs came at higher costs but did not lead to better rates of abstinence. The short stays in day hospital among non-Whites call into question the attractiveness of day hospital for minority clients. Outcomes and costs

A case for the expansion of day surgery.

Science.gov (United States)

Ogg, T; Heath, P; Brownlie, G

1989-12-01

The efficiency of the National Health Service (NHS) is currently under scrutiny and the problems faced by the surgical services include a shortage of financial resources, fewer beds, poor nursing recruitment and rising waiting lists. During 1984-1988 a purpose built, separate 12-bedded day surgery unit at Addenbrooke's Hospital, Cambridge operated upon 13,000 patients, with a readmission rate of less than 1%. Senior medical staff are involved and the overall surgical waiting list has been reduced by 40.9%. Nurse recruitment has been excellent, and the community medical and nursing services have not been overburdened. The results detailed in this paper suggest that day surgery deserves special consideration as one acceptable solution to some of the current NHS problems.

Religious Social Support and Hypertension Among Older North American Seventh-Day Adventists.

Science.gov (United States)

Charlemagne-Badal, Sherma J; Lee, Jerry W

2016-04-01

Seventh-day Adventists have been noted for their unique lifestyle, religious practices and longevity. However, we know little about how religion is directly related to health in this group. Specifically, we know nothing about how religious social support is related to hypertension. Using data from the Biopsychosocial Religion and Health Study, we carried out a cross-sectional study of 9581 and a prospective study of 5720 North American Seventh-day Adventists examining new 534 cases of hypertension occurring up to 4 years later. We used binary logistic regression analyses to examine study hypotheses. Of the religious social support variables, in both the cross-sectional and prospective study only anticipated support significantly predicted hypertension, but the relationship was mediated by BMI. There were no significant race or gender differences. The favorable relationships between anticipated support and hypertension appear to be mediated by BMI and are an indication of how this dimension of religion combined with lifestyle promotes good health, specifically, reduced risk of hypertension.

Collaboration, facilities and communities in day care services for older people.

Science.gov (United States)

Adams, John

2001-05-01

Similarities and differences between day hospitals, run by the NHS, and day centres, run by local authorities or charitable organisations, have been widely discussed in the literature of gerontology for many years. The authors of this paper have undertaken a single blind, randomised-controlled trial to compare rehabilitation outcomes in the two settings, which was published in 1999. This research project involved augmenting the staff of day centres by visiting therapists. In addition to quantitative findings, their project also generated much qualitative data from interviews with health service and social service staff which provides the thought-provoking content. The themes identified included the reluctance of some patients to accept referral to a day centre, and the difficulties associated with discharging patients. Positive aspects included the opportunity to share skills, knowledge and resources. 29 references.

Efficiency and degradation of a copper indium diselenide photovoltaic module and yearly output at a sunny site in Jordan

International Nuclear Information System (INIS)

Durisch, Wilhelm; Lam, King-Hang; Close, Josie

2006-01-01

The present work mainly deals with the testing and modeling of a commercially-available copper indium diselenide (CIS) ST40 module from the former Siemens Solar Industries (SSI). For this purpose, a large quantity of current/voltage characteristics were measured in the Paul Scherrer Institute (PSI)'s photovoltaic test-facility under different cell temperatures, solar irradiation and air mass, AM, conditions. They were used to develop a semi-empirical efficiency model to correlate all measured data sets. The goal was to make available a model, allowing quick and accurate calculation of the performance of the CIS module under all relevant operating conditions. For the undegraded state of the module, the efficiency model allowed us to deduce the efficiency at Standard Test Conditions, STC, and its temperature coefficient at STC, which were 11.58% and minus 0.050% deg. C, respectively. The output of the undegraded module under STC was found to be 42.4 W, i.e., 6% higher than specified by the manufacturer (40 W). Furthermore, the efficiency does not decrease with increasing air mass. At a cell temperature of 25 deg. C and a relative air mass of 1.5, the module has a maximum in efficiency of 12.0% at an irradiance of about 650 W/m 2 . This indicates that the series-resistance losses become significant at higher irradiances. Hence, improving the transparent conducting oxide (TCO) electrode on the front side of the cells might lead to a higher output at high irradiances. Identical testing and modeling were repeated after having exposed the module to real weather conditions for one year. We found that the STC efficiency was reduced by 9.0%, from 11.58 down to 10.54%. The temperature coefficient of the efficiency had changed from minus 0.050 % deg. C to minus 0.039% deg. C. These results indicate possible chemical changes in the semiconductor film. The output of the module at STC was reduced by 9.0% from 42.4 W down to 38.6 W. Using meteorological data from a sunny site in

Night work, light exposure and melatonin on work days and days off

DEFF Research Database (Denmark)

Daugaard, Stine; Garde, Anne Helene; Bonde, Jens Peter Ellekilde

2017-01-01

We aimed to examine the effects of night work on salivary melatonin concentration during and subsequent to night work and the mediating role of light. We included 254 day workers and 87 night workers who were followed during 322 work days and 301 days off work. Each day was defined as the 24 hour...... period starting from the beginning of a night shift or from waking in the mornings with day work and days off. Light levels were recorded and synchronized with diary information (start and end of sleep and work). On average, participants provided four saliva samples per day, and these were analyzed...... for melatonin concentration by liquid chromatography tandem mass spectrometry (LC-MS/MS). Differences between day and night workers on work days and days off were assessed with multilevel regression models with melatonin concentration as the primary outcome. All models were stratified or adjusted by time of day...

Student's music exposure: Full-day personal dose measurements.

Science.gov (United States)

Washnik, Nilesh Jeevandas; Phillips, Susan L; Teglas, Sandra

2016-01-01

Previous studies have shown that collegiate level music students are exposed to potentially hazardous sound levels. Compared to professional musicians, collegiate level music students typically do not perform as frequently, but they are exposed to intense sounds during practice and rehearsal sessions. The purpose of the study was to determine the full-day exposure dose including individual practice and ensemble rehearsals for collegiate student musicians. Sixty-seven college students of classical music were recruited representing 17 primary instruments. Of these students, 57 completed 2 days of noise dose measurements using Cirrus doseBadge programed according to the National Institute for Occupational Safety and Health criterion. Sound exposure was measured for 2 days from morning to evening, ranging from 7 to 9 h. Twenty-eight out of 57 (49%) student musicians exceeded a 100% daily noise dose on at least 1 day of the two measurement days. Eleven student musicians (19%) exceeded 100% daily noise dose on both days. Fourteen students exceeded 100% dose during large ensemble rehearsals and eight students exceeded 100% dose during individual practice sessions. Approximately, half of the student musicians exceeded 100% noise dose on a typical college schedule. This finding indicates that a large proportion of collegiate student musicians are at risk of developing noise-induced hearing loss due to hazardous sound levels. Considering the current finding, there is a need to conduct hearing conservation programs in all music schools, and to educate student musicians about the use and importance of hearing protection devices for their hearing.

76 FR 10035 - Agency Information Collection Request. 30-Day Public Comment Request, Grants.gov

Science.gov (United States)

2011-02-23

... updated to reflect changes in location within the United States Code. The ``Trafficking Victims Protection... DEPARTMENT OF HEALTH AND HUMAN SERVICES [30-day notice] Agency Information Collection Request. 30...), Department of Health and Human Services, is publishing the following summary of a proposed collection for...

76 FR 10034 - Agency Information Collection Request. 30-Day Public Comment Request, Grants.gov

Science.gov (United States)

2011-02-23

... citations located within the United States Code. The ``Trafficking Victims Protection Act of 2000'' (Section... DEPARTMENT OF HEALTH AND HUMAN SERVICES [30-day notice] Agency Information Collection Request. 30...), Department of Health and Human Services, is publishing the following summary of a proposed collection for...

17th Annual ALS Users' Association Meeting

Energy Technology Data Exchange (ETDEWEB)

Robinson, Art; Tamura, Lori

2004-11-29

It's not exactly Russian roulette, but scheduling October events outdoors is not risk-free, even in usually sunny California. An overflow crowd of more than 400 registered users, ALS staff, and vendors enjoyed a full indoor program featuring science highlights and workshops spread over two and a half days from October 18 to October 20. However, a major storm, heralding the onset of the San Francisco Bay Area rainy season, posed a few weather challenges for the events on the ALS patio.

Night work, light exposure and melatonin on work days and days off.

Science.gov (United States)

Daugaard, Stine; Garde, Anne Helene; Bonde, Jens Peter Ellekilde; Christoffersen, Jens; Hansen, Äse Marie; Markvart, Jakob; Schlünssen, Vivi; Skene, Debra J; Vistisen, Helene Tilma; Kolstad, Henrik A

2017-01-01

We aimed to examine the effects of night work on salivary melatonin concentration during and subsequent to night work and the mediating role of light. We included 254 day workers and 87 night workers who were followed during 322 work days and 301 days off work. Each day was defined as the 24 hour period starting from the beginning of a night shift or from waking in the mornings with day work and days off. Light levels were recorded and synchronized with diary information (start and end of sleep and work). On average, participants provided four saliva samples per day, and these were analyzed for melatonin concentration by liquid chromatography tandem mass spectrometry (LC-MS/MS). Differences between day and night workers on work days and days off were assessed with multilevel regression models with melatonin concentration as the primary outcome. All models were stratified or adjusted by time of day. For light exposure, we estimated the total, direct and indirect effects of night work on melatonin concentrations obtaining 95% confidence intervals through bootstrapping. On work days, night workers showed 15% lower salivary melatonin concentrations compared with day workers (-15.0%; 95% CI: -31.4%; 5.2%). During the night, light exposure mediated a melatonin suppression of approximately 6% (-5.9%, 95% CI: -10.2%; -1.5%). No mediating effect of light was seen during the day time. On days off, we observed no difference in melatonin concentrations between day and night workers. These findings are in accordance with a transient and partly light-mediated effect of night work on melatonin production.

Mitigation of pedestrian heat stress using parasols in a humid subtropical region

Science.gov (United States)

Watanabe, Shinichi; Ishii, Jin

2017-11-01

Concerns over heat illness have been an increasing social problem in humid subtropical regions. One measure for avoiding excessive heat stress in hot outdoor environments is the use of parasols or umbrellas. The advantage of parasols is that they are a mobile and inexpensive way to provide personal shade outdoors. The objectives of this study were to compare the wet-bulb globe temperature (WBGT) under parasols and at an unshaded point as a reference, and to quantify the reduction in WBGT from the use of parasols in a humid subtropical region. Measurements using three parasols of different colors and materials were conducted at the athletics field at Daido University, Nagoya, Japan, between 9:00 and 15:00 Japan Standard Time in August 2015. The WBGT was obtained at heights of 0.1 m (ankles), 1.1 m (abdomen), and 1.7 m (head) above ground, according to the measurement procedure described in ISO 7243. On a sunny and partly cloudy day, the use of a parasol lowered the average globe temperature by up to 6.2 °C, through blocking direct solar radiation. The average reduction in WBGT by the parasol was found to be 1.8 °C at head level in sunny conditions with solar radiation of over 800 W/m2. The reduction in WBGT at head level by the use of parasols in sunny conditions was greater than that in cloudy conditions. However, although parasols can reduce WBGT at the head level of the user regardless of solar radiation, they cannot reduce it at the level of the abdomen or ankles.

Vitamin D inadequacy is widespread in Tunisian active boys and is related to diet but not to adiposity or insulin resistance

Directory of Open Access Journals (Sweden)

Ikram Bezrati

2016-04-01

Full Text Available Background: Vitamin D inadequacy is widespread in children and adolescents worldwide. The present study was undertaken to assess the vitamin D status in active children living in a sunny climate and to identify the main determinants of the serum concentration of 25-hydroxyvitamin D (25-OHD. Methods: This cross-sectional study included 225 children aged 7–15 years practicing sports in a football academy. Anthropometric measures were performed to calculate body mass index (BMI, fat mass, and maturity status. A nutritional enquiry was performed including 3-day food records and food frequency questionnaire. Plasma 25-OHD and insulin were assessed by immunoenzymatic methods ensuring categorization of vitamin D status and calculation of insulin sensitivity/resistance indexes. A logistic regression model was applied to identify predictors for vitamin D inadequacy. Results: Vitamin D deficiency (25-OHD<12 µg/L was observed in 40.9% of children and insufficiency (12<25-OHD<20 µg/L was observed in 44% of children. In a multivariate analysis, vitamin D deficiency and insufficiency were associated with a lower dietary intake of vitamin D, proteins, milk, red meat, fish, and eggs. However, no significant relationship was observed with maturation status, adiposity, or insulin resistance. Conclusions: Tunisian children and adolescents are exposed to a high risk of vitamin D inadequacy despite living in a sunny climate. Circulating 25-OHD concentrations are related to the intake of vitamin D food sources but not to maturation status or body composition. Ensuring sufficient and safe sun exposure and adequate vitamin D intake may prevent vitamin D inadequacy in children from sunny environments.

The value of comparative research in major day surgery.

Science.gov (United States)

Llop-Gironés, Alba; Vergara-Duarte, Montse; Sánchez, Josep Anton; Tarafa, Gemma; Benach, Joan

2017-05-19

To measure time trends in major day surgery rates according to hospital ownership and other hospital characteristics among the providers of the public healthcare network of Catalonia, Spain. Data from the Statistics of Health Establishments providing Inpatient Care. A generalized linear mixed model with Gaussian response and random intercept and random slopes. The greatest growth in the rate of major day surgery was observed among private for-profit hospitals: 42.9 (SD: 22.5) in 2009 versus 2.7 (SD: 6.7) in 1996. These hospitals exhibited a significant increase in major day surgery compared to public hospitals (coefficient 2; p-value <0.01) CONCLUSIONS: The comparative evaluation of hospital performance is a decisive tool to ensure that public resources are used as rationally and efficiently as possible. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial.

Science.gov (United States)

Martin, Jennifer L; Song, Yeonsu; Hughes, Jaime; Jouldjian, Stella; Dzierzewski, Joseph M; Fung, Constance H; Rodriguez Tapia, Juan Carlos; Mitchell, Michael N; Alessi, Cathy A

2017-08-01

To test the effectiveness of a 4-week behavioral Sleep Intervention Program (SIP: sleep compression, modified stimulus control, and sleep hygiene) compared to a 4-week information-only control (IC) among older adults attending a VA Adult Day Health Care (ADHC) program in a double-blind, randomized, clinical trial. Forty-two individuals (mean age: 77 years, 93% male) enrolled in a VA ADHC program were randomized to receive SIP or IC. All completed in-person sleep and health assessments at baseline, post-treatment and 4-months follow-up that included 3 days/nights of wrist actigraphy, the Pittsburgh Sleep Quality Index (PSQI), and the Insomnia Severity Index (ISI). Mixed repeated measures analysis was used to compare sleep outcomes at post-treatment and 4-months follow-up, with baseline values as covariates. SIP participants (n = 21) showed significant improvement on actigraphy sleep efficiency (p = .007), number of nighttime awakenings (p = .016), and minutes awake at night (p = .001) at post-treatment, compared to IC participants (n = 21). Benefits were slightly attenuated but remained significant at 4-month follow-up (all p's sleep time between groups. There was significant improvement on PSQI factor 3 (daily disturbances) at 4-month follow-up (p = .016), but no differences were observed between SIP and IC on other PSQI components or ISI scores at post-treatment or 4-month follow-up. A short behavioral sleep intervention may have important benefits in improving objectively measured sleep in older adults participating in ADHC. Future studies are needed to study implementation of this intervention into routine clinical care within ADHC. Published by Oxford University Press on behalf of Sleep Research Society (SRS) 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Substance Use and Mental Health Outcomes for Comorbid Patients in Psychiatric Day Treatment

Directory of Open Access Journals (Sweden)

Stephen Magura

2009-10-01

Full Text Available The study’s purpose was to determine treatment outcomes for patients who present with drug use vs. those presenting with no drug use at admission to a psychiatric day treatment program. Consecutively admitted patients completed confidential interviews which included psychological distress and quality of life measures and provided urine specimens for toxicology at admission and six month follow-up. Subjects positive by past 30 day self-report or urinalysis were categorized as drug users. Major psychiatric diagnoses were: major depression 25%; bipolar, 13%; other mood 13%; schizoaffective 13%; schizophrenia 13%. Drug use at admission was: cocaine 35%; marijuana 33%; opiates 18%, (methamphetamines, 6% For each of these drugs, the percentage of patients positive at admission who remitted from using the drug significantly exceeded the percentage negative at baseline who initiated using the drug. Overall, there were significant decreases in psychological distress and significant improvement on quality of life, but no change on positive affect. There were no significant differences between drug users and non-drug users on symptom reduction and improvement in quality of life. Psychiatric day treatment appears to benefit comorbid patients by reducing the net number of patients who actively use certain common drugs and by improving psychological status and quality of life to the same degree as for non-drug using patients.

