Department of Housing and Urban Development — The AHS is the largest, regular national housing sample survey in the United States. The U.S. Census Bureau conducts the AHS to obtain up-to-date housing statistics...
Department of Housing and Urban Development — The AHS is the largest, regular national housing sample survey in the United States. The U.S. Census Bureau conducts the AHS to obtain up-to-date housing statistics...
Department of Housing and Urban Development — The purpose of the RHFS is to provide current and continuous measure of the financial health and property characteristics of single-family and multifamily rental...
standards. 3. Work with the privatized housing partner to ensure that fire protection inspection and maintenance plans are achieved. Deputy Assistant...Secretary stated that Hunt Military Communities and Patrick AFB civil engineers were working to correct all of the other fire protection system...create a plan for the performance of ongoing inspection and maintenance of all housing units to applicable electrical codes and standards. 3. Work
... the total cost of the unit as is proportionate to the undivided interest of the veteran in the entire... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Joint ownership of... Housing § 36.4403 Joint ownership of housing unit. The construction or remodeling of a housing unit, or...
In the beginning of 2013, the U.S. housing construction market indicated increases in all sectors; yet, by the fourth quarterâs end, only housing under construction improved. Moderation and declines are to be expected in the fourth quarter, as winter is setting in. Permits, starts, housing under construction, completions, and new and existing house sales all exceeded...
... and composition of the country's housing inventory. Title 12, United States Code, Sections 1701Z-1... 2011 AHS will collect additional data on potential health and safety hazards in the home and... Survey (AHS) provides a periodic measure of the size and composition of the country's housing...
The U.S. housing marketâs quarter two results were disapÂ¬pointing compared with the first quarter. Although overall expected gains did not materialize, certain sectors improved slightly. Housing under construction, completions, and new and existing home sales exhibited slight increases. Overall permit data declined, and the decrease in starts was due primarily to a...
Normah, M. G.; Lau, K. Y.; Yusoff, S. Mohd.
Almost half of the total energy used today is consumed in buildings. In the tropical climate, air-conditioning a housing unit takes much of the energy bill. Malaysia is no exception. Malaysian double storey terrace housing is popular among developers and buyers. Surveys have shown that housing occupants are much dissatisfied with the thermal comfort and artificial cooling is often sought. The objective of this study is to assess the thermal comfort of the low and medium-cost double storey housing in the area surrounding Universiti Teknologi Malaysia. A simulation program using the Weighting Factor Method calculates the heat transfer interaction, temperature distribution, and PMV level in three types of housing units in relation to the size. Fanger's PMV model based on ISO Standard 7730 is used here because it accounts for all parameters that affect the thermal sensation of a human within its equation. Results showed that both the low and medium-cost housing units studied are out of the comfortable range described by ASHRAE Standard 55 with the units all complied with the local bylaws. In view of the uncertainties in energy supply, future housing units should consider natural ventilation as part of the passive energy management.
Cekić Nikola; Vasov Miomir; Bjelić Igor
This paper treats the issues of position and urbarchitectonic-functional organization of a housing unit in a floor area without corridors in a student hostel. The authors advocate a new, more rational and functional concept in which the student room is not in direct contact with the corridor communication, but belongs to the housing unit, student apartment for 4-6 users. In a more rational organized volume, the living of the students is more comfortable and has a different character. Th...
Barata, Paula C.; Stewart, Donna E.
Individual battered women have reported experiencing housing discrimination, but the extent of this problem has not been examined. This research used two experiments and a survey to determine if landlord discrimination could keep women from accessing rental units. In Study 1, a confederate asked 181 landlords about the availability of a rental…
Bijella, M F; Yared, F N; Bijella, V T; Lopes, E S
This paper presents the results of a house-by-house survey to learn the occurrence of dental injury to the primary teeth in Brazilian children from ten to seventy-two months of age. The study sample comprised 576 children, 295 boys and 281 girls living on sixty-six streets selected in an urban area (Bauru) in the state of Sao Paul, Brazil. There were 174 children (30.2 percent) with positive reports of injuries to the primary teeth. The results show the need of an educational program in order to prevent the occurrence of dental trauma.
... Survey of Transitional Housing Assistance for Victims of Domestic Violence, Dating Violence, Stalking, or... Transitional Housing Assistance Program Grant for Victims of Domestic Violence, Dating Violence, Stalking, or... 300 Transitional Housing Assistance Program Grant for Victims of Domestic Violence, Dating...
lead, copper, microbial (total coliform ) contamination, and chlorine residue. The water samples were collected from buildings selected at random...selected locations from 23 accompanied housing and 4 units in the barracks for lead, copper, total coliform , E. Coli, and residual chlorine. The... coliform and E. Coli bacteria. All drinking water quality test results were below applicable action levels for community water suppliers. The same 27
Khaled Galal Ahmed
Full Text Available The United Arab Emirates is experiencing a challenging turn towards sustainable social housing. Conventional neighborhood planning and design principles are being replaced by those leading to more sustainable urban forms. To trace this challenging move, the research has investigated the degree of consideration of sustainable urban design principles in two social housing neighborhoods in Al Ain City in Abu Dhabi Emirate, UAE. The first represents a conventional urban form based on the neighborhood theory; the other represents the new sustainable design. The ultimate aim is to define the obstacles hindering the full achievement of a sustainable urban form in this housing type. To undertake research investigations, a matrix of the design principles of sustainable urban forms has been initiated in order to facilitate the assessment of the urban forms of the two selected urban communities. Some qualitatively measurable design elements have been defined for each of these principles. The results of the analysis of the shift from ‘conventional’ to ‘sustainable’ case studies have revealed some aspects that would prevent the attainment of fully sustainable urban forms in newly designed social housing neighborhoods. Finally, the research concludes by recommending some fundamental actions to help meet these challenges in future design.
Tania I. Lagunes Vega
Full Text Available In order to achieve greater enhancements in energy sustainability for housing, the function and efficiency of two different passive cooling systems were studied: encapsulated water in recycled bottles of Polyethylene terephthalate (PET and polystyrene plates, in comparison with standard concrete slab systems, which are customarily used in housing. Experiments were placed over a tile surface, in which temperature changes were monitored for a period of 20 days from 08:00 to 20:00. The efficiency of passive thermal storage systems was endorsed through statistical analysis using the “SPSS” software. This resulted in a 17% energy saving, thus promoting energy sustainability in housing units, which reduces the use of electrical appliances required to stabilize conditions to achieve optimum thermal comfort for the human body inside a house, therefore, reducing electrical power consumption, CO2 emissions to the atmosphere and generating savings. Due to the complexity of a system with temperature changes, a fractal analysis was performed for each experimental system, using the “Benoit” software (V.1.3 with self-compatible tools of rescaled range (R/S and a wavelets method, showing that the thermal fluctuations on the tiles with the thermal storage system adapt to the rescaled range analysis and the regular tiles adapt to the wavelets method.
... [Docket No. BOP-1118-F] RIN 1120-AB18 Inmate Discipline Program/Special Housing Units: Subpart Revision... Discipline Program and Special Housing Units (SHU) regulations. The Bureau issues this correction document in... INFORMATION: The Bureau corrects its Inmate Discipline and Special Housing Units (SHU) regulations (28...
... Finance Survey AGENCY: Office of the Assistant Secretary for Policy Development and Research, HUD. ACTION... Rental Housing Finance Survey. OMB Control Number: 0000-0000. Description of the need for the information and proposed use: The Rental Housing Finance Survey (RHFS) provides a measure of financial,...
US Fish and Wildlife Service, Department of the Interior — The Federal Subsistence Board requested that moose surveys be flown in the area of the lower Chignik Unit proposed for closure to non-qualified moose hunters by the...
Housing cooperatives became active in urban areas in Sweden, India and the United States during the interwar period. Yet, after the second world war, while housing cooperatives grew phenomenally nationwide in Sweden and India, they did not do so in the United States. This article makes a comparative institutional analysis of the evolution of housing cooperatives in these three countries. The analysis reveals that housing cooperatives' relationship with the state and the consequent support structures explain the divergent evolution. Although the relationships between cooperatives and the state evolved over time, they can be characterized as embedded autonomy, overembeddedness and disembeddedness in Sweden, India and the United States respectively. Whereas the consequent support structures for housing cooperatives became well developed in Sweden and India, such structures have been weak in the United States. The article highlights the need for embedded autonomy and the need for supportive structures to enable the growth of housing cooperatives.
... 7 Agriculture 12 2010-01-01 2010-01-01 false Development work for modular/panelized housing units..., DEPARTMENT OF AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Planning and Performing Construction and Other Development § 1924.8 Development work for modular/panelized housing units. (a) Exhibit B...
... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF JUSTICE Bureau of Prisons 28 CFR Part 541 RIN 1120-AB18 Inmate Discipline Program/Special Housing Units: Subpart... issued a final rule amending the Bureau's Inmate Discipline Program and Special Housing Units...
Kuhar, C W; Fuller, G A; Dennis, P M
In humans, type II diabetes mellitus is a condition in which the pancreas is capable of producing insulin but cells do not appropriately respond to insulin with an uptake of glucose. While multiple factors are associated with type II diabetes in humans, a high calorie diet and limited exercise are significant risk factors for the development of this disease. Zoo primates, with relatively high caloric density diets and sedentary lifestyles, may experience similar conditions that could predispose them to the development of diabetes. We surveyed all Association of Zoos and Aquariums (AZA) facilities with primates in their collections to determine the prevalence of diabetes, diagnosis and treatment methods, and treatment outcomes. Nearly 30% of responding institutions reported at least one diabetic primate in their current collection. Although the majority of reported cases were in Old World Monkeys (51%), all major taxonomic groups were represented. Females represented nearly 80% of the diagnosed cases. A wide variety of diagnosing, monitoring, and treatment techniques were reported. It is clear from these results diabetes should be considered prominently in decisions relating to diet, weight and activity levels in zoo-housed primates, as well as discussions surrounding animal health and welfare.
U.S. Geological Survey, Department of the Interior — This model is based on how house cats utilize wildlands near human habituation. These predators can have detrimental effects on wildlife populations (Alterio et al....
The author describes the objectives of the Association of London Housing Estates and examines the methods employed in working for the community-the role that the central office plays, the importance of the active participation of the members and the relations that are maintained with the people of the community. (RR)
The Federal Aviation Administration (FAA) and the United States military have requirements for design, location, and construction of compass calibration pads (compass roses), these having been developed through collaboration with US Geological Survey (USGS) personnel. These requirements are detailed in the FAA Advisory Circular AC 150/5300-13, Appendix 4, and in various military documents, such as Handbook 1021/1, but the major requirement is that the range of declination measured within 75 meters of the center of a compass rose be less than or equal to 30 minutes of arc. The USGS Geomagnetism Group has developed specific methods for conducting a magnetic survey so that existing compass roses can be judged in terms of the needed standards and also that new sites can be evaluated for their suitability as potentially new compass roses. First, a preliminary survey is performed with a total-field magnetometer, with differences over the site area of less than 75nT being sufficient to warrant additional, more detailed surveying. Next, a number of survey points are established over the compass rose area and nearby, where declination is to be measured with an instrument capable of measuring declination to within 1 minute of arc, such as a Gurley transit magnetometer, DI Flux theodolite magnetometer, or Wild T-0. The data are corrected for diurnal and irregular effects of the magnetic field and declination is determined for each survey point, as well as declination range and average of the entire compass rose site. Altogether, a typical survey takes about four days to complete. ?? 2006 Springer.
Full Text Available Individual housing units in Serbia have been studied from the aspect of applied technical solutions. Analyzed data have been collected during a field research in accordance with the current administrative regional division, and they represent a basis for definition of regional typology of individual housing units. Characteristic types of objects of each region’s typology have been further analyzed. Upon these analyses regional characteristics of individual housing units regarding applied construction types, building technologies and materials have been defined and presented. [Projekat Ministarstva nauke Republike Srbije, br. TR 36034: Investigation and Systematization of Serbian Housing in Context of Globalization and European Integration in the Framework of Quality and Living-Standard Improvement
The students in 5 universities who learn architecture and pretended to be tenants implemented the experi-mental self-aid remodeling of dwelling units in a collective housing. Those dwelling units in the aged hous-ing estate were revived by them with a remarkable personality. This result proved that the aged dwelling unit stocks will be still utilized sufficiently. There will be many ways of continuing to use those remodeled dwell-ing units.
U.S. Geological Survey, Department of the Interior — This data set portrays the Public Land Surveys of the United States, including areas of private survey, Donation Land Claims, and Land Grants and Civil Colonies....
US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for 1.08 management unit water monitoring (level) survey on Fish Springs National Wildlife Refuge. This survey is conducted weekly and is...
Radeloff, V.C.; Stewart, S.I.; Hawbaker, T.J.; Gimmi, U.; Pidgeon, A.M.; Flather, C.H.; Hammer, R.B.; Helmers, D.P.
Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern "Noah's Ark." Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries.
Baker, Kate C
The behavioral management of laboratory nonhuman primates in the United States has not been thoroughly characterized since 2003. This article presents the results of a survey behavioral management programs at 27 facilities and covering a total of 59,636 primates, 27,916 housed in indoor cages and 31,720 in group enclosures. The survey included questions regarding program structure, implementation, and methodology associated with social housing, positive reinforcement training, positive human interaction, exercise enclosures, and several categories of inanimate enrichment. The vast majority of laboratory primates are housed socially (83%). Since 2003, the proportion of indoor-housed primates reported to be housed singly has fallen considerably, from 59% to 35% in the facilities surveyed. The use of social housing remains significantly constrained by: 1) research protocol requirements, highlighting the value of closely involved IACUCs for harmonizing research and behavioral management; and 2) the unavailability of compatible social partners, underscoring the necessity of objective analysis of the methods used to foster and maintain compatibility. Positive reinforcement training appears to have expanded and is now used at all facilities responding to the survey. The use of enrichment devices has also increased in the participating facilities. For most behavioral management techniques, concerns over the possibility of negative consequences to animals are expressed most frequently for social housing and destructible enrichment, while skepticism regarding efficacy is limited almost exclusively to sensory enrichment. Behavioral management program staffing has expanded over time in the facilities surveyed, due not only to increased numbers of dedicated behavioral management technicians but also to greater involvement of animal care technicians, suggesting an increase in the integration of behavioral care into animal husbandry. Broad awareness of common practice may assist
Liaukus, Christine [Building American Research Alliance, Kent, WA (United States)
Five Steps to Implementing the PHA Energy Efficient Unit Turnover Package (ARIES, 2014) is a guide to prepare for the installation of energy efficient measures during a typical public housing authority unit turnover. While a PHA is cleaning, painting and readying a unit for a new resident, there is an opportunity to incorporate energy efficiency measures to further improve the unit's performance. The measures on the list are simple enough to be implemented by in-house maintenance personnel, inexpensive enough to be folded into operating expenses without needing capital budget, and fast enough to implement without substantially changing the number of days between occupancies, a critical factor for organizations where the demand for dwelling units far outweighs the supply. The following guide lays out a five step plan to implement the EE Unit Turnover Package in your PHA, from an initial Self-Assessment through to Package Implementation.
Salomons, Greg J; Kelly, Diane
This paper reports on a survey of medical physicists who write and use in-house written software as part of their professional work. The goal of the survey was to assess the extent of in-house software usage and the desire or need for related software quality guidelines. The survey contained eight multiple-choice questions, a ranking question, and seven free text questions. The survey was sent to medical physicists associated with cancer centers across Canada. The respondents to the survey expressed interest in having guidelines to help them in their software-related work, but also demonstrated extensive skills in the area of testing, safety, and communication. These existing skills form a basis for medical physicists to establish a set of software quality guidelines.
MIRENGOFF, WILLIAM; SHOSTACK, ALBERT
AT THE PEAK OF THE 1955-56 WINTER SEASON, 1,300 FAMILIES AND 5,600 SINGLE MIGRANT WORKERS WERE LIVING IN DADE COUNTY'S URBAN AREAS AND 71 LABOR CAMPS. MOST LIVED IN OVERCROWDED QUARTERS, BUT THE UNITS WERE SOUNDLY CONSTRUCTED. WATER AND SEWAGE WERE ADEQUATE, BUT THERE WERE MANY STRUCTURAL DEFICIENCIES, INCLUDING LACK OF SCREENS AND LACK OF…
Full Text Available In this paper we use the Aging and Social Support Survey (GSS16 and the theoretical conception of a ‘housing career’ to identify the correlates of housing tenure (rent vs. own among Canadians age 45 and over. We draw on primarily US literature to isolate three general explanatory clusters (social support, health, and economic characteristics. Based on analyses using logistic regression, the results indicate that the majority of variation in housing tenure exists due to standard demographic and household characteristics. In fact, of the three focal explanatory clusters, only social support characteristics significantly enhance model fit beyond the baseline model, suggesting that the housing tenure of older Canadians hinges heavily on fairly standard characteristics.
Topp, Libby; Iversen, Jenny; Baldry, Eileen; Maher, Lisa
High rates of substance dependence are consistently documented among homeless people, and are associated with a broad range of negative outcomes among this population. Investigations of homelessness among drug users are less readily available. This study examined the prevalence and correlates of housing instability among clients of needle syringe programs (NSPs) via the Australian NSP Survey, annual cross-sectional seroprevalence studies among NSP attendees. Following self-completion of a brief, anonymous survey and provision of a capillary blood sample by 2,396 NSP clients, multivariate logistic regressions identified the variables independently associated with housing instability. Nineteen percent of ANSPS participants reported current unstable housing, with primary ('sleeping rough'; 5 %), secondary (staying with friends/relatives or in specialist homelessness services; 8 %), and tertiary (residential arrangements involving neither secure lease nor private facilities; 6 %) homelessness all evident. Extensive histories of housing instability were apparent among the sample: 66 % reported at least one period of sleeping rough, while 77 % had shifted between friends/relatives (73 %) and/or resided in crisis accommodation (52 %). Participants with a history of homelessness had cycled in and out of homelessness over an average of 10 years; and one third reported first being homeless before age 15. Compared to their stably housed counterparts, unstably housed participants were younger, more likely to be male, of Indigenous Australian descent, and to report previous incarceration; they also reported higher rates of key risk behaviors including public injecting and receptive sharing of injecting equipment. The high prevalence of both historical and current housing instability among this group, particularly when considered in the light of other research documenting the many adverse outcomes associated with this particular form of disadvantage, highlights the need
Rowden, Lewis J; Rose, Paul E
Banteng (Bos javanicus) are an example of a species of conservation concern without current "best practice" guidance, as they have been the focus of little applied husbandry research. Despite their elevated conservation status, and established, increasing global captive population, zoos do not yet have information on optimal husbandry. To help address this problem, a husbandry survey was distributed to all global holders of banteng. Questions focused on herd demographic structure, exhibit features (including mixed-species exhibition), dietary provision, and behavioral management. Completed surveys from 16 zoos enabled analysis of contemporary practice between institutions. Results indicate differences in enclosure size between zoos, and that herd size is unlikely to predict enclosure size. Herd sizes are smaller than wild examples, and enclosure space (per animal) is significantly smaller than a potential wild range. Banteng are frequently maintained successfully in mixed species exhibits alongside a wide range of other taxa. Nutrient analysis focused on fiber and protein, and although provision of these nutrients appears comparable between zoos, more work is needed on browse and forage intake to determine overall diet suitability. Behavior management shows variation between zoos, with numerous collections providing browse but only a minority undertaking training, and not all providing enrichment. The overall diversity in findings between zoos suggest future research areas that should focus on key aspects of behavioral ecology, such as wild foraging behavior, food plant selection and day/night activity patterns, which may help underpin husbandry guidelines and excellent animal welfare. Zoo Biol. 35:546-555, 2016. © 2016 Wiley Periodicals, Inc.
Full Text Available The paper explores the ideological influences in the period of the socialist system on the new urban landscape, and also on design of the typological models of residential units built in Belgrade. After the Second World War, one of the main policy goals of socialism was to solve the housing problems of Belgrade, by building the modern, serially manufactured and economical housing architecture. The period of intensive construction of housing architecture of Belgrade in the period of socialist self-management is primarily related to the achieved quality of housing in this period in terms of environment humanization and functional organization of housing units. This paper explores new concepts and principles of housing architecture with the emphasis on the impact of spatial-functional apartment transformation on the family lifestyle and the formation of a new socialist culture of dwelling. Since the problem of housing is interdisciplinary, the transformation is studied out through detecting the relations of cause and effect among ideological social changes, culture of habitation, technical and technological criteria and functional-spatial house structure. The modern housing urbanism and architecture has become a representation of social, political, economic, demographic and cultural changes of the period. [Projekat Ministarstva nauke Republike Srbije, br. TR36034 i br. OI179048
Hydrogen sulfide (H2S) and nonmethane hydrocarbon (NMHC) emissions from two mechanically ventilated commercial broiler houses located in the Southeastern United States were continuously monitored over 12 flocks during the one-year period of 2006-2007 as a joint effort between Iowa State University a...
Baskas, Richard S.
The federal prison system provides a number of opportunities for inmates to further their education. These prospects can be made available at the prison and can include, college correspondence, the formal classroom, or at the inmate's cell in the special housing unit (SHU). While it is common for inmates to receive a more appropriate education at…
... will be conducted independent of and not influence the 2010 Census operations. CCM will be conducted to... English language version of the Final Housing Unit Followup form and will be used to collect data and to conduct Quality Control for addresses in CCM stateside sample areas. The D- 1340PR is the Spanish...
... also examines state agency regulations concerning design, construction and labeling of modular... 7 Agriculture 12 2010-01-01 2010-01-01 false Requirements for Modular/Panelized Housing Units B... AGENCY, DEPARTMENT OF AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Planning and...
Bauer, Sharon A; Leslie, Ken E; Pearl, David L; Fournier, Jocelyn; Turner, Patricia V
Excessive weight gain has been reported to occur in captive cynomolgus macaques with little to no change in diet. Overweight body condition can result in development of hyperglycemia and type 2 diabetes and should be avoided. The purpose of this survey was to assess the prevalence of overweight cynomolgus macaques in North American research facilities, including breeding colonies and short-term and long-term facilities, and to describe current methods used to assess body condition. The survey consisted of 51 questions covering animal population demographics, body weight and body condition scoring, feeding, and behavior. Voluntary participants included veterinarians and animal care managers. Respondents from 13 facilities completed the survey, and information was collected on 17,500 cynomolgus macaques. The majority of surveyed facilities housed juvenile and young adult macaques. The reported prevalence of overweight (greater than 10% of ideal body weight) animals ranged between 0% and 20% and reportedly was more frequent in animals younger than 10 y. Most facilities had weight reduction strategies in place. Despite these programs, a significant proportion of animals were reported as being overweight. The results of this survey demonstrate that most North American facilities housing cynomolgus macaques recognize the importance of tracking body condition regularly. However, implementing effective weight reduction programs may be difficult in captive housing environments. Because of the potential for adverse health effects, facilities should have a means of regularly tracking body weight as well as an action plan for managing overweight animals.
Gerard, Amanda F; Larson, Mandy; Baldwin, Claudia J; Petersen, Christine
OBJECTIVE To determine whether associations existed between onychectomy or onychectomy technique and house soiling in cats. DESIGN Cross-sectional study. SAMPLE 281 owners of 455 cats in Polk County, Iowa, identified via a list of randomly selected residential phone numbers of cat owners in that region. PROCEDURES A telephone survey was conducted to collect information from cat owners on factors hypothesized a priori to be associated with house soiling, including cat sex, reproductive status, medical history, and onychectomy history. When cats that had undergone onychectomy were identified, data were collected regarding the cat's age at the time of the procedure and whether a carbon dioxide laser (CDL) had been used. Information on history of house soiling behavior (urinating or defecating outside the litter box) was also collected. RESULTS Onychectomy technique was identified as a risk factor for house soiling. Cats for which a non-CDL technique was used had a higher risk of house soiling than cats for which the CDL technique was used. Cats that had undergone onychectomy and that lived in a multicat (3 to 5 cats) household were more than 3 times as likely to have house soiled as were single-housed cats with intact claws. CONCLUSIONS AND CLINICAL RELEVANCE Results of this cross-sectional study suggested that use of the CDL technique for onychectomy could decrease the risk of house soiling by cats relative to the risk associated with other techniques. This and other findings can be used to inform the decisions of owners and veterinarians when considering elective onychectomy for cats.