Substance Use and Mental Health Outcomes for Comorbid Patients in Psychiatric Day Treatment

Directory of Open Access Journals (Sweden)

Stephen Magura

2009-01-01

Full Text Available The study's purpose was to determine treatment outcomes for patients who present with drug use vs. those presenting with no drug use at admission to a psychiatric day treatment program. Consecutively admitted patients completed confidential interviews which included psychological distress and quality of life measures and provided urine specimens for toxicology at admission and six month follow-up. Subjects positive by past 30 day self-report or urinalysis were categorized as drug users. Major psychiatric diagnoses were: major depression 25%; bipolar, 13%; other mood 13%; schizoaffective 13%; schizophrenia 13%. Drug use at admission was: cocaine 35%; marijuana 33%; opiates 18%, (methamphetamines, 6% For each of these drugs, the percentage of patients positive at admission who remitted from using the drug significantly exceeded the percentage negative at baseline who initiated using the drug. Overall, there were significant decreases in psychological distress and significant improvement on quality of life, but no change on positive affect. There were no significant differences between drug users and non-drug users on symptom reduction and improvement in quality of life. Psychiatric day treatment appears to benefit comorbid patients by reducing the net number of patients who actively use certain common drugs and by improving psychological status and quality of life to the same degree as for non-drug using patients.

Influence of the day care, home and neighbourhood environment on young children's physical activity and health

DEFF Research Database (Denmark)

Christian, Hayley; Maitland, Clover; Enkel, Stephanie

2016-01-01

to determine outdoor location of physical activity around the home and neighbourhood for a subsample (n=310). The day care environment will be objectively measured using a validated audit tool. Other potential individual, social and physical environmental influences on preschoolers' physical activity...... such as long day care. Research is required to determine how the design of day care outdoor (and indoor) spaces provides opportunities or constraints for physical activity. A significant evidence gap surrounds what objectively measured attributes of the home and neighbourhood environment influence preschoolers......' physical activity. The PLAY Spaces & Environments for Children's Physical Activity (PLAYCE) study will empirically investigate the relative and cumulative influence of the day care, home and neighbourhood environment on preschoolers' physical activity. METHODS AND ANALYSIS: The PLAYCE study is a cross...

Need and feasibility of telemedicine in non-urban day care centres.

Science.gov (United States)

Setia, Monika; DelliFraine, Jami L

2010-01-01

There appear to have been no studies of telemedicine in rural day care centres. We have assessed the feasibility of using telemedicine in eight rural day care centres in Pennsylvania, from the day care centres' perspective. The average number of children in these centres was 76 (range 20-150). The centres sent an average of 4.7 children home each month because of illness. Using telephone and face-to-face interviews, we assessed their perceived need for and familiarity with telemedicine, as well as their openness and preparedness for implementing telemedicine. Most day care centres reported a need for telemedicine and were open to learning how to use it. Some centres were concerned about adequate space for the equipment, but overall, the centres felt that their resources were adequate. Telemedicine in rural day care centres appears to be feasible, and would have the potential to save time and money for parents, as well as perhaps improving health care for children in rural areas.

Global irradiation on horizontal surface at Hyderabad, Pakistan

International Nuclear Information System (INIS)

Kalhoro, A.N.

2005-01-01

The measurement of global irradiation on horizontal surface at PCSIR (Pakistan Council of Scientific and Industrial Research) Laboratories, Hyderabad, Pakistan, for the period of January-June, 2003 is presented in this paper. During six months the total global irradiation received on horizontal surface at Hyderabad Laboratories is 1.80238 MW-h-m2. The daily irradiation data (Watt-h/Sq.m) has been collected on continuous basis by means of EPLAB Pyranometer and EPLAB Electronic Integrator provided with DIGITEC printer system. HPX- Y recorder (potentiometer) is also connected for continuous data recording of solar intensity (m V). The weather effect over the radiation income was observed regularly and proportion of sunny, cloudy, partly cloudy and dusty days is plotted. Monthly mean daily irradiation bifurcated for sunny and cloudy days are also shown separately. To give an overview of sky conditions, the monthly clearness index is calculated. The highest value of average irradiation per day was recorded in June (7.15 kW/m/sup 2/) and minimum recorded in January (4.11 kW/m/sup 2/). The summer season, although rich in radiation with long sunshine duration, brings dust storms along with many partly cloudy or cloudy days, mostly in the month of May and likely in June as well. This could be an additional barrier for solar energy applications especially in desert areas; therefore the study was made for evaluating the effect of dust on the radiation flux. The purpose of the study is the development of rural life in Pakistan such that the inhabitants of rural areas may need not to wait for the connection to national grid. This study will help in improving the efficiency of solar thermal devices, (currently fabricated on theoretical basis at the laboratories), according to experimental data. (author)

The micro-optic photovoltaic behavior of solar cell along with microlens curved glass substrate

International Nuclear Information System (INIS)

Xie, Jin; Wu, Keke; Cheng, Jian; Li, Ping; Zheng, Jiahua

2015-01-01

Highlights: • A microlens array may be micro-ground on curved photovoltaic glass substrate. • Its micro-optical structure absorbs and scatters the inclined light to solar cell. • It increases conversion efficiency and fill factor in weak and inclined lights. • It improves electricity generation by about 4 times in scattered cloudy daylight. • It produces stronger electricity generation in cloudy day than in sunny day. - Abstract: A hybrid of microlens structure and curved surface may produce high value-added micro-optic performance. Hence, the microlens array is proposed on macro curved glass substrate of thin film solar cell. The objective is to understand how the micro-optic behavior of microlens curved array influences indoor power conversion efficiency and outdoor electricity generation. First, the absorptivities of visible light and infrared light were analyzed in connection with the curved microlens sizes; then the microlens curved glass substrate was fabricated by a Computer Numerical Control (CNC) micro-grinding with micro diamond wheel V-tip; finally, its photovoltaic properties and electricity generation were measured, respectively. It is shown that the microlens curved surface may strongly absorb and scatter light to solar cell. It increases the absorptivity of visible light against plane surface, but it decreases the one of infrared light against microlens surface. When it is applied to solar cell, it enhances the power conversion efficiency by 3.4–10.6% under oblique illumination. When it is applied to solar device, it increases the electricity generation of daylight by 119–106% against microlens surface and by 260–419% against traditional plane surface, respectively. The surprising finding is that it produces much larger electricity generation during cloudy day than during sunny day, but traditional plane surface does not so

Should people be physically active outdoors on smog alert days?

Science.gov (United States)

Campbell, Monica E; Li, Qian; Gingrich, Sarah E; Macfarlane, Ronald G; Cheng, Shouquan

2005-01-01

Given the importance of physical activity to well-being, there is a need to encourage people to be physically active year-round. At the same time, many people are vulnerable to adverse health effects from air pollution, especially on smog alert days. This study was undertaken to determine when air pollution levels tend to be lowest so that the public can modify strenuous outdoor activity accordingly. Existing hourly air pollution data for Toronto were analyzed to determine how pollutant levels varied from hour to hour throughout each 24-hour day, to identify the times when pollution levels are at their lowest on average. Pollutant levels vary throughout the day, with concentrations of some pollutants (such as ozone, particles and sulphur dioxide) being highest during mid-day, and others (such as carbon monoxide and nitrogen dioxide) being highest with morning rush hour. Overall, pollutant concentrations tend to be lowest before seven a.m. and after eight p.m. The public should be encouraged to maintain regular physical activity outdoors while monitoring any air pollution-related symptoms. The intensity of outdoor activity should be reduced, or activities replaced with indoor exercise, at those Air Quality Index (AQI) levels that trigger individual symptoms and when AQI values exceed 50. Where possible, strenuous activity should be taken when and where air pollution levels tend to be lowest, namely early in the morning and in low-traffic areas. More research is required to guide development of health protective advice on exercising when air quality is poor.

CGH Supports World Cancer Day Every Day

Science.gov (United States)

We celebrate World Cancer Day every year on February 4th. This year the theme “We can. I can.” invites us to think not only about how we can work with one another to reduce the global burden of cancer, but how we as individuals can make a difference. Every day the staff at CGH work to establish and build upon programs that are aimed at improving the lives of people affected by cancer.

Environment and Health in Children Day Care Centres (ENVIRH – Study rationale and protocol

Directory of Open Access Journals (Sweden)

J. Araújo-Martins

2014-11-01

Full Text Available Background: Indoor air quality (IAQ is considered an important determinant of human health. The association between exposure to volatile organic compounds, particulate matter, house dust mite, molds and bacteria in day care centers (DCC is not completely clear. The aim of this project was to study these effects. Methods – study design: This study comprised two phases. Phase I included an evaluation of 45 DCCs (25 from Lisbon and 20 from Oporto, targeting 5161 children. In this phase, building characteristics, indoor CO2 and air temperature/relative humidity, were assessed. A children's respiratory health questionnaire derived from the ISAAC (International Study on Asthma and Allergies in Children was also distributed. Phase II encompassed two evaluations and included 20 DCCs selected from phase I after a cluster analysis (11 from Lisbon and 9 from Oporto, targeting 2287 children. In this phase, data on ventilation, IAQ, thermal comfort parameters, respiratory and allergic health, airway inflammation biomarkers, respiratory virus infection patterns and parental and child stress were collected. Results: In Phase I, building characteristics, occupant behavior and ventilation surrogates were collected from all DCCs. The response rate of the questionnaire was 61.7% (3186 children.Phase II included 1221 children. Association results between DCC characteristics, IAQ and health outcomes will be provided in order to support recommendations on IAQ and children's health. A building ventilation model will also be developed. Discussion: This paper outlines methods that might be implemented by other investigators conducting studies on the association between respiratory health and indoor air quality at DCC. Resumo: Antecedentes: A qualidade do ar interior (IAQ é considerada um determinante importante da saúde humana. A associação entre a exposição a compostos orgânicos voláteis, partículas, ácaros, bolores e bactérias em

Energy drinks and alcohol: links to alcohol behaviors and consequences across 56 days.

Science.gov (United States)

Patrick, Megan E; Maggs, Jennifer L

2014-04-01

To examine short-term consequences associated with consuming alcohol and energy drinks compared with consuming alcohol without energy drinks. A longitudinal measurement-burst design (14-day bursts of daily surveys in four consecutive college semesters) captured both within-person variation across occasions and between-person differences across individuals. The analytic sample of late adolescent alcohol users included 4,203 days with alcohol use across up to four semesters per person from 508 college students. Adding energy drink use to a given day with alcohol use was associated with an increase in number of alcoholic drinks, a trend toward more hours spent drinking, elevated estimated blood alcohol content (eBAC), a greater likelihood of subjective intoxication, and more negative consequences of drinking that day. After controlling for eBAC, energy drink use no longer predicted subjective intoxication but was still associated with a greater number of negative consequences. The consumption of energy drinks may lead to increases in alcohol consumption and, after controlling for eBAC, negative consequences. Use of energy drinks plus alcohol represents an emerging threat to public health. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

What we do and do not know about women and kidney diseases; questions unanswered and answers unquestioned: Reflection on World Kidney Day and International Woman's Day

Directory of Open Access Journals (Sweden)

Giorgina B. Piccoli

2018-03-01

Full Text Available Chronic kidney disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women's Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women's health and specifically their kidney health, on the community, and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly.Girls and women, who make up approximately 50% of the world's population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state where acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. There are various autoimmune and other conditions that are more likely to impact women with profound consequences for child bearing, and on the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants.In this editorial, we focus on what we do and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide. Keywords: Women, Access to care, Kidney health, Acute and chronic kidney disease, Inequities

42 CFR 409.63 - Reduction of inpatient psychiatric benefit days available in the initial benefit period.

Science.gov (United States)

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Reduction of inpatient psychiatric benefit days available in the initial benefit period. 409.63 Section 409.63 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM HOSPITAL INSURANCE BENEFITS Scope of...

IAEA Supports World Cancer Day

International Nuclear Information System (INIS)

ElBaradei, M.

2008-01-01

Full text: Cancer can strike anyone at anytime, young or old, rich or poor. It knows no borders. World Cancer Day, on 4 February, was initiated to raise global awareness of cancer issues and stimulate new strategies and thinking to combat the killer disease. Nowhere is the need greater than in the developing world, where millions of people are suffering and dying due to lack of cancer prevention and treatment. According to the World Health Organisation (WHO), 84 million people will die of cancer in the next 10 years, more than 70% of them in low-income countries, unless action is taken now. The IAEA's Programme of Action for Cancer Therapy (PACT) was created to help poorer countries confront the growing cancer crisis by integrating radiotherapy into comprehensive cancer control programmes. As it celebrates its third birthday on World Cancer Day, PACT can claim significant progress in building effective relationships with a broad array of stakeholders, initiating six pilot projects and gaining increasing support from Member States. The IAEA commends all organizations, agencies and individuals engaged in the battle to defeat this dreadful disease. We look forward to continued collaboration with international partners to help bring hope to cancer patients, to relieve their suffering and to save lives. (IAEA)

Effect of phase change materials on indoor thermal environment under different weather conditions and over a long time

International Nuclear Information System (INIS)

Ling, Haoshu; Chen, Chao; Wei, Shen; Guan, Yong; Ma, Caiwen; Xie, Guangya; Li, Na; Chen, Ziguang

2015-01-01

Highlights: • Indicators evaluating the performance of PCMs in greenhouses are introduced. • Real equivalent specific heat capacity of PCMs is embedded in a numerical model. • Real behaviour of PCMs has been monitored over a long time. • Efficiency of PCMs walls are compared for sunny and cloudy days. • Heat storage and release amounts of PCMs walls have been calculated. - Abstract: To evaluate the effect of phase change materials (PCMs) on the indoor thermal environment of greenhouses under different weather conditions and over a long time in the heating season, a study was carried out using both experimental method and numerical method. The study was conducted in a typical greenhouse located in Beijing, China, and important parameters have been monitored continuously for 61 days, including indoor air temperature, outdoor air temperature, solar radiation, surface temperature of greenhouse envelopes and soil temperature. Based on these parameters, a number of indicators, namely, operative temperature, daily effective accumulative temperature, irradiated surface temperature of the north wall, average temperature of PCMs, and daily heat storage and release, have been used to evaluate the performance of PCMs in greenhouses. All indicators have provided consistent results that confirm the positive effect of PCMs on improving the indoor thermal environment of greenhouses over a long time. Additionally, the paper has demonstrated that a sunny weather could help to promote the efficiency of PCMs, comparing to a cloudy weather

The Graduation Day

Institute of Scientific and Technical Information of China (English)

毛竹晨

2004-01-01

It is one of the hottest summer days that Cambridge has ever had.We wereclad(clothe的过去式和过去分词)in the black gown once more.However thiswill probably be my last time to wear it.I had not been wearing it that much af-ter all.After this day,it will be shipped back to my home and lie in my closet,just to be dug out many years later and the sight of it will bring me back to thisvery day.It is our graduation day,the day wher we can add a hood(头巾;兜帽)

Extent of Surgery Does Not Influence 30-Day Mortality in Surgery for Metastatic Bone Disease

DEFF Research Database (Denmark)

Sørensen, Michala Skovlund; Hindsø, Klaus; Hovgaard, Thea Bechmann

2016-01-01

describing the extent of the surgical trauma were found to be associated with 30-day mortality. The 30-day mortality in patients undergoing surgery for MBD is highly dependent on the general health status of the patients as measured by the ASA score and the Karnofsky performance status. The extent of surgery......, measured as duration of surgery, blood loss, and degree of bone resection were not associated with 30-day mortality....