Sekeres, Mikkael A.; Stern, Theodore A.
BACKGROUND: In a general hospital, few clinical settings match the intensity of the intensive care unit (ICU) experience. Clinical rotations in ICUs elicit and emphasize the struggles house officers face on a daily basis throughout their training. METHOD: These struggles were recorded by hundreds of residents in a journal maintained in one Medical ICU for the past 20 years. We systematically reviewed these unsolicited entries to develop categories that define and illustrate common stressors. RESULTS: Stressors for house officers include isolation, insecurity, care for the terminally ill, sleep deprivation, and long work weeks. CONCLUSION: By placing the struggles of house staff in context, trainees and their residency training programs can be prepared for the intensity of the experience and for work in clinical practice settings that follows completion of training.
Bellandi, D; Kirchheimer, B
For-profit hospital systems cleaned house last year. After years of adding hospitals, investor-owned operators shed facilities in 1998, recording the first decline in the number of acute-care hospitals they've owned or managed since 1991, according to our 23rd annual Multi-unit Providers Survey.
Tusting, Lucy S; Bottomley, Christian; Gibson, Harry; Kleinschmidt, Immo; Tatem, Andrew J; Lindsay, Steve W; Gething, Peter W
Improvements to housing may contribute to malaria control and elimination by reducing house entry by malaria vectors and thus exposure to biting. We tested the hypothesis that the odds of malaria infection are lower in modern, improved housing compared to traditional housing in sub-Saharan Africa (SSA). We analysed 15 Demographic and Health Surveys (DHS) and 14 Malaria Indicator Surveys (MIS) conducted in 21 countries in SSA between 2008 and 2015 that measured malaria infection by microscopy or rapid diagnostic test (RDT). DHS/MIS surveys record whether houses are built with finished materials (e.g., metal) or rudimentary materials (e.g., thatch). This information was used to develop a binary housing quality variable where houses built using finished wall, roof, and floor materials were classified as "modern", and all other houses were classified as "traditional". Conditional logistic regression was used to determine the association between housing quality and prevalence of malaria infection in children aged 0-5 y, adjusting for age, gender, insecticide-treated net (ITN) use, indoor residual spraying, household wealth, and geographic cluster. Individual survey odds ratios (ORs) were combined to determine a summary OR using a random effects meta-analysis. Of 284,532 total children surveyed, 139,318 were tested for malaria infection using microscopy (n = 131,652) or RDT (n = 138,540). Within individual surveys, malaria prevalence measured by microscopy ranged from 0.4% (Madagascar 2011) to 45.5% (Burkina Faso 2010) among children living in modern houses and from 0.4% (The Gambia 2013) to 70.6% (Burkina Faso 2010) in traditional houses, and malaria prevalence measured by RDT ranged from 0.3% (Senegal 2013-2014) to 61.2% (Burkina Faso 2010) in modern houses and from 1.5% (The Gambia 2013) to 79.8% (Burkina Faso 2010) in traditional houses. Across all surveys, modern housing was associated with a 9% to 14% reduction in the odds of malaria infection (microscopy: adjusted
Topp, Libby; Iversen, Jenny; Baldry, Eileen; Maher, Lisa
High rates of substance dependence are consistently documented among homeless people, and are associated with a broad range of negative outcomes among this population. Investigations of homelessness among drug users are less readily available. This study examined the prevalence and correlates of housing instability among clients of needle syringe programs (NSPs) via the Australian NSP Survey, annual cross-sectional seroprevalence studies among NSP attendees. Following self-completion of a bri...
Abd Wahab Siti Rashidah Hanum
Full Text Available High-rise residential building is a type of housing that has multi-dwelling units built on the same land. This type of housing has become popular each year in urban area due to the increasing cost of land. There are several common facilities provided in high-rise residential building. For example playground, swimming pool, gymnasium, 24 hours security system such as CCTV, access card and so on. Thus, maintenance works of the common facilities must be well organised. The purpose of this paper is to identify the classification of facilities provided at high rise residential building. The survey was done on 170 high-rise residential schemes by using stratified random sampling technique. The scope of this research is within Klang Valley area. This area is rapidly developed with high-rise residential building. The objective of this survey is to list down all the facilities provided in each sample of the schemes. The result, there are nine classification of facilities provided for high-rise residential building.
Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This estimate of the percent of distressed housing units in each Census Tract was prepared using data from the American Community Survey and the Allegheny County...
Precast concrete elements are widely used within United Kingdom house building offering ease in assembly and added values as structural integrity, sound and thermal insulation; most common concrete components include walls, beams, floors, panels, lintels, stairs, etc. The lack of respect of the manufacturer instruction during assembling, however, may induce cracking and short/long term loss of bearing capacity. GPR is a well-established not destructive technique employed in the assessment of structural elements because of real-time imaging, quickness of data collecting and ability to discriminate finest structural details. In this work, GPR has been used to investigate two different precast elements: precast reinforced concrete planks constituting the roof slab of a school and precast wood-cement blocks with insulation material pre-fitted used to build a perimeter wall of a private building. Visible cracks affected both constructions. For the assessment surveys, a GSSI 2.0 GHz GPR antenna has been used because of the high resolution required and the small size of the antenna case (155 by 90 by 105mm) enabling scanning up to 45mm from any obstruction. Finite Difference Time Domain (FDTD) numerical modelling was also performed to build a scenario of the expected GPR signal response for a preliminary real-time interpretation and to help solve uncertainties due to complex reflection patterns: simulated radargrams were built using Reflex Software v. 8.2, reproducing the same GPR pulse used for the surveys in terms of wavelet, nominal frequency, sample frequency and time window. Model geometries were derived from the design projects available both for the planks and the blocks; the electromagnetic properties of the materials (concrete, reinforcing bars, air-filled void, insulation and wooden concrete) were inferred from both values reported in literature and a preliminary interpretation of radargrams where internal layer interfaces were clearly recognizable and
Morabito, Paige; Bashaw, Meredith J
Stereotypic behaviors, indicating poor welfare and studied in a variety of species (especially carnivores), appear related to characteristics of current and past environments. Although North American river otters (Lontra canadensis) often develop abnormal, repetitive, possibly stereotypic behaviors, no published reports describe otter housing and management or characterize how these variables relate to abnormal repetitive behavior (ARB) occurrence. The first author developed surveys to gather data on housing, individual history, management, and the prevalence of ARBs in otters housed in facilities accredited by the Association of Zoos and Aquariums. Consistent with anecdotal evidence that otters are prone to ARBs, 46% of river otters in the study exhibit them. ARBs were mostly locomotor and often preceded feeding. Exhibits where otters were fed and trained housed a greater percentage of nonhuman animals with ARBs. This study supports the Tarou, Bloomsmith, and Maple (2005) report that more hands-on management is associated with higher levels of ARBs because management efforts are only for animals with ARBs. Escape motivation, breeding season, feeding cues, and ability to forage may affect ARBs in river otters and should be investigated.
Ricardo Enrique Vega-Azamar
Full Text Available Sustainability of cities and the environmental implications of high resource utilization by the domestic sector are growing concerns related to urban regions. Well-informed urban planning decision-making is an essential tool to help in the task and, for that, an important point to consider is the influence of parameters like residential density and housing typology on the intensity of resource utilization. Emergy synthesis, a life-cycle energy analysis methodological approach that considers the interaction of natural and human-made flows, was used to evaluate the environmental support for dwelling operational stage in five typical present-day housing units on the island of Montreal. As expected, resource utilization, measured as total emergy used, was positively correlated to housing unit size both with respect to number of occupants and dwelling size. Results suggest that variables affecting notably the intensity of resource utilization are per household income and per dweller habitable space and, while a higher income increased per capita emergy in all cases, increasing space availability per resident did not result in a decrease of empower density after 50 m2/person. Future work should consider lower and higher densities and analyses at the scale of blocks, neighborhoods and urban planning zones.
US Fish and Wildlife Service, Department of the Interior — This report summarizes the 1972 moose surveys on Kenai National Wildlife Refuge, Game Management Unit 15(A). Harvest report returns indicate a hunter harvest of 193...
US Fish and Wildlife Service, Department of the Interior — This report summarizes the 1972 moose surveys on Kenai National Wildlife Refuge, Game Management Unit 15(C). Harvest report returns show a harvest of 170 bulls; this...
US Fish and Wildlife Service, Department of the Interior — This report summarizes the 1972 moose surveys on Kenai National Wildlife Refuge, Game Management Unit 15(B). Harvest report returns indicate a hunter harvest of 73...
Geochemical surveys in relation to health may be classified as having one, two or three dimensions. One-dimensional surveys examine relations between concentrations of elements such as Pb in soils and other media and burdens of the same elements in humans, at a given time. The spatial distributions of element concentrations are not investigated. The primary objective of two-dimensional surveys is to map the distributions of element concentrations, commonly according to stratified random sampling designs based on either conceptual landscape units or artificial sampling strata, but systematic sampling intervals have also been used. Political units have defined sample areas that coincide with the units used to accumulate epidemiological data. Element concentrations affected by point sources have also been mapped. Background values, location of natural or technological anomalies and the geographic scale of variation for several elements often are determined. Three-dimensional surveys result when two-dimensional surveys are repeated to detect environmental changes. -Author
Parthasarathy, Srinandini; Spears, Michael; Maddalena, Randy L.; Russell, Marion L; Apte, Michael G.
The report outlines the methodology used to develop a web-based tool to assess the formaldehyde exposure of the occupants of Federal Emergency Management Administration (FEMA) temporary housing units (THUs) after Hurricanes Katrina and Rita in 2005. Linear regression models were built using available data to retrospectively estimate the indoor temperature and relative humidity, formaldehyde emission factors and concentration, and hence the formaldehyde exposures. The interactive web-tool allows the user to define the inputs to the model to evaluate formaldehyde exposures for different scenarios.
Choi, J.H.; Yang, Y.M.; Chae, J.M.; Bang, H.S.; Kwon, O.B.; Yoo, S.I.; Kim, T.H. [R and D Center, Korea Gas Co. (Korea); Lee, T.W.; Kim, T.H.; Kim, B.H.; Hwang, I.J.; Kim, J.Y.; Kim, C.D.; Park, S.J. [Korea Institute of Construction Technology (Korea)
Following researches and considerations were performed in this study for an efficient application of gas-fired chilling and heating units to the residential buildings. (1) Status of domestic cooling and heating for residential building. (2) Various introduction schemes of outdoor unit. (3) Design exclusive area for the gas appliance and installation of it. (4) Ventilation of exhaust gas and heat. (5) Prepare the installation specifications or standards for gas-fired chilling and heating units. (6) Design technique of plumbing for cooling and heating. (7) Evaluation of unit's capacity considering the thermal load of domestic buildings. (8) Cooling and heating system with the unit. (9) Fundamental test for evaluation of applicability. (10) Actual design and construction of experimental house for an application and a demonstration of the developed gas units. (11) Field test for cooling and heating. (12) Evaluation of economic efficiency. (13) Establish a business potential. (14) Establishment of legal and systematic support, energy rate. (15) Troubleshooting in the course of development and application of the new gas appliance. 41 refs., 214 figs., 52 tabs.
... Finance Survey (RHFS) AGENCY: Office of the Chief Information Officer, HUD. ACTION: Notice. SUMMARY: The... Residential Finance Survey. DATES: Comments Due Date: May 23, 2011. ADDRESSES: Interested persons are invited... responses. This notice also lists the following information: Title of Proposal: 2012 Rental Housing...
Dumont, Olivier; Carmo, Carolina; Randaxhe, François
modes that need to be chosen optimally depending on the weather conditions, the heat demand and the temperature level of the storage. The ORC mode is activated, as long as the heat demand of the house is covered by the storage to produce electricity based upon the heat generated by the solar roof...... regarding control strategies and enhancement of the global system are drawn. A control strategy with a low storage temperature set-point (50˚C) allows reducing electrical consumption from 11% up to 24% when compared to higher set-point (60˚C). The system performance to produce power could also be optimized......This paper presents a dynamic model of a passive house located in Denmark with a large solar absorber, a horizontal ground heat exchanger coupled with a HP/ORC unit. The HP/ORC reversible unit is a module able to work as an Organic Rankine Cycle (ORC) or as a heat pump (HP). There are 3 possible...
Parthasarathy, Srinandini; Maddalena, Randy L.; Russell, Marion L.; Apte, Michael G.
The effect of temperature and humidity on formaldehyde emissions from samples collected from temporary housing units (THUs) was studied. The THUs were supplied by the U.S Federal Emergency Management Administration (FEMA) to families that lost their homes in Louisiana and Mississippi during the Hurricane Katrina and Rita disasters. Based on a previous study 1, 2, four of the composite wood surface materials that dominated contributions to indoor formaldehyde were selected to analyze the effects of temperature and humidity on the emission factors. Humidity equilibration experiments were carried out on two of the samples to determine how long the samples take to equilibrate with the surrounding environmental conditions. Small chamber experiments were then conducted to measure emission factors for the four surface materials at various temperature and humidity conditions. The samples were analyzed for formaldehyde via high performance liquid chromatography. The experiments showed that increases in temperature or humidity contributed to an increase in emission factors. A linear regression model was built using natural log of percentage relative humidity (RH) and inverse of temperature (in K) as predictor variables, and natural log of emission factors as the target variable. The coefficients of both inverse temperature and log relative humidity with log emission factor were found to be statistically significant for all the samples at the 95percent confidence level. This study should assist to retrospectively estimate indoor formaldehyde exposures of occupants of temporary housing units (THUs).
The U.S. Geological Survey (USGS) has been collecting and interpreting natural-resources data in Nevada for more than 100 years. This long-term commitment enables planners to manage better the resources of a State noted for paradoxes. Although Nevada is one of the most sparsely populated States in the Nation, it has the fastest growing population (fig. 1). Although 90 percent of the land is rural, it is the fourth most urban State. Nevada is the most arid State and relies heavily on water resources. Historically, mining and agriculture have formed the basis of the economy; now tourism and urban development also have become important. The USGS works with more than 40 local, State, and other Federal agencies in Nevada to provide natural-resources information for immediate and long-term decisions.Subjects included in this fact sheet:Low-Level Radioactive-Waste DisposalMining and Water in the Humboldt BasinAquifer Systems in the Great BasinWater Allocation in Truckee and Carson BasinsNational Water-Quality Assessment ProgramMinerals Assessment for Land ManagementIrrigation DrainageGround-Water Movement at Nevada Test SiteOil and Gas ResourcesNational Mapping ProgramDigital Mapping and Aerial PhotographyCollection of Hydrologlc DataGeologic MappingEarthquake HazardsAssessing Mineral Resources of the SubsurfaceEarth Observation DataCooperative Programs
Because of the jaguar’s (Panthera onca) endangered status under the Endangered Species Act (ESA) of 1973 throughout its range (from Arizona in the north to Argentina in the south), jaguar individuals and populations are monitored to varying degrees throughout their range. Knowledge gained from monitoring jaguars is helpful for wildlife managers who are responsible for conserving this species. The University of Arizona (UA) has conducted a multiyear surveying and monitoring effort for jaguars and ocelots in southern Arizona and New Mexico. The purpose of this work was to establish an effective surveying and monitoring system for jaguars along the United States-Mexico border. Surveying and monitoring in this study focused on the United States side of the border, but the methods could also be used in Mexico. The intent was to develop and implement a surveying and monitoring system that would provide the greatest probability of recording jaguar presence in, and passage through, the border area.
Mu'minah, I. A. S.; Toresano, L. O. H. Z.; Wibowo, W. E.; Sugiyantari; Pawiro, S. A.
DSSuperDose v.1.0 is an in-house treatment planning system (TPS) developed by Medical Physics and Biophysics Laboratory (LFMB) Universitas Indonesia as a treatment planning software for Cobalt-60 teletherapy unit. The main objective of this study was the validation of in-house TPS calculation as an essential part in quality assurance (QA) of radiotherapy. Validation of an in-house TPS was performed with two Cobalt-60 teletherapy units by comparison between in-house TPS and ISIS TPS and by measurements of absorbed dose. Mean dose deviations between in-house TPS and measurement were (1.97 ± 2.42)% for open field, (1.32 ± 1.30)% for tray field, and (2.91 ± 2.36)% for wedge field treatments. In-house TPS provide optimal planning for open and tray beam conditions with depth fewer than 10 cm (≤ 10 cm) and field sizes up to 20×20 cm2, while for wedge beam conditions with field sizes fewer than the physical size of the wedge. Comparison of in-house TPS and ISIS TPS demonstrated a good match of 96%. From the results, it is concluded that DSSuperDose v.1.0 is adequately accurate for treatment planning of radiotherapy.
Frontczak, Monika Joanna; Andersen, Rune Vinther; Wargocki, Pawel
. A total of 2499 questionnaires were sent to inhabitants of the most common types of housing in Denmark; 645 persons replied (response rate of 26%). The results show that the main indoor environmental parameters (visual, acoustic and thermal conditions, and air quality) are considered by occupants...... for controlling indoor environmental quality in their homes should be used. 54% of them reported to have had at least one problem related to the indoor environment at home. A majority of those respondents did not try to search for information on how to solve the problem. This may suggest that there is a need......A questionnaire survey in Danish homes investigated the factors that influence occupants’ comfort. The questionnaire contained questions on inhabitants’ behaviour, their knowledge as regards building systems designed for controlling the indoor environment and the ways in which they achieve comfort...
Adebowale, Stephen Ayo; Morakinyo, Oyewale Mayowa; Ana, Godson Rowland
Nigeria is among countries with high Under-Five Mortality (U5M) rates worldwide. Both maternal and childhood factors have been linked to U5M in the country. However, despite the growing global recognition of the association between housing and quality of life, the role of housing materials as predictors of U5M remain largely unexplored in Nigeria. This study, therefore, investigated the relationship between housing materials and U5M in Nigeria. The study utilised the 2013 Nigeria Demographic and Health Survey data. A representative sample of 40,680 households was selected for the survey. The sample included 18,516 women of reproductive age who had given birth in the past 5 years prior the survey; with attention on the survival status of the index child (the most recent delivery). Data were analysed using descriptive statistics, Chi-square, Cox-proportional hazard and Brass 2-parameter models (α = 0.05). The hazard ratio of U5M was 1.46 (C.I = 1.02-1.47, p materials respectively than those in good housing materials. Under-five deaths show a downward trend (slope = -0.4871) relative to the housing materials assessment score. The refined U5M rate was 143.5, 127.0 and 90.8 per 1000 live birth among women who live in houses built with inadequate, moderate and adequate housing materials respectively. Other predictors of U5M were; the size of the child at birth, preceding birth interval, prenatal care provider, residence and education. Under-five death reduces with increasing maternal level of; education, wealth quintile, media exposure and housing material type and mostly experienced by Muslim women (6.0%), rural women (6.5%) and women residence in the North-West geopolitical zones (6.9%). Living in houses built with poor housing materials promoted U5M in Nigeria. Provision of sustainable housing by the government and the maintenance of existing housing stock to healthful conditions will play a significant role in reducing the burden of U5M in Nigeria.
Solanki, Kohmal; Bhatti, Nabeel; Bridle, Christopher
Despite constituting a minority of senior house officers (SHO) in oral and maxillofacial surgery (OMFS), the number of singly-qualified medical trainees is growing. We describe the experience of a singly qualified medical trainee in OMFS and the unique benefits and opportunities for potential trainees and the department. Overall, the advantages of synergistic training outweigh any deficiencies in knowledge, and in our experience, having both medical and dental trainees in our unit has maximised training opportunities and provided a more holistic approach to patient care. Increased exposure to conditions in the head and neck also benefits trainees who wish to pursue careers in other specialties such as ear, nose, and throat (ENT), neurosurgery, ophthalmology, and plastic surgery. Copyright © 2016 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Grimes, Justin; Manjarrez, C. Arturo; Miller, Kim A.; Owens, Timothy; Swan, Deanne W.; Vese, Rodney D., Jr.; Arroyo, J. Andrea; Craig, Terri; Dorinski, Suzanne; Freeman, Michael; Isaac, Natasha; O'Shea, Patricia; Schilling, Peter; Scotto, Jennifer
The relatively high use rates and program attendance highlight the public value provided by local libraries at a time of dramatic economic, technology, and demographic change. The Public Libraries in the United States Survey is one important way of examining when, where and how library services are changing to meet those needs. The data, supplied…
US Fish and Wildlife Service, Department of the Interior — This is the second year of the proposed 3 year survey project in Unit 9 of the Monte Vista NWR to look at breeding and nesting birds that use wet meadow/ wetland...
Full Text Available EnglishIn this paper we use the Aging and Social Support Survey (GSS16 and the theoretical conception of a ‘housing career’ to identify the correlates of housing tenure (rent vs.own among Canadians age 45 and over. We draw on primarily US literature to isolate three general explanatory clusters (social support, health, and economic characteristics.Based on analyses using logistic regression, the results indicate that the majority of variation in housing tenure exists due to standard demographic and household characteristics. In fact, of the three focal explanatory clusters, only social support characteristics significantly enhance model fit beyond the baseline model, suggesting that the housing tenure of older Canadians hinges heavily on fairly standard characteristics.FrenchDans cet article, nous nous sommes servis de l’enquête « Vieillissement et soutien social» (ESG16 et de la théorie du cycle de vie du logement pour identifier les corrélatsdes modes d’occupation (location vs. propriétariat chez les canadiens âgés de 45 ans etplus. Nous avons principalement puisé la littérature des États-Unis pour isoler trois groupesexplicatifs généraux (caractéristiques: de support social, de santé, et économiques.Les résultats, basés sur des analyses de régression logistique, indiquent que la majoritédes variations dans les modes d’occupation peuvent être attribuées à des caractéristiquesdémographiques et économiques de base. En effet, des trois groupes explicatifs focaux, cesont seulement les caractéristiques de support social qui ont fait monter l’ajustement dumodèle en delà du modèle de base, ce qui suggère que les modes d’occupation des logementspour les canadiens d’un certain âge dépend beaucoup des caractéristiques de base.Mots clés: Cycle de vie du logement, modes d’occupation de logements, adultes âgés
Nelson, Clifford M.
This publication contains two presentations in Portable Document Format (PDF). The first is Renee M. Jaussaud's inventory of the documents accessioned by the end of 1997 into Record Group 57 (Geological Survey) at the National Archives and Records Administration's (NARA) Archives II facility in College Park, Md., but not the materials in NARA's regional archives. The second is Mary C. Rabbitt's 'The United States Geological Survey 1879-1989,' which appeared in 1989 as USGS Circular 1050. Additionally, USGS Circular 1050 is also presented in Hyper Text Markup Language (HTML) format.
Zumberge, M. A.; Faller, J. E.; Gschwind, J.
Using the recently completed JTLA absolute gravity meter, we made a survey of twelve sites in the United States. Over a period of eight weeks, the instrument was driven a total distance of nearly 20,000 km to sites in California, New Mexico, Colorado, Wyoming, Maryland and Massachusetts. The time spent in carrying out a measurement at a single location was typically one day. We report the results of the measurements in this survey along with earlier measurements made with the instrument, discuss the measurement accuracy and compare our results with other measurements. Previously announced in STAR as N83-20480
Banks, James; Blundell, Richard; Oldfield, Zoë; Smith, James P
This paper examines geographic mobility and housing downsizing at older ages in Britain and America. Americans downsize housing much more than the British largely because Americans are much more mobile. The principal reasons for greater mobility among older Americans are two fold: (1) greater spatial distribution of geographic distribution of amenities (such as warm weather) and housing costs and (2) greater institutional rigidities in subsidized British rental housing providing stronger incentives for British renters not to move. This relatively flat British housing consumption with age may have significant implications for the form and amount of consumption smoothing at older ages.
Full Text Available In Australia, an increasing number of households face problems of access to suitable housing in the private market. In response, the Federal and State Governments share responsibility for providing housing assistance to these, mainly low-income, households. A broad range of policy instruments are used to provide and maintain housing assistance across all housing tenures, for example, assisting entry into homeownership, providing affordability assistance in the private rental market, and the provision of socially owned and managed housing options. Underlying each of these interventions is the premise that secure, affordable, and appropriate housing provides not only shelter but also a number of nonshelter benefits to individuals and their households. Although the nonshelter outcomes of housing are well acknowledged in Australia, the understanding of the nonshelter outcomes of housing assistance is less clear. This paper explores nonshelter outcomes of three of the major forms of housing assistance provided by Australian governments—low-income mortgage assistance, social housing, and private rent assistance. It is based upon analysis of a survey of 1,353 low-income recipients of housing assistance, and specifically measures the formulation of health and well-being, financial stress, and housing satisfaction outcomes across these three assistance types. We find clear evidence that health, finance, and housing satisfaction outcomes are associated with quite different factors for individuals in these three major housing assistance types.
T. Yoyok Wahyu Subroto
Full Text Available The massive spatial expansion of the city into the rural area in recent decades has caused such problems as related to the spatial exploitation in villages surrounding. This raises a question of whether the open space change into land coverage building may have a spatial structure implication on settlement growth and evolution process in the villages surrounding. This paper reports a case study of Kasongan village in Bantul regency, Yogyakarta, Indonesia in between 1973-2010 in which the problem refers to the discussion of spatial structure is rarely addressed especially in village’s settlement growth and evolution analysis. The bound axis which consists of 4 (four quadrants and one intersection refers to the reference axes in a Cartesian Coordinate System (CCS is used to analyze the setting of the houses group unit around 4 areas/ quadrants. Through such spatial process analysis by means spatial structure approach, the continuity of latar (yard, in the central of houses group unit is detected. There is finding from this research that the latar which exists in ‘the central point’ of houses group unit in Kasongan during 4 decades significantly becomes the prominent factor of the basic spatial structure. It composes the houses group unit in Kasongan.
Ani, Adi Irfan Che; Sairi, Ahmad; Tawil, Norngainy Mohd; Wahab, Siti Rashidah Hanum Abd; Razak, Muhd Zulhanif Abd
High demand for housing and limited land in town area has increasing the provision of high-rise residential scheme. This type of housing has different owners but share the same land lot and common facilities. Thus, maintenance works of the buildings and common facilities must be well organized. The purpose of this paper is to identify and classify basic facilities for high-rise residential building hoping to improve the management of the scheme. The method adopted is a survey on 100 high-rise residential schemes that ranged from affordable housing to high cost housing by using a snowball sampling. The scope of this research is within Kajang area, which is rapidly developed with high-rise housing. The objective of the survey is to list out all facilities in every sample of the schemes. The result confirmed that pre-determined 11 classifications hold true and can provide the realistic classification for high-rise residential scheme. This paper proposed for redefinition of facilities provided to create a better management system and give a clear definition on the type of high-rise residential based on its facilities.
Wemíria de Fátima Lima Lopes
Full Text Available Objective: To investigate the prevalence and characteristics of self-medication among pension housed patients at the central healthcare unit of Teresina in the downtown region. Method: This is an exploratory epidemiological study with a quantitative, cross-sectional descriptive approach. For data collection a semi-structured questionnaire was applied on the behaviors of 300 patients. Results: Of the total respondents, the practice of self-medication was common in 241 (80.33% of individuals. The greatest achievement of this was seen in those coming from municipalities in the interior of Maranhao 116 (48.13%, which surpassed even that with a small gap the individuals from the interior of Piaui, to practice self-medication in 101 (41.91%. Conclusion: It is understood that self-medication is an old widespread practice. The search for relief from their ailments and the poor public healthcare offered to the population admits that individuals opt for self-medication as a first option.
Murtough, S M; Hiom, S J; Palmer, M; Russell, A D
A postal survey of biocide rotation in UK hospital pharmacy aseptic units was carried out. Seventy per cent of respondents stated that biocides were rotated, most frequently in areas outside critical work zones. High-level disinfection was employed when 'aseptic' conditions were required. Decisions on frequency of rotation were most often based on in-house validation or consultation with colleagues. Toxicity and corrosiveness were the criteria rated most important in a rotation policy. Microbiological monitoring was carried out most frequently in critical work zones but less often for handwashing. Most QC hospital pharmacists supported rotation and would prefer a standard period for all applications (monthly). Guidelines need to be clarified to assist staff in decisions regarding biocide rotation. Copyright 2002 The Hospital Infection Society.
Parthasarathy, Srinandini; Maddalena, Randy L.; Russell, Marion L.; Apte, Michael G.
Sixteen previously occupied temporary housing units (THUs) were studied to assess emissions of volatile organic compounds. The whole trailer emission factors wereevaluated for 36 VOCs including formaldehyde. Indoor sampling was carried out in the THUs located in Purvis staging yard in Mississippi, USA. Indoor temperature andrelative humidity (RH) were also measured in all the trailers during sampling. Indoor temperatures were varied (increased or decreased) in a selection of THUs using theheating, ventilation and air conditioning (HVAC) systems. Indoor temperatures during sampling ranged from 14o C to 33o C, and relative humidity (RH) varied between 35percentand 74percent. Ventilation rates were increased in some trailers using bathroom fans and vents during some of the sampling events. Ventilation rates measured during some aselection of sampling events varied from 0.14 to 4.3 h-1. Steady state indoor formaldehyde concentrations ranged from 10 mu g-m-3 to 1000 mu g-m-3. The formaldehyde concentrations in the trailers were of toxicological significance. The effects of temperature, humidity and ventilation rates were also studied. A linearregression model was built using log of percentage relative humidity, inverse of temperature (in K-1), and inverse log ACH as continuous independent variables, trailermanufacturer as a categorical independent variable, and log of the chemical emission factors as the dependent variable. The coefficients of inverse temperature, log relativehumidity, log inverse ACH with log emission factor were found to be statistically significant for all the samples at the 95percent confidence level. The regression model wasfound to explain about 84percent of the variation in the dependent variable. Most VOC concentrations measured indoors in the Purvis THUs were mostly found to be belowvalues reported in earlier studies by Maddalena et al.,1,2 Hodgson et al.,3 and Hippelein4. Emissions of TMPB-DIB (a plasticizer found in vinyl products) were found
Salazar, Olivia; Maddalena, Randy L.; Russell, Marion; Sullivan, Douglas P.; Apte, Michael G.
Four unoccupied FEMA temporary housing units (THUs) were studied to assess their indoor emissions of volatile organic compounds including formaldehyde. Measurement of whole-THU VOC and aldehyde emission factors (mu g h-1 per m2 of floor area) for each of the four THUs were made at FEMA's Purvis MS staging yard using a mass balance approach. Measurements were made in the morning, and again in the afternoon in each THU. Steady-state indoor formaldehyde concentrations ranged from 378 mu g m-3 (0.31ppm) to 632 mu g m-3 (0.52 ppm) in the AM, and from 433 mu g m-3 (0.35 ppm) to 926 mu g m-3 (0.78 ppm) in the PM. THU air exchange rates ranged from 0.15 h-1 to 0.39 h-1. A total of 45 small (approximately 0.025 m2) samples of surface material, 16 types, were collected directly from the four THUs and shipped to Lawrence Berkeley Laboratory. The material samples were analyzed for VOC and aldehyde emissions in small stainless steel chambers using a standard, accurate mass balance method. Quantification of VOCs was done via gas chromatography -- mass spectrometry and low molecular weight aldehydes via high performance liquid chromatography. Material specific emission factors (mu g h-1 per m2 of material) were quantified. Approximately 80 unique VOCs were tentatively identified in the THU field samples, of which forty-five were quantified either because of their toxicological significance or because their concentrations were high. Whole-trailer and material specific emission factors were calculated for 33 compounds. The THU emission factors and those from their component materials were compared against those measured from other types of housing and the materials used in their construction. Whole THU emission factors for most VOCs were typically similar to those from comparative housing. The three exceptions were exceptionally large emissions of formaldehyde and TMPD-DIB (a common plasticizer in vinyl products), and somewhat elevated for phenol. Of these three compounds
Gutzwiller, Roberta; Shawhan, Gerald L.
As an aid in evaluating the present and future benefits given house staff personnel (residents, interns, and clinical fellows) at the University of Cincinnati Medical Center, the Department of Institutional Studies sent out questionnaires concerning benefits extended to house staff personnel to the 46 medical schools using university owned or…
Krum, Tiana E.; Davis, Kyle S.; Galupo, M. Paz
Traditional on-campus housing assignments at colleges and universities are made on the basis of legal sex, where students are housed only with other students of the same legal sex. This method is problematic for transgender and gender-nonconforming students, who may not identify with the gender assigned to them at birth. Recently, some…
U.S. Geological Survey, Department of the Interior — This data set portrays the Public Land Surveys of the United States, including areas of private survey, Donation Land Claims, and Land Grants and Civil Colonies....
Adkoli, B V; Sood, Rita
Faculty development in medical education is gaining momentum in India. While planning a National Conference on Medical Education (NCME 2007), we did a survey of principals and faculty of medical colleges to understand the status of faculty development programmes and medical education units in medical colleges in India. Questionnaires were sent to principals of medical colleges by surface mail and to faculty through a web-based programme to elicit information on various aspects of faculty development programmes and medical education units. The responses of both groups were analysed. The number of medical education units has increased rapidly after regulations have been revised in 1997 by the Medical Council of India. The main activities of medical education units were to conduct workshops targeted at medical teachers. The frequently covered topics were teaching-learning, media and student assessment. Lectures dominated the methodology of imparting information. Evaluation was done mainly by feedback questionnaires and pre-test/post-test questionnaires. Projects and follow up were rarely used. The responses from both groups were strikingly similar. The major strengths of medical education units were perceived as availability of trained and motivated faculty, good infrastructure and supportive leadership. The shortcomings were lack of infrastructure, funding and full-time faculty, besides time constraints and resistance to change. The respondents suggested strengthening of infrastructure, appointment of full-time faculty and staff, incentives and recognition of contributions to faculty development, making participation a mandatory requirement, extending the scope of faculty development programmes to include research and networking at the national level. Conclusion. The study reveals the need for policy decisions that support functioning of medical education units in India besides active participation of the faculty.
Twohig, Bridget; Manasia, Anthony; Bassily-Marcus, Adel; Oropello, John; Gayton, Matthew; Gaffney, Christine; Kohli-Seth, Roopa
The experience of critical care is stressful for both patients and their families. This is especially true when patients are not able to make their own care decisions. This article details the creation of a Family Experience Survey in a surgical intensive care unit (SICU) to capture and improve overall experience. Kolcaba's "Enhanced Comfort Theory" provided the theoretical basis for question formation, specifically in regards to the four aspects of comfort: "physical," "psycho-spiritual," "sociocultural" and "environmental." Survey results were analyzed in real-time to identify and implement interventions needed for issues raised. Overall, there was a high level of satisfaction reported especially with quality of care provided to patients, communication and availability of nurses and doctors, explanations from staff, inclusion in decision making, the needs of patients being met, quality of care provided to patients and cleanliness of the unit. It was noted that 'N/A' was indicated for cultural needs and spiritual needs, a chaplain now rounds on all patients daily to ensure these services are more consistently offered. In addition, protocols for doctor communication with families, palliative care consults, daily bleach cleaning of high touch areas in patient rooms and nurse-led progressive mobility have been implemented. Enhanced comfort theory enabled the opportunity to identify and provide a more 'broad' approach to care for patients and families. Copyright © 2015 Elsevier Inc. All rights reserved.
... Types Shared Housing § 982.618 Shared housing: Housing quality standards. (a) Compliance with HQS. The... the unit available for use by the assisted family under its lease, meets the housing quality standards... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Shared housing: Housing...
... conditions and the suitability of public policy initiatives. Academic researchers and private organizations... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment: 2013 American...
... Bureau of Economic Analysis XRIN 0691-XC012 BE-15: Annual Survey of Foreign Direct Investment in the... mandatory survey titled BE-15, Annual Survey of Foreign Direct Investment in the United States. This survey... companies for fiscal year 2012 are collected on the BE-12, Benchmark Survey of Foreign Direct Investment...
Elkinton, Melissa R.; McGowan, Jon G.; Manwell, James F. [Renewable Energy Research Laboratory, Department of Mechanical and Industrial Engineering, University of Massachusetts, Amherst, MA 01003 (United States)
This work investigates the feasibility of renewable energy housing development in the U.S. using wind power and solar thermal systems to attain zero net energy consumption. The over all objective was to determine how the wind power and solar thermal system designs and economics differ with various climates, wind and solar resources, energy prices, and state incentives, such as net-metering. Five U.S. cities, one in each of the five climate zones, were selected for this study based on their potential for wind power. A zero net energy housing design tool was developed in order to analyze and compare various system designs. The energy performance and economics of the designs were compared for various sizes of housing development, for seven turbine models, and selected heating systems. The results suggest that while there are some economical options for wind powered zero net energy housing developments, they are generally more expensive (except in the warmest climate zone) than housing with natural gas heating. In all of the cases, the economies of scale for large-scale wind turbines gave more of an economic advantage than net-metering programs gave small- and medium-scale wind turbines. (author)
Department of Housing and Urban Development — HUD's Multifamily Housing property portfolio consist primarily of rental housing properties with five or more dwelling units such as apartments or town houses, but...
Full Text Available Background: Due to importance of arthropods as urban pest, such Health and Nutritional, Textile, Structural, Storage pest and role of them in human being, this study was done to show determine of houses infestation status to urban pest (Arthropods city of Kashan in 2010. Materials and Methods: A Descriptive-analytical study has been done on houses The houses were selected by cluster random and Urban pests of them, by use of hand lens were identified. The results were analyzed using abundance tables and SPSS-11.5 software and statistic tests χP2P and fisher exact3T. Results: The results of study have shown that prevalence of urban pest, Health pest 99.6%, Nutritional pest 32.6%, textile and structural pest 37.4% were seen3T.3T Out of total houses, 98% mosquitoes, 96.4% ant, 92.6% fly, 78% cockroaches species, 56.8% spider, 37.6% termite, 34.6% storage pests, 12% clothes moth, 8.2% scorpion species, 3.6% bug, 3.2% tick and 2.6% millipede were identified. Conclusion: The prevalence of infestation urban pest is high. Mosquitoes, ant, fly and cockroach were seen more the other. So methods control training, houses protection and solid and water waste management is being suggested.
Kauppinen, Timo T.; Hyartt, Jarmo; Sasi, Lennart
The paper deals with how to improve the thermal performance of prefabricated multistory houses in Tallinn, Estonia, built in the 1960s and 1970s based on the results of thermal scanning during 1995 - 1996. The thermal scanning was performed by VTT Building Technology and reported by Helsinki Univ. of Technology. Based on the results of the first tests, some light renovation works were made, and the second tests showed how the repair work had succeeded. The aim of the project was to develop and test less-expensive and easy repair methods for large prefabricated multi-story house areas. The houses have been planned based on uniform design, when the existing problems can be generalized.
... Vacancy Survey (NYCHVS) under contract for the City of New York. The primary purpose of the survey is to... format based on specifications of the survey sponsor, as well as non-identifiable microdata. Both types... invited on: (a) Whether the proposed collection of information is necessary for the proper performance...
..._Pollard@hud.gov . Persons with hearing or speech impairments may access this number through TTY by calling...: Arlette Mussington, Office of Policy, Programs and Legislative Initiatives, PIH, Department of Housing and... Director, Office of Policy, Program and Legislative Initiatives. BILLING CODE 4210-67-P...
The present study tries to apply the postcolonial approach to V.S. Naipaul's "A House for Mr. Biswas". It has been tried to investigate what happens to the people of other nations immigrating to a creole society. In this novel by Naipaul, the writer draws our attention to the characters who are immigrant Indian people spending their…
Andrist, Claude A; van den Borne, Bart H P; Bigler, Lotti M; Buchwalder, Theres; Roth, Beatrice A
In Switzerland, group-housing for breeding rabbit does is not explicitly required by law, but label programmes, as well as the general public and animal welfare groups, are advocating it. Although group-housing is of great benefit to the gregariously living rabbits, the establishment of a social hierarchy within the group might lead to stress and lesions. In the present epidemiological study, lesions were scored twice on 30% of the breeding does on all 28 commercial Swiss farms with group-housed breeding does. Additionally, a detailed questionnaire was filled out with all producers to determine risk factors potentially associated with lesions. Data were analysed using hierarchical proportional odds models. About 33% of the does examined had lesions, including wounds that were almost healed and small scratches. Severe lesions were counted on 9% of the animals. Differences between seasons in lesions score were identified, with the extent of lesions being higher in summer than in spring. Fewer lesions occurred on farms on which mastitis was more common. More lesions were found on farms where the does were isolated between littering and artificial insemination than on farms without isolation. According to the producers, most of the aggression occurred directly after the isolation phase when the does were regrouped again. We conclude that lesions in group-housed breeding does might be reduced by appropriate reproductive management.
Deniaud, François; Legros, Pascale; Collignon, Anne; Prévôt, Michel; Domingo, Anita; Ayache, Bernard
Within the framework of the Mobile Radiological TB Screening Unit of the Health Department of Paris (DASES), six migrant worker housing units were selected to benefit from the presence of a health care professional on-site. This presence would ensure that following a chest X-Ray, residents would be offered the possibility of an interview with a general practitioner about Schistosoma haematobium (Sch. h.) including: collection of a urine specimen on-site (microscopic detection of eggs performed at the lab the next day), and free medical consultation (CDO) in a neighbouring municipal free clinic proposed to people expressing a health problem. The objective is to assess feasibility and impact of screenings undertaken on-site and thereafter, within free clinics. CDO have been created for precarious populations by the DASES in 1998. 97 persons received an individual interview, of which 52 have undergone Sch. h. screening. 3 cases were found (5.7%). 57 persons went to the CDO out of 75 to whom it was offered (18 no-show). In total, 33 pathologies were detected among 24 patients: HBV infection (7 cases), Sch. h. (9 cases), intestinal parasitic infection (5 cases), sexually transmitted infection (2 cases), HIV-2 infection (1 case) and fewer non infectious diseases. The treatable diseases detected have all been treated free of charge. Community health services which involve screening and assessment by going directly to those persons in migrant worker housings is worthwhile for Sch. h. (although it is less efficient on-site than in CDO) and for HBV screening. This personalized, individual, and targeted contact supports the development trust and confidence of the migrants in order to then visit a GP and a social worker in a Municipal Clinic. But the follow-up of people diagnosed with a chronic disease is uncertain and costly for patients without full social security coverage. The continuation of such prevention programmes is recommended in such housing units.
Case study of a DOE 2015 Housing Innovation Award winning affordable home in the mixed-humid climate that got HERS 40 without PV, -3 with PV, with 2x4 16: on center walls with R-13.5 dense packed cellulose and 1.5” polyiso rigid; basement with 2.5: polyiso on interior; unvented attic with R-48 ocsf under roof deck; ERV tied to wall hung boiler with hydro coil.
Koh, Young Rae; Kim, Shine Young; Kim, In Suk; Chang, Chulhun L; Lee, Eun Yup; Son, Han Chul; Kim, Hyung Hoi
We performed customer satisfaction surveys for physicians and nurses regarding clinical laboratory services, and for outpatients who used phlebotomy services at a tertiary care unit level to evaluate...
U.S. Environmental Protection Agency — This dataset represents the population and housing unit density within individual, local NHDPlusV2 catchments and upstream, contributing watersheds riparian buffers...
U.S. Environmental Protection Agency — This dataset represents the population and housing unit density within individual, local NHDPlusV2 catchments and upstream, contributing watersheds based on 2010 US...
National Oceanic and Atmospheric Administration, Department of Commerce — Aerial surveys of coastal Alaska are the primary method for estimating abundance of harbor seals. A particular challenge associated with aerial surveys of harbor...
Nakagawa, Naoko; Otaki, Masahiro; Miura, Shinji; Hamasuna, Hironobu; Ishizaki, Katsuyoshi
Sustainable sanitation is an approach for more ecological and sustainable water resources management. In this paper, we proposed one of the new integrated waste treatment systems: an "sustainable sanitation system" that includes separation of the black water from water system by a non-flushing toilet (bio-toilet), and a gray water treatment based on a biological and ecological concept. Sustainable sanitation system also converts the domestic waste to soil conditioners and fertilizers, for farmland use. As one of the case studies, Environmentally Symbiotic Housing in which people actually live using the bio-toilet for the black water treatment and the household wastewater treatment facility for the gray water was introduced. The availability of this system was investigated by analyzing the sawdust used in the bio-toilet and the quality of the effluent in the household wastewater treatment facility. As the result, the water content of the sawdust did not exceed 60% in any of the sampling points and the BOD and COD of the effluent of the household wastewater treatment facility were below 10 and 20 mg/L respectively, due to the low loading. Compared to the pollution load on the water environment created by the conventional system, it was found that the effluent of the house has a lower load than the tertiary treatment and the volume of the water consumption is 75% of the conventional system.
Naoko NAKAGAWA; Masahiro OTAKI; Shinji MIURA; Hironobu HAMASUNA; Katsuyoshi ISHIZAKI
Sustainable sanitation is an approach for more ecological and sustainable water resources management. In this paper, we proposed one of the new integrated waste treatment systems: an "sustainable sanitation system" that includes separation of the black water from water system by a non-flushing toilet (bio-toilet), and a gray water treatment based on a biological and ecological concept.Sustainable sanitation system also converts the domestic waste to soil conditioners and fertilizers, for farmland use. As one of the case studies, Environmentally Symbiotic Housing in which people actually live using the bio-toilet for the black water treatment and the household wastewater treatment facility for the gray water was introduced. The availability of this system was investigated by analyzing the sawdust used in the bio-toilet and the quality of the effluent in the household wastewater treatment facility. As the result,the water content of the sawdust did not exceed 60% in any of the sampling points and the BOD and COD of the effluent of the household wastewater treatment facility were below 10 and 20 mg/L respectively, due to the low loading. Compared to the pollution load on the water environment created by the conventional system, it was found that the effluent of the house has a lower load than the tertiary treatment and the volume of the water consumption is 75% of the conventional system.
Yoshino, H.; Amano, K.; Matsumoto, M. [Tohoku Univ., Sendai (Japan). Dept. of Urban Planning and Building Science; Ikeda, K. [National Inst. of Public Health, Tokyo (Japan); Nozaki, A. [Tohoku Bunkagakuen Univ., Sendai (Japan); Kakuta, K. [Saka General Hospital (Japan); Hojo, S. [Shokei Woman' s Junior College (Japan); Ishikawa, S. [Kitasato Inst. Hospital (Japan)
A 3 year field study was conducted in which the indoor air quality in 35 hospitals in Japan was measured in order to determine the etiological factor of Sick House Syndrome (SHS). The occupants in the hospitals were suffering from multiple chemical sensitivity (MCS) with symptoms such as mucosa, eye irritation, sore throat and cough. The study examined the concentration of formaldehyde and volatile organic compounds. It also examined airtightness and ventilation rate. The study also consisted of a questionnaire on the environmental conditions, subjective symptoms and lifestyle. Medical exams were conducted on residents with severe symptoms. The formaldehyde concentrations in more than 65 per cent of the rooms was found to be greater than the guidelines set by the Japanese Ministry of Health, Labour and Welfare. Total volatile organic compound (TVOC) concentrations also exceeded the recommended value in 66 per cent of the rooms. The study revealed that the respiratory symptoms were more severe in houses with higher concentrations of TVOC. A graph was included to show the relationship between chemical substance concentration and building age. In general, the TVOC was reduced over the three year period, but the formaldehyde concentration did not change. 3 refs., 4 tabs., 9 figs.