Primaquine double dose for 7 days is inferior to single-dose treatment for 14 days in preventing Plasmodium vivax recurrent episodes in Suriname

Directory of Open Access Journals (Sweden)

Mac Donald-Ottevanger MS

2017-12-01

Full Text Available M Sigrid Mac Donald-Ottevanger,1 Malti R Adhin,2 Jeetendra Kumar Jitan,3 Gustavo Bretas,4 Stephen GS Vreden1 1Foundation for Scientific Research Suriname (SWOS, 2Department of Biochemistry, Anton de Kom University of Suriname, 3Department of Public Health, Ministry of Health, Paramaribo, Suriname; 4Independent consultant, Rio de Janeiro, Brazil Background: Recurrent episodes of Plasmodium vivax are caused by dormant liver stages of the parasite, which are not eradicated by choloroquine. Therefore, effective treatment also includes the use of primaquine (PQ. However, this secondary preventive therapy is often not effective, mostly due to poor adherence to the relatively long treatment course, justifying a comparative study of the efficacy of different durations of PQ treatment. Materials and methods: We included patients presenting with an acute and documented P. vivax infection from January 2006 to February 2008. All patients received chloroquine 25 mg/kg over a 3-day period. Subsequently, patients in group 7D received PQ 30 mg/day for 7 days, and patients in group 14D received standard PQ 15 mg/day for 14 days. All doses were given under supervision and patients were followed up for at least 6 months. The Kaplan–Meier method was used to estimate cumulative probability of recurrence up to 12 months after treatment initiation stratified by treatment group. Cox regression was used to assess possible determinants for recurrent parasitemia. Results: Forty-seven of the 79 included patients (59.5% were allocated to group 7D and 32 patients (40.5% were allocated to group 14D. Recurrent parasitemia was detected in 31.9% of the cases in group 7D compared to 12.5% of the cases in group 14D (hazard ratio [HR] =3.36, 95% CI 1.11–10.16. Cumulative probability for recurrent parasitemia at 3, 6, and 12 months was 0.201 (95% CI 0.106–0.362, 0.312 (95% CI 0.190–0.485, and 0.424 (95% CI 0.274– 0.615 for group 7D and 0.100 (95% CI 0.033–0.279, 0

Is breakfast the most important meal of the day?

Science.gov (United States)

Betts, James A; Chowdhury, Enhad A; Gonzalez, Javier T; Richardson, Judith D; Tsintzas, Kostas; Thompson, Dylan

2016-11-01

The Bath Breakfast Project is a series of randomised controlled trials exploring the effects of extended morning fasting on energy balance and health. These trials were categorically not designed to answer whether or not breakfast is the most important meal of the day. However, this review will philosophise about the meaning of that question and about what questions we should be asking to better understand the effects of breakfast, before summarising how individual components of energy balance and health respond to breakfast v. fasting in lean and obese adults. Current evidence does not support a clear effect of regularly consuming or skipping breakfast on body mass/composition, metabolic rate or diet-induced thermogenesis. Findings regarding energy intake are variable, although the balance of evidence indicates some degree of compensatory feeding later in the day such that overall energy intake is either unaffected or slightly lower when breakfast is omitted from the diet. However, even if net energy intake is reduced, extended morning fasting may not result in expected weight loss due to compensatory adjustments in physical activity thermogenesis. Specifically, we report that both lean and obese adults expended less energy during the morning when remaining in the fasted state than when consuming a prescribed breakfast. Further research is required to examine whether particular health markers may be responsive to breakfast-induced responses of individual components of energy balance irrespective of their net effect on energy balance and therefore body mass.

A 40-Day Journey to Better Health: Utilizing the DanielFast to Improve Health Outcomes in Urban Church-Based Settings

Directory of Open Access Journals (Sweden)

Nicole A. Vaughn

2018-03-01

Full Text Available Background: As the costs associated with obesity increase, it is vital to evaluate the effectiveness of chronic disease prevention among underserved groups, particularly in urban settings. This research study evaluated Philadelphia area Keystone First members and church participants enrolled in a group health education program to determine the impact of the Daniel Fast on physical health and the adoption of healthy behaviors. Methods: Participants attended six-weekly health education sessions in two participating churches, and were provided with a digital healthy eating platform. Results: There was a statistically significant decrease from baseline to post assessment for weight, waist circumference and cholesterol. Participants reported a significant improvement in their overall well-being, social and physical functioning, vitality and mental health. Conclusion: Results of this study demonstrate that dietary recommendations and comprehensive group health education delivered in churches and reinforced on a digital platform can improve physical health, knowledge and psychosocial outcomes.

Health Topics

Science.gov (United States)

... U V W X Y Z A Acne Anorexia nervosa Anxiety disorders Asthma Autoimmune diseases Return to ... Awareness Day National Women's Health Week Nursing (breastfeeding) Nutrition Return to top O Oral health Osteoporosis Ovarian ...

78 FR 79472 - Proposed Collection; 60-Day Comment Request: Generic Clearance To Support the Safe to Sleep...

Science.gov (United States)

2013-12-30

... campaign activities; (2) better understand the target audiences' knowledge, attitudes, and beliefs toward... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; 60-Day... National Institute for Child Health and Human Development SUMMARY: In compliance with the requirement of...

Diurnal and day-to-day variation of isometric muscle strength in myasthenia gravis.

Science.gov (United States)

Vinge, Lotte; Jakobsen, Johannes; Pedersen, Asger Roer; Andersen, Henning

2016-01-01

In patients with myasthenia gravis (MG), muscle strength is expected to decrease gradually during the day due to physical activities. Isometric muscle strength at the shoulder, knee, and ankle was determined in 10 MG patients (MGFA class II-IV) who were receiving usual medical treatment and in 10 control subjects. To determine diurnal and day-to-day variation, muscle strength was measured 4 times during day 1 and once at day 2. Knee extension strength decreased during the day in both patients and controls. Neither diurnal nor day-to-day variation of muscle strength was higher in patients compared with controls. Patients with mild to moderate MG did not have increased variation of isometric muscle strength during the day or from day-to-day compared with controls. This suggests that isometric muscle performance can be determined with high reproducibility in similar groups of MG patients without regard to time of day. © 2015 Wiley Periodicals, Inc.

Editorial: Carpe diem ('Seize the day'): Building on the findings of the ...

African Journals Online (AJOL)

Editorial: Carpe diem ('Seize the day'): Building on the findings of the 2015 World Health Organization evaluation of the multidrugresistant tuberculosis (MDR-TB) programme to make the most of shortened MDR-TB treatment in South Africa.

Intestinal Parasites Prevalence in Children from Day Care Centers in Sinop City-MT

Directory of Open Access Journals (Sweden)

B. Muchiutti

2013-03-01

Full Text Available Abstract: The aim of this study was to investigate the intestinal parasitosis prevalence of children from municipal day care centers in Sinop MT. Respecting ethical principles established by Resolution 196/96 of Health National Council/Ministry of Health of quantitative research, the anonymity of participants, as well accept and signature of parents of the Term of Free and Enlightened Consent were performed. Between Junes to October 2012 were applied coproparasitological methods for investigation. Fecal samples were analyzed by Hoffmans methods. From 103 students examined observed the prevalence rate of 19.42% of intestinal parasites. The intestinal parasites with highest prevalence rate were: Giardia lamblia (9.70% and Endolimax nana (5.82%. The results of this study demonstrate the need for sensitization of the population front of diagnosis importance, treatment and monitoring of positive cases and the necessity of more health professionals attention, especially with children.Key-words: Intestinal parasites, day care centers, children.

Low levels of vitamin D poorly responsive to daylight exposure in patients with therapy-resistant schizophrenia.

Science.gov (United States)

Bogers, Jan P.A.M.; Bostoen, Tijmen; Broekman, Theo G.

2016-01-01

Low vitamin D levels are associated with schizophrenia, but the possible association between vitamin D levels and illness severity or duration of exposure to daylight has barely been investigated. To compare vitamin D levels in therapy-refractory severely ill schizophrenia patients and members of staff. To investigate the influence of daylight exposure on vitamin D levels in patients. Vitamin D was measured in patients with therapy-resistant schizophrenia in April, after the winter, and in patients and staff members in June, after an exceptionally sunny spring. Vitamin D levels in April and June were compared in patients, and levels in June were compared in patients and staff. The influence of daylight was taken into account by comparing the time patients spent outdoors during the day with the recommended minimum time for adequate vitamin D synthesis, and by comparing time spent outdoors in patients and staff. Patients had high rates of vitamin D deficiency (79-90%) and lower levels of vitamin D than staff members (p vitamin D levels did not normalize, despite the considerably longer than recommended exposure of the skin to daylight (p vitamin D deficiency of therapy-resistant schizophrenia patients is pronounced and cannot be explained by differences in skin pigmentation or by an inactive, indoor lifestyle on the ward. Even theoretically sufficient exposure of the patients to daylight did not ameliorate the low vitamin D levels. While vitamin D deficiency probably plays a role in somatic health problems, it may also play a role in schizophrenia. Interestingly, exposure to daylight during an unusually sunny spring was not sufficient to correct the vitamin D deficiency seen in the patients. This emphasizes the need to measure and correct vitamin D levels in these patients.

A Comparison of Affect Ratings Obtained with Ecological Momentary Assessment and the Day Reconstruction Method

Science.gov (United States)

Dockray, Samantha; Grant, Nina; Stone, Arthur A.; Kahneman, Daniel; Wardle, Jane

2010-01-01

Measurement of affective states in everyday life is of fundamental importance in many types of quality of life, health, and psychological research. Ecological momentary assessment (EMA) is the recognized method of choice, but the respondent burden can be high. The day reconstruction method (DRM) was developed by Kahneman and colleagues (Science, 2004, 306, 1776–1780) to assess affect, activities and time use in everyday life. We sought to validate DRM affect ratings by comparison with contemporaneous EMA ratings in a sample of 94 working women monitored over work and leisure days. Six EMA ratings of happiness, tiredness, stress, and anger/frustration were obtained over each 24 h period, and were compared with DRM ratings for the same hour, recorded retrospectively at the end of the day. Similar profiles of affect intensity were recorded with the two techniques. The between-person correlations adjusted for attenuation ranged from 0.58 (stress, working day) to 0.90 (happiness, leisure day). The strength of associations was not related to age, educational attainment, or depressed mood. We conclude that the DRM provides reasonably reliable estimates both of the intensity of affect and variations in affect over the day, so is a valuable instrument for the measurement of everyday experience in health and social research. PMID:21113328

Intra-individual variability in day-to-day and month-to-month measurements of physical activity and sedentary behaviour at work and in leisure-time among Danish adults.

Science.gov (United States)

Pedersen, E S L; Danquah, I H; Petersen, C B; Tolstrup, J S

2016-12-03

Accelerometers can obtain precise measurements of movements during the day. However, the individual activity pattern varies from day-to-day and there is limited evidence on measurement days needed to obtain sufficient reliability. The aim of this study was to examine variability in accelerometer derived data on sedentary behaviour and physical activity at work and in leisure-time during week days among Danish office employees. We included control participants (n = 135) from the Take a Stand! Intervention; a cluster randomized controlled trial conducted in 19 offices. Sitting time and physical activity were measured using an ActiGraph GT3X+ fixed on the thigh and data were processed using Acti4 software. Variability was examined for sitting time, standing time, steps and time spent in moderate-to-vigorous physical activity (MVPA) per day by multilevel mixed linear regression modelling. Results of this study showed that the number of days needed to obtain a reliability of 80% when measuring sitting time was 4.7 days for work and 5.5 days for leisure time. For physical activity at work, 4.0 days and 4.2 days were required to measure steps and MVPA, respectively. During leisure time, more monitoring time was needed to reliably estimate physical activity (6.8 days for steps and 5.8 days for MVPA). The number of measurement days needed to reliably estimate activity patterns was greater for leisure time than for work time. The domain specific variability is of great importance to researchers and health promotion workers planning to use objective measures of sedentary behaviour and physical activity. Clinical trials NCT01996176 .

Day to day variability in fat oxidation and the effect after only 1 day of change in diet composition.

Science.gov (United States)

Støa, Eva Maria; Nyhus, Lill-Katrin; Børresen, Sandra Claveau; Nygaard, Caroline; Hovet, Åse Marie; Bratland-Sanda, Solfrid; Helgerud, Jan; Støren, Øyvind

2016-04-01

Indirect calorimetry is a common and noninvasive method to estimate rate of fat oxidation (FatOx) during exercise, and test-retest reliability should be considered when interpreting results. Diet also has an impact on FatOx. The aim of the present study was to investigate day to day variations in FatOx during moderate exercise given the same diet and 2 different isoenergetic diets. Nine healthy, moderately-trained females participated in the study. They performed 1 maximal oxygen uptake test and 4 FatOx tests. Habitual diets were recorded and repeated to assess day to day variability in FatOx. FatOx was also measured after 1 day of fat-rich (26.8% carbohydrates (CHO), 23.2% protein, 47.1% fat) and 1 day of CHO-rich diet (62.6% CHO, 20.1% protein, 12.4% fat). The reliability test revealed no differences in FatOx, respiratory exchange ratio (RER), oxygen uptake, carbon dioxide production, heart rate, blood lactate concentration, or blood glucose between the 2 habitual diet days. FatOx decreased after the CHO-rich diet compared with the habitual day 2 (from 0.42 ± 0.15 to 0.29 ± 0.13 g·min(-1), p diet and the 2 habitual diet days. FatOx was 31% lower (from 0.42 ± 0.14 to 0.29 ± 0.13 g·min(-1), p diet compared with the fat-rich diet. Using RER data to measure FatOx is a reliable method as long as the diet is strictly controlled. However, even a 1-day change in macronutrient composition will likely affect the FatOx results.

Examining 30-day COPD readmissions through the emergency department

Directory of Open Access Journals (Sweden)

Rezaee ME

2017-12-01

Full Text Available Michael E Rezaee,1 Charlotte E Ward,2,3 Bonita Nuanez,1 Daniel A Rezaee,4 Jeffrey Ditkoff,1,5 Alexandra Halalau1,6 1Oakland University William Beaumont School of Medicine, Rochester, MI, 2Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, 3Center for Health Statistics, University of Chicago, Chicago, IL, 4Primary Care, Brigham and Women’s Hospital, Boston, MA, 5Emergency Medicine, 6Internal Medicine, Beaumont Health, Royal Oak, MI, USA Background: Thirty-day readmission in COPD is common and costly, but potentially preventable. The emergency department (ED may be a setting for COPD readmission reduction efforts.Objective: To better understand COPD readmission through the ED, ascertain factors associated with 30-day readmission through the ED, and identify subgroups of patients with COPD for readmission reduction interventions.Patients and methods: A retrospective cohort study was conducted from January 2009 to September 2015 in patients with COPD of age ≥18 years. Electronic health record data were abstracted for information available to admitting providers in the ED. The primary outcome was readmission through the ED within 30 days of discharge from an index admission for COPD. Logistic regression was used to examine the relationship between potential risk factors and 30-day readmission.Results: The study involved 1,574 patients who presented to the ED within 30 days on an index admission for COPD. Of these, 82.2% were readmitted through the ED. Charlson score (odds ratio [OR]: 3.6; 95% CI: 2.9–4.4, a chief complaint of breathing difficulty (OR: 1.6; 95% CI: 1.1–2.6, outpatient utilization of albuterol (OR: 4.1; 95% CI: 2.6–6.4, fluticasone/salmeterol (OR: 2.3; 95% CI: 1.3–4.2, inhaled steroids (OR: 3.8; 95% CI: 1.3–10.7, and tiotropium (OR: 1.8; 95% CI: 1.0–3.2, as well as arterial blood gas (OR: 4.4; 95% CI: 1.3–15.1 and B-type natriuretic peptide (OR: 2.2; 95% CI: 1.4–3.5 testing in the

1,000 Days: Mobilizing Investments for Healthier, More Prosperous Futures

Science.gov (United States)

Sullivan, Lucy Martinez; Sakayan, Mannik; Cernak, Kimberly

2018-01-01

Good nutrition during the 1,000-day window between pregnancy and 2 years old can give children the opportunity to reach their full potential. Conversely, malnutrition early in life can cause irreversible damage to a child's brain development and physical growth, leading to a lifetime of poor health and lost potential. Each year, malnutrition costs…

Extreme Ritualistic Alcohol Consumption among College Students on Game Day

Science.gov (United States)

Glassman, Tavis J.; Dodd, Virginia J.; Sheu, Jiunn-Jye; Rienzo, Barbara A.; Wagenaar, Alex C.

2010-01-01

Alcohol use and the related consequences associated with college football games are a serious public health issue for university communities. Objective: Examining "Extreme Ritualistic Alcohol Consumption" (ERAC), defined as consuming 10 or more drinks on game day for a male, and 8 or more drinks for a female, is the focus of this study.…

Artist concept illustrating key events on day by day basis during Apollo 9

Science.gov (United States)

1969-01-01

Artist concept illustrating key events on day by day basis during Apollo 9 mission. First photograph illustrates activities on the first day of the mission, including flight crew preparation, orbital insertion, 103 north mile orbit, separations, docking and docked Service Propulsion System Burn (19792); Second day events include landmark tracking, pitch maneuver, yaw-roll maneuver, and high apogee orbits (19793); Third day events include crew transfer and Lunar Module system evaluation (19794); Fourth day events include use of camera, day-night extravehicular activity, use of golden slippers, and television over Texas and Louisiana (19795); Fifth day events include vehicles undocked, Lunar Module burns for rendezvous, maximum separation, ascent propulsion system burn, formation flying and docking, and Lunar Module jettison ascent burn (19796); Sixth thru ninth day events include service propulsion system burns and landmark sightings, photograph special tests (19797); Tenth day events i

Does increasing steps per day predict improvement in physical function and pain interference in adults with fibromyalgia?

Science.gov (United States)

Kaleth, Anthony S; Slaven, James E; Ang, Dennis C

2014-12-01

To examine the concurrent and predictive associations between the number of steps taken per day and clinical outcomes in patients with fibromyalgia (FM). A total of 199 adults with FM (mean age 46.1 years, 95% women) who were enrolled in a randomized clinical trial wore a hip-mounted accelerometer for 1 week and completed self-report measures of physical function (Fibromyalgia Impact Questionnaire-Physical Impairment [FIQ-PI], Short Form 36 [SF-36] health survey physical component score [PCS], pain intensity and interference (Brief Pain Inventory [BPI]), and depressive symptoms (Patient Health Questionnaire-8 [PHQ-8]) as part of their baseline and followup assessments. Associations of steps per day with self-report clinical measures were evaluated from baseline to week 12 using multivariate regression models adjusted for demographic and baseline covariates. Study participants were primarily sedentary, averaging 4,019 ± 1,530 steps per day. Our findings demonstrate a linear relationship between the change in steps per day and improvement in health outcomes for FM. Incremental increases on the order of 1,000 steps per day were significantly associated with (and predictive of) improvements in FIQ-PI, SF-36 PCS, BPI pain interference, and PHQ-8 (all P physical activity. An exercise prescription that includes recommendations to gradually accumulate at least 5,000 additional steps per day may result in clinically significant improvements in outcomes relevant to patients with FM. Future studies are needed to elucidate the dose-response relationship between steps per day and patient outcomes in FM. Copyright © 2014 by the American College of Rheumatology.

Day-to-day reliability of gait characteristics in rats

DEFF Research Database (Denmark)

Raffalt, Peter Christian; Nielsen, Louise R; Madsen, Stefan

2018-01-01

day-to-day reliability of the gait pattern parameters observed in rats during treadmill walking. The results of the present study may serve as a reference material that can help future intervention studies on rat gait characteristics both with respect to the selection of outcome measures...

Dinosaur Day!

Science.gov (United States)

Nakamura, Sandra; Baptiste, H. Prentice

2006-01-01

In this article, the authors describe how they capitalized on their first-grade students' love of dinosaurs by hosting a fun-filled Dinosaur Day in their classroom. On Dinosaur Day, students rotated through four dinosaur-related learning stations that integrated science content with art, language arts, math, and history in a fun and time-efficient…

78 FR 66945 - Proposed Collection; 60-Day Comment request: Gulf Long-Term Follow-Up Study (GuLF STUDY)

Science.gov (United States)

2013-11-07

... GuLF STUDY is to investigate potential short- and long-term health effects associated with oil spill... non-Cleanup Workers Supplemental Mental Health 4,600 4 15/60 4,600 1,533 Telephone Questionnaire... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; 60-Day...

Health-related quality of life surveillance--United States, 1993-2002.

Science.gov (United States)

Zahran, Hatice S; Kobau, Rosemarie; Moriarty, David G; Zack, Matthew M; Holt, James; Donehoo, Ralph

2005-10-28

Population-based surveillance of health-related quality of life (HRQOL) is needed to promote the health and quality of life of U.S. residents and to monitor progress in achieving the two overall Healthy People 2010 goals: 1) increase the quality and years of healthy life and 2) eliminate health disparities. This report examines surveillance-based HRQOL data from 1993 through 2002. Survey data from a validated set of HRQOL measures (CDC HRQOL-4) were analyzed for 1993-2001 from the Behavioral Risk Factor Surveillance System (BRFSS) surveys for the 50 states and the District of Columbia (DC) and for 2001-2002 from the National Health and Nutrition Examination Survey (NHANES). These measures assessed self-rated health; physically unhealthy days (i.e., the number of days during the preceding 30 days for which physical health, including physical illness and injury, was not good); mentally unhealthy days (i.e., the number of days during the preceding 30 days for which mental health, including stress, depression, and problems with emotions, was not good); and days with activity limitation (i.e., number of days during the preceding 30 days that poor physical or mental health prevented normal daily activities). A summary measure of overall unhealthy days also was computed from the sum of a respondent's physically unhealthy and mentally unhealthy days, with a maximum of 30 days. During 1993-2001, the mean number of physically unhealthy days, mentally unhealthy days, overall unhealthy days, and activity limitation days was higher after 1997 than before 1997. During 1993-1997, the percentage of respondents with zero overall unhealthy days was stable (51%-53%) but declined to 48% by 2001. The percentage of respondents with >/=14 overall unhealthy days increased from 15%-16% during 1993-1997 to 18% by 2001. Adults increasingly rated their health as fair or poor and decreasingly rated it as excellent or very good. Women, American Indians/Alaska Natives, persons of "other races

Variation In Health Outcomes: The Role Of Spending On Social Services, Public Health, And Health Care, 2000-09.

Science.gov (United States)

Bradley, Elizabeth H; Canavan, Maureen; Rogan, Erika; Talbert-Slagle, Kristina; Ndumele, Chima; Taylor, Lauren; Curry, Leslie A

2016-05-01

Although spending rates on health care and social services vary substantially across the states, little is known about the possible association between variation in state-level health outcomes and the allocation of state spending between health care and social services. To estimate that association, we used state-level repeated measures multivariable modeling for the period 2000-09, with region and time fixed effects adjusted for total spending and state demographic and economic characteristics and with one- and two-year lags. We found that states with a higher ratio of social to health spending (calculated as the sum of social service spending and public health spending divided by the sum of Medicare spending and Medicaid spending) had significantly better subsequent health outcomes for the following seven measures: adult obesity; asthma; mentally unhealthy days; days with activity limitations; and mortality rates for lung cancer, acute myocardial infarction, and type 2 diabetes. Our study suggests that broadening the debate beyond what should be spent on health care to include what should be invested in health-not only in health care but also in social services and public health-is warranted. Project HOPE—The People-to-People Health Foundation, Inc.

Health service costs and clinical gains of psychotherapy for personality disorders: a randomized controlled trial of day-hospital-based step-down treatment versus outpatient treatment at a specialist practice

Science.gov (United States)

2013-01-01

Background Day-hospital-based treatment programmes have been recommended for poorly functioning patients with personality disorders (PD). However, more research is needed to confirm the cost-effectiveness of such extensive programmes over other, presumably simpler, treatment formats. Methods This study compared health service costs and psychosocial functioning for PD patients randomly allocated to either a day-hospital-based treatment programme combining individual and group psychotherapy in a step-down format, or outpatient individual psychotherapy at a specialist practice. It included 107 PD patients, 46% of whom had borderline PD, and 40% of whom had avoidant PD. Costs included the two treatment conditions and additional primary and secondary in- and outpatient services. Psychosocial functioning was assessed using measures of global (observer-rated GAF) and occupational (self-report) functioning. Repeated assessments over three years were analysed using mixed models. Results The costs of step-down treatment were higher than those of outpatient treatment, but these high costs were compensated by considerably lower costs of other health services. However, costs and clinical gains depended on the type of PD. For borderline PD patients, cost-effectiveness did not differ by treatment condition. Health service costs declined during the trial, and functioning improved to mild impairment levels (GAF > 60). For avoidant PD patients, considerable adjuvant health services expanded the outpatient format. Clinical improvements were nevertheless superior to the step-down condition. Conclusion Our results indicate that decisions on treatment format should differentiate between PD types. For borderline PD patients, the costs and gains of step-down and outpatient treatment conditions did not differ. For avoidant PD patients, the outpatient format was a better alternative, leaning, however, on costly additional health services in the early phase of treatment. Trial

78 FR 44134 - Submission for OMB Review; 30-day Comment Request: Financial Sustainability of Human Tissue...

Science.gov (United States)

2013-07-23

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; 30-day Comment Request: Financial Sustainability of Human Tissue Biobanking (NCI) SUMMARY: Under the... Collection: Financial Sustainability of Human Tissue Biobanking, 0925-NEW, National Cancer Institute (NCI...

Effects of organic complexed or inorganic Co, Cu, Mn and Zn supplementation during a 45-day preconditioning period on productive and health responses of feeder cattle.

Science.gov (United States)

Lippolis, K D; Cooke, R F; Silva, L G T; Schubach, K M; Brandao, A P; Marques, R S; Larson, C K; Russell, J R; Arispe, S A; DelCurto, T; Bohnert, D W

2017-11-01

This experiment evaluated production and health parameters among cattle offered concentrates containing inorganic or organic complexed sources of supplemental Cu, Co, Mn and Zn during a 45-day preconditioning period. In total, 90 Angus×Hereford calves were weaned at 7 months (day -1), sorted by sex, weaning BW and age (261±2 kg; 224±2 days), and allocated to 18 drylot pens (one heifer and four steers per pen) on day 0; thus, all pens had equivalent initial BW and age. Pens were randomly assigned to receive a corn-based preconditioning concentrate containing: (1) Cu, Co, Mn and Zn sulfate sources (INR), (2) Cu, Mn, Co and Zn complexed organic source (AAC) or (3) no Cu, Co, Mn and Zn supplementation (CON). From day 0 to 45, cattle received concentrate treatments (2.7 kg/animal daily, as-fed basis) and had free-choice access to orchardgrass (Dactylis glomerata L.), long-stem hay and water. The INR and AAC treatments were formulated to provide the same daily amount of Co, Cu, Mn and Zn at a 50-, 16-, 8- and ninefold increase, respectively, compared with the CON treatment. On day 46, cattle were transported to a commercial feedlot, maintained as a single pen, and offered a free-choice receiving diet until day 103. Calf full BW was recorded on days -1 and 0, 45 and 46, and 102 and 103 for average daily gain (ADG) calculation. Liver biopsy was performed on days 0 (used as covariate), 22 and 45. Cattle were vaccinated against respiratory pathogens on days 15, 29 and 46. Blood samples were collected on days 15, 29, 45, 47, 49, 53 and 60. During preconditioning, mean liver concentrations of Co, Zn and Cu were greater (P⩽0.03) in AAC and INR compared with CON. No treatment effects were detected (P⩾0.17) for preconditioning feed intake, ADG or feed efficiency. No treatment effects were detected (P⩾0.48) for plasma concentrations of antibodies against Mannheimia haemolytica, bovine viral diarrhea types 1 and 2 viruses. Plasma haptoglobin concentrations were similar

Move! Eat better: Do you walk more than 10,000 steps a day?

CERN Multimedia

2013-01-01

All of you who borrowed a pedometer from the Infirmary will confirm that it was a useful experience and that, in order to reach your recommended daily tally of 10,000 paces, you need to add about 30 minutes of exercise to your daily routine, which equates to about 4,000 extra paces. Why 10,000 steps?   The slogan “10,000 steps a day” comes from Japan. But the number wasn’t just pulled from a hat -  it’s based on a study by Dr Yoshiro Hatano. Walking is sacrosanct in Japanese society, where they use pedometers to determine the number of steps they walk every day. Dr Yoshiro Hatano has demonstrated that people who get enough walking in every day have improved health. In other words, you have to burn at least 200 extra calories per day, through exercise, in order to start reaping the benefits in terms of improved health. A 30-minute walk roughly corresponds to the 4,000 extra steps which are recommended but rarely taken. Is 10,000 steps an achie...

Predicting 7-day, 30-day and 60-day all-cause unplanned readmission: a case study of a Sydney hospital.

Science.gov (United States)

Maali, Yashar; Perez-Concha, Oscar; Coiera, Enrico; Roffe, David; Day, Richard O; Gallego, Blanca

2018-01-04

The identification of patients at high risk of unplanned readmission is an important component of discharge planning strategies aimed at preventing unwanted returns to hospital. The aim of this study was to investigate the factors associated with unplanned readmission in a Sydney hospital. We developed and compared validated readmission risk scores using routinely collected hospital data to predict 7-day, 30-day and 60-day all-cause unplanned readmission. A combination of gradient boosted tree algorithms for variable selection and logistic regression models was used to build and validate readmission risk scores using medical records from 62,235 live discharges from a metropolitan hospital in Sydney, Australia. The scores had good calibration and fair discriminative performance with c-statistic of 0.71 for 7-day and for 30-day readmission, and 0.74 for 60-day. Previous history of healthcare utilization, urgency of the index admission, old age, comorbidities related to cancer, psychosis, and drug-abuse, abnormal pathology results at discharge, and being unmarried and a public patient were found to be important predictors in all models. Unplanned readmissions beyond 7 days were more strongly associated with longer hospital stays and older patients with higher number of comorbidities and higher use of acute care in the past year. This study demonstrates similar predictors and performance to previous risk scores of 30-day unplanned readmission. Shorter-term readmissions may have different causal pathways than 30-day readmission, and may, therefore, require different screening tools and interventions. This study also re-iterates the need to include more informative data elements to ensure the appropriateness of these risk scores in clinical practice.