Full Text Available The article uses the so called “internal criteria of representativeness” to assess the unit nonresponse bias in five European comparative survey projects. It then goes on investigating several ideas why unit nonresponse bias might vary between surveys and countries. It is proposed that unit nonresponse bias is either caused by country characteristics or survey methodology. The empirical evidence presented speaks more in favour of the latter than of the former. Among the survey characteristics the features that strengthen the leverage to control interviewers’ behaviour have top priority
Riley, Elise D; Gandhi, Monica; Hare, C; Cohen, Jennifer; Hwang, Stephen
Women who are HIV positive incur a higher risk of mortality than men who are HIV positive, a difference which is primarily based in the social context of poverty. Economic crises that lead to homelessness, unmet subsistence needs, and sex exchange often reorder priorities among women with HIV infection, de-emphasizing consistent medical care or the use of antiretroviral therapy. High rates of mental illness, drug use, and victimization further increase health and safety risks. HIV prevention messages highlighting education and behavior change insufficiently address the predicament of indigent women where constrained survival choices in the context of poverty may take precedence over safe behaviors. In this article, we highlight the risks of poor and unstably housed women to clarify the context in which risks occur. Suggestions for service provision are offered with the understanding that providers may have limited time and expertise to meet the entire array of needs for impoverished women.
Department of Housing and Urban Development — The Housing Affordability Data System (HADS) is a set of files derived from the 1985 and later national American Housing Survey (AHS) and the 2002 and later Metro...
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Grigal, Meg; Hart, Debra; Weir, Cate
The authors present findings from a 2009 survey of postsecondary education (PSE) programs for students with an intellectual disability (ID) conducted in the United States. The survey was designed to collect descriptive information on characteristics and practices of existing PSE programs for students with an ID. The survey consisted of 63 items…
Full Text Available There is documented evidence that infection in laboratory animals can often influence the outcome of experiments. All infections, apparent or inapparent, are likely to increase biological variability. As a research project concerning the diversity and distribution of parasites of rabbit and guinea pig in a conventional laboratory animal house, about 87 rabbits (from 700 and 105 guinea pigs (from 1500 were selected randomly from a Research, Production & Breeding of Laboratory Animals Department. Samples were collected between 19.02.2010 and 20.05.2011. The samples and animals were examined by dissection and flotation methods. In this study only one species of nematodes (Passalorus ambiguus: 6.9%; one species of protozoa (Eimeria spp.: 21.8% in rabbits and one species of nematodes (Paraspidodera Uncinata: 24.7%; one species of protozoa (Balantidium coli: 11.4% in guinea pigs were identified. However, there was not any cestodes or trematodes identified from this group of laboratory animals.
Lim, Weiyen; Chuang, Ding Fang; Chue, Koy Min; Lee, Damian Z; Leong, Nicholas J; Ng, Zhi Guang; Peng, Kailing; Shen, Xiayan; Tham, Ye Ni; Wang, Kangjie; De Silva, Deidre Anne
Knowledge of stroke symptoms is associated with seeking medical attention early, and knowledge of risk factors is an essential factor in stroke prevention. In this study, we evaluated the level of stroke literacy in Singapore. A cross-sectional study of Singapore citizens and permanent residents aged 21 years and above was conducted in a public housing estate. Participants were randomly sampled using multi-stage stratified sampling. Assessment of awareness of stroke symptoms and risk factors was performed using open-ended questions. In total, 687 respondents were recruited, with a response rate of 69.7%. Overall, 52.4% of respondents identified the brain as the source of pathology, and 47.6% could cite at least 1 of the 3 FAST symptoms (facial droop, arm weakness and speech difficulty), while 40% could name 2 or more of 7 established risk factors for stroke (high blood pressure, high cholesterol, cigarette smoking, diabetes mellitus, older age, previous heart attacks and stroke). Respondents at higher risk of stroke (older individuals and those with stroke risk factors) did not have greater awareness of stroke symptoms and risk factors. The majority of respondents reported they would seek immediate medical care if they experienced stroke symptoms. Only 59.4% knew the emergency ambulance service telephone number. In a sample of Singaporean adults residing in a public housing estate, we found evidence of poor stroke literacy, highlighting the need for comprehensive population-based education efforts. There is a role for opportunistic education among those at higher risk of stroke.
Maddox, Brian G.
Introduction In recent years, the United States Geological Survey's (USGS) National Mapping Discipline (NMD) has expanded its scientific and research activities. Work is being conducted in areas such as emergency response research, scientific visualization, urban prediction, and other simulation activities. Custom-produced digital data have become essential for these types of activities. High-resolution, remotely sensed datasets are also seeing increased use. Unfortunately, the NMD is also finding that it lacks the resources required to perform some of these activities. Many of these projects require large amounts of computer processing resources. Complex urban-prediction simulations, for example, involve large amounts of processor-intensive calculations on large amounts of input data. This project was undertaken to learn and understand the concepts of distributed processing. Experience was needed in developing these types of applications. The idea was that this type of technology could significantly aid the needs of the NMD scientific and research programs. Porting a numerically intensive application currently being used by an NMD science program to run in a distributed fashion would demonstrate the usefulness of this technology. There are several benefits that this type of technology can bring to the USGS's research programs. Projects can be performed that were previously impossible due to a lack of computing resources. Other projects can be performed on a larger scale than previously possible. For example, distributed processing can enable urban dynamics research to perform simulations on larger areas without making huge sacrifices in resolution. The processing can also be done in a more reasonable amount of time than with traditional single-threaded methods (a scaled version of Chester County, Pennsylvania, took about fifty days to finish its first calibration phase with a single-threaded program). This paper has several goals regarding distributed processing
Mousteraki, K.; Dandoulaki, M.; Symeonidis, S.
In Greece, the reconstruction of earthquake damaged building stock is technically and financially supported by the state. Housing reconstruction typically comprises three subsequent phases that is emergency shelter, temporary housing and permanent housing in buildings after their reconstruction. The latter is based on financial support by the state to the owner for the repair or reconstruction of each individual building. A different approach was tried after the 1995 Kozani-Grevena (N.Greece) earthquake. The earthquake (M=6.6) affected mainly the countryside of the two prefectures and devastated a great number of small settlements with aged and decreasing population. The experience from the 1986 Kalamata earthquake had demonstrated that low income and elderly households had difficulties in using reconstruction loans and tented to remain longer in temporary housing. In an attempt to take in the Kalamata experience and the development features of the disaster area, certain categories of homeless households were offered the choice to select either the typical financial and technical support to reconstruct their damaged house under their own responsibility or a small standard house (50 to 60m2) constructed by the state in their lot. About 4,000 housing units were constructed in villages all over the disaster area. The paper focuses on this new housing policy. It presents the institutional framework, the procedures for the selection of eligible households, the geography of the constructed housing units, issues of project management and involved costs. It also attempts to highlight strong and weak points of the new approach and to make some comparisons with the long-established approach to recovery of damaged building stock. The overall conclusion is that despite huge complexities in project management and higher costs, this new policy contributed in retaining the population and enhancing development in the area.
Coonrad, Warren L.; Elliot, Raymond L.
This report of accomplishments of the U.S. Geological Survey in Alaska during 1981 contains summary and topical accounts of the results of studies on a wide range of topics of economic and scientific interest. In addition, many more detailed maps and reports are included in the lists of references cited for each article and in the appended compilations of 277 reports on Alaska published by the U.S. Geological Survey and of 103 reports, by U.S. Geological Survey authors in various other scientific publications.
Coonrad, Warren L.
This report of accomplishments of the U.S. Geological Survey in Alaska during 1980 contains summary and topical accounts of results of studies in a wide range of topics of economic and scientific interest. In addition, many more detailed maps and reports are included in the lists of references cited for each article and in the appended compilations of 297 reports on Alaska published by the U.S. Geological Survey and of 177 reports by U.S. Geological Survey authors in various other scientific publications.
Ganapathy, K; Saleha, A A; Jaganathan, M; Tan, C G; Chong, C T; Tang, S C; Ideris, A; Dare, C M; Bradbury, J M
House crows (Corvus splendens) in Selangor, Malaysia were examined for the presence of Campylobacter species, Salmonella species, Mycoplasma gallisepticum and Mycoplasma synoviae by serology, culture and pcr. For the detection of Campylobacter and Salmonella species swabs were taken either from the intestine or cloaca. For the detection of mycoplasmas, swabs were taken either from the choanal cleft or trachea for culture and pcr and serum samples were tested by the rapid serum agglutination (rsa) and monoclonal antibody-blocking elisa (mbelisa) for antibodies to M gallisepticum and M synoviae. For campylobacter, 25.3 per cent of the crows were positive by culture, and the species identified were Campylobacter jejuni and Campylobacter coli. No Salmonella species were isolated. Four of 24 swabs were positive for M gallisepticum dna but none gave positive results for M synoviae dna. No M gallisepticum or M synoviae antibodies were detected by rsa but 60 per cent of the sera gave positive reactions for M gallisepticum and 13 per cent gave positive reactions for M synoviae by mbelisa.
Full Text Available The present study tries to apply the postcolonial approach to V.S. Naipaul's A House for Mr. Biswas. It has been tried to investigate what happens to the people of other nations immigrating to a creole society.In this novel by Naipaul, the writer draws our attention to the characters who are immigrant Indian people spending their lives in the creole society of Trinidad under the dominance of colonial power. By studying the three generations of Indian in this novel we can observe how the characters of the novel change their identity, religion, education, customs, etc. as a result of living in the creole society. It is seen that as the generation changes the belief of the characters on their original culture fades away and they merge into the colonial power. The characters in the novel, when encountering the colonizer's culture, change their identity and become who they want them to be. Moreover, during the course of the novel, the characters find ambivalent personality as a result of experiencing unhomliness in the society of mixed cultures. This ambivalence makes them have a double consciousness, to be attracted toward the colonizer's culture and at the same time repulsed from it. Keywords: Ambivalence, Creolization, identity, language
Full Text Available Abstract Background Methodological limitations make it difficult to quantify the public health benefits of energy efficiency programs. To address this issue, we developed a risk-based model to estimate the health benefits associated with marginal energy usage reductions and applied the model to a hypothetical case study of insulation retrofits in single-family homes in the United States. Methods We modeled energy savings with a regression model that extrapolated findings from an energy simulation program. Reductions of fine particulate matter (PM2.5 emissions and particle precursors (SO2 and NOx were quantified using fuel-specific emission factors and marginal electricity analyses. Estimates of population exposure per unit emissions, varying by location and source type, were extrapolated from past dispersion model runs. Concentration-response functions for morbidity and mortality from PM2.5 were derived from the epidemiological literature, and economic values were assigned to health outcomes based on willingness to pay studies. Results In total, the insulation retrofits would save 800 TBTU (8 × 1014 British Thermal Units per year across 46 million homes, resulting in 3,100 fewer tons of PM2.5, 100,000 fewer tons of NOx, and 190,000 fewer tons of SO2 per year. These emission reductions are associated with outcomes including 240 fewer deaths, 6,500 fewer asthma attacks, and 110,000 fewer restricted activity days per year. At a state level, the health benefits per unit energy savings vary by an order of magnitude, illustrating that multiple factors (including population patterns and energy sources influence health benefit estimates. The health benefits correspond to $1.3 billion per year in externalities averted, compared with $5.9 billion per year in economic savings. Conclusion In spite of significant uncertainties related to the interpretation of PM2.5 health effects and other dimensions of the model, our analysis demonstrates that a risk
Schuetz, Jenny; Meltzer, Rachel; Been, Vicki
Many local governments are adopting inclusionary zoning (IZ) as a means of producing affordable housing without direct public subsidies. In this paper, panel data on IZ in the San Francisco metropolitan area and suburban Boston are used to analyse how much affordable housing the programmes produce and how IZ affects the prices and production of market-rate housing. The amount of affordable housing produced under IZ has been modest and depends primarily on how long IZ has been in place. Results from suburban Boston suggest that IZ has contributed to increased housing prices and lower rates of production during periods of regional house price appreciation. In the San Francisco area, IZ also appears to increase housing prices in times of regional price appreciation, but to decrease prices during cooler regional markets. There is no evidence of a statistically significant effect of IZ on new housing development in the Bay Area.
Logical units are semantic video segments above the shot level. Depending on the common semantics within the unit and data domain, different types of logical unit extraction algorithms have been presented in literature. Topic units are typically extracted for documentaries or news broadcasts while scenes are extracted for narrative-driven video such as feature films, sitcoms, or cartoons. Other types of logical units are extracted from home video and sports. Different algorithms in literature used for the extraction of logical units are reviewed in this paper based on the categories unit type, data domain, features used, segmentation method, and thresholds applied. A detailed comparative study is presented for the case of extracting scenes from narrative-driven video. While earlier comparative studies focused on scene segmentation methods only or on complete news-story segmentation algorithms, in this paper various visual features and segmentation methods with their thresholding mechanisms and their combination into complete scene detection algorithms are investigated. The performance of the resulting large set of algorithms is then evaluated on a set of video files including feature films, sitcoms, children's shows, a detective story, and cartoons.
In August 1992, a Russian-Dutch expedition organized by the Arctic and Antarctic Research Institute in St. Petersburg, Russia and the Arctic Centre of the University of Groningen, The Netherlands surveyed the site of the house on Novaya Zemlya in which the Dutch explorer Willem Barentsz and his crew
Rotolo, Marisa L; Sun, Yaxuan; Wang, Chong; Giménez-Lirola, Luis; Baum, David H; Gauger, Phillip C; Harmon, Karen M; Hoogland, Marlin; Main, Rodger; Zimmerman, Jeffrey J
Formulas and software for calculating sample size for surveys based on individual animal samples are readily available. However, sample size formulas are not available for oral fluids and other aggregate samples that are increasingly used in production settings. Therefore, the objective of this study was to develop sampling guidelines for oral fluid-based porcine reproductive and respiratory syndrome virus (PRRSV) surveys in commercial swine farms. Oral fluid samples were collected in 9 weekly samplings from all pens in 3 barns on one production site beginning shortly after placement of weaned pigs. Samples (n=972) were tested by real-time reverse-transcription PCR (RT-rtPCR) and the binary results analyzed using a piecewise exponential survival model for interval-censored, time-to-event data with misclassification. Thereafter, simulation studies were used to study the barn-level probability of PRRSV detection as a function of sample size, sample allocation (simple random sampling vs fixed spatial sampling), assay diagnostic sensitivity and specificity, and pen-level prevalence. These studies provided estimates of the probability of detection by sample size and within-barn prevalence. Detection using fixed spatial sampling was as good as, or better than, simple random sampling. Sampling multiple barns on a site increased the probability of detection with the number of barns sampled. These results are relevant to PRRSV control or elimination projects at the herd, regional, or national levels, but the results are also broadly applicable to contagious pathogens of swine for which oral fluid tests of equivalent performance are available.
US Fish and Wildlife Service, Department of the Interior — We conducted an aerial moose (Alces alces) survey on Tetlin National Wildlife Refuge and the northeast corner of Game Management Unit (GMU) 12 from 6 – 22 November...
... supported an ongoing forecasting program for patent application filings that includes the use of... using the survey as part of a comprehensive approach to forecasting, the USPTO is also using this tool... increased with expanding technological innovations. However, newly emerging technologies, evolving...
Simmons, J.L.; Cloninger, M.O.; Cole, B.M.; Medford, A.E.
The survey period was from March 1, 1974, through February 28, 1975. Of over 15,000 NRC and Agreement States licensees, and ERDA prime contractors, 2275 received questionnaire packets. Approximately 59 percent of those recipients responded to the survey; of these respondents, 35 percent reported shipping activities. Based on the number of packages shipped annually, the major nuclides were /sup 131/I, /sup 125/I, /sup 99m/Tc, /sup 99/Mo, and /sup 238/U, while those shipped in the greatest amounts (grams or curies) were /sup 60/Co, /sup 192/Ir, and /sup 238/U. The majority of package types shipped were Types A and LS (low specific activity), while the most common modes of transport were rail and truck. The shipping activities of approximately 14,600 minor shippers were estimated to be on the order of 200,000 radioactive packages/year. The combined annual shipping activities of 761 major shippers, SNM licensees, and ERDA contractors who responded were estimated to be approximately 300,000 packages of SNM and Source Material plus 800,000 packages containing nuclides other than SNM or Source Material. There were also about 800,000 packages (mostly exempt) shipped by 21 apparent major shippers who responded to a part of the survey intended for minor shippers. Also, classified data containing information regarding nonweapons shipments indicated 850 packages. The possibility of using the survey data for projection use was briefly investigated.
Bakar Aniza Abu
Full Text Available The success of every housing area is determined by its user satisfaction level, living there. The quality of the house, its spaces within the unit, housing neighbourhood and green open space can directly influence the quality of life. Limitation of space following high land cost in an urban area, evaluation of the housing environment as a whole including the green open space needs to be studied as it affects the residents’ satisfaction level. This study concentrates on spaces within a housing area to evaluate the residents’ level of satisfaction of the Taman Melati Mastika (TMM, Kuala Lumpur and to understand how they perceived their quality of life through the housing environment and the availability of green open space. Thus, this research was carried out through site observation and analysis, and self-administered questionnaire survey. 247 questionnaire surveys were distributed to the residents of TMM and (n=62 responded. When focused on the housing unit, this study provides insight on the types of outdoor spaces (front yard-front lane and backyard-back lane and their elements and utilization, and quality of housing spaces toward users’ quality of life in TMM, Kuala Lumpur. On the green open space, the assessment of the quality of life is based on three factors that are the safety level of the neighbourhood and park, health issues related to housing environment and park as well as the satisfaction on the housing amenities and park facilities. The result of this study suggests that the residents are satisfied with the existing spaces within their compound and adjacent to it and this lead towards the overall satisfaction living in the area. The quality of space and good utilisation of housing areas can lead towards a better quality of life in the Terrace housing area is confirmed.
Peeters, Babette; Jansen, Nicolaas J. G.; Bollen, Casper W.; van Vught, Adrianus J.; van der Heide, Douwe; Albers, Marcel J. I. J.
To compare risk-adjusted mortality of children non-electively admitted during off-hours with risk-adjusted mortality of children admitted during office hours to two pediatric intensive care units (PICUs) without 24-h in-house attendance of senior staff. Prospective observational study, performed bet
MA, Z. Y.; Wu, Q. Q.
A hydraulic-mechanical-electric and structures coupled model of hydropower station system including subsystem models of the penstock, hydro-turbine model, speed governor, synchronous generator as well as grid, rotor-bearing system and powerhouse structure is established. This model is used to simulate the small fluctuation transient process of 10% load-up in the part load condition for hydropower station. Mechanical eccentric force, unbalanced magnetic pull and vortex pressure fluctuation at inlet of draft tube are considered in the numerical calculation. The interaction between hydraulic-mechanical-electric coupled factors and structural vibration properties during the small fluctuation transient process is studied. The results indicate that the speed regulation for turbine has very litter impact on the transient process of generator. In the process of small fluctuation with loading method in this paper, structure of powerhouse is greatly influenced by vortex pressure pulse in the draft tube, and the vibration of unit is excited by loads which caused by itself rotating.
W. E. Frayer; George M. Furnival
Extensive forest inventories of forested lands in the United States were begun in the early part of the 20th century, but widespread, frequent use was not common until after WWII. Throughout the development of inventory techniques and their application to assess the status of the nation's forests, most of the work has been done by the USDA Forest Service through...
Albert, Nairn R. D.; Hudson, Travis
This circular describes the 1980 programs of the U.S. Geological Survey in Alaska. A brief description of the Alaskan operations of each major division of the Survey is followed by project descriptions arranged by geographic regions in which the work takes place. The mission of the Geological Survey is to identify the Nation 's land, water, energy, and mineral resources; to classify federally-owned mineral lands and waterpower sites; to resolve the exploration and development of energy and natural resources on Federal and Indian lands; and to explore and appraise the petroleum potential of the National Petroleum Reserve in Alaska. Alaska is at once the largest, the least populated, the least explored, and the least developed State in the Nation. More than half of the Nation 's 600 million acres of Outer Continental Shelf lies off Alaska 's coast. The land area of Alaska contains 375 million acres, 16 percent of the onshore land of the Nation. Its resources of all kinds present an opportunity to demonstrate how the needs of both conservation and development can be met for the benefit of the American people. (USGS)
Full Text Available Aim: A demographic study was conducted to understand the social status of the urban and rural patients attending a palliative care unit in South India. Methods: Fifty rural and 50 urban patients attending the palliative care outpatient clinic of the Christian Medical College and Hospital, South India were prospectively surveyed using a structured interview and home visits. Parameters studied included age, gender, marital status, education, occupation, religion, caste, housing, economic status, diagnosis, distance to the nearest health resource personnel and hospitals. Results: Occupation, religion, caste, housing, electricity, toilet and accessibility to health care were found to be significantly different between urban and rural patients. Seventy percent of the patients were below 60 years of age. The majority were unskilled laborers or housewives. One-third had never been to school and only 3% had been educated beyond high school. Half the patients slept on the floor, 50% of the dwellings had only one or two rooms and did not have toilets or running water. Ninety-five percent had electricity. The economic status of the patients correlated significantly with age, occupation and facilities in the house such as number of rooms, availability of beds, toilets and water supply. Women and older patients were significantly less likely to have completed school education. Women were less likely to be the main decision-makers and more likely to be the main caregivers. Conclusion: Economic status was a strong predictor of the various facilities available to the patient. A significant proportion of this population lived in deprived circumstances. A knowledge and understanding of the social conditions of the palliative care patients helps provide better-tailored care.
Murray, C. Richard; Reeves, E. Bodette
The United States Geological Survey has compiled data on water use in this country every fifth year since 1950. This document is the most recent of this series and presents data on water withdrawn for use in the United States in 1975. In the introduction, recent and present water use studies are discussed along with a description of the…
Full Text Available Due to cuts in educational funding in the United States, interscholastic athletic administrators have turned to corporate sponsorship to fund athletic departments. While the academic literature in sport management has extensively covered corporate sponsorship at the intercollegiate and professional level, the purpose of this paper is to examine the prevalence, nature, and importance of sponsorship to high school athletics in the United States. This paper identified factors that predicted the use of sponsorship, the amount of revenue generated from sponsorship, who is responsible for selling sponsorship, motivators behind not soliciting sponsorship, and the extent to which fundraising and participation fees are utilized to supplement athletic department budgets. The most common form of alternative revenue generation is fund raising (87% of schools followed by, sponsorship (57% and participation fees (34%. One-third of schools reported using sponsorship in response to budget cuts, and over one-fourth solicited sponsorship to prevent charging participation fees. Results also indicated that while the majority of high school athletic departments solicited corporate sponsorship, administrators were cautious in the so-licitation of sponsorship as evidenced by the small dollar amounts involved and overall impact on the budget, reliance on game program advertisements and facility signage to activate sponsorships, and a lack of outsourcing to sport marketing firms to sell the sponsorships. There is clearly room for growth in the interscholastic sport sponsorship market.
Forsberg, René; Olesen, Arne Vestergaard; Alshamsi, Adel
The Military Survey Department (MSD) of the United Arab Emirates (UAE) undertook an airborne gravity survey project for the marine area of the country in 2009, especially to strengthen the marine and coastal geoid in the near-shore regions. For the airborne gravity survey, 5 km spacing coast-para...... for the airborne gravity data is better than 2.0 mGal r.m.s., as judged from the airborne track crossovers. The new airborne gravimetry data changed the UAE coastal geoid by up to 30 cm in some regions, highlighting the importance of airborne gravity coastal surveys....