Empirical assessment of a prismatic daylight-redirecting window film in a full-scale office testbed

Energy Technology Data Exchange (ETDEWEB)

Thanachareonkit, Anothai; Lee, Eleanor S.; McNeil, Andrew

2013-08-31

Daylight redirecting systems with vertical windows have the potential to offset lighting energy use in deep perimeter zones. Microstructured prismatic window films can be manufactured using low-cost, roll-to-roll fabrication methods and adhered to the inside surface of existing windows as a retrofit measure or installed as a replacement insulating glass unit in the clerestory portion of the window wall. A clear film patterned with linear, 50-250 micrometer high, four-sided asymmetrical prisms was fabricated and installed in the south-facing, clerestory low-e, clear glazed windows of a full-scale testbed facility. Views through the film were distorted. The film was evaluated in a sunny climate over a two-year period to gauge daylighting and visual comfort performance. The daylighting aperture was small (window-towall ratio of 0.18) and the lower windows were blocked off to isolate the evaluation to the window film. Workplane illuminance measurements were made in the 4.6 m (15 ft) deep room furnished as a private office. Analysis of discomfort glare was conducted using high dynamic range imaging coupled with the evalglare software tool, which computes the daylight glare probability and other metrics used to evaluate visual discomfort. The window film was found to result in perceptible levels of discomfort glare on clear sunny days from the most conservative view point in the rear of the room looking toward the window. Daylight illuminance levels at the rear of the room were significantly increased above the reference window condition, which was defined as the same glazed clerestory window but with an interior Venetian blind (slat angle set to the cut-off angle), for the equinox to winter solstice period on clear sunny days. For partly cloudy and overcast sky conditions, daylight levels were improved slightly. To reduce glare, the daylighting film was coupled with a diffusing film in an insulating glazing unit. The diffusing film retained the directionality of the

A statin a day keeps the doctor away: comparative proverb assessment modelling study

Science.gov (United States)

Mizdrak, Anja; Scarborough, Peter

2013-01-01

Objective To model the effect on UK vascular mortality of all adults over 50 years old being prescribed either a statin or an apple a day. Design Comparative proverb assessment modelling study. Setting United Kingdom. Population Adults aged over 50 years. Intervention Either a statin a day for people not already taking a statin or an apple a day for everyone, assuming 70% compliance and no change in calorie consumption. The modelling used routinely available UK population datasets; parameters describing the relations between statins, apples, and health were derived from meta-analyses. Main outcome measure Mortality due to vascular disease. Results The estimated annual reduction in deaths from vascular disease of a statin a day, assuming 70% compliance and a reduction in vascular mortality of 12% (95% confidence interval 9% to 16%) per 1.0 mmol/L reduction in low density lipoprotein cholesterol, is 9400 (7000 to 12 500). The equivalent reduction from an apple a day, modelled using the PRIME model (assuming an apple weighs 100 g and that overall calorie consumption remains constant) is 8500 (95% credible interval 6200 to 10 800). Conclusions Both nutritional and pharmaceutical approaches to the prevention of vascular disease may have the potential to reduce UK mortality significantly. With similar reductions in mortality, a 150 year old health promotion message is able to match modern medicine and is likely to have fewer side effects.

Emergency Health Services Selected Bibliography.

Science.gov (United States)

Health Services and Mental Health Administration (DHEW), Bethesda, MD.

This annotated bibliography contains books, journal articles, visual aids, and other documents pertaining to emergency health care, which are organized according to: (1) publications dealing with day-to-day health emergencies that occur at home, work, and play, (2) documents that will help communities prepare for emergencies, including natural…

Education of staff--a key factor for a safe environment in day care.

Science.gov (United States)

Sellström, E; Bremberg, S

2000-05-01

In order to create a safe environment in day-care settings, an understanding of factors within the organization of day care, factors which influence safety, is essential. Day-care directors in 83 daycare centres completed a mail-in survey that contained questions about professional experience, the day-care centre's organization of child safety measures and a battery of questions designed to evaluate the directors' perceptions and beliefs about child safety. The day-care directors also carried out a safety inspection at their centre. The results were analysed using the multivariate logistic regression technique. The existence of a continuing plan for continued staff education in child safety was shown to be the strongest predictor of few safety hazards in day-care centres. The day-care directors' perceptions and beliefs about injury prevention were of less importance. This study indicates that in order to promote safety in day-care settings, an on-going plan for continued staff education in child safety should be a matter of routine. The introduction of such a plan should be the concern of the individual day-care directors, policy-makers and managers at the local and national level, and health professionals working in this field.

Organization of health care for the patients with benign diseases: the problem of one-day hospitalization

Directory of Open Access Journals (Sweden)

L. V. Kochorova

2013-01-01

Full Text Available The article analises the volume of medical care to the citizens of St. Petersburg, suffering with benign diseases and hospitalized for one day. It is shown,that the level of one-day hospitalization is a marker of not approved hospitalization and unreasonable spending of funds in the state system of obligatory insurance.

Procedures and practices for day-to-day operation

International Nuclear Information System (INIS)

Distler, K.

1986-01-01

This lecture deals with problems of safe plant operation under day-to-day conditions. Operation, maintenance and surveillance have to be organized in a preventive manner. It will be shown that nearly all expected jobs and proceedings can be done rule-based. The connection of documentation and work preparation will be lined out. Moreover, the need for control and quality assurance for nearly all proceedings will be pointed out. The question of communication and scheduling will be touched. (orig.)

A Day-to-Day Route Choice Model Based on Reinforcement Learning

Directory of Open Access Journals (Sweden)

Fangfang Wei

2014-01-01

Full Text Available Day-to-day traffic dynamics are generated by individual traveler’s route choice and route adjustment behaviors, which are appropriate to be researched by using agent-based model and learning theory. In this paper, we propose a day-to-day route choice model based on reinforcement learning and multiagent simulation. Travelers’ memory, learning rate, and experience cognition are taken into account. Then the model is verified and analyzed. Results show that the network flow can converge to user equilibrium (UE if travelers can remember all the travel time they have experienced, but which is not necessarily the case under limited memory; learning rate can strengthen the flow fluctuation, but memory leads to the contrary side; moreover, high learning rate results in the cyclical oscillation during the process of flow evolution. Finally, both the scenarios of link capacity degradation and random link capacity are used to illustrate the model’s applications. Analyses and applications of our model demonstrate the model is reasonable and useful for studying the day-to-day traffic dynamics.

Photoelectric panel with equatorial mounting of drive

Science.gov (United States)

Kukhta, M. S.; Krauinsh, P. Y.; Krauinsh, D. P.; Sokolov, A. P.; Mainy, S. B.

2018-03-01

The relevance of the work is determined by the need to create effective models for sunny energy. The article considers a photoelectric panel equipped with a system for tracking the sun. Efficiency of the system is provided by equatorial mounting, which compensates for the rotation of the Earth by rotating the sunny panel in the plane of the celestial equator. The specificity of climatic and geographical conditions of Tomsk is estimated. The dynamics of power variations of photoelectric panels with equatorial mounting during seasonal fluctuations in Tomsk is calculated. A mobile photovoltaic panel with equatorial mounting of the drive has been developed. The methods of design strategy for placing photovoltaic panels in the architectural environment of the city are presented. Key words: sunny energy, photovoltaics, equatorial mounting, mechatronic model, wave reducer, electric drive.

Tests to evaluate public health disease reporting systems in local public health agencies

National Research Council Canada - National Science Library

Dausey, David J

2005-01-01

... to evaluate the ability to receive and respond to case reports 24 hours a day, 7 days a week. We refined these tests by beta-testing them at 20 metropolitan area local public health agencies across the country over the course of 10 months. The contents of this manual will be of interest to public health professionals at the state and local l...

78 FR 48178 - Submission for OMB Review; 30-day Comment Request: Autism Spectrum Disorder Research Portfolio...

Science.gov (United States)

2013-08-07

...; 30-day Comment Request: Autism Spectrum Disorder Research Portfolio Analysis SUMMARY: Under the... (ASD) Research Portfolio Analysis, 0925--NEW- National Institute of Mental Health (NIMH), National Institutes of Health (NIH). Need and Use of Information Collection: The purpose of the ASD portfolio analysis...

75 FR 3906 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service...

Science.gov (United States)

2010-01-25

... Proposed Information Collection: Indian Health Service Customer Satisfaction Survey AGENCY: Indian Health...: 0917-NEW, ``Indian Health Service Customer Satisfaction Survey.'' Type of Information Collection... facilities programs will make improvements that will result in improved quality of services. Voluntary...

Evaluation of conducting a screening assessment of nutritional status of hospitalized patients. Presentation of main goals and objectives of the global health project "NutritionDay".

Science.gov (United States)

Jeznach-Steinhagen, Anna; Ostrowska, Joanna; Czerwonogrodzka-Senczyna, Aneta

2016-01-01

European Society for Clinical Nutrition and Metabolism (ESPEN) commenced in 2004 a global health project named "NutritionDay" aiming to promote awareness of proper nutritional status of hospitalized patients and to draw attention to the need for early detection of malnutrition among patients. Under the Polish law--pursunat to the regulation of the Minister of Health dated September 15, 2011 (amendment as of 27.12.2013)--a nutritional status of each patient should be assessed at the time of a hospital admission. of this study was to analyze the fulfilment of the mandatory questionnaire assessment of nutritional status at selected wards of one of Warsaw's clinical hospitals. The study included an analysis of medical records of patients hospitalized within 6 months (n = 26375). The correct fulfilment of screening questionnaire assessing nutritional status (NRS 2002 survey) and the information about patients' body weight as well as the results assessment of nutritional status were subject to the analysis. NRS 2002 questionnaire was present in only 67,14% medical records of patients, however 49.24% of them were unfilled. The obtained results confirming low degree of NRS 2002 questionnaires' fulfilment in one of the Warsaw clinical hospitals draws attention to the need for education of hospital personnel in the field of significance of screening of nutritional assessment and its regulations. The "NutritionDay" project is an interesting form to attract attention of the aforementioned problem and its global extent additionally encourage medical units to participate in the project.

78 FR 17313 - Ninety-Day Waiting Period Limitation and Technical Amendments to Certain Health Coverage...

Science.gov (United States)

2013-03-21

... health insurance issuer conditions eligibility on any employee's (part-time or full-time) having... the contracting provisions of the Federal Employee Health Benefits Program (FEHBP). OPM has... estimate that 4.1 million new employees receive group health insurance coverage through private sector...

Same-Day Versus Next-Day Repair of Fovea-Threatening Primary Rhegmatogenous Retinal Detachments.

Science.gov (United States)

Gorovoy, Ian R; Porco, Travis C; Bhisitkul, Robert B; de Juan, Eugene; Schwartz, Daniel M; Stewart, Jay M

2016-01-01

To evaluate the outcomes of same-day versus next-day repair of fovea-threatening rhegmatogenous retinal detachments (FT RRD). Retrospective, multi-surgeon observational case series. Operative reports and medical records were reviewed to evaluate a number of visual and anatomic outcomes, including presenting features, intraoperative complications, and postoperative results in the repair of primary FT RRD undergoing same-day versus next-day repair with scleral buckling, pars plana vitrectomy, or both procedures. A total of 96 consecutive patients (43 same-day, 45 next-day, and eight two days later) were compared. There was no statistically significant difference in visual outcomes between same-day and next-day repair at postoperative months 3 and 6 and at last follow-up (month 3 mean BCVA 20/30 same day; 20/32 next day; p = 0.82). Preoperative vision was strongly correlated with postoperative acuity. Effect of differences in length or type of visual symptoms, location of RRD, gender, or lens status on postoperative month 3 best-corrected visual acuity (BCVA) was not statistically significant. Overall, 85% of patients had a BCVA of 20/40 or better at postoperative month 3. Reoperation rate and intraoperative complications were not statistically different between the two groups. Re-attachment was achieved in all but one patient in both groups. Time in the operating room was longer for same-day surgery (2.98 ± 0.46 hours) compared to next-day surgery (2.54 ± 0.38 hours) (p factoring in the type of surgery performed. However, one case did progress to a macula-off detachment in a superior RRD with breaks found in lattice degeneration. Next-day surgery provided equivalent visual outcomes. Emergent, same-day surgery has logistical and resource implications as it may be more expensive, may necessitate rescheduling of previously booked cases, and may limit preoperative examination by the surgeon and perioperative team.

78 FR 78369 - Submission for OMB Review; 30-Day Comment Request: Early Career Reviewer Program Online...

Science.gov (United States)

2013-12-26

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; 30-Day Comment Request: Early Career Reviewer Program Online Application System--Center for Scientific Review (CSR) SUMMARY: Under the provisions of Section 3507(a)(1)(D) of the Paperwork Reduction Act...

Indoor versus outdoor time in preschoolers at child care.

Science.gov (United States)

Tandon, Pooja S; Saelens, Brian E; Zhou, Chuan; Kerr, Jacqueline; Christakis, Dimitri A

2013-01-01

Being outdoors may have health benefits including being more physically active. Understanding the relationship between outdoor time and health is hampered by the difficulty of measuring outdoor time. To examine the accuracy and validity of light-sensor and GPS methods for quantifying outdoor time among those aged 3-5 years at child care. A total of 45 children (mean age 4.5 years, 64% boys) from five child care centers wore portable accelerometers with built-in light sensors and a separate GPS device around their waists during child care, providing 80,648 episodes (15 seconds each) for analysis. Direct observation (gold standard) of children being outdoors versus indoors was conducted for 2 days at each center. GPS signal-to-noise ratios, processed through the Personal Activity and Location Measurement System were used to define indoor versus outdoor locations. Receiver operating characteristic (ROC) analyses were used to determine thresholds for defining being indoors versus outdoors. Data were collected in Fall 2011, analyzed in 2012. Mean observed outdoor time was 63 [±44; range: 18-152] minutes/day. Mean light-sensor levels were significantly higher outdoors. The area under the ROC curve for location based on light sensor for all weather conditions was 0.82 (range: 0.70 on partly cloudy days to 0.97 on sunny days); for GPS, it was 0.89. The light sensor had a sensitivity of 74% and specificity of 86%. GPS had a sensitivity of 82% and specificity of 88%. A light sensor and a GPS device both distinguish indoor from outdoor time for preschoolers with moderate to high levels of accuracy. These devices can increase the feasibility and lower the cost of measuring outdoor time in studies of preschool children. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

30-Day, 90-day and 1-year mortality after emergency colonic surgery

DEFF Research Database (Denmark)

Pedersen, T; Watt, S K; Tolstrup, M-B

2017-01-01

PURPOSE: Emergency surgery is an independent risk factor in colonic surgery resulting in high 30-day mortality. The primary aim of this study was to report 30-day, 90-day and 1-year mortality rates after emergency colonic surgery, and to report factors associated with 30-day, 90-day and 1-year...... mortality. Second, the aim was to report 30-day postoperative complications and their relation to in-hospital mortality. METHODS: All patients undergoing acute colonic surgery in the period from May 2009 to April 2013 at Copenhagen University Hospital Herlev, Denmark, were identified. Perioperative data...... postoperative deaths. CONCLUSION: Mortality and complication rates after emergency colonic surgery are high and associated with patient related risk factors that cannot be modified, but also treatment related outcomes that are modifiable. An increased focus on medical and other preventive measures should...

Changes in nurses' decision making during a 12-h day shift.

Science.gov (United States)

McClelland, L E; Switzer, F S; Pilcher, J J

2013-01-01

Although shift work is necessary in many health-care settings, research suggests that it can have detrimental effects on performance in health-care providers. To determine if a change in decision-making occurred across a 12-h day shift in a sample of registered nurses. The participants were nurses working a 12-h day shift (7 a.m.-7 p.m.) at a large hospital in the south-eastern USA. Participants completed a policy-capturing questionnaire, examining their likelihood of calling a physician in response to specific patient symptoms, at the beginning and end of the shift. They also completed self-report surveys on alertness, stress and sleepiness. Sixty-five nurses completed the study, an overall response rate of 41%. Participants significantly changed their decision-making policies from the beginning to the end of the work shift and also became significantly less alert and more stressed. However, there was no correlation between decision-making and reported alertness and stress. These results suggest that medical judgment in registered nurses changed from the beginning to the end of a 12-h day shift. One possible underlying mechanism responsible for the changes seen across the shift could be the ability to maintain attention, as suggested by the Controlled Attention Model. The current results expand upon previous research, indicating there are a variety of negative outcomes associated with shift work.

The Role of Religion in National Security Policy Since 9/11

Science.gov (United States)

2010-03-01

building. Ibn Warraq sounds a 23 cautionary note on bypassing history to satisfy ideology, especially ones own. Warraq quotes Isaiah Berlin...Sunnis and Shi’is. Thomas F. Lynch III notes important differences in motivation and strategy that continue to surface when Sunni and Shi’ah groups...John L. Esposito, eds., Turkish Islam and the Secular State: The Gülen Movement (Syracuse, NY: Syracuse University Press, 2003). 155 See Thomas F

A solar absorption refrigeration system operating with the mixture ammonia-lithium nitrate

Energy Technology Data Exchange (ETDEWEB)

Rivera, W.; Martinez, F.; Garcia-Valladares, O. [Centro de Investigacion en Energia de la Univ. Nacional Autonoma de Mexico, Mor (Mexico); Rivera, C.O. [Univ. Veracruzana, Campus Coatzacoalcos (Mexico)

2007-07-01

An intermittent solar absorption refrigeration system for ice production operating with the ammonia-lithium nitrate mixture has been developed in the Centro de Investigacion en Energia of the Universidad Nacional Autonoma de Mexico. The system consists basically of a compound parabolic concentrator (CPC), a generator-absorber, a condenser, a condensate tank, an expansion valve and an evaporator. The system was evaluated in sunny days with insolations above 20 MJ/m{sup 2}-day at different condenser temperatures. The generator temperatures varied from 108 to 121 C and the evaporator temperatures inside the camera from -8 to 0 C. The coefficients of performance (COP) varied from 0.13 to 0.26 depending of the operating temperatures of the system and the solar irradiation. (orig.)