Kuppusamy, Vijayalakshmi; Nagarajan, Vivekanandan; Jeevanandam, Prakash; Murugan, Lavanya
The study was aimed to compare two different monitor unit (MU) or dose verification software in volumetric modulated arc therapy (VMAT) using modified Clarkson's integration technique for 6 MV photons beams. In-house Excel Spreadsheet based monitor unit verification calculation (MUVC) program and PTW's DIAMOND secondary check software (SCS), version-6 were used as a secondary check to verify the monitor unit (MU) or dose calculated by treatment planning system (TPS). In this study 180 patients were grouped into 61 head and neck, 39 thorax and 80 pelvic sites. Verification plans are created using PTW OCTAVIUS-4D phantom and also measured using 729 detector chamber and array with isocentre as the suitable point of measurement for each field. In the analysis of 154 clinically approved VMAT plans with isocentre at a region above -350 HU, using heterogeneity corrections, In-house Spreadsheet based MUVC program and Diamond SCS showed good agreement TPS. The overall percentage average deviations for all sites were (-0.93% + 1.59%) and (1.37% + 2.72%) for In-house Excel Spreadsheet based MUVC program and Diamond SCS respectively. For 26 clinically approved VMAT plans with isocentre at a region below -350 HU showed higher variations for both In-house Spreadsheet based MUVC program and Diamond SCS. It can be concluded that for patient specific quality assurance (QA), the In-house Excel Spreadsheet based MUVC program and Diamond SCS can be used as a simple and fast accompanying to measurement based verification for plans with isocentre at a region above -350 HU.
This paper introduces the working flowchart and realization method for developing check program for House Property SurveyPlane Map with VC + + 6.0,involving the knowledge of database warehousing and underlying development based on VC ++.%介绍了VC++6.0编写房产分层分户图检查程序的流程和实现方法,涉及数据库及VC++底层开发的一些知识.
... 10 Energy 1 2010-01-01 2010-01-01 false Surveys of patients and human research subjects treated... Stereotactic Radiosurgery Units § 35.604 Surveys of patients and human research subjects treated with a remote... shall survey the patient or the human research subject and the remote afterloader unit with a...
Villaverde, Virginia; Descalzo, Miguel Ángel; Carmona, Loreto; Bascones, Miriam; Carbonell, Jordi
To identify characteristics of early arthritis units, that may be associated with better referral eficiency. A national survey of the 36 early arthritis units (EAU) in Spanish Rheumatology Units in 2004 (SERAP project). Survey collected information about general practitioners (GP) educational program to improve knowledge and practical skills of early arthritis, networking and feed-back system and referral efficiency. EAU were classified in two groups according to 25 and 50% of inappropriate referral process, respectively. Thirty four of the 36 (94%) EAU, answered the survey. GP were trained in only 1 medical meeting in the primary care clinic, with one or more rheumatologists responsible of GP education. Fourteen of the 34 EAU (42.4%) regularly interacted with GP and only 20 (39.4%) contacted the GP who were responsible for the wrong referral process. Median lag time for referral to the Rheumatology out-patient clinic, was 73 days (15-365 days). The percentage of wrongly referred patients was between 0 and 80% (38% ± 21). Only 10 EAU (27.8%) referred patients appropriately according to the most strict criteria (25% of inappropriate referral) and 27 EAU (75%), according to 50% of inappropriate referral criteria. Only two aspects of the EAU implementation strategy were associated with better referral efficiency: 1) interaction with the GP responsible of the inappropriate referral process and 2) a lower median lag time for referral to the Rheumatology out-patient clinic. 2010 Elsevier España, S.L. All rights reserved.
Gasser, Deta; Viola, Giulio; Bingen, Bernard
Since 2010, the Geological Survey of Norway has been implementing and continuously developing a digital workflow for geological bedrock mapping in Norway, from fieldwork to final product. Our workflow is based on the ESRI ArcGIS platform, and we use rugged Windows computers in the field. Three different hardware solutions have been tested over the past 5 years (2010-2015). (1) Panasonic Toughbook CE-19 (2.3 kg), (2) Panasonic Toughbook CF H2 Field (1.6 kg) and (3) Motion MC F5t tablet (1.5 kg). For collection of point observations in the field we mainly use the SIGMA Mobile application in ESRI ArcGIS developed by the British Geological Survey, which allows the mappers to store georeferenced comments, structural measurements, sample information, photographs, sketches, log information etc. in a Microsoft Access database. The application is freely downloadable from the BGS websites. For line- and polygon work we use our in-house database, which is currently under revision. Our line database consists of three feature classes: (1) bedrock boundaries, (2) bedrock lineaments, and (3) bedrock lines, with each feature class having up to 24 different attribute fields. Our polygon database consists of one feature class with 38 attribute fields enabling to store various information concerning lithology, stratigraphic order, age, metamorphic grade and tectonic subdivision. The polygon and line databases are coupled via topology in ESRI ArcGIS, which allows us to edit them simultaneously. This approach has been applied in two large-scale 1:50 000 bedrock mapping projects, one in the Kongsberg domain of the Sveconorwegian orogen, and the other in the greater Trondheim area (Orkanger) in the Caledonian belt. The mapping projects combined collection of high-resolution geophysical data, digital acquisition of field data, and collection of geochronological, geochemical and petrological data. During the Kongsberg project, some 25000 field observation points were collected by eight
Martensson, Lena; Kvist, LInda; Hermansson, Evelyn
Objective: it is not known how acupuncture is used in midwifery care in Sweden and what kind of requirements health-care providers have for midwives and acupuncture training programmes. The aims of this study were to survey indications for the use of acupuncture in midwifery care in Sweden, and to examine the criteria and requirements used for purchase of acupuncture education programmes. Design: a postal survey using a structured questionnaire. Setting: 45 maternity units in Sweden. Particip...
Shaun Azzopardi met up with a team of researchers led by Eur. Ing. Charles Yousif to take the concrete block to the next level. It is more exciting than it sounds. Photography by Dr Edward Duca. http://www.um.edu.mt/think/hot-house-bad-house/
Tye, C C; Ross, F.; Kerry, S. M.
OBJECTIVE: To establish the current and predicted distribution of formal emergency nurse practitioner services in major accident and emergency departments in the United Kingdom; to determine organisational variations in service provision, with specific reference to funding, role configuration, training, and scope of clinical activity. METHODS: Postal survey of senior nurses of all major accident and emergency departments in the United Kingdom (n = 293) in May/June 1996. RESULTS: There were 27...
Pacific Northwest National Laboratory
Case study of a DOE 2016 Housing Innovation Award winning affordable home in the mixed-humid climate that met the DOE Zero Energy Ready Home criteria and achieved a HERS 32 without PV or HERS 9 with PV.
Kroeger, A; Ayala, C; Medina Lara, A
A study of unit costs and cost components of two malaria-control strategies (house spraying and bednet impregnation with residual insecticides) was undertaken in 11 malaria-endemic states (departamentos) of Colombia, using data provided by control staff on self-administered questionnaires. The accuracy of the data was verified by personal visits, telephone conversations and complementary information from 10 other states. Allthe financial-cost components of the malaria-control operations carried out in the previous 6 months and the results of the control operations themselves (including the numbers of houses sprayed and numbers of bednets impregnated/day) were recorded. The information was stratified according to whether the target communities were 'near' or 'far away' from an operational base, the far-away communities being those that needed overnight stays by the control staff. The main variables analysed were unit costs/house treated, and annual cost/person protected. The results show that house spraying was generally more expensive for the health services than bednet impregnation. This is particularly the case in 'nearby' communities, where most of those at-risk live. In such communities, spraying one house was 7.2 times more expensive than impregnating one bednet. Even if only those sleeping under an impregnated net were assumed to be protected, the unit costs/person protected in a 'nearby' community were twice as high for house spraying than for bednet impregnation. In 'nearby' communities, where technicians could return to the operational base each evening, insecticides made up 80% of the total spraying costs and 42% of the costs of bednet impregnation. In 'far-away' communities, however, salaries and 'per diems' were the most important cost components, representing, respectively, 23% and 22% of the costs of spraying, and 34% plus 27% of the costs of impregnation. Insecticide wastage and non-use of discounts on insecticide prices (available through the
Gärtner, Manfred; Griesbach, Björn; Jung, Florian
The Great Recession raised questions of what and how macroeconomists teach at academic institutions around the globe, and what changes in the macroeconomics curriculum should be made. The authors conducted a survey of undergraduate macroeconomics instructors affiliated with colleges and universities in Europe and the United States at the end of…
National Academy of Engineering, Washington, DC. Committee on Telecommunications.
At the request of the National Science Foundation, the Panel on Telecommunications Research of the Committee on Telecommunications of the National Academy of Engineering has made a preliminary survey of the status and trends of telecommunications research in the United States and selected foreign countries. The status and trends were identified by…
Kumin, Libby; Schoenbrodt, Lisa
Background: There is no current data about employment/unemployment of adults with Down syndrome in the United States. The data that exists includes adults with Down syndrome as part of the larger group of people with disabilities or people with intellectual disability. Method: This study used a survey to investigate paid and volunteer employment,…
Gärtner, Manfred; Griesbach, Björn; Jung, Florian
The Great Recession raised questions of what and how macroeconomists teach at academic institutions around the globe, and what changes in the macroeconomics curriculum should be made. The authors conducted a survey of undergraduate macroeconomics instructors affiliated with colleges and universities in Europe and the United States at the end of…
Rainwater harvesting (RWH) systems in the United States vary in terms of design and operation. To better understand common practices in the RWH community and motivation for collecting harvested rainwater, an electronic survey was used to poll members of the American Rainwater Cat...
A survey of oral care practices in South African intensive care units. ... AFRICAN JOURNALS ONLINE (AJOL) · Journals · Advanced Search · USING AJOL · RESOURCES ... Approval to conduct the study was obtained from the Human Research ... may further enhance best practice and ensure that patient outcomes are not ...
Koh, Young Rae; Kim, Shine Young; Kim, In Suk; Chang, Chulhun L; Lee, Eun Yup; Son, Han Chul; Kim, Hyung Hoi
We performed customer satisfaction surveys for physicians and nurses regarding clinical laboratory services, and for outpatients who used phlebotomy services at a tertiary care unit level to evaluate our clinical laboratory and phlebotomy services. Thus, we wish to share our experiences with the customer satisfaction survey for clinical laboratory and phlebotomy services. Board members of our laboratory designed a study procedure and study population, and developed two types of questionnaire. A satisfaction survey for clinical laboratory services was conducted with 370 physicians and 125 nurses by using an online or paper questionnaire. The satisfaction survey for phlebotomy services was performed with 347 outpatients who received phlebotomy services by using computer-aided interviews. Mean satisfaction scores of physicians and nurses was 58.1, while outpatients' satisfaction score was 70.5. We identified several dissatisfactions with our clinical laboratory and phlebotomy services. First, physicians and nurses were most dissatisfied with the specimen collection and delivery process. Second, physicians and nurses were dissatisfied with phlebotomy services. Third, molecular genetic and cytogenetic tests were found more expensive than other tests. This study is significant in that it describes the first reference survey that offers a survey procedure and questionnaire to assess customer satisfaction with clinical laboratory and phlebotomy services at a tertiary care unit level.
Klett, Timothy R.; Cook, Troy A.; Charpentier, Ronald R.; Tennyson, Marilyn E.; Le, Phuong A.
The U.S. Geological Survey estimated volumes of potential additions to oil and gas reserves for the United States by reserve growth in discovered accumulations. These volumes were derived by using a new methodology developed by the U.S. Geological Survey and reviewed by the American Association of Petroleum Geologists Committee on Resource Evaluation. This methodology was used to assess reserve growth in individual accumulations (reservoirs, groups of reservoirs, or fields). Selected, large, well-studied, conventional accumulations in the United States that are estimated to contribute most to reserve growth were assessed using analysis of geology and engineering practices. Potential additions to oil and gas reserves for large, discovered, conventional accumulations outside of the United States due to reserve growth were assessed using the U.S. accumulations as analogs. Potential oil and gas volumes were assumed to be added to proven plus probable reserves.
Prasetyo, R H
The purpose of this study was to investigate the prevalence of house rat zoonotic intestinal parasites from Surabaya District, East Java, Indonesia that have the potential to cause opportunistic infection in humans. House rat fecal samples were collected from an area of Surabaya District with a dense rat population during May 2015. Intestinal parasites were detected microscopically using direct smear of feces stained with Lugol's iodine and modified Ziehl-Neelsen stains. The fecal samples were also cultured for Strongyloides stercoralis. Ninety-eight house rat fecal samples were examined. The potential opportunistic infection parasite densities found in those samples were Strongyloides stercoralis in 53%, Hymenolepis nana in 42%, Cryptosporidium spp in 33%, and Blastocystis spp in 6%. This is the first report of this kind in Surabaya District. Measures need to be taken to control the house rat population in the study area to reduce the risk of the public health problem. Keywords: zoonotic intestinal parasites, opportunistic infection, house rat, densely populated area, Indonesia
LI Ying; YE Ji-Da; ZHANG Liang; JIANG Shan; KONG Ling-Li; SHI Jin-Hua
It was investigated that the radon concentrations in bone-coal mining areas, in outside and inside BCCB houses and ordinary red-brick (ORB) houses of the reference points in Hubei, Hunan, Jiangxi, Zhejiang and Anhui Provinces. It was shown that the average annual radon concentration inside BCCB houses in the bone-coal mining areas in the five provinces ranges from 85.7 to 303 Bq/m3, with an average of 151 Bq/m3, which is 3 times that inside ORB houses at the reference points. The average annual radon concentration outside BCCB houses in the bone-coal mining areas in the five provinces ranges from 12.0 to 73.8 Bq/m3, with an average of 34.9 Bq/m3, which is 1.5 times that outside ordinary ORB at the reference points. And the radon concentration in shafts of Hubei and Zhejiang Province is 9.51 × 103 Bq/m3 and 965 Bq/m3, respectively. This report also shows the changing patterns of radon concentrations with day, season, height, etc.
Department of Housing and Urban Development — The dataset contains current data on low rent and Section 8 units in PHA's administered by HUD. The Section 8 Rental Voucher Program increases affordable housing...
Baek, Sejin; Park, Soyoung; Heo, Gyunyoung [Kyung Hee Univ., Yongin (Korea, Republic of)
The need consider the risk impact in case of multi-unit in a single site increased after the accident at Fukushima Daiichi in March 2011. This means that we have to consider the single-unit initiators impacting the other units and the simultaneous accidents of the multi-unit on the same site. Particularly, this kind of technical concern is serious in case of the Republic of Korea where multi-units had to be located in high-density population area due to geographical features. The Nuclear Safety and Security Commission (NSSC) in the Republic of Korea has been trying to identify the state of the art of international and domestic regulations and techniques on multi-unit risk assessment and planning the road map for the safety researches. However, we have to say that finding a common accepted methodology along with safety criteria for multi-unit PSA was not an easy task up to now. This paper summarizes and analyzes related international and domestic journals' papers, conferences' papers and reports about the multi-unit PSA classifying categories with themes to understand the technical tendency of multi-unit PSA. In addition, some insights that were obtained from this classification have been arranged too. This paper investigated the technical trend of the multi-unit PSA as collecting of the international and domestic journals' papers, conferences papers and reports, and analyzing them. Upon the literature survey, a few statistics, technical issues, and insights were summarized. Both of the fundamental and practical researches need to find a globally accepted methodology to calculate and determine quantitative objectives for a multi-unit PSA. We want to expect that this paper can be shared to understand the current status of multi-unit PSA.
MacLean, Edna Ahgeak
In many Inupiat communities the traditional meeting house, the "qargi," was the first institution to vanish as churches and schools became the dominant forces of change. At present, the Inupiat elders have no responsibility for the formal education of the young Inupiat. The educational environment of each Inupiat community can be altered…
Full Text Available This paper analyzes whether the Law of One Price (LOOP) holds in the housing market of five metropolitan areas of South Africa, namely Cape Town, Durban, Greater Johannesburg, Port Elizabeth/Uitenhage and Pretoria. The authors test the existence...
Whitney, Simon N.; Brown, Byron W.; Brody, Howard; Alcser, Kirsten H.; Bachman, Jerald G.; Greely, Henry T.
Ascertained the views of physicians and physician leaders toward legalization of physician-assisted suicide. Results indicated members of AMA House of Delegates strongly oppose physician-assisted suicide, but rank-and-file physicians show no consensus either for or against its legalization. Although the debate is adversarial, most physicians are…
Full Text Available Huge volume of project information are generated during the life cycle of an AEC projects. These project information are categorized in to technical and administrative information and managed through appropriate processes. There are many tools such as Document Management Systems, Building Information Modeling (BIM available to manage and integrate the technical information. However, the administrative information and its related processes such as the payment, status, authorization, approval etc. are not effectively managed. The current study aims to explore the administrative information management process of a local housing delivery public agency. This agency manages more than 2000 housing projects at any time of a year. The administrative processesare characterized withdelivery inconsistencies among various project participants. Though there are many commercially available process management systems, there exist limitations on the customization of the modules/ systems. Hence there is a need to develop an information management system which can integrates and manage these housing projects processes effectively. This requires the modeling of administrative processes and its interfaces among the various stakeholder processes. Hence this study aims to model the administrative processes and its related information during the life cycle of the project using IDEF0 and IDEF1X modeling. The captured processes and information interfaces are analyzed and appropriate process integration is suggested to avoid the delay in their project delivery processes. Further, the resultant model can be used for effectively managing the housing delivery projects.
This dataset represents the population and housing unit density within individual, local NHDPlusV2 catchments and upstream, contributing watersheds riparian buffers based on 2010 US Census data. Densities are calculated for every block group and watershed averages are calculated for every local NHDPlusV2 catchment(see Data Sources for links to NHDPlusV2 data and Census Data). This data set is derived from The TIGER/Line Files and related database (.dbf) files for the conterminous USA. It was downloaded as Block Group-Level Census 2010 SF1 Data in File Geodatabase Format (ArcGIS version 10.0). The landscape raster (LR) was produced based on the data compiled from the questions asked of all people and about every housing unit. The (block-group population / block group area) and (block-group housing units / block group area) were summarized by local catchment and by watershed to produce local catchment-level and watershed-level metrics as a continuous data type (see Data Structure and Attribute Information for a description).
This dataset represents the population and housing unit density within individual, local NHDPlusV2 catchments and upstream, contributing watersheds based on 2010 US Census data. Densities are calculated for every block group and watershed averages are calculated for every local NHDPlusV2 catchment(see Data Sources for links to NHDPlusV2 data and Census Data). This data set is derived from The TIGER/Line Files and related database (.dbf) files for the conterminous USA. It was downloaded as Block Group-Level Census 2010 SF1 Data in File Geodatabase Format (ArcGIS version 10.0). The landscape raster (LR) was produced based on the data compiled from the questions asked of all people and about every housing unit. The (block-group population / block group area) and (block-group housing units / block group area) were summarized by local catchment and by watershed to produce local catchment-level and watershed-level metrics as a continuous data type (see Data Structure and Attribute Information for a description). Using a riparian buffer(see Process Steps), statistics were generated for areas within each catchment that are within 100 meters of the stream reach in an attempt to evaluate for the riparian zone.
Macek, Mark D; Manski, Richard J; Vargas, Clemencia M; Moeller, John
Objective To compare estimates of dental visits among adults using three national surveys. Data Sources/Study Design Cross-sectional data from the National Health Interview Survey (NHIS), National Health and Nutrition Examination Survey (NHANES), and National Health Expenditure surveys (NMCES, NMES, MEPS). Study Design This secondary data analysis assessed whether overall estimates and stratum-specific trends are different across surveys. Data Collection Dental visit data are age standardized via the direct method to the 1990 population of the United States. Point estimates, standard errors, and test statistics are generated using SUDAAN. Principal Findings Sociodemographic, stratum-specific trends are generally consistent across surveys; however, overall estimates differ (NHANES III [364-day estimate] versus 1993 NHIS: –17.5 percent difference, Z=7.27, p value < 0.001; NHANES III [365-day estimate] vs. 1993 NHIS: 5.4 percent difference, Z=–2.50, p value=0.006; MEPS vs. 1993 NHIS: –29.8 percent difference, Z=16.71, p value < 0.001). MEPS is the least susceptible to intrusion, telescoping, and social desirability. Conclusions Possible explanations for discrepancies include different reference periods, lead-in statements, question format, and social desirability of responses. Choice of survey should depend on the hypothesis. If trends are necessary, choice of survey should not matter; however, if health status or expenditure associations are necessary, then surveys that contain these variables should be used, and if accurate overall estimates are necessary, then MEPS should be used. A validation study should be conducted to establish “true” utilization estimates. PMID:12036005
... Benchmark Survey of Foreign Direct Investment in the United States. 806.17 Section 806.17 Commerce and... Survey of Foreign Direct Investment in the United States. A BE-12, Benchmark Survey of Foreign Direct... of the BE-12, 2007 Benchmark Survey of Foreign Direct Investment in the United States, contained...
U.S. Geological Survey, Department of the Interior — This is a point coverage of the 1990 Census of Population and Housing for the conterminous United States. (Alaska and Hawaii are available separately). The coverage...
Schmidly, David J.; Tydeman, W. E.; Gardner, Alfred L.
In 1885, a small three-person unit was created in the U.S. Department of Agriculture to gather and analyze information on bird migrations. Originally called the Section of Economic Ornithology, over the next 55 years this unit underwent three name changes and accumulated ever-increasing responsibilities for the nation’s faunal resources. Transferred to the Department of the Interior in 1939, this agency was merged with the Bureau of Fisheries in 1940 to create the U.S. Fish and Wildlife Service (FWS). The following account details the chronology, directorship, and growth of the U.S. Bureau of Biological Survey up to its renovation as the FWS. This account also profiles some employees of the Biological Survey.
McCabe, Sean Esteban; West, Brady T.; Hughes, Tonda L.; Boyd, Carol J.
This study examined substance abuse treatment utilization across three dimensions of sexual orientation (identity, attraction, behavior) in a large national sample of adults in the United States. Prevalence estimates were based on data collected from the 2004–2005 National Epidemiologic Survey on Alcohol and Related Conditions. The sample consisted of 34,653 adults aged 20 years and older: 52% women, 71% White, 12% Hispanic, 11% African American, 4% Asian, and 2% other race/ethnicities. Appro...
Wilkinson, I. M.
A comprehensive questionnaire survey of undergraduate teaching of clinical neurology in the United Kingdom has demonstrated the following points. Eight of the 28 medical schools do not provide a clinical attachment for all students. Clinical attachments tend to be either full time for four weeks or part time for six weeks. Students' exposure to sufficient patients with the common neurological conditions, with chronic neurological disability and particularly with acute neurological emergencies...
Emenaker, Charles E.
Describes a sixth-grade interdisciplinary geometry unit based on Charles Dickens's "A Christmas Carol". Focuses on finding area, volume, and perimeter, and working with estimation, decimals, and fractions in the context of making gingerbread houses. (ASK)
Full Text Available Abstract Background We conducted a survey to find out how patients feel about the care they receive in the outpatient chemotherapy unit of Marmara University Hospital. Methods The American College of Physicians Patient Satisfaction survey translated into Turkish was used. A meeting was held with all involved staff, before conducting the survey, to review the purpose and determine the process. The study was conducted with 100 random patients. Results Consistent with cancer frequency, most patients had either lung, colorectal or breast cancer. Their insurance was government sponsored in close to 90%. The educational levels were above Turkish median but consistent with the area the hospital is serving. They were coming to the unit on average 8.5 months. The responses were not influenced by the surveyed diagnosis, age, sex or educational status (p > 0,05. Particularly health care team's attention, trust and courtesy came forward as strong points. The weaknesses noted as difficulties in booking an outpatient doctor visit appointment because the phone line was busy or the secretary was not courteous, the excessive amount of time and effort it required to get laboratory and radiology results. Conclusion The health care system is basically a service based industry and customer satisfaction is at utmost importance just as in other service-oriented sectors. We hope this study will shed light in that area and Turkish health care providers will pay closer attention to how their patients feel about the services that they are getting.