Flower formation in the short-day plant Kalanchoe by grafting with a long-day and a short-long-day Echeveria

Energy Technology Data Exchange (ETDEWEB)

Zeevaart, J.A.D.

1978-01-01

Flower formation was induced in the short-day plant Kalanchoe blossfeldiana Poellnitz under long-day conditions by grafting with flowering shoots of the short-long-day plant Echeveria harmsii (Rose) MacBr. and of the long-day plant Echeveria ''pulvoliver'' (E. pulvinata Rose x E. harmsii). Vegetative shoots from induced Echeveria plants failed to cause a flowering response in Kalanchoe. The presence of flowering and vegetative shoots side by side on induced Echeveria plants provides evidence for physiological chimeras in this genus.

THE BARRIERS TO AND DRIVERS OF A CIRCULAR ECONOMY FOR THE BLINDS AND SHUTTERS INDUSTRY IN THE UK

OpenAIRE

Andrews, D; De Grussa, Z; Chalk, A; Bush, D

2016-01-01

Blinds and shutters create privacy in residential and commercial buildings; they can also be used to keep rooms cool when sunny and to minimise heat loss at night or in winter, which reduces use of air conditioning and heating, associated energy inputs, carbon and other outputs and costs. In addition to controlling temperature, they also reduce glare and control light levels, all of which contribute to general health and well-being. In many instances however these products are not used correc...

Day Care Centers

Data.gov (United States)

Department of Homeland Security — This database contains locations of day care centers for 50 states and Washington D.C. and Puerto Rico. The dataset only includes center based day care locations...

Slimmed May Day Holiday

Institute of Scientific and Technical Information of China (English)

Liu Xinwen

2008-01-01

@@ Last November the State Council of China decided to renew its holiday system by reducing the seven-day Mav Dav holiday to three days and introducing three new one-day public holidays,namely the Qingming Festival,Dragon Boat Festival and Moon Festival.BY doing so,the three golden-week holidays that were introduced in 1999,namely the Spring Festival,Mav Dav and National Day,could be better distributed.The New Year's Eve holiday would remain one day.The new holiday plan was supposed to take effect in 2008.

Mortality in Norwegian Seventh-Day Adventists 1962-1986.

Science.gov (United States)

Fønnebø, V

1992-02-01

The standardized mortality ratio (SMR) was studied in Norwegian Seventh-Day Adventists, a religious group practising a life-style regarded as protective against cancer and cardiovascular disease. Persons converting before the age of 19 had a SMR of 69 (men) and 59 (women). This was both significantly lower than the general population and those converting at age 35 or above. The site mainly responsible for the low SMR in young converts was cardiovascular disease (men, 44; women, 52). Overall SMR in Seventh-Day Adventists compared to the general population was 82 (95% CI: 77-88, p less than 0.001) in men and 95 (95% CI: 91-100, NS) in women. SMR for cancer was significantly lower only in men before the age of 75 (SMR: 78, 95% CI: 61-99, p less than 0.05). Adopting a healthful lifestyle early in life seems to be of decisive importance with regard to mortality, later lifestyle changes have a smaller effect on death risk.

Nutritional and metabolic programming during the first thousand days of life

Directory of Open Access Journals (Sweden)

Massimo Agosti

2017-06-01

Full Text Available The latest scientific acquisitions are demonstrating what has already been hypothesized for more than twenty years about the development of the state of health/illness of individuals. Indeed, certain stimuli, if applied to a sensible phase of development, are able to modify, through epigenetic mechanisms, gene expression of DNA, resulting in adaptive modifications of phenotype to the environment, which may reflect negatively on the health of every individual. This concept, applied to nutrition, has opened up important prospects for research in this area. The nutritional history of an individual, linked to the development of a healthy state, would begin very early. In fact, since the pregnancy and for the next two years (for a total of about 1000 days, the maternal eating habits, the type of breastfeeding and then the main stages of nutrition in the evolutionary phase represent those sensitive moments, essential for the development of important endocrine, metabolic, immunological alterations, better known as metabolic syndrome. This condition would represent the physiopathogenetic basis for explaining a series of disorders, known as non communicable diseases (NCDs such as obesity, diabetes, hypertension, cardiovascolar disease and all those conditions that today affect the health of most industrialized countries and through the years are emerging especially in developing countries (South America, Asia, where new environmental conditions and increased food availability are changing food habits, with far-reaching public health impacts. This paper analyzes these new nutritional perspectives and the main implications of what has been termed the 1000-day theory.

76 FR 4906 - Agency Information Collection Request; 60-Day Public Comment Request

Science.gov (United States)

2011-01-27

... HITECH Act, was intended to provide ``assistance to institutions of higher education (or consortia... the above e-mail address within 60-days. Proposed Project: Evaluation of the IT Professionals in... a series of data collection efforts for the Evaluation of the IT Professionals in Health Care...

76 FR 10365 - Agency Information Collection Request. 60-Day Public Comment Request

Science.gov (United States)

2011-02-24

... existing syllabus for a research integrity or research ethics course for the treatment group. The control... students enrolled in these ethics courses to learn and apply the responsible conduct of research at... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS-0990-New; 60-day Notice] Agency...

The Islamic State" in the Context of Political Changes in the Middle East

Directory of Open Access Journals (Sweden)

Alexander A. Kuznetsov

2015-01-01

Full Text Available The article "The Islamic State phenomenon in the framework of the political changes in the Middle East" is dedicated to the "Islamic State", one of the most powerful and dangerous extremist organizations. Author realizes in this article: research of the genesis and causes of appearance of the movement "Islamic State"; analysis of the sociopolitical and geopolitical situation of the Iraqi Sunni community after the American invasion of 2003; bringing to the light factors of the high scale propagation of the Islamic extremism in Syria and Iraq; research of the military and political potential of the "Islamic State" and factors which could impede its expansion. Author considers "Islamic State" as an emergent phenomenon giving huge impact on the political situation in the Middle East. It provoked repartition of the old frontiers existed since the Sykes-Pico treaty of 1916. To the author's opinion oppression of the Iraqi Sunni community by the government of Nuri al-Maliki was the main cause of the Sunni revolt in Summer of 2014. Sunni tribes of Northern Iraq and former Baath party members were the driving forces of the revolt but then Jihadi extremists hijacked this revolt. To the author's mind elimination of the "Islamic State" is impossible without reconciliation between various religious communities in Syria and Iraq.

A validation of the application of D2O stable isotope tracer techniques for monitoring day-to-day changes in muscle protein subfraction synthesis in humans

Science.gov (United States)

Wilkinson, Daniel J.; Franchi, Martino V.; Brook, Matthew S.; Narici, Marco V.; Williams, John P.; Mitchell, William K.; Szewczyk, Nathaniel J.; Greenhaff, Paul L.; Atherton, Philip J.

2013-01-01

Quantification of muscle protein synthesis (MPS) remains a cornerstone for understanding the control of muscle mass. Traditional [13C]amino acid tracer methodologies necessitate sustained bed rest and intravenous cannulation(s), restricting studies to ∼12 h, and thus cannot holistically inform on diurnal MPS. This limits insight into the regulation of habitual muscle metabolism in health, aging, and disease while querying the utility of tracer techniques to predict the long-term efficacy of anabolic/anticatabolic interventions. We tested the efficacy of the D2O tracer for quantifying MPS over a period not feasible with 13C tracers and too short to quantify changes in mass. Eight men (22 ± 3.5 yr) undertook one-legged resistance exercise over an 8-day period (4 × 8–10 repetitions, 80% 1RM every 2nd day, to yield “nonexercised” vs. “exercise” leg comparisons), with vastus lateralis biopsies taken bilaterally at 0, 2, 4, and 8 days. After day 0 biopsies, participants consumed a D2O bolus (150 ml, 70 atom%); saliva was collected daily. Fractional synthetic rates (FSRs) of myofibrillar (MyoPS), sarcoplasmic (SPS), and collagen (CPS) protein fractions were measured by GC-pyrolysis-IRMS and TC/EA-IRMS. Body water initially enriched at 0.16–0.24 APE decayed at ∼0.009%/day. In the nonexercised leg, MyoPS was 1.45 ± 0.10, 1.47 ± 0.06, and 1.35 ± 0.07%/day at 0–2, 0–4, and 0–8 days, respectively (∼0.05–0.06%/h). MyoPS was greater in the exercised leg (0–2 days: 1.97 ± 0.13%/day; 0–4 days: 1.96 ± 0.15%/day, P < 0.01; 0–8 days: 1.79 ± 0.12%/day, P < 0.05). CPS was slower than MyoPS but followed a similar pattern, with the exercised leg tending to yield greater FSRs (0–2 days: 1.14 ± 0.13 vs. 1.45 ± 0.15%/day; 0–4 days: 1.13 ± 0.07%/day vs. 1.47 ± 0.18%/day; 0–8 days: 1.03 ± 0.09%/day vs. 1.40 ± 0.11%/day). SPS remained unchanged. Therefore, D2O has unrivaled utility to quantify day-to-day MPS in humans and inform on short

Mortality on extreme heat days using official thresholds in Spain: a multi-city time series analysis

Directory of Open Access Journals (Sweden)

Tobias Aurelio

2012-02-01

Full Text Available Abstract Background The 2003 heat wave had a high impact on mortality in Europe, which made necessary to develop heat health watch warning systems. In Spain this was carried-out by the Ministry of Health in 2004, being based on exceeding of city-specific simultaneous thresholds of minimum and maximum daily temperatures. The aim of this study is to assess effectiveness of the official thresholds established by the Ministry of Health for each provincial capital city, by quantifying and comparing the short-term effects of above-threshold days on total daily mortality. Methods Total daily mortality and minimum and maximum temperatures for the 52 capitals of province in Spain were collected during summer months (June to September for the study period 1995-2004. Data was analysed using GEE for Poisson regression. Relative Risk (RR of total daily mortality was quantified for the current day of official thresholds exceeded. Results The number of days in which the thresholds were exceeded show great inconsistency, with provinces with great number of exceeded days adjacent to provinces that did not exceed or rarely exceeded. The average overall excess risk of dying during an extreme heat day was about 25% (RR = 1.24; 95% confidence interval (CI = [1.19-1.30]. Relative risks showed a significant heterogeneity between cities (I2 = 54.9%. Western situation and low mean summer temperatures were associated with higher relative risks, suggesting thresholds may have been set too high in these areas. Conclusions This study confirmed that extreme heat days have a considerable impact on total daily mortality in Spain. Official thresholds gave consistent relative risk in the large capital cities. However, in some other cities thresholds

Proceedings of the Canadian Solar Industries Association Solar Forum 2005 : sunny days ahead : a forum on solar energy for government officials

International Nuclear Information System (INIS)

2006-01-01

Solar energy is the fastest growing energy source in the world. Government involvement is critical in the deployment of solar energy. This forum focused on the application of solar energy in government facilities. The forum was divided into 3 sessions: (1) solar technologies and markets; (2) government initiatives that support solar energy; and (3) the use of solar energy on government facilities in Canada. The current state of solar technologies and products in Canada was reviewed. Solar thermal markets were discussed with reference to passive solar energy and photovoltaic applications. On-site solar generation for federal facilities was discussed, and various federal initiatives were reviewed. Issues concerning Ontario's standard offer contract program were discussed. Government users and buyers of solar products spoke of their experiences in using solar energy and the challenges that were faced. The role that solar energy can play in reducing government costs was discussed, as well as the impact of solar energy on the environment. Opportunities and barriers to the use of solar energy in Canada were explored. The conference featured 14 presentations, of which 2 have been catalogued separately for inclusion in this database. refs., tabs., figs

"Meatless days" or "less but better"? Exploring strategies to adapt Western meat consumption to health and sustainability challenges.

Science.gov (United States)

de Boer, Joop; Schösler, Hanna; Aiking, Harry

2014-05-01

Adapting Western meat consumption to health and sustainability challenges requires an overall reduction of industrially produced animal proteins plus a partial replacement by plant proteins. Combining insights on food, environment, and consumers, this paper aims to explore change strategies that may help to meet these challenges, such as promoting smaller portions of meat ("less"), smaller portions using meat raised in a more sustainable manner ("less but better"), smaller portions and eating more vegetable protein ("less and more varied"), and meatless meals with or without meat substitutes ("veggie-days"). The underlying logic of the strategies was clarified by analyzing dietary choices. A nationwide sample of 1083 Dutch consumers provided information on current eating practices and potential changes. The results show that strategies to change meat eating frequencies and meat portion sizes will appeal to overlapping but partly different segments of consumers and that these strategies can be applied to address consumers in terms of their own preferences. The strategies appeared to have different strengths and weaknesses, making them complementary pathways to facilitate step-by-step changes in the amounts and the sources of protein consumed. Copyright © 2014 Elsevier Ltd. All rights reserved.

Effect of the number of Ramadan fasting days on maternal and neonatal outcomes

Directory of Open Access Journals (Sweden)

Hassan Boskabadi

2014-09-01

Full Text Available Introduction: Gynecologists and perinatologists are left with many unanswered questions and concerns regarding fasting during pregnancy and its effects on maternal and neonatal health. The current study was conducted to investigate the correlation between the number of Ramadan fasting days and pregnancy outcomes. Materials & Methods: In this descriptive, analytical study, 641 newborns, whose mothers had fasting experience during pregnancy, were enrolled and allocated to three groups, based on the number of maternal fasting days during pregnancy (group A: ≤10 days, group B: 11-20 days, and group C: 21-30 days. Demographic and anthropometric data of neonates and mothers were recorded. Descriptive statistics, Chi-square, and non-parametric tests were performed for data analysis. Results: No statistically significant difference was found in maternal weight (during the last month of pregnancy, neonatal height, incidence of pre-term labor, or neonatal congenital abnormality in the three groups. Increased number of fasting days was not correlated with decreased neonatal head circumference or weight, while 1- and 5-minute Apgar scores significantly improved (P

What we do and do not know about women and kidney diseases; Questions unanswered and answers unquestioned: Reflection on World Kidney Day and International Woman’s Day

Directory of Open Access Journals (Sweden)

Giorgina B Piccoli

2018-03-01

Full Text Available Chronic Kidney Disease affects approximately 10% of the world’s adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women’s Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women’s health and specifically their kidney health, on the community, and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly. Girls and women, who make up approximately 50% of the world’s population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state where acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. There are various autoimmune and other conditions that are more likely to impact women with profound consequences for child bearing, and on the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants. In this editorial, we focus on what we do and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide

LHC Report: Cloudy with sunny spells

CERN Multimedia

Lionel Herblin & Mike Lamont for the LHC team

2015-01-01

The LHC is continuing its 25 ns intensity ramp-up and has now reached 1465 bunches per beam. Performance is reasonable and the experiments have seen some long fills with steadily increasing luminosity delivery rates. Some now familiar issues continue to make life interesting.   The image shows the heat load evolution as measured in specially equipped dipoles. (Image: Giovanni Iadarola). Top frame: energy and intensity. Middle frame: measured heat load in W/m. Bottom frame: heat load normalised to total beam intensity. One of the key challenges of 2015 was always expected to be electron clouds. The two scrubbing runs that were performed in the summer successfully qualified the LHC for up to around 1500 bunches. However, the final phase of the scrubbing, which saw the move from regular 25 ns beam to the doublet beam, proved difficult, and the scrubbing team concluded that the machine was not yet well-enough scrubbed for the doublets to be used effectively. The 25 ...

[Profitability of a day hospital: analysis of activity, cost and effectiveness].

Science.gov (United States)

Hernando Ortiz, Lili; Hinojosa Mena-Bernal, Carmen; González Sarmiento, Enrique; González Guilabert, Isabel; Arana Ruiz, Jorge; Muñoz Moreno, M Fe

2012-01-01

Day hospitals are an alternative to conventional hospital care. We analyzed the functioning and profitability of the day hospital of Hospital Clínico de Valladolid, Spain, in 2009. Profitability is expressed as the provision of identical health coverage at a lower cost than that generated by conventional hospital care and with adequate quality indicators. We performed a retrospective, observational and descriptive study of the information obtained on each patient attended in the day hospital from January 1 to December 31, 2009. We studied four quality indicators: cancellation of meetings, the rate of transfusion reactions, the out-patient rate and the satisfaction index. The estimated savings for each process was calculated as the difference in the average cost of hospitalization minus the average cost of the process in the day hospital. The most frequent diseases were systemic and connective tissue diseases, accounting for 25.4% of the processes treated; of these, 17.1% corresponded to rheumatoid arthritis. Patient satisfaction was 93%. Meetings cancellations and the rate of transfusion reactions were 0%. The out-patient rate was 26%. Day hospital costs were 8.6% of conventional hospital costs, with savings of 78,390.69 euros. The day hospital is cost effective due to savings compared with conventional hospitalization and has a satisfactory quality index. Copyright © 2011 SESPAS. Published by Elsevier España, S.L. All rights reserved.

Diet quality and sleep quality among day and night shift nurses.

Science.gov (United States)

Beebe, Deborah; Chang, Jen Jen; Kress, Kathleen; Mattfeldt-Beman, Mildred

2017-10-01

To determine whether night shift workers have a poorer diet quality and sleep quality when compared with day shift nurses. There is a dearth of research investigating the association between diet quality and sleep quality of day and night shift nurses. Data on nurses (n = 103) working either a day or night shift from two Midwestern hospitals were obtained from August 2015 to February 2016. The instruments used were the Diet History Questionnaire and the Pittsburg Sleep Quality Index. Independent samples t-tests were used to examine differences in diet and sleep quality by work shift schedule. There were no statistically significant differences between nurses working day or night shift and sleep quality (P = 0.0684), as well as diet quality (P = 0.6499). There was a significant difference between both body mass index (P = 0.0014) and exercise (P = 0.0020) with regard to diet quality. Body mass index and sleep quality were also significantly associated (P = 0.0032). Our study found no differences between day and night shift with regard to sleep and diet quality among nurses. Deliberate health initiatives and wellness programmes specifically targeting nurses are needed to increase knowledge about maintaining a healthy lifestyle while working as a nurse, whether it is day or night shift. © 2017 John Wiley & Sons Ltd.

The Role of Religion in National Security Policy Since September 11, 2001(Carlisle Paper)

Science.gov (United States)

2011-02-01

satisfy ideology, especially one’s own. Warraq quotes Isaiah Berlin, arguing that from the latent desire to, “suppress what [one] suspects to be true...and strategy which obtain between Sunnis and Shi’is. Thomas F. Lynch III notes important differences in motivation and strategy that con- tinue to... Thomas F. Lynch III, Sunni and Shi’a Terrorism: Differences that Matter, Occasional Paper Series, West Point Combating Terrorism Center, December 29, 2008

Simulating 3-D radiative transfer effects over the Sierra Nevada Mountains using WRF

Directory of Open Access Journals (Sweden)

Y. Gu

2012-10-01

Full Text Available A surface solar radiation parameterization based on deviations between 3-D and conventional plane-parallel radiative transfer models has been incorporated into the Weather Research and Forecasting (WRF model to understand the solar insolation over mountain/snow areas and to investigate the impact of the spatial and temporal distribution and variation of surface solar fluxes on land-surface processes. Using the Sierra-Nevada in the western United States as a testbed, we show that mountain effect could produce up to −50 to + 50 W m⁻² deviations in the surface solar fluxes over the mountain areas, resulting in a temperature increase of up to 1 °C on the sunny side. Upward surface sensible and latent heat fluxes are modulated accordingly to compensate for the change in surface solar fluxes. Snow water equivalent and surface albedo both show decreases on the sunny side of the mountains, indicating more snowmelt and hence reduced snow albedo associated with more solar insolation due to mountain effect. Soil moisture increases on the sunny side of the mountains due to enhanced snowmelt, while decreases on the shaded side. Substantial differences are found in the morning hours from 8–10 a.m. and in the afternoon around 3–5 p.m., while differences around noon and in the early morning and late afternoon are comparatively smaller. Variation in the surface energy balance can also affect atmospheric processes, such as cloud fields, through the modulation of vertical thermal structure. Negative changes of up to −40 g m⁻² are found in the cloud water path, associated with reductions in the surface insolation over the cloud region. The day-averaged deviations in the surface solar flux are positive over the mountain areas and negative in the valleys, with a range between −12~12 W m⁻². Changes in sensible and latent heat fluxes and surface skin temperature follow the solar insolation pattern. Differences in the

Predictors of 30- and 90-day readmission following craniotomy for malignant brain tumors: analysis of nationwide data.

Science.gov (United States)

Donoho, Daniel A; Wen, Timothy; Babadjouni, Robin M; Schwartzman, William; Buchanan, Ian A; Cen, Steven Y; Zada, Gabriel; Mack, William J; Attenello, Frank J

2018-01-01

Hospital readmissions are a major contributor to increased health care costs and are associated with worse patient outcomes after neurosurgery. We used the newly released Nationwide Readmissions Database (NRD) to describe the association between patient, hospital and payer factors with 30- and 90-day readmission following craniotomy for malignant brain tumor. All adult inpatients undergoing craniotomy for primary and secondary malignant brain tumors in the NRD from 2013 to 2014 were included. We identified all cause readmissions within 30- and 90-days following craniotomy for tumor, excluding scheduled chemotherapeutic procedures. We used univariate and multivariate models to identify patient, hospital and administrative factors associated with readmission. We identified 27,717 admissions for brain tumor craniotomy in 2013-2014, with 3343 (13.2%) 30-day and 5271 (25.7%) 90-day readmissions. In multivariate analysis, patients with Medicaid and Medicare were more likely to be readmitted at 30- and 90-days compared to privately insured patients. Patients with two or more comorbidities were more likely to be readmitted at 30- and 90-days, and patients discharged to skilled nursing facilities or home health care were associated with increased 90-day readmission rates. Finally, hospital procedural volume above the 75th percentile was associated with decreased 90-day readmission rates. Patients treated at high volume hospitals are less likely to be readmitted at 90-days. Insurance type, non-routine discharge and patient comorbidities are predictors of postoperative non-scheduled readmission. Further studies may elucidate potentially modifiable risk factors when attempting to improve outcomes and reduce cost associated with brain tumor surgery.

World Town Planning Day and GIS Day to be celebrated

OpenAIRE

Trulove, Susan

2003-01-01

On Wednesday, Nov. 19, Montgomery County will unveil the county's new comprehensive plan during a joint celebration of the fifth anniversary of Geographic Information Systems Day and the 30th anniversary of World Town Planning Day. The event will feature programs by the Virginia Tech Center for Geospatial Information Technology (CGIT) and Virginia's Geospatial Extension Program (GEP).

Fumando la piedra: emerging patterns of crack use among Latino immigrant day laborers in New Orleans.

Science.gov (United States)

Valdez, Avelardo; Cepeda, Alice; Negi, Nalini Junko; Kaplan, Charles

2010-10-01

The devastating effects of Hurricane Katrina have contributed to a dynamic demographic shift in the Latino composition of New Orleans. This article focuses on a particularly deleterious pattern of crack cocaine smoking associated with numerous social and health consequences. Utilizing a rapid assessment methodology, in-depth qualitative interviews were conducted with 52 Latino immigrant day laborers in New Orleans. Findings reveal that the presence of a flourishing drug market has facilitated and maintained patterns of crack use including initiation and periods of daily use. Moreover, feelings of isolation and constant exposure to victimization due to day laborers' marginal status are described as contributing to this use. This qualitative analysis reveals how social processes and contextual factors contribute to crack use among Latino day laborers in a post-disaster context. This study has important public health implications in the spread of HIV and other blood borne pathogens.

Attributes and circumstances that induce inappropriate health services demand: a study of the health sector in Brazil.

Science.gov (United States)

Guimarães, Djalma S; Soares, Eduardo J O; Júnior, Gileno Ferraz; Medeiros, Denise D

2015-02-18

The current economic and social context has required health systems to provide top quality services and to be efficient in controlling costs. An obstacle to achieve these goals is the inappropriate health services demand. This study aims to present these inappropriate health service demand determinants from data on telephone calls made to a medical advice call centre. This study used a Brazilian medical advice call centre data sample in the period of November and December 2012 (n = 19690), which supplied data on the user's initial request, the physician's recommendation, information on the patient and circumstances (the day and time of the day of the telephone call). The convergence between user intent and medical recommendation consists in adequate demand; otherwise the divergence consists in an inadequate one. In this way, using a logistic regression model, the critical factors that determine inappropriate health services request could be estimated. In general, the user's initial intent is the most critical for the inappropriate health system demand occurrence: the greater the complexity of the patient's initial intent, the greater the chance the intent is wrong: (OR: 1.160; 95% CI: 1.113-1.210). With regard to the social characteristics, men are more likely to make inappropriate requests (OR: 1.102; 95% CI: 1038-1169); as well as youngsters are more likely to use the system incorrectly (OR = .993; 95% CI: .992 - .994). Regarding the circumstances (day and time of the call), requests in the final hours of the day and on days close to the weekend are more likely to be the inappropriate ones (OR: 1.082 for each six hour increase; 95% CI: 1.049-1.116) and weekday (OR: 1.017 for each day increase; 95% CI: 1.002-1.032). The critical profile for the inappropriate use occurrence consists of males and youngsters, who use the health service in the final hours of the day and at weekends, and mainly want to use more complex services. A practical implication of this

Tests to evaluate public health disease reporting systems in local public health agencies (electronic resource)

National Research Council Canada - National Science Library

Ricci, Karen; Lurie, Nicole; Stoto, Michael A; Wasserman, Jeffrey; Dausey, David J; Meade, Barbara; Diamond, Alexis; Molander, Roger C

2005-01-01

... to evaluate the ability to receive and respond to case reports 24 hours a day, 7 days a week. We refined these tests by beta-testing them at 20 metropolitan area local public health agencies across the country over the course of 10 months. The contents of this manual will be of interest to public health professionals at the state and local l...

The Innermost Regions of Relativistic Jets: Wrapping Up the Enigma

Directory of Open Access Journals (Sweden)

Marscher Alan P.

2013-12-01

Full Text Available What are relativistic jets like within a million Schwarzschild radii of the accreting black hole that powers them? A meeting in Granada, Spain in June 2013, organized by José L. Gómez and his conspirators brought together observers and theorists to survey the current state of observational data and efforts to interpret them. This conference summary reviews the results, insights, arguments, conflicts, and agreements that occurred during five sunny days spent in a windowless room in a hotel at the bottom of the hill that holds the heart of the beautiful city.

Norris Bradbury and Edward Teller: A Fission-Fusion Reaction

Energy Technology Data Exchange (ETDEWEB)

Meade, Roger Allen [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2018-02-12

On a bright, sunny day in October 1945, a boisterous and jubilant crowd assembled in front of Fuller Lodge to watch as the Army-Navy “E” Award, a prestigious national honor given for “Excellence in Production” during World War II, was presented to the Los Alamos Laboratory. Major General Leslie Groves, the commanding officer of the Manhattan Project; Navy Commodore William S. (Deak) Parsons, the wartime leader of the Laboratory’s Ordnance Division; Robert Sproul, the President of the University of California; and J. Robert Oppenheimer accepted the award on behalf of the Laboratory.

Arab Spring and the escalation of the sectarian divide in Bahrain: An assessment

Directory of Open Access Journals (Sweden)

Magdalena Karolak

2013-04-01

Full Text Available This article assesses why the Bahraini "Day of Rage" has inflamed sectarian fear and prompted open hostility between Sunni and Shi'a inhabitants of the kingdom. The analysis approaches the subject from a psychological perspective. Using Vamik Volkan's theory, the article presents a detailed overview of the social conflict in which religious identities play a central role. Influence of large-group psychology on the unfolding events enables a more in-depth understanding of the tense situation in Bahrain. The social division engulfing Bahrain is representative of the power struggle and confessional tensions in the Gulf region.

Sunny Woods, Zurich: photovoltaics integrated in metal roofing; Projekt Sunny Woods, Zuerich - Photovoltaik-Anlage in Blechdach integriert

Energy Technology Data Exchange (ETDEWEB)

Naef, R.; Kaempfen, B. [Naef Energietechnik, Architekturbuero, Zuerich (Switzerland)

2005-07-01

This final report for the Swiss Federal Office of Energy (SFOE) presents the results of a project aimed at providing proof that the energy needs of an four-storey apartment house built to so-called 'passive-house' zero-energy-consumption standards could be met using energy from a photovoltaic (PV) installation integrated in the building's metal roof. The building's energy-relevant characteristics are briefly presented and its 300 m{sup 2} roof with its 504, 32 W{sub p} amorphous triple-cell solar panels is described. The performance of the photovoltaic installation is analysed. The system supplies excess power to the electricity mains in summer which is then drawn again in winter. Each apartment has its own segment of the PV installation. Figures are presented on total solar power production and on data collected for one of the apartments with respect to comfort and electricity consumption.

Is day surgery safe?

DEFF Research Database (Denmark)

Majholm, Birgitte; Engbæk, J; Bartholdy, Jens

2012-01-01

Day surgery is expanding in several countries, and it is important to collect information about quality. The aim of this study was to assess morbidity and unanticipated hospital visits 0-30 days post-operatively in a large cohort.......Day surgery is expanding in several countries, and it is important to collect information about quality. The aim of this study was to assess morbidity and unanticipated hospital visits 0-30 days post-operatively in a large cohort....

Mercury Poisoning at a Home Day Care Center - Hillsborough County, Florida, 2015.

Science.gov (United States)

Tewell, Mackenzie; Spoto, Samantha; Wiese, Michael; Aleguas, Alfred; Peredy, Tamas

2017-05-05

On November 12, 2015, the Florida Poison Information Center Tampa notified the Florida Department of Health in Hillsborough County of a boy aged 3 years with a urine mercury level of 79 μg/L (normal broken sphygmomanometer (blood pressure monitor) at the home day care center attended by the child.

Influence of weather and atmospheric pollution on physical activity in patients with COPD.

Science.gov (United States)

Alahmari, Ayedh D; Mackay, Alex J; Patel, Anant R C; Kowlessar, Beverly S; Singh, Richa; Brill, Simon E; Allinson, James P; Wedzicha, Jadwiga A; Donaldson, Gavin C

2015-06-13

Information concerning how climate and atmospheric pollutants affects physical activity in COPD patients is lacking and might be valuable in determining when physical activity should be encouraged. Seventy-three stable COPD patients recorded on daily diary cards worsening of respiratory symptoms, peak expiratory flow rate, hours spent outside the home and the number of steps taken per day. Pedometry data was recorded on 16,478 days, an average of 267 days per patient (range 29-658). Daily data for atmospheric PM10 and ozone (O3) were obtained for Bloomsbury Square, Central London from the Air Quality Information Archive databases. Daily weather data were obtained for London Heathrow from the British Atmospheric Data Archive. Colder weather below 22.5 °C, reduced daily step count by 43.3 steps day per °C (95% CI 2.14 to 84.4; p = 0.039) and activity was lower on rainy than dry days (p = 0.002) and on overcast compared to sunny days (p atmospheric pollution at high levels.

The Day-to-Day Co-Production of Ageing in Place.