Dentz, J. [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States); Conlin, F. [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States); Podorson, D. [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States); Alaigh, K. [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States); Davis, T. [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States)
Over one million HUD-supported public housing units provide rental housing for eligible low-income families across the country. A survey of over 100 public housing authorities (PHAs) across the country indicated that there is a high level of interest in developing low-cost solutions that improve energy efficiency and can be seamlessly included in the refurbishment process. Further, PHAs, have incentives (both internal and external) to reduce utility bills. ARIES worked with four PHAs to develop packages of energy efficiency retrofit measures the PHAs can cost-effectively implement with their own staffs in the normal course of housing operations at the time when units are refurbished between occupancies. The energy efficiency turnover protocols emphasized air infiltration reduction, duct sealing, and measures that improve equipment efficiency. ARIES documented implementation in 18 housing units. Reductions in average air leakage were 16% and duct leakage reductions averaged 23%. Total source energy consumption savings due to implemented measures was estimated at 3-10% based on BEopt modeling with a simple payback of 1.6 to 2.5 years. Implementation challenges were encountered mainly related to required operational changes and budgetary constraints. Nevertheless, simple measures can feasibly be accomplished by PHA staff at low or no cost. At typical housing unit turnover rates, these measures could impact hundreds of thousands of units per year nationally.
Dentz, Jordan [Advanced Residential Integrated Energy Solutions (ARIES) Collaborative, New York, NY (United States); Conlin, Francis [Advanced Residential Integrated Energy Solutions (ARIES) Collaborative, New York, NY (United States); Podorson, David [Advanced Residential Integrated Energy Solutions (ARIES) Collaborative, New York, NY (United States); Alaigh, Kunal [Advanced Residential Integrated Energy Solutions (ARIES) Collaborative, New York, NY (United States)
More than 1 million HUD-supported public housing units provide rental housing for eligible low-income families across the country. A survey of over 100 public housing authorities (PHAs) across the country indicated that there is a high level of interest in developing low-cost solutions that improve energy efficiency and can be seamlessly included in the refurbishment process. Further, PHAs, have incentives (both internal and external) to reduce utility bills. ARIES worked with two PHAs to develop packages of energy efficiency retrofit measures the PHAs can cost effectively implement with their own staffs in the normal course of housing operations when units are refurbished between occupancies. The energy efficiency turnover protocols emphasized air infiltration reduction, duct sealing and measures that improve equipment efficiency. ARIES documented implementation 10 ten housing units. Total source energy consumption savings was estimated at 6%-10% based on BEopt modeling with a simple payback of 1.7 to 2.2 years. At typical housing unit turnover rates, these measures could impact hundreds of thousands of units per year nationally.
Dentz, J.; Conlin, F.; Podorson, D.; Alaigh, K.
Over one million HUD-supported public housing units provide rental housing for eligible low-income families across the country. A survey of over 100 PHAs across the country indicated that there is a high level of interest in developing low cost solutions that improve energy efficiency and can be seamlessly included in the refurbishment process. Further, PHAs, have incentives (both internal and external) to reduce utility bills. ARIES worked with two public housing authorities (PHAs) to develop packages of energy efficiency retrofit measures the PHAs can cost effectively implement with their own staffs in the normal course of housing operations at the time when units are refurbished between occupancies. The energy efficiency turnover protocols emphasized air infiltration reduction, duct sealing and measures that improve equipment efficiency. ARIES documented implementation in ten housing units. Reductions in average air leakage were 16-20% and duct leakage reductions averaged 38%. Total source energy consumption savings was estimated at 6-10% based on BEopt modeling with a simple payback of 1.7 to 2.2 years. Implementation challenges were encountered mainly related to required operational changes and budgetary constraints. Nevertheless, simple measures can feasibly be accomplished by PHA staff at low or no cost. At typical housing unit turnover rates, these measures could impact hundreds of thousands of unit per year nationally.
Dumont, Olivier; Carmo, Carolina; Fontaine, Valentin;
and generate electricity, coupled to a solar thermal collector roof. This reversible HP/organic Rankine cycle unit presents three operating modes: direct heating, HP and organic Rankine cycle. This work focuses on describing the dynamic model of the multi-component system followed by a techno-economic analysis...... of the system under different operational conditions. Sensitivity studies include: building envelope, climate, appliances, lighting and heat demand profiles. It is concluded that the HP/ORC unit can turn a single-family house into a PEB under certain weather conditions (electrical production of 3012 k......Wh/year and total electrical consumption of 2318 kWh/year) with a 138.8 m2 solar roof in Denmark....
Castilho, Valéria; Castro, Liliana Cristina de; Couto, Andréa Tamancoldi; Maia, Flávia de Oliveira Motta; Sasaki, Nair Yoko; Nomura, Felicía Hiromi; Lima, Antonio Fernandes Costa; Mira, Vera Lúcia; Loyolla, Paula Manzatti
The objectives of this study were to survey the different types of waste, their causes and suggestions to eliminate them according to the opinion of the nursing and medical staff from the Clinical Medicine, Surgery, Pediatrics, Rooming-In, and Nursery Units; and estimate the cost of the major source of waste found in the referred units. This descriptive, explorative study was performed at the University of São Paulo Teaching Hospital using a quantitative approach. The study sample consisted of 189 medical and nursing professionals. Material waste (36%) was the most often reported by all professional categories, followed by physical structure waste (27%). The most reported wasted materials were medicines, dressing packs, stationary paper, and infusion devices The estimated annual cost of material waste in the studied units is about R$ 479.262,86.
Roe, L K; Carlson, J F; Swanson, D A
Sociologists designed a random sampling study based on an adaptation of the Housing Unit Method and the local expert method to determine the socioeconomic features of a 3 unincorporated rural communities near Yucca Mountain, Nevada which scientists will use to conduct a comprehensive impact analysis of the proposed geologic nuclear waste repository at Yucca Mountain, about 90 miles northwest of Las Vegas. Electrical company representatives indicated the location and type of housing with all up to date electrical connections in southern Nye county. This information was included in the housing unit file made from utility records from each community. After determining the sample size needed, households were randomly chosen from each file (326 Amargosa Valley, 672 Beatty, and 3224 Pahrump). Meter readers from the local utility companies were the local experts. 2 local experts worked together to authenticate the accuracy of recorded data which included number of person in the household as of July 15, 1990 and age and gender of each member. Data accuracy was tested and it was found that the 1990 US Census counts were within the relatively narrow 95% confidence intervals. The mean width was 7.2% of the estimated population, thus the estimates were meaningful. The estimates were too low for Pahrump (7190 vs. 7425) and Amargosa Valley (841 vs. 853), however. This may have been due to recent in-migration from the Las Vegas Valley. Age and gender accuracy could not be tested since the 1990 census data were not yet ready. Nevertheless, it is believed that this procedure can obtain very accurate estimates.
Roesdahl, Else; Scholkmann, Barbara
On houses and their furniture and fittings, and on the study of this - with a comparison of rural, urban, monastic and aristocratic housing, and a special section on heating technologies.......On houses and their furniture and fittings, and on the study of this - with a comparison of rural, urban, monastic and aristocratic housing, and a special section on heating technologies....
Kruessell, Markus A; Udink ten Cate, Floris E A; Kraus, Anna-Julia; Roth, Bernhard; Trieschmann, Uwe
Propofol is not licensed for sedation in pediatric intensive care medicine mainly due to the risk of propofol infusion syndrome. Nevertheless, it is applied by many pediatric intensive care units. The aim of this national survey was to asses the current use of propofol in pediatric intensive care units in Germany. We performed a nationwide survey. The questionnaire assessed the intensive care unit type, patient numbers, dosing, duration, age and time limits, indications, side effects, and institutional protocols for propofol usage. Pediatric intensive care units in Germany. Questionnaire about routine use of propofol sent to 214 pediatric departments. None. One hundred ninety-four questionnaires (90.7%) were returned, ten had to be censored. The final analysis comprised 184 questionnaires (134 pediatric/neonatal intensive care units, 28 pediatric intensive care units, 22 neonatal intensive care units). Seventy-nine percent of intensive care units (n = 145 of 184) used propofol in children under the age of 16 yrs. Of these, 98% were for bolus application (n = 142 of 145), 78% for infusion ≥3 hrs (n = 113 of 145), and 33% for infusion >3 hrs (n = 48 of 145). A lower age limit was applied by 52% (n = 75 of 145) and a dose limit by 51% (n = 74 of 145). The median dose limit was 4 mg/kg/hr; 48% (n = 70 of 145) used 3 mg/kg/hr or less. A time limit was applied by 98% (n = 46 of 47), 70% (n = 33 of 47) used it for ≤24 hrs, and 30% (n = 15 of 47) for >24 hrs. MAIN INDICATIONS FOR PROPOFOL APPLICATION WERE: difficult sedation (44%), postoperative ventilation (43%), and difficult extubation (30%). Seven cases of propofol infusion syndrome were reported by seven centers. This study shows that propofol is used off-license by many pediatric intensive care units in Ge. The majority of users has adopted tightly controlled regimens for propofol sedation, and limits the dose to ≤3-4 mg/kg/hr and the maximum application time to 24-48 hrs.
The British Geological Survey's Lexicon of Named Rock Units provides freely accessible definitions and supplementary information about geological units of Great Britain, Northern Ireland, and their associated continental shelf. It is an online database that can be searched at www.bgs.ac.uk/Lexicon/. It has existed since 1990 (under different names) but the database and user interface have recently been completely redesigned to improve their semantic capabilities and suitability for describing different styles of geology. The data are also now freely available as linked data from data.bgs.ac.uk/. The Lexicon of Named Rock Units serves two purposes. First, it is a dictionary, defining and constraining the geological units that are referenced in the Survey's data sets, workflows, products and services. These can include printed and digital geological maps at a variety of scales, reports, books and memoirs, and 3- and 4-dimensional geological models. All geological units referenced in any of these must first be present and defined, at least to a basic level of completeness, in the Lexicon database. Only then do they become available for use. The second purpose of the Lexicon is as a repository of knowledge about the geology of the UK and its continental shelf, providing authoritative descriptions written and checked by BGS geoscientists. Geological units are assigned to one of four themes: bedrock, superficial, mass movement and artificial. They are further assigned to one of nine classes: lithostratigraphical, lithodemic intrusive, lithodemic tectono-metamorphic, lithodemic mixed, litho-morpho-genetic, man-made, age-based, composite, and miscellaneous. The combination of theme and class controls the fields that are available to describe each geological unit, so that appropriate fields are offered for each, whether it is a Precambrian tectono-metamorphic complex, a Devonian sandstone formation, or a Devensian river terrace deposit. Information that may be recorded
Department of Housing and Urban Development — The Low-Income Housing Tax Credit (LIHTC) is the primary Federal program for creating affordable housing in the United States. The LIHTC database, created by HUD and...
Jeremy Gwin and Douglas Frenette
This document contains the process knowledge, radiological data and subsequent statistical methodology and analysis to support approval for the radiological release of Corrective Action Unit (CAU) 117 – Pluto Disassembly Facility, Building 2201 located in Area 26 of the Nevada National Security Site (NNSS). Preparations for release of the building began in 2009 and followed the methodology described in the Multi-Agency Radiation Survey and Site Investigation Manual (MARSSIM). MARSSIM is the DOE approved process for release of Real Property (buildings and landmasses) to a set of established criteria or authorized limits. The pre-approved authorized limits for surface contamination values and corresponding assumptions were established by DOE O 5400.5. The release criteria coincide with the acceptance criteria of the U10C landfill permit. The U10C landfill is the proposed location to dispose of the radiologically non-impacted, or “clean,” building rubble following demolition. However, other disposition options that include the building and/or waste remaining at the NNSS may be considered providing that the same release limits apply. The Final Status Survey was designed following MARSSIM guidance by reviewing historical documentation and radiological survey data. Following this review a formal radiological characterization survey was performed in two phases. The characterization revealed multiple areas of residual radioactivity above the release criteria. These locations were remediated (decontaminated) and then the surface activity was verified to be less than the release criteria. Once remediation efforts had been successfully completed, a Final Status Survey Plan (10-015, “Final Status Survey Plan for Corrective Action Unit 117 – Pluto Disassembly Facility, Building 2201”) was developed and implemented to complete the final step in the MARSSIM process, the Final Status Survey. The Final Status Survey Plan consisted of categorizing each individual room
Cong, Xiaomei; McGrath, Jacqueline M; Delaney, Colleen; Chen, Hua; Liang, Shuang; Vazquez, Victoria; Keating, Laura; Chang, Kimberly; Dejong, Angela
Despite growing knowledge, neonatal pain remains unrecognized, undertreated, and generally challenging. A cross-sectional survey study was conducted to investigate neonatal nurses' perceptions, knowledge, and practice of infant pain in the United States and China, including 343 neonatal nurses (American nurses [n = 237]; Chinese nurses [n = 106]). Nurses' responses regarding neonatal pain reflected adequate knowledge in general pain concepts, but knowledge deficits related to several topics were found (e.g., preterm infants are more sensitive to pain and long-term consequences of pain). Most reported regular use of pain assessment tools, but fewer agreed that the tool used was appropriate and accurate. More American nurses (83%) than Chinese nurses (58%) felt confident in the use of pain medications, while more Chinese nurses (78%) than American nurses (61%) acknowledged the effectiveness of nonpharmacologic interventions. About half reported that pain in their units was well managed (American: 44.3%; Chinese: 55.7%), and less than half felt that pain guidelines/protocols were research-based (American: 42.6%; Chinese: 34.9%). Nurses' perceptions of well-managed pain in their units were significantly correlated with adequate education/training, use of accurate tools, and use of research-based protocols. Barriers to effective pain management included resistance to change, lack of knowledge, lack of time, fear of side effects of pain medication, and lack of trust in the tools. The survey reflects concerns that pain has not been well managed in many neonatal intensive care units in the United States and China. Further actions are needed to solve the issues of inadequate training, lack of clinically feasible pain tools, and absence of evidence-based guidelines/protocols.
Irana W. Hawkins
Full Text Available Dietary choices are a viable solution to reduce greenhouse gas emissions. While Registered Dietitians are on the front lines of food and nutrition recommendations, it is unclear how many are concerned with climate change and take action in practice in the United States. We explored concern about climate change amongst Registered Dietitians, and identified factors that may influence practice-related behaviors. Our study population included a random sample of all Registered Dietitians credentialed in the United States. Primary data was gathered using a cross-sectional survey. Of the 570 survey responses, 75% strongly agreed or agreed that climate change is an important issue while 34% strongly agreed or agreed that dietitians should play a major role in climate change mitigation strategies. Thirty-eight percent engaged in activities that promoted diet as a climate change mitigation strategy. Vegetarian (p=0.002 and vegan dietitians (p=0.007 were significantly more likely than non-vegetarian and non-vegan dietitians to engage in activities that promoted diet as a climate change mitigation strategy. Overall, concern for climate change amongst dietitians varied significantly by the region of the country in which the dietitian resided, and awareness that animal products are implicated in climate change. Registered Dietitians in the United States are concerned with climate change. However, there is a discrepancy between concern and practice-based actions. These results suggest the need for educational and experiential opportunities connecting climate change mitigation to dietetics practice.
Hawkins, Irana W; Balsam, Alan L; Goldman, Robert
Dietary choices are a tool to reduce greenhouse gas emissions. While registered dietitians are on the front lines of food and nutrition recommendations, it is unclear how many are concerned with climate change and take action in practice in the United States. We explored concern about climate change among registered dietitians, and identified factors that may influence practice-related behaviors. Our study population included a random sample of all registered dietitians credentialed in the United States. Primary data were gathered using a cross-sectional survey. Of the 570 survey responses, 75% strongly agreed or agreed that climate change is an important issue while 34% strongly agreed or agreed that dietitians should play a major role in climate change mitigation strategies. Thirty-eight percent engaged in activities that promoted diet as a climate change mitigation strategy. Vegetarian (p = 0.002) and vegan dietitians (p = 0.007) were significantly more likely than non-vegetarian and non-vegan dietitians to engage in activities that promoted diet as a climate change mitigation strategy. Overall, concern for climate change among dietitians varied significantly by the region of the country in which the dietitian resided, and awareness that animal products are implicated in climate change. Registered dietitians in the United States are concerned with climate change. However, there is a discrepancy between concern and practice-based actions. These results suggest the need for educational and experiential opportunities connecting climate change mitigation to dietetics practice.
Kearney, S; Sharathkumar, A; Rodriguez, V; Chitlur, M; Valentino, L; Boggio, L; Gill, J
Neonatal circumcision in patients with severe haemophilia has not been well studied. We performed a survey of paediatric haematologists from Hemophilia Treatment Centers (HTC) across the United States to better understand the attitudes toward and management of neonatal circumcision in haemophilia patients. Response rate to our survey was 40% (n = 64/159). Thirty-eight percent of respondents (n = 24) said that they would allow this procedure in the newborn period but in many cases this was against medical advice. The most reported concern regarding neonatal circumcision in haemophilia patients was the risk of development of an inhibitor (n = 25; 39%) followed by the concern for bleeding (n = 22; 34%) and issues related to vascular access in the neonate (n = 11; 17%). All respondents recommended at least one preprocedure dose of factor replacement. Twenty-two percent (n = 14) of respondents did not use more than one dose of factor replacement but 32% (n = 21) used 1-2 postoperative doses. The remainder of paediatric haematologists surveyed recommended between 3-5 (16%; n = 10) and 6-10 (3%, n = 2) additional days postoperatively. There was wide variation in both techniques of circumcision as well as adjuvant haemostatic agents used. Only 22% of respondents said that they had an established protocol for management of circumcision in the newborn haemophilia patient. These survey results highlight the need for evidence-based guidelines regarding the optimal management of circumcision in neonates with severe haemophilia.
Greenland, Emma E; Shield, Bridget M
This paper reports the results of a large scale, detailed acoustic survey of 42 open plan classrooms of varying design in the UK each of which contained between 2 and 14 teaching areas or classbases. The objective survey procedure, which was designed specifically for use in open plan classrooms, is described. The acoustic measurements relating to speech intelligibility within a classbase, including ambient noise level, intrusive noise level, speech to noise ratio, speech transmission index, and reverberation time, are presented. The effects on speech intelligibility of critical physical design variables, such as the number of classbases within an open plan unit and the selection of acoustic finishes for control of reverberation, are examined. This analysis enables limitations of open plan classrooms to be discussed and acoustic design guidelines to be developed to ensure good listening conditions. The types of teaching activity to provide adequate acoustic conditions, plus the speech intelligibility requirements of younger children, are also discussed.
Shu, Qin; Cai, Miao; Tao, Hong-Bing; Cheng, Zhao-Hui; Chen, Jing; Hu, Yin-Huan; Li, Gang
The objective of this study was to examine the strengths and weaknesses of surgical units as compared with other units, and to provide an opportunity to improve patient safety culture in surgical settings by suggesting targeted actions using Hospital Survey on Patient Safety Culture (HSOPSC) investigation.A Hospital Survey on Patient Safety questionnaire was conducted to physicians and nurses in a tertiary hospital in Shandong China. 12 patient safety culture dimensions and 2 outcome variables were measured.A total of 23.5% of respondents came from surgical units, and 76.5% worked in other units. The "overall perceptions of safety" (48.1% vs 40.4%, P < 0.001) and "frequency of events reported" (63.7% vs 60.7%, P = 0.001) of surgical units were higher than those of other units. However, the communication openness (38.7% vs 42.5%, P < 0.001) of surgical units was lower than in other units. Medical workers in surgical units reported more events than those in other units, and more respondents in the surgical units assess "patient safety grade" to be good/excellent. Three dimensions were considered as strengths, whereas 5 other dimensions were considered to be weaknesses in surgical units. Six dimensions have potential to aid in improving events reporting and patient safety grade. Appropriate working times will also contribute to ensuring patient safety. Medical staff with longer years of experience reported more events.Surgical units outperform the nonsurgical ones in overall perception of safety and the number of events reported but underperform in the openness of communication. Four strategies, namely deepening the understanding about patient safety of supervisors, narrowing the communication gap within and across clinical units, recruiting more workers, and employing the event reporting system and building a nonpunitive culture, are recommended to improve patient safety in surgical units in the context of 1 hospital.
Abrahamsen, Charlotte; Nørgaard, Birgitte; Draborg, Eva
conducted a cross-sectional survey to assess readiness for change (N=223 employees) in a hospital on the verge of implementing an interprofessional, co-managed, orthogeriatric unit. Staff members from three departments with tasks related to orthogeriatric patients were invited to answer a web...... of the orthogeriatric unit and 71.7% stated that it would “significantly promote the interdisciplinary approach” of their department. Eliciting the respondents’ readiness for change, we found that 88.5% indicated a belief that orthogeriatric care would match the hospital’s need for change, and that it would furthermore...... aspects; those voiced by the nursing staff related to work strain and the interests of their professional group whereas the physicians’ reservations concentrated on the planning of the change. The exploration of readiness for organizational change among health care professionals offers managers...
This report, Housing Characteristics 1993, presents statistics about the energy-related characteristics of US households. These data were collected in the 1993 Residential Energy Consumption Survey (RECS) -- the ninth in a series of nationwide energy consumption surveys conducted since 1978 by the Energy Information Administration of the US Department of Energy. Over 7 thousand households were surveyed, representing 97 million households nationwide. A second report, to be released in late 1995, will present statistics on residential energy consumption and expenditures.
... Bureau of Economic Analysis XRIN 0691-XC003 BE-9: Quarterly Survey of Foreign Airline Operators' Revenues... Foreign Airline Operators' Revenues and Expenses in the United States (BE-9). This mandatory survey is..., agents, or other representatives of foreign airline operators that transport passengers or freight and...
Hodge, David R.
Despite the media attention focused on the Islamic community after the terrorist attacks on the World Trade Center on September 11, 2001, Muslims remain one of the most misunderstood populations in the United States. Few articles have appeared in the social work literature orienting practitioners to the Islamic community, and much of the…
Tsai, Jack; Stroup, T. Scott; Rosenheck, Robert A.
There has been no recent national description of where and with whom people with chronic mental illness reside. Using data from the Clinical Antipsychotic Trials of Intervention Effectiveness, the living arrangements of 1,446 clients with schizophrenia from 57 sites throughout the United States were characterized over 1 year. At baseline, 46% of…
Hoeger Bement, Marie K; Sluka, Kathleen A
Insufficient pain education is problematic across the health care spectrum. Recent educational advancements have been made to combat the deficits in pain education to ensure that health care professionals are proficient in assessing and managing pain. The purpose of this survey was to determine the extent of pain education in current Doctorate of Physical Therapy schools in the United States, including how pain is incorporated into the curriculum, the amount of time spent teaching about pain, and the resources used to teach about pain. The survey consisted of 10 questions in the following subject areas: basic science mechanisms and concepts about pain, pain assessment, pain management, and adequacy of pain curriculum. The overall response was 77% (167/216) for the first series of responses of the survey (Question 1), whereas 62% completed the entire survey (Questions 2-10). The average contact hours teaching about pain was 31 ± 1.8 (mean ± standard error of the mean) with a range of 5 to 115 hours. The majority of schools that responded covered the science of pain, assessment, and management. Less than 50% of respondents were aware of the Institute of Medicine report on pain or the International Association for the Study of Pain guidelines for physical therapy pain education. Only 61% of respondents believed that their students received adequate education in pain management. Thus, this survey demonstrated how pain education is incorporated into physical therapy schools and highlighted areas for improvement such as awareness of recent educational advancements. This article demonstrates how pain education is incorporated into physical therapy curricula within accredited programs. Understanding the current structure of pain education in health professional curriculum can serve as a basis to determine if recent publications of guidelines and competencies impact education. Copyright © 2015 American Pain Society. Published by Elsevier Inc. All rights reserved.