Science.gov (United States)

Procter, Rob; Greenhalgh, Trisha; Wherton, Joe; Sugarhood, Paul; Rouncefield, Mark; Hinder, Sue

We report findings from a study that set out to explore the experience of older people living with assisted living technologies and care services. We find that successful 'ageing in place' is socially and collaboratively accomplished - 'co-produced' - day-to-day by the efforts of older people, and their formal and informal networks of carers (e.g. family, friends, neighbours). First, we reveal how 'bricolage' allows care recipients and family members to customise assisted living technologies to individual needs. We argue that making customisation easier through better design must be part of making assisted living technologies 'work'. Second, we draw attention to the importance of formal and informal carers establishing and maintaining mutual awareness of the older person's circumstances day-to-day so they can act in a concerted and coordinated way when problems arise. Unfortunately, neither the design of most current assisted living technologies, nor the ways care services are typically configured, acknowledges these realities of ageing in place. We conclude that rather than more 'advanced' technologies, the success of ageing in place programmes will depend on effortful alignments in the technical, organisational and social configuration of support.

No adverse lung effects of 7- and 28-day inhalation exposure of rats to emissions from petrodiesel fuel containing 20% rapeseed methyl esters (B20) with and without particulate filter - the FuelHealth project.

Science.gov (United States)

Magnusson, Pål; Oczkowski, Michał; Øvrevik, Johan; Gajewska, Malgorzata; Wilczak, Jacek; Biedrzycki, Jacek; Dziendzikowska, Katarzyna; Kamola, Dariusz; Królikowski, Tomasz; Kruszewski, Marcin; Lankoff, Anna; Mruk, Remigiusz; Brunborg, Gunnar; Instanes, Christine; Gromadzka-Ostrowska, Joanna; Myhre, Oddvar

2017-04-01

Increased use of biofuels raises concerns about health effects of new emissions. We analyzed relative lung health effects, on Fisher 344 rats, of diesel engine exhausts emissions (DEE) from a Euro 5-classified diesel engine running on petrodiesel fuel containing 20% rapeseed methyl esters (B20) with and without diesel particulate filter (DPF). One group of animals was exposed to DEE for 7 days (6 h/day), and another group for 28 days (6 h/day, 5 days/week), both with and without DPF. The animals (n = 7/treatment) were exposed in whole body exposure chambers. Animals breathing clean air were used as controls. Genotoxic effects of the lungs by the Comet assay, histological examination of lung tissue, bronchoalveolar lavage fluid (BALF) markers of pulmonary injury, and mRNA markers of inflammation and oxidative stress were analyzed. Our results showed that a minor number of genes related to inflammation were slightly differently expressed in the exposed animals compared to control. Histological analysis also revealed only minor effects on inflammatory tissue markers in the lungs, and this was supported by flow cytometry and ELISA analysis of cytokines in BALF. No exposure-related indications of genotoxicity were observed. Overall, exposure to DEE with or without DPF technology produced no adverse effects in the endpoints analyzed in the rat lung tissue or the BALF. Overall, exposure to DEE from a modern Euro 5 light vehicle engine run on B20 fuel with or without DPF technology produced no adverse effects in the endpoints analyzed in the rat lung tissue or the BALF.

Sleep Duration and the Cortisol Awakening Response in Dementia Caregivers Utilizing Adult Day Services

Science.gov (United States)

Leggett, Amanda N.; Liu, Yin; Klein, Laura Cousino; Zarit, Steven H.

2015-01-01

Objective Sleep complaints are common among caregivers and are associated with detriments in mental and physical health. Cortisol, a biomarker of the stress process, may link sleep with subsequent health changes in caregivers. The current study examines whether sleep duration is directly associated with the cortisol awakening response (CAR), or if it is moderated by Adult Day Services (ADS) use, an intervention found previously to influence daily CAR by reducing stressor exposure. Methods Associations were examined in caregivers (N=158) of individuals with dementia (IWD) on days when IWDs attended ADS and days when IWDs did not attend ADS. Data were gathered over 8 consecutive days. Caregivers were primarily female (87.3%) with a mean age of 61.59. A multi-level growth curve model tested the association of an interaction of today's ADS use and last night's sleep duration with today's CAR as the outcome. Results The interaction between ADS use and within-person sleep duration was significant such that when an individual sleeps longer than their average but does not use ADS, they have a smaller or blunted CAR. On the other hand when an individual sleeps longer than their average and uses ADS, they have a higher but nonsignificant CAR. Sleeping shorter than usual was associated with a dynamic rise regardless of ADS use. Conclusions Findings indicate that ADS use moderates the association between sleep duration and CAR such that longer than average sleep is associated with blunted, dysregulated cortisol patterns only on non-ADS days. PMID:26348500

Open Day at SHMI.

Science.gov (United States)

Jarosova, M.

2010-09-01

During the World Meteorological Day there has been preparing "Open Day" at Slovak Hydrometeorological Institute. This event has more than 10 years traditions. "Open Day" is one of a lot of possibilities to give more information about meteorology, climatology, hydrology too to public. This "Day" is executed in whole Slovakia. People can visit the laboratories, the forecasting room....and meteo and clima measuring points. The most popular is visiting forecasting room. Visitors are interested in e.g. climatologic change in Slovakia territory, preparing weather forecasting, dangerous phenomena.... Every year we have more than 500 visitors.

Math-A-Day A Book of Days for Your Mathematical Year

CERN Document Server

Pappas, Theoni

1999-01-01

Pappas has come up with yet another way to make math part of your life. MATH -A-DAY is not a calendar and not a reference book, but a compendium of mathematical information that will give you your math fix everyday.Each day -kick starts your brain with a problem or puzzle with detailed solutions includedhas a mathematical quote to inspire the other side of your brainfeatures a historical or current math note on a host of mathematica ideashas its date expressed in another number systemStart off your day with it. · Take it to meetings. · Share it with friends.

Predicting Intra-Day and Day of the Week Anomalies in Turkish Stock Market

Directory of Open Access Journals (Sweden)

Kemal Eyuboglu

2016-03-01

Full Text Available According to Efficient Market Hypothesis, investors cannot gain abnormal returns. But various anomalies such as day or intra-day effect which are frequently observed at the stock markets provide some abnormal returns to investors. In the literature, many studies have found various anomalies for different national and international stock markets. But most of the applied studies used aggregate data in their econometric analysis. The question is whether the same anomalies exist in sub-indexes such as communication, technology, sports and services, etc. The purpose of this study is to investigate whether there are the same anomalies such as intra-day effect and day of the week effect for an aggregated index and 23 sub-indexes of Borsa Istanbul. The data which used in this study is daily and covers the period of 2005-2015 for Turkey. Findings show that there is evidence for intra-day effect in all 24 indexes and day of the week effect in 2 sub-indexes.

Unplanned readmission within 90 days after pediatric neurosurgery.

Science.gov (United States)

Chotai, Silky; Guidry, Bradley S; Chan, Emily W; Sborov, Katherine D; Gannon, Stephen; Shannon, Chevis; Bonfield, Christopher M; Wellons, John C; Naftel, Robert P

2017-12-01

OBJECTIVE Readmission and return to operating room after surgery are increasingly being used as a proxy for quality of care. Nearly 60% of these readmissions are unplanned, which translates into billions of dollars in health care costs. The authors set out to analyze the incidence of readmission at their center, to define causes of unplanned readmission, and to determine the preoperative and surgical variables associated with readmissions following pediatric neurosurgery. METHODS A total of 536 children who underwent operations for neurosurgical diagnoses between 2012 and 2015 and who were later readmitted were included in the final analysis. Unplanned readmissions were defined to have occurred as a result of complications within 90 days after index surgery. Patient records were retrospectively reviewed to determine the primary diagnosis, surgery indication, and cause of readmission and return to operating room. The cost for index hospitalization, readmission episode, and total cost were derived based on the charges obtained from administrative data. Bivariate and multivariable analyses were conducted. RESULTS Of 536 patients readmitted in total, 17.9% (n = 96) were readmitted within 90 days. Of the overall readmissions, 11.9% (n = 64) were readmitted within 30 days, and 5.97% (n = 32) were readmitted between 31 and 90 days. The median duration between discharge and readmission was 20 days (first quartile [Q1]: 9 days, third quartile [Q3]: 36 days). The most common reason for readmission was shunt related (8.2%, n = 44), followed by wound infection (4.7%, n = 25). In the risk-adjusted multivariable logistic regression model for total 90-day readmission, patients with the following characteristics: younger age (p = 0.001, OR 0.886, 95% CI 0.824-0.952); "other" (nonwhite, nonblack) race (p = 0.024, OR 5.49, 95% CI 1.246-24.2); and those born preterm (p = 0.032, OR 2.1, 95% CI 1.1-4.12) had higher odds of being readmitted within 90 days after discharge. The total

Public health accreditation and metrics for ethics: a case study on environmental health and community engagement.

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Bernheim, Ruth Gaare; Stefanak, Matthew; Brandenburg, Terry; Pannone, Aaron; Melnick, Alan

2013-01-01

As public health departments around the country undergo accreditation using the Public Health Accreditation Board standards, the process provides a new opportunity to integrate ethics metrics into day-to-day public health practice. While the accreditation standards do not explicitly address ethics, ethical tools and considerations can enrich the accreditation process by helping health departments and their communities understand what ethical principles underlie the accreditation standards and how to use metrics based on these ethical principles to support decision making in public health practice. We provide a crosswalk between a public health essential service, Public Health Accreditation Board community engagement domain standards, and the relevant ethical principles in the Public Health Code of Ethics (Code). A case study illustrates how the accreditation standards and the ethical principles in the Code together can enhance the practice of engaging the community in decision making in the local health department.

Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania.

Science.gov (United States)

Bremnes, Hanna Strømholt; Wiig, Åsil Kjøl; Abeid, Muzdalifat; Darj, Elisabeth

2018-01-01

Maternal and infant mortality rates in Tanzania have decreased over the past decades, but remain high. One of the challenges the country faces, is the lack of skilled health care workers. High fertility rates make midwives and their patients particularly susceptible to stress as a result of understaffing. This paper explores the challenges midwives face in their day-to-day practice at a regional referral hospital in Tanzania, and investigates which measures the midwives themselves find necessary to implement to improve their situation. A qualitative study design with focus group discussions (FGDs) was employed to explore which challenges the midwives experienced. Each focus group consisted of five to six midwives. A FGD topic guide covering challenges, consequences, motivation, ideal situation and possible solutions was used. These data were analyzed using Systematic Text Condensation. A total of 28 Midwives, six men and 22 women, participated in five FGDs. Four categories emerged from the collected material: Feelings of demoralization, shortage of resources, societal challenges and personal struggles. A feeling of demoralization was especially prevalent and was caused by a lack of support from the leaders and little appreciation from the patients. Shortage of resources, and shortage of personnel in particular, was also highlighted as it led to an excessive workload resulting in difficulties with providing adequate care. These difficulties were intensified by lack of equipment, facilities and a non-optimal organization of the healthcare system. The challenges revealed during the FGDs prevent the midwives from providing sufficient midwifery care. To improve the situation, measures such as supportive leadership, reduction of workload, increasing availability of equipment and increasing knowledge of reproductive health in society, should be taken.

The Contribution of Ageing to Hospitalisation Days in Hong Kong: A Decomposition Analysis.

Science.gov (United States)

Kwok, Chi Leung; Lee, Carmen Km; Lo, William Tl; Yip, Paul Sf

2016-08-17

Ageing has become a serious challenge in Hong Kong and globally. It has serious implications for health expenditure, which accounts for nearly 20% of overall government expenditure. Here we assess the contribution of ageing and related factors to hospitalisation days in Hong Kong. We used hospital discharge data from all publicly funded hospitals in Hong Kong between 2001 and 2012. A decomposition method was used to examine the factors that account for the change of total hospitalisation days during the two periods, 2001-2004 and 2004-2012. The five factors include two demographic factors - population size and age-gender composition - and three service components - hospital discharge rate, number of discharge episodes per patient, and average length of stay (LOS) - which are all measured at age-gender group level. In order to assess the health cost burden in the future, we also project the total hospitalisation days up to 2041, for a range of scenarios. During the decreasing period of hospitalisation days (2001-2004), the reduction of LOS contributed to about 60% of the reduction. For the period of increase (2004-2012), ageing is associated with an increase in total hospitalisation days of 1.03 million, followed by an increase in hospital discharge rates (0.67 million), an increase in the number of discharge episodes per patient (0.62 million), and population growth (0.43 million). The reduction of LOS has greatly offset these increases (-2.19 million days), and has become one of the most significant factors in containing the increasing number of hospitalisation days. Projected increases in total hospitalisation days under different scenarios have highlighted that the contribution of ageing will become even more prominent after 2022. Hong Kong is facing increasing healthcare burden caused by the rapid increase in demand for inpatient services due to ageing. Better management of inpatient services with the aim of increasing efficiency and reducing LOS, avoidable

Neuroendocrine recovery after 2-week 12-h day and night shifts: an 11-day follow-up.

Science.gov (United States)

Merkus, Suzanne L; Holte, Kari Anne; Huysmans, Maaike A; Hansen, Åse Marie; van de Ven, Peter M; van Mechelen, Willem; van der Beek, Allard J

2015-02-01

The study aimed to investigate the course and duration of neuroendocrine recovery after 2-week 12-h day and night shift working periods and to study whether there were differences in recovery between the shift groups. Twenty-nine male offshore employees working 2-week 12-h shift tours participated in the study; 15 participated after a day shift tour and 14 after a night shift tour. Salivary cortisol was assessed at awakening, 30 min after awakening, and before bedtime on the 1st, 4th, 7th, and 11th day of the free period, with a reference day prior to the offshore tour. Differences were tested using generalised estimating equations analysis. Compared to the reference day, night shift workers had a significantly flatter cortisol profile on the 1st day off, significantly lower cortisol concentrations at 30 min after awakening on day 4 and at awakening on day 7, and a significantly smaller decline to evening concentration on days 4 and 11. Compared to the reference day, day shift workers only showed a significantly lower cortisol concentration at awakening on the 1st day off. Compared to day workers, night shift workers had a flatter profile on the 1st day off and a lower cortisol concentration at awakening on the 4th day. Following 2-week 12-h night shift working periods, recovery was not fully complete up to day 11. Following 2-week 12-h day shift working periods, an indication of incomplete recovery was found on the 1st day off, with full recovery reached on day 4.

Effectiveness of policies maintaining or restricting days of alcohol sales on excessive alcohol consumption and related harms.

Science.gov (United States)

Middleton, Jennifer Cook; Hahn, Robert A; Kuzara, Jennifer L; Elder, Randy; Brewer, Robert; Chattopadhyay, Sajal; Fielding, Jonathan; Naimi, Timothy S; Toomey, Traci; Lawrence, Briana

2010-12-01

Local, state, and national laws and policies that limit the days of the week on which alcoholic beverages may be sold may be a means of reducing excessive alcohol consumption and related harms. The methods of the Guide to Community Preventive Services were used to synthesize scientific evidence on the effectiveness for preventing excessive alcohol consumption and related harms of laws and policies maintaining or reducing the days when alcoholic beverages may be sold. Outcomes assessed in 14 studies that met qualifying criteria were excessive alcohol consumption and alcohol-related harms, including motor vehicle injuries and deaths, violence-related and other injuries, and health conditions. Qualifying studies assessed the effects of changes in days of sale in both on-premises settings (at which alcoholic beverages are consumed where purchased) and off-premises settings (at which alcoholic beverages may not be consumed where purchased). Eleven studies assessed the effects of adding days of sale, and three studies assessed the effects of imposing a ban on sales on a given weekend day. The evidence from these studies indicated that increasing days of sale leads to increases in excessive alcohol consumption and alcohol-related harms and that reducing the number of days that alcoholic beverages are sold generally decreases alcohol-related harms. Based on these findings, when the expansion of days of sale is being considered, laws and policies maintaining the number of days of the week that alcoholic beverages are sold at on- and off-premises outlets in local, state, and national jurisdictions are effective public health strategies for preventing excessive alcohol consumption and related harms. Published by Elsevier Inc.

Effectiveness of Policies Maintaining or Restricting Days of Alcohol Sales on Excessive Alcohol Consumption and Related Harms