Brand, Marek; Thorsen, Jan Eric; Svendsen, Svend
on the testing of the dynamic behaviour of an Instantaneous Heat Exchanger Unit(IHEU) designed for DHW heating and space heating in detached family houses supplied by LEDH ensuring an entry-to-substation temperature of 51 °C. We measured the time it takes for the IHEU to produce DHW with a temperature of 42 °C......The increasing number of new and renovated buildings with reduced heating requirements will soon make traditional District Heating (DH) systems uneconomic. To keep DH competitive in the future, the heat loss in DH networks needs to be reduced. One option is to reduce the supply temperature of DH...... as much as possible. This requires a review of the behaviour of the whole domestic hot water (DHW) supply system with focus on the user comfort and overall costs. This paper describes some practical approaches to the implementation of this Low Energy District Heating (LEDH) concept. It reports...
Stadig, L M; Ampe, B A; Van Gansbeke, S; Van den Bogaert, T; D'Haenens, E; Heerkens, J L T; Tuyttens, F A M
On 1 January 2012, conventional cages for laying hens were banned in the European Union (EU); all egg farmers must now use alternative hen housing systems. In total, 218 Flemish egg farmers were surveyed in 2013 to 2014 regarding which housing systems they currently use, their degree of satisfaction with the system, and how they experienced the transition from conventional cages to an alternative system. The response rate was 58.3% (127 respondents). Of these, 43 (33.9%) were no longer active as an egg farmer, mainly due to the ban on conventional cages. The respondents who were active as egg farmers both before and after the transition (84, 66.1%) mainly judged the ban as negative for their own finances and for the competitive position of the Belgian egg industry, but were neutral or positive regarding the general consequences for their own business. Most respondents' hens were housed in either aviary systems (47.7%) or in alternative cage systems (38.2%). When choosing a new system, the fit into the farm and consumer demand were the most important factors. Consumer demand was the main reason for choosing a system with free-range access. In general, egg farmers were satisfied with the system they chose, although this differs between systems. When asked to compare the alternative systems to conventional cages, alternatives were judged to be better for hen welfare and consumer demand, but similar or worse for all other aspects, especially labor. Egg farmers previously using conventional cages judged alternative systems more negatively than those who had no prior experience with conventional cages. Farmers who had experience with free-range systems judged these more positively than those without this experience, e.g., for egg consumer demand, profitability, and hen welfare. These results can possibly be extrapolated to other EU countries in which conventional cages were the most common housing system until 2012, and lessons can be drawn from the farmers' experiences
Bhat, Anup; Chakravarthy, Kalyana; Rao, Bhamini K
The rehabilitation needs of the patients in neurological Intensive Care Units (ICUs) vary from that of a medical ICU patient. Early mobilization is known to improve the various neurological outcomes in patients admitted to neurological ICUs, although little is known about the practice pattern among physiotherapists. The mobilization practice pattern may vary significantly than that of developed countries due to the reasons of differences in training of professionals, availability of equipment, and financial assistance by health insurance. To study the current mobilization practices by the physiotherapists in neurological ICUs of India. A cross-sectional survey was conducted with a content validated questionnaire about the mobilization practices. Online questionnaire was distributed to physiotherapists working in neurological ICUs of India. Descriptive statistics were used. Out of 185 e-mails sent, 82 physiotherapists completed the survey (survey response rate = 44%). Eighty participants (97.6%) mentioned that the patients received some form of mobilization during the day. The majority of the physiotherapists (58.5%), "always" provided bed mobility exercises to their patients when it was found appropriate for the patients. Many physiotherapists (41.5%) used tilt table "sometimes" to introduce orthostatism for their patients. Mobilization in various forms is being practiced in the neurological ICUs of India. However, fewer mobilization sessions are conducted on weekends and night hours in Indian Neurological ICUs.
Connor, Andrew; Mortimer, Frances
The impact of unmitigated climate change upon global health is predicted to be disastrous. However, the very provision of healthcare itself has a significant environmental impact, and the contribution of kidney care to the carbon footprint of the NHS is likely to be disproportionately high. Furthermore, the current economic climate will ensure that healthcare systems face unprecedented reductions in resources (or, at the very least, diminished expansion in the face of ongoing increases in demand). Improvements in the way that renal services use resources will address both issues. This survey was designed to identify a baseline for sustainability in kidney care, to support a clinical transformation to lower carbon kidney care by identifying fruitful areas for attention, and to act as an educational tool. The survey identified measures for improvement across the different areas of the provision of kidney care, including building energy use, patient and staff transport, water use and the consumption and procurement of resources. The results of the survey, which was completed by 58 adult and paediatric renal units across England, Scotland, and Wales, are reported here and potential changes are discussed.
Full Text Available Context: The rehabilitation needs of the patients in neurological Intensive Care Units (ICUs vary from that of a medical ICU patient. Early mobilization is known to improve the various neurological outcomes in patients admitted to neurological ICUs, although little is known about the practice pattern among physiotherapists. The mobilization practice pattern may vary significantly than that of developed countries due to the reasons of differences in training of professionals, availability of equipment, and financial assistance by health insurance. Aim of the Study: To study the current mobilization practices by the physiotherapists in neurological ICUs of India. Subjects and Methods: A cross-sectional survey was conducted with a content validated questionnaire about the mobilization practices. Online questionnaire was distributed to physiotherapists working in neurological ICUs of India. Descriptive statistics were used. Results: Out of 185 e-mails sent, 82 physiotherapists completed the survey (survey response rate = 44%. Eighty participants (97.6% mentioned that the patients received some form of mobilization during the day. The majority of the physiotherapists (58.5%, “always” provided bed mobility exercises to their patients when it was found appropriate for the patients. Many physiotherapists (41.5% used tilt table “sometimes” to introduce orthostatism for their patients. Conclusion: Mobilization in various forms is being practiced in the neurological ICUs of India. However, fewer mobilization sessions are conducted on weekends and night hours in Indian Neurological ICUs.
Full Text Available Introduction: In the last several decades, South Korea has rapidly adopted Western customs and practices. Yet, cultural differences between South Korea and the United States exist. The purpose ofthis study was to identify and characterize potential cultural differences in the Korean and US institutional review board (IRB approach to certain topics.Methods: A qualitative analysis of a 9-item survey, describing 4 research study case scenarios, sent to IRB members from the United States and South Korea. The case scenarios involved the followingissues: (1 the need for consent for retrospective chart review when research subjects receive their care after the study is conceived; (2 child assent; (3 individual versus population benefit; and (4 exception from informed consent in emergency resuscitation research. The free-text responses were analyzed and abstracted for recurrent themes.Results: Twenty-three of the 45 survey recipients completed the survey, for an overall response rate of 51%. The themes that emerged were as follows: (1 the importance of parental authority among Korean participants versus the importance of child autonomy and child assent among US participants; (2 the recognition of the rights of a proxy or surrogate who can represent an individual’s values by all participants; and (3 the importance of the community, expressed by the Korean respondents, versus individualism, expressed by US respondents.Conclusion: Whereas US participants appear to emphasize the importance of the individual and the autonomy of a child, the Korean respondents stressed the importance of parental authority andbenefiting the community, above and beyond that of the individual person. However, there was substantial overlap in the themes expressed by respondents from both countries.
Salmond, Susan Warner; Evans, Benjamin; Hamdi, Hanaa A; Saimbert, Marie K
Objective The objective was to conduct a mixed methods systematic review to determine the occurrence and meaningfulness of relocation stress and the effectiveness of strategies for decreasing transfer anxiety in patients and their families upon transfer from an intensive care unit to a non-intensive care unit and to offer evidence-based recommendations for best practice.Inclusion criteria The review included quantitative and qualitative studies where the participants were adult intensive care patients, family members of adult intensive care patients, intensive care nurses caring for the adult critically ill patient, and ward/unit nurses receiving transfer patients from the ICU (intensive care unit). Studies examining the transfer experience for infants, children or psychiatric patients were excluded from this review.Search strategy The search strategy sought to find both published and unpublished studies and papers limited to the English language. An initial limited search of MEDLINE and CINAHL was undertaken followed by an analysis of text words contained in the title and abstract, and of index terms to describe the article. A second extensive search was then undertaken using identified key words and index terms.Methodological quality Each paper was assessed by two independent reviewers for quality prior to inclusion in the review using the Joanna Briggs Critical Appraisal Tools for experimental, cohort, descriptive, qualitative and expert text papers. Disagreements were discussed and resolved among the reviewers without needing to rely on a third reviewer.Data collection Information was extracted from each paper independently by two reviewers using the JBI extraction tools for quantitiative, qualitaitive and expert opinion papers and narrative table summaries were prepared.Data synthesis Data synthesis aimed to portray an accurate interpretation and synthesis of concepts arising from the experiences of patients and families transferring out of ICU and the nurses
10,000 gallon unleaded gasoline tank. The site is up gradient from the subject parcel. • No ASTs are directly adjacent to the subject parcel...The remainder of this page is left blank intentionally.] 6.2 Table 6.1 Residential Units Sewer, Water, Gas Electricity...responsibility of the Air Force. Gas - There is no gas infrastructure in the Parcel. Misc- The area is enclosed with 1,288 ft of CMU wall, 7 feet high
Full Text Available Critical care patients benefit from the attention of nursing personnel with a high competence level. The aim of the study was to describe and evaluate the self-assessed basic competence of intensive care unit nurses and related factors. A cross-sectional survey design was used. A basic competence scale (Intensive and Critical Care Nursing Competence Scale version 1, Likert scale 1–5, 1 = poor and 5 = excellent was employed among Finnish intensive care unit nurses (n=431. Intensive care unit nurses’ self-assessed basic competence was good (mean 4.19, SD 0.40. The attitude and value base of basic competence was excellent whereas experience base was the poorest compared to the knowledge base and skill base of intensive and critical care nursing. The strongest factor explaining nurses’ basic competence was their experience of autonomy in nursing care (F value 60.85, β 0.11, SE 0.01, and P≤0.0001. Clinical competence was self-rated as good. Nurses gave their highest competence self-ratings for ICU patient care according to the principles of nursing care. The ICU nurses also self-rated their professional competence as good. Collaboration was self-rated as the best competence. In basic and continuing education and professional self-development discussions it is meaningful to consider and find solutions for how to improve nurses’ experienced autonomy in nursing.
Batres-Marquez, S Patricia; Jensen, Helen H; Upton, Julie
Little is known about rice consumption, related food intake patterns, and the nutritional contribution that rice provides in the diets of Americans. To provide information about rice consumption in the United States and the diets of rice consumers. Data come from the Continuing Survey of Food Intakes by Individuals (1994-1996) and the National Health and Nutrition Examination Survey (2001-2002). Respondents report 24-hour recall dietary intakes. The amount of rice available in foods is estimated using the Food Commodity Intake Database. Consumers are classified based on the amount of rice they consume in foods. The analysis includes information from adult individuals: 9,318 from the Continuing Survey of Food Intakes by Individuals and 4,744 from National Health and Nutrition Examination Survey. Weighted percentages and mean values show the food and nutrient intake amounts. Logistic regression analysis is used to examine relationships among economic, social, and demographic factors that affect rice consumption. Rice is consumed by a significant portion of the US adult population. Compared with others who did not consume rice, rice consumers consumed a smaller share of energy per day from fat and saturated fat; more iron and potassium; and more dietary fiber, meat, vegetables, and grains. Race/ethnicity and education are determinants of the probability of consuming rice, and more so than low-income status. Rice consumers choose a diet that includes more vegetables, a smaller share of energy from fat and saturated fat, more dietary fiber and more iron than those who do not consume rice; the differences have remained relatively stable over the last decade. Accounting for race/ethnicity and income levels is important for better understanding of factors that affect food choices and for effective design of dietary interventions.
The Residential Energy Consumption Survey (RECS) is a periodic national survey that provides timely information about energy consumption and expenditures of U.S. households and about energy-related characteristics of housing units. The survey was first conducted in 1978 as the National Interim Energy Consumption Survey (NIECS), and the 1979 survey was called the Household Screener Survey. From 1980 through 1982 RECS was conducted annually. The next RECS was fielded in 1984, and since then, the survey has been undertaken at 3-year intervals. The most recent RECS was conducted in 1993.
New Mexico . Arizona and part of Wyoming to its territory. The westward movement of settlers, fur traders and fortune seekers added to Army mobilization...such as old mission structures. The 1856 AnnuMa Report of the Secretary of War stated that the posts in Texas and New Mexico were on rented land and that...Plan Nos: 172; 2-624 3pl . J-4 Basic unit built as a double set of 1902 quarters. The pantry has been eliminated and the kitchen wing is no longer
Buchanan Patricia A
Full Text Available Abstract Background The Feldenkrais Method® of somatic education purports to guide people of varying ages and abilities to improve function. Many people choose this method to aid with recovery from injury, manage chronic conditions, or enhance performance even though limited research supporting its safety and effectiveness exists to guide decisions about use and referral. Very little information about practitioner characteristics and practice patterns is publicly available to assist researchers in the design of appropriate safety and effectiveness studies. The purpose of this study was to obtain an initial overview of the characteristics of United States Guild Certified Feldenkrais PractitionersCM. Methods Of 1300 certified Feldenkrais® practitioners at the time of the study, there were 1193 practitioners with email accounts who were sent invitations to complete a web-based survey. The survey inquired about practice locations, additional credentials, service patterns and workloads during the previous 3 months. Response rate and descriptive statistics were calculated. Results The survey had a 32.3% (385/1193 response rate. The top states in which responders practiced were California (n = 92 and New York (n = 44. Most responders did not hold other credentials as traditional health care providers or as complementary and alternative medicine providers. Among those who did, the most common credentials were physical therapist (n = 83 and massage therapist (n = 38. Just over a third of traditional health care providers only provided Feldenkrais lessons, compared to 59.3% of complementary and alternative providers. On average, responders saw 7.6 ± 8.1 (median = 5 clients per week for individual lessons, 8.4 ± 11.5 (median = 5 clients per week for group lessons, and 2.9 ± 3.9 (median = 2 new clients per month for individual lessons. Conclusions This preliminary survey of United States Guild Certified Feldenkrais Practitioners indicated that most
Lan Thi Hoang Vu
Full Text Available Background: The prevalence of modern contraceptive use is an important indicator that reflects accessibility to reproductive health services. Satisfying unmet needs for family planning alone could reduce the number of maternal deaths by almost a third. This study uses multiple data sources to examine multilevel factors associated with the use of modern contraceptives among married women in Vietnam aged 15–49 years. Design: Data from different national surveys (Vietnam Population and Housing Census, Vietnam Living Standard Survey, and Multiple Indicator Cluster Survey were linked to create a dataset including individual and contextual (provincial variables (N=8,341. Multilevel modeling was undertaken to examine the impact of both individual and provincial characteristics on modern contraceptive use. Odds ratios (ORs and 95% confidence intervals (CIs are reported. Results: Individual factors significantly associated with the use of modern contraceptives were age 30–34 years (reference 15–19 years (OR=1.63; high socioeconomic status (SES (OR=0.8; having two living children (OR=2.4; and having a son (OR=1.4. The provincial poverty rate mediated the association between the individual's SES and the likelihood of using modern contraceptives. Conclusions: The proportion of women in Vietnam using modern contraceptive methods has remained relatively high in recent years with significant variation across Vietnam's 63 provinces. Women of lower SES are more likely to use modern contraceptive methods, especially in the poorer provinces. Achieving access to universal reproductive health is one of the Millennium Development Goals. Vietnam must continue to make progress in this area.
Full Text Available This paper is a comparative study of the social, ideological and economic differences between the United States and Hungary during the 1950s through the examination of the expressive features of female dress. It argues that dress served as a significant means of conveying the major divisions between the two countries and demonstrates that the female body became one of the crucial sites for waging the everyday battles of the Cold War opponents. Because less information is available about the construction of gender and the sartorial practices of women in Hungary in the 1950s this paper primarily focuses on Hungary. Data for this paper was collected through oral histories, archival sources and through the examination of contemporary photographic images.
Weigler, Benjamin J; Cooper, Donna R; Hankenson, F Claire
A national survey was conducted to assess immunization practices and tuberculosis screening methods for animal care and research workers in biomedical settings throughout the United States. Veterinarians (n = 953) were surveyed via a web-based mechanism; completed surveys (n = 308) were analyzed. Results showed that occupational health and safety programs were well-developed, enrolling veterinary, husbandry, and research staff at rates exceeding 90% and involving multiple modalities of health assessments and risk communication for vaccine-preventable diseases. Most (72.7%) institutions did not store serum samples from animal research personnel. More than half of the institutions housed nonhuman primates and maintained tuberculosis screening programs, although screening methods varied. Immunization protocols included various recommended or required vaccines that differed depending on job duties, type of institution, and nature of scientific programs. A single case of an identified vaccine-preventable illness in a laboratory worker was noted. Tetanus toxoid was the predominant vaccine administered (91.7%) to animal care and research workers, followed by hepatitis B (54.8%), influenza (39.9%), and rabies (38.3%). For some immunization protocols, an inconsistent rationale for administration was evident. Indications that animal care and research workers are unprotected from work-related etiologic agents did not emerge from this survey; rather, existing guidelines from the Advisory Committee on Immunization Practices and available biologics seem sufficient to address most needs of the laboratory animal research community. Institutions should commit to performance-based standards in parallel with context-specific risk assessment methods to maintain occupational health and safety programs and practices appropriate to their needs.
Kash, Bita Arbab; May, Marlynn Lee; Tai-Seale, Ming
To analyze trends and various approaches to professional development in selected community health worker (CHW) training and certification programs in the United States. We examined the expected outcomes and goals of different training and certification programs related to individual CHWs as well as the community they serve. A national survey of CHW training and certification programs. Data collection was performed through personal interviews, phone interviews and focus groups. Data sources included public health officials, healthcare associations, CHW networks, community colleges, and service providers. Initial screening interviews resulted in in-depth interviews with participants in 19 states. We applied human capital theory concepts to the analysis of the rich qualitative data collected in each state. CHW programs in the U.S. seem to have been initiated mainly due to lack of access to healthcare services in culturally, economically, and geographically isolated communities. Three trends in CHW workforce development were identified from the results of the national survey: (1) schooling at the community college level - provides career advancement opportunities; (2) on-the-job training - improves standards of care, CHW income, and retention; and (3) certification at the state level - recognizes the work of CHWs, and facilitates Medicaid reimbursement for CHW services. Study findings present opportunities for CHW knowledge and skill improvement approaches that can be targeted at specific individual career, service agency, or community level goals. Trained and/or certified community health workers are a potential new and skilled healthcare workforce that could help improve healthcare access and utilization among underserved populations in the United States.
Selim, Abeer A; Wesley Ely, E
To survey intensive care unit healthcare professionals' awareness and practice related to delirium. Despite the current evidence revealing the risks linked to delirium and advances in practice guidelines promoting delirium assessment, healthcare professionals show little sensitivity towards delirium and evident training needs. The study had a cross-sectional survey design. A sample of 168 intensive care unit healthcare professionals including nurses and physicians completed a semistructured questionnaire to survey their awareness, screening and management of delirium in intensive care units. The survey took place at 11 intensive care units from academic (university) and nonacademic (nonuniversity) governmental hospitals in Mansoura, Egypt. The mean score of delirium awareness was 64·4 ± 14·0 among intensive care unit healthcare professionals. Awareness of delirium was significantly lower when definition of delirium was not provided, among diploma nurses compared to bachelor degree nurses and physicians, among those who did not attend any workshop/lecture or read an article related to delirium and lastly, those who work in an intensive care unit when delirium. The survey found that only 26·8% of the healthcare professionals screen for delirium on a routine basis, and 14·3% reported attending workshops or lectures or reading an article related to delirium in the last year. In screening delirium, healthcare professionals did not use any tools, nor did they follow adopted protocols or guidelines to manage delirium. To manage delirium, 52·4% of the participants reported using sedatives, 36·9% used no drugs, and 10·7% reported using antipsychotics (primarily haloperidol). Intensive care unit healthcare professionals do not have adequate training or routine screening of delirium. There is an evident absence of using standardised tools or adapting protocols to monitor and manage delirium. This study has the potentials to shed some lights on the variables that
Fix Brian V
Full Text Available Abstract Background On June 22, 2009, the US FDA was granted the authority to regulate tobacco products through the Family Smoking Prevention and Tobacco Control Act (FSPTCA. The intent is to improve public health through regulations on tobacco product marketing and tobacco products themselves. This manuscript reports baseline data on smokers' attitudes and beliefs on specific issues relevant to the FSPTCA. Method Between November 2009 and January 2010, a telephone survey among a nationally representative sample of n = 678 smokers in the US was performed as part of the International Tobacco Control (ITC United States Survey. Participants answered a battery of questions on their attitudes and beliefs about aspects of the FSPTCA. Results Most smokers were unaware of the new FDA tobacco regulations. Smokers indicated support for banning cigarette promotion and nearly a quarter supported requiring tobacco companies to sell cigarettes in plain packaging. Seventy two percent of smokers supported reducing nicotine levels to make cigarettes less addictive if nicotine was made easily available in non-cigarette form. Conclusion Most smokers were limited in their understanding of efforts to regulate tobacco products in general. Smokers were supportive of efforts to better inform the public about health risks, restrict advertising, and make tobacco products less addictive.
Sinski, J T; Kelley, L M
A survey of dermatophytes isolated from patients seeking medical advice was made from 1985 to 1987 in the United States. The survey included 54 locations with data from 45 cities and one state. Listing of the isolated dermatophytes and the frequency given by percentage of the total follows: Trichophyton rubrum 54.8%, T. tonsurans 31.3%, T. mentagrophytes 6.0%, Microsporum canis 4.0%, Epidermophyton floccosum 2.0%, M. gypseum 0.6%, and T. verrucosum 0.2%. Out of a total of 14,696 isolates M. audouinii was cultured 13 times, T. violaceum 12 times, M. nanum 6 times, T. terrestre 4 times, and T. soudanense twice. Single isolations were made of M. fulvum, M. ferrugineum and T. schoenleinii. Collection of dermatophyte data in Tucson, Arizona, began in 1966. In 1987, the first case of tinea capitis caused by T. tonsurans was observed. Other isolates of this organism as the cause of tinea capitis were made in this city during that year. These infections were in black children. With the recent growth of Tucson, the percentage of blacks in the population increased and this pathogen was introduced into the general population.
Wang, Feng; Xing, Tao; Li, Junhui; He, Yingzi; Bai, Mei; Wang, Niansong
This study aimed to explore the causes, incidence, and risk factors of urinary tract infection patients in neurological intensive care unit (ICU). Patients (n = 916) admitted to the neurological ICU from January 2005 to December 2010 were retrospectively surveyed for urinary tract infections. There were 246 patients in neurological ICU who were diagnosed with hospital-acquired urinary tract infection during that period of time (26.9%). Forty-three cases were upper urinary tract infection, and 203 cases were lower urinary tract infection. The top three strains were Escherichia coli, Enterococcus faecalis, and Klebsiella pneumoniae. Older age (UTI rate, 22.6%), female patients (21.7%), hospital stay for more than 7 days (16.7%), diabetes (11.7%), and catheterization (21.1%) were the risk factors for hospital-acquired urinary tract infection. There is a high incidence of nosocomial urinary tract infection in the neurological intensive care unit. Active prevention program and surveillance need to be carried out in neurological ICU, especially in those with risk factors.
Oct 22, 2011 ... Department of Architecture, Ladoke Akintola University of Technology, P. M. B. ... that the quality of housing can make a big difference in the extent of, and costs related to, ... the survey and the subsequent analyses of data.
Dilparić Branislava M.
Full Text Available The paper reports findings from one of the two differently-designed surveys conducted among groups of both native speakers of English and native speakers of Serbian with a common general objective to obtain a picture of better candidates for a role of the whole (to be analyzed into its constituent elements in the contrastive study on the lexical field a house and its parts in English and Serbian. The specific objective of the survey presented here, however, was to build up the target picture with some of the features of the ideal example of the house category, such as the shape of the house, the key materials its principal structural elements (foundations, walls, a roof are made of, the number of residential units in the house and the type of the household that occupies it, the number of the house levels, the minimum of its interior spatial components and their functions, the types of systemic parts in the house, the status and position of the house relative to surrounding buildings, etc. Also, taking into consideration that the demographic profiles of the survey participants reflected various cultural backgrounds (which significantly influence the formation of mental images of a typical sample of the category, the survey aimed to compare the similarities and differences between the 'English' and the 'Serbian' typical house, that is the features assigned to a typical house by most of the surveyed representatives of Anglo-American and by those of Serbian culture. Judging exclusively by the features observed and the results obtained, the study concludes that the 'English' and the 'Serbian' typical house look very similar in many aspect and that the two different cultures are not as distant as they may seem.
Elkhoraibi, C; Blatchford, R A; Pitesky, M E; Mench, J A
Although it has become increasingly popular to keep backyard chickens in the United States, few studies have provided information about these flocks. An online survey of backyard chicken owners was conducted, advertised through Master Gardeners' websites, social platforms, and other sites. The survey had 56 questions about flock history, husbandry, health care, and owner attitudes and demographics. Surveys received (n = 1,487) came almost equally from urban, suburban, and rural areas. Most (71%) respondents owned fewer than 10 chickens and had kept chickens for less than 5 yr (70%). Major reasons for keeping chickens were as food for home use (95%), gardening partners (63%), pets (57%), or a combination of these. Rural respondents had larger flocks (P ≤ 0.001) and were more likely to keep chickens as a source of income or for show (P ≤ 0.001) than urban and suburban respondents. Owners thought that eggs/meat from their chickens were more nutritious (86%), safer to consume (84%), and tasted better (95%) than store-bought products, and also that the health and welfare of their chickens was better (95%) than on commercial farms. The majority (59%) indicated no flock health problems in the last 12 mo. However, there was a lack of awareness about some poultry health conditions. Many knew either little or nothing about exotic Newcastle or Marek's disease, and most (61%) did not vaccinate against Marek's. Respondents wanted to learn more about various flock management topics, especially how to detect (64%) and treat (66%) health problems. The Internet was the main source of information (87%) used by backyard flock owners, followed by books/magazines (62%) and feed stores (40%). Minimizing predation was the most cited challenge (49%), followed by providing adequate feed at low cost (28%), dealing with soil management (25%), and complying with zoning regulations (23%). The evidence obtained from this survey will help to determine what information and resources are
Belletti, Barbara; Rinaldi, Massimo; Bussettini, Martina; Comiti, Francesco; Gurnell, Angela M.; Mao, Luca; Nardi, Laura; Vezza, Paolo
Geomorphic units are the elementary spatial physical features of the river mosaic at the reach scale that are nested within the overall hydromorphological structure of a river and its catchment. Geomorphic units also constitute the template of physical habitats for the biota. The assessment of river hydromorphological conditions is required by the European Water Framework Directive 2000/60 (WFD) for the classification and monitoring of water bodies and is useful for establishing links between their physical and biological conditions. The spatial scale of geomorphic units, incorporating their component elements and hydraulic patches, is the most appropriate to assess these links. Given the weakness of existing methods for the characterisation and assessment of geomorphic units and physical habitats (e.g., lack of a well-defined spatiotemporal framework, terminology issues, etc.), a new system for the survey and characterisation of river geomorphic units is needed that fits within a geomorphologically meaningful framework. This paper presents a system for the survey and classification of geomorphic units (GUS, geomorphic units survey and classification system) aimed at characterising physical habitats and stream morphology. The method is embedded into a multiscale, hierarchical framework for the analysis of river hydromorphological conditions. Three scales of geomorphic units are considered (i.e., macro-units, units, sub-units), organised within two spatial domains (i.e., bankfull channel and floodplain). Different levels of characterisation can be applied, depending on the aims of the survey: broad, basic, and detailed level. At each level, different, complementary information is collected. The method is applied by combining remote sensing analysis and field survey, according to the spatial scale and the level of description required. The method is applicable to most of fluvial conditions, and has been designed to be flexible and adaptable according to the
Arbes, Samuel J.; Cohn, Richard D.; Yin, Ming; Muilenberg, Michael L.; Friedman, Warren; Zeldin, Darryl C.
Background Exposures to dog and cat allergens are believed to play important roles in the etiology of asthma; however, the levels of these allergens have never been assessed in a representative sample of US homes. Objective The objective of this study was to estimate and characterize exposures to Can f 1 (dog allergen) and Fel d 1 (cat allergen) in US homes. Methods Data were obtained from the National Survey of Lead and Allergens in Housing, a nationally representative survey of 831 US homes. Vacuumed-collected dust samples from the bed, bedroom floor, living room floor, and living room sofa were analyzed for concentrations of Can f 1 and Fel d 1 (micrograms of allergen per gram of dust). Results Although a dog or cat had lived in only 49.1% of homes in the previous 6 months, Can f 1 and Fel d 1 were detected in 100% and 99.9% of homes, respectively. Averaged over the sampled sites, geometric mean concentrations (µg/g) were 4.69 for Can f 1 and 4.73 for Fel d 1. Among homes with an indoor dog and cat, respectively, geometric mean concentrations were 69 for Can f 1 and 200 for Fel d 1. Among homes without the indoor pet, geometric mean concentrations were above 1.0. The independent predictors of elevated concentrations in homes without pets were all demographic variables that were also linked to a higher prevalence of pet ownership. Conclusions Can f 1 and Fel d 1 are universally present in US homes. Levels that have been associated with an increased risk of allergic sensitization were found even in homes without pets. Because of the transportability of these allergens on clothing, elevated levels in homes without pets, particularly among demographic groups in which pet ownership is more prevalent, implicate the community as an important source of these pet allergens. PMID:19055206
4. Novatel CDU software. ...................................................................................................4 Figure 5. Survey Unit...a laptop to the GPS receiver with a universal serial bus (USB) or RS232 cable (#3). 8. Run the Control and Display Unit ( CDU ) program on the laptop...identify the correct COM port and connect to the GPS receiver. Figure 4 shows a typical display of the CDU window. Figure 4. Novatel CDU
American houses usually have private kitchens,a living room and sometimes separate areas for eating and watching television,A house usually has its own mailbox,a yard with plants or perhaps a lawn,and a place to store garbage out of sight.
In this article, the author describes a project designed for fourth-graders that involves making clay relief sculptures of houses. Knowing the clay houses will become a family heirloom makes this lesson even more worth the time. It takes three classes to plan and form the clay, and another two to underglaze and glaze the final products.
Lippert, Anne; Espersen, Kurt; Antonsen, Kristian; Joensen, Henning; Waldau, Tina E; Larsen, Kim Michael
A shortage of intensive care beds and fully-booked intensive care units has a range of undesirable consequences for patients and personnel, eg. transfer to other intensive care units, cancellation of operations, tighter visitation criteria and an increase in the work-load. The problem is illustrated in a national survey. The survey was undertaken in 3 parts and comprised all 50 adult intensive care units in Denmark. Part 1 was a questionnaire encompassing demographic data, the number of open intensive care beds and how often under or over capacity was experienced in the department. Parts 2 and 3 consisted of a daily registry of the capacity and occupancy rate in the intensive care departments for two weeks along with a contemporary registry of the number of admittances, transfers and cancellations of operations. In Denmark only 2% of all somatic beds are intensive care beds. Under capacity, defined as a 100% occupancy rate, was experienced weekly or monthly in 80% of all intensive care units in Denmark. Occupancy rate was high, a medium of 78%, highest in level III intensive care units with an 88% occupancy rate. The numbers for transfers were equivalent to 800-1000 patient transfers per year. The number of cancelled operations was equivalent to 2000 per year. This survey documents that there is a problem with the capacity in Danish intensive care units. Establishing more intensive care beds in selected departments, ensuring personnel for the beds already established and establishing intermediate care beds could relieve the shortage of beds.
Estébanez-Montiel, M B; Quintana-Díaz, M; García de Lorenzo y Mateos, A; Blancas Gomez-Casero, R; Acosta-Escribano, J; Marcos-Neira, P
Human albumin solutions are used in a number of disorders, though their indications are not clear in all circumstances. These solutions are costly, and their benefit has not been established in all settings. It is therefore interesting to assess the presence of albumin solutions in the daily clinical practice of critical care professionals. To report the standard clinical practices and to describe the variability of albumin solutions use in critically ill patients. A survey sent by e-mail to Spanish and South American Intensive Care Units (ICUs) Planning and execution during the year 2012. A questionnaire comprising 35 questions. Fifty-seven surveys were analyzed. The use of albumin solutions was sporadic or negligible in critically ill patients (96.5%). The exceptions were patients with liver disease (87.7% of the responders administered albumin to these patients). A high percentage of professionals claimed to know the available scientific evidence on the use of albumin in patients with liver disease (82.5%) and in patients without liver disease (77.2%). Only 5.3% of the responders preferred to rely on their own experience to establish the indications of albumin use. The use of albumin solutions is infrequent in ICUs, except in patients with liver disease. Evidence-based knowledge on albumin use is declared to be extensive in ICUs. As a rule, opinions on the use of albumin solutions are based on the scientific recommendations, especially in patients with liver disease. Professional experience rarely prevails over the published clinical guidelines. Copyright © 2013 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.
Alexandre Franco Miranda
Full Text Available Objective: To assess the level of knowledge and difficulties concerning hospitalized patients regarding preventive oral health measures among professionals working in Intensive Care Units (ICUs. Study Population and Methods: A cross-sectional survey was conducted among 71 health professionals working in the ICU. A self-administered questionnaire was used to determine the methods used, frequency, and attitude toward oral care provided to patients in Brazilian ICUs. The variables were analyzed using descriptive statistics (percentages. A one-sample t-test between proportions was used to assess significant differences between percentages. t-statistics were considered statistically significant for P < 0.05. Bonferroni correction was applied to account for multiple testing. Results: Most participants were nursing professionals (80.3% working 12-h shifts in the ICU (70.4%; about 87.3% and 66.2% reported having knowledge about coated tongue and nosocomial pneumonia, respectively (P < 0.05. Most reported using spatulas, gauze, and toothbrushes (49.3% or only toothbrushes (28.2% with 0.12% chlorhexidine (49.3% to sanitize the oral cavity of ICU patients (P < 0.01. Most professionals felt that adequate time was available to provide oral care to ICU patients and that oral care was a priority for mechanically ventilated patients (80.3% and 83.1%, respectively, P < 0.05. However, most professionals (56.4% reported feeling that the oral cavity was difficult to clean (P < 0.05. Conclusion: The survey results suggest that additional education is necessary to increase awareness among ICU professionals of the association between dental plaque and systemic conditions of patients, to standardize oral care protocols, and to promote the oral health of patients in ICUs.
Full Text Available Abstract Background The Intensive Care Unit (ICU is a data-rich environment where information technology (IT may enhance patient care. We surveyed ICUs in the province of Ontario, Canada, to determine the availability, implementation and variability of information systems. Methods A self-administered internet-based survey was completed by ICU directors between May and October 2006. We measured the spectrum of ICU clinical data accessible electronically, the availability of decision support tools, the availability of electronic imaging systems for radiology, the use of electronic order entry and medication administration systems, and the availability of hardware and wireless or mobile systems. We used Fisher's Exact tests to compare IT availability and Classification and Regression Trees (CART to estimate the optimal cut-point for the number of computers per ICU bed. Results We obtained responses from 50 hospitals (68.5% of institutions with level 3 ICUs, of which 21 (42% were university-affiliated. The majority electronically accessed laboratory data and imaging reports (92% and used picture archiving and communication systems (PACS (76%. Other computing functions were less prevalent (medication administration records 46%, physician or nursing notes 26%; medication order entry 22%. No association was noted between IT availability and ICU size or university affiliation. Sites used clinical information systems from15 different vendors and 8 different PACS systems were in use. Half of the respondents described the number of computers available as insufficient. Wireless networks and mobile computing systems were used in 23 ICUs (46%. Conclusion Ontario ICUs demontrate a high prevalence of the use of basic information technology systems. However, implementation of the more complex and potentially more beneficial applications is low. The wide variation in vendors utilized may impair information exchange, interoperability and uniform data collection.
Mann, Thomas W., Jr.; And Others
Results of this survey of 26 public and academic libraries of national stature show that the country's major libraries are fully committed to automating their library operations. Major findings of the survey show that: (1) all libraries surveyed are involved in automation; (2) all libraries surveyed have automated their catalogs and bibliographic…
Meier, D E; Emmons, C A; Wallenstein, S; Quill, T; Morrison, R S; Cassel, C K
Although there have been many studies of physician-assisted suicide and euthanasia in the United States, national data are lacking. In 1996, we mailed questionnaires to a stratified probability sample of 3102 physicians in the 10 specialties in which doctors are most likely to receive requests from patients for assistance with suicide or euthanasia. We weighted the results to obtain nationally representative data. We received 1902 completed questionnaires (response rate, 61 percent). Eleven percent of the physicians said that under current legal constraints, there were circumstances in which they would be willing to hasten a patient's death by prescribing medication, and 7 percent said that they would provide a lethal injection; 36 percent and 24 percent, respectively, said that they would do so if it were legal. Since entering practice, 18.3 percent of the physicians (unweighted number, 320) reported having received a request from a patient for assistance with suicide and 11.1 percent (unweighted number, 196) had received a request for a lethal injection. Sixteen percent of the physicians receiving such requests (unweighted number, 42), or 3.3 percent of the entire sample, reported that they had written at least one prescription to be used to hasten death, and 4.7 percent (unweighted number, 59), said that they had administered at least one lethal injection. A substantial proportion of physicians in the United States report that they receive requests for physician-assisted suicide and euthanasia, and about 7 percent of those who responded to our survey have complied with such requests at least once.
No uniform guidelines for operations or accreditation standards for sports medicine center were available and, at the time of this study, little information on the management and operation of sports medicine centers was available in the literature. The purpose of the study was to determine the management structure and function of selected sports medicine centers in the United States. Questionnaires were mailed to 200 randomly selected centers throughout the United State from a directory of sports medicine centers published in Physician and Sportsmedicine (1992) to gather descriptive information on eight areas, including 1) general background, 2) staffing, 3) services, facilities, and equipment, 4) billing, collections, and revenue, 5) clientele, caseloads, and referrals, 6) ownership and financing, 7) school and club outreach contracts, and 8) marketing strategies and future trends. A total of 71 surveys (35.5%) were returned in the allotted time frame. Data were analyzed using ranges, means, medians, modes, and percentages. Results yielded several conclusions about sports medicine centers. Nearly all (93%) of the centers employed physical therapists; physical therapists were clinical directors at 70.2% of centers; orthopaedists were most often medical directors; rehabilitation was the most frequently offered service (93%); physical therapy produced the highest revenue; sports injuries accounted for a mean 34.5% of patients, who were mostly recreational or high school athletes between 13-60 years of age; primary shareholders were most often physical therapists or physicians; most were involved in outreach services for schools; marketing strategies primarily involved communication with referral sources; and managed care was identified most frequently as a trend affecting the future of sports medicine centers. Findings identified common aspects of sports medicine centers and may assist in establishing guidelines for operations or accreditation of sports medicine
The epidemiology of carbapenemase-producing Enterobacteriaceae (CPE) in Ireland is changing, with an increase in the number of reported cases in late 2010 and early 2011. Reported cases were predominantly linked to critical care units. In June 2011, a four-week national pilot survey took place in 40 Irish critical care units (37 adult and three paediatric) to examine the prevalence of rectal carriage of CPE and inform national CPE screening guidelines. A total of 760 screening swabs were taken over the study period, and CPE were not detected in any of the participating critical care units.
National Academy of Engineering, Washington, DC. Committee on Telecommunications.
At the request of the National Science Foundation, the Panel on Telecommunications Research of the Committee on Telecommunications of the National Academy of Engineering has made a preliminary survey of the status and trends of telecommunications research in the United States and selected foreign countries. The status and trends were identified by…
Spradling, Carol; Soh, Leen-Kiat; Ansorge, Charles J.
A national web-based survey was administered to 700 undergraduate computer science (CS) programs in the United States as part of a stratified random sample of 797 undergraduate CS programs. The 251 program responses (36% response rate) regarding social and professional issues are presented. This article describes the demographics of the…
This second part of a two-part series is a survey of U.S. government web resources on human trafficking in the United States, particularly of the online publications and data included on agencies' websites. Overall, the goal is to provide an introduction, an overview, and a guide on this topic for library staff to use in their research and…
Schlessinger, Fred R.; And Others
The purpose of this study was to collect "bench mark" data on the teaching of science that could serve as a basis of comparison for trend analysis. The information obtained in this survey presents a description of science teaching practices and selected science teacher characteristics in the United States. Descriptive information…
Ray, Amber B.; Graham, Steve; Houston, Julia D.; Harris, Karen R.
A random sample of middle school teachers (grades 6-9) from across the United States was surveyed about their use of writing to support students' learning. The selection process was stratified so there were an equal number of English language arts, social studies, and science teachers. More than one-half of the teachers reported applying 15 or…
Papagiannitsis, C. C.; Izdebski, R.; Baraniak, A.; Fiett, J.; Herda, M.; Hrabak, J.; Derde, L. P. G.; Bonten, M. J. M.; Carmeli, Y.; Goossens, H.; Hryniewicz, W.; Brun-Buisson, C.; Gniadkowski, M.
Objectives: The objective of this study was to perform a multinational survey of patients' colonization by metallo-beta-lactamase (MBL)-producing Enterobacteriaceae, including their molecular characterization. Methods: Patients in 18 hospital units across Europe and Israel (n = 17945) were screened
Department of Housing and Urban Development — CDBG activity related to housing, including multifamily rehab, housing services, code enforcement, operation and repair of foreclosed property and public housing...
Full Text Available Abstract Background Care for women during the third stage aims to reduce the risk of major haemorrhage, but is very variable. The current World Health Organisation (WHO recommendation is that care should include administration of a uterotonic (oxytocin, if it is available soon after birth of the baby, delayed cord clamping, and delivery of the placenta by controlled cord traction. Methods To ascertain care policies used during the third stage of labour in maternity units in Syria, we conducted a survey of 69 maternity units in obstetric and general public hospitals. A brief questionnaire was administered by face to face interview or telephone with senior obstetricians and midwives. Outcome measures were the use of prophylactic uterotonic drugs, timing of cord clamping, use of controlled cord traction, and treatment for postpartum haemorrhage. Obstetricians were asked about both vaginal and caesarean births, midwives only about vaginal births. Results Responses were obtained for 66 (96% hospitals: a midwife and an obstetrician were interviewed in 40; an obstetrician only in 20; a midwife only in 6. Responses were similar, although midwives were more likely to report that the umbilical cord was clamped after 1-3 minutes or after cessation of pulsation (2/40 obstetricians and 9/40 midwives. Responses have therefore been combined. One hospital reported never using a prophylactic uterotonic drug. The uterotonic was Syntometrine® (oxytocin and ergometrine in two thirds of hospitals; given after delivery of the placenta in 60 (91% for vaginal births, and in 47 (78% for caesarean births. Cord clamping was within 20 seconds at 42 hospitals 64% for vaginal births and 45 (75% for caesarean births. Controlled cord traction was never used in a quarter (17/66 of hospitals for vaginal births and a half (32/60 for caesarean births. 68% of respondents (45/66 thought there was a need for more randomised trials of interventions during the third stage of labour
Catlin, Anita; Ford, Marilee; Maloney, Carrie
A movement worldwide, and specifically new to our hospital, is the implementation of Patient- and Family-Centered Care. We were unsure, however, what the needs were of our patients' families. This triangulated study, on a 28-bed oncology unit, studied family members at the bedside. We asked family members what their needs were in a three-step process (open-ended interview, use of the Draw a Bridge art therapy technique, and the Family Inventory of Needs survey). Nineteen interviews revealed needs for physical comfort, emotional support, cultural sensitivity, recognition of help provided by family members and improved pain management. Art therapy revealed the stress of caregiving and helped to uncover unmet needs for interviewers to explore. The FIN identified that care at home after discharge was a major worry. Knowledge of family members' needs while a loved one is in the hospital allows for planning and provision of modalities to assist them in their caregiving. © The Author(s) 2015.
Li, Leilei; Lu, Guoping
To learn application status of continuous blood purification (CBP) in pediatric intensive care unit (PICU), to provide reference to promote the development of CBP technology. The survey of CBP application was conducted using questionnaire in 40 hospitals providing intensive care, which included children's hospitals and the pediatric sections of general hospitals from 28 provinces/municipalities/autonomous regions in China during March to July of 2012. Totally 38 hospital replied, 25 hospitals carried out CBP technology, first carried out in 1997, the median year was 2008, 21 hospitals' PICU could independently carry out CBP device, 18 hospitals had the nurses who could professionally operate, routinely maintain the device. Continuous veno-venous hemodiafiltration was the largest implementation mode of CBP, accounting for 51.9%. Twenty-three hospitals used ordinary heparin, and 2 hospitals used low molecular weight heparin; 21 hospitals chose activated partial thromboplastin time as the coagulation testing, due to lack of equipment, only four hospitals chose activated clotting time as coagulation testing. Only 3 hospitals could apply before and after dilution joint technology. Kidney failure is still the disease accounting for the highest proportion of diseases requiring CBP application, accounting for 38.1%, followed by sepsis, 19.1%, drug poisoning 16.7%. CBP started 10 years ago, and got attention and promotion nearly five years ago in China, but the associated personnel, equipment were inadequate, anticoagulation, before and after dilution and other technical applications were not complete enough, high volume hemofiltration mode was seldom used.
The state-of-the-art of heat engines for use as auxiliary power units in hybrid vehicles is surveyed. The study considers reciprocating or rotary heat engines, excluding gas turbines and fuel cells. The relative merits of various engine-generator concepts are compared. The concepts are ranked according to criteria tailored for a series-type hybrid drive. The two top APU concepts were the free-piston engine/linear generator (FPELG) and the Wankel rotary` engine. The FPELG is highly ranked primarily because of thermal efficiency cost, producibility. reliability, and transient response advantages; it is a high risk concept because of unproven technology. The Wankel engine is proven. with high power density, low cost and low noise. Four additional competitive concepts include two-stroke spark-ignition engine. two-stroke gas generator with turboalternator, free-piston engine gas generator with turboalternator, and homogeneous charge compression ignition engine. This study recommends additional work, including cycle simulation development and preliminary design to better quantify thermal efficiency and power density. Auxiliary concepts were also considered, including two which warrant further study: electrically actuated valves, and lean turndown of a normally stoichiometric engine. These concepts should be evaluated by retrofitting to existing engines.
Hammadieh, N; Afnan, M; Evans, J; Sharif, K; Amso, N; Olufowobi, O
In the last decade, numerous studies have demonstrated concern about the presence of hydrosalpinx and its management in patients undergoing IVF. We evaluated the current management of hydrosalpinx prior to IVF treatment in the UK. A total of 117 postal survey, anonymous, sealed questionnaires were sent to all IVF centres in the UK, to determine the policy for the management of hydrosalpinx in infertile women prior to IVF treatment. There were 88 (75%) responders, of which 80 (91%) indicated that they discussed the effect of hydrosalpinx on IVF outcome. Ten (12%) units did not recommend treatment of hydrosalpinx prior to IVF treatment, while 30 (36%), 27 (33%) and 16 (19%) recommended treatment weakly, strongly and very strongly respectively. The treatment options offered by clinicians were laparoscopic salpingectomy (75%), open salpingectomy (45%), salpingostomy (40%), proximal tubal occlusion (34%), transvaginal songraphic (TVS) aspiration during oocyte collection (23%) and TVS aspiration before oocyte collection (10%). The frequency of use varied from one option of treatment to another. Only 28% of the responders had a protocol or guidelines for the management of hydrosalpinx. More attention should be given to patients with hydrosalpinx prior to IVF treatment and patients should be counselled about the negative effect of hydrosalpinx on IVF outcome. There is a wide variation in the management of hydrosalpinx prior to IVF treatment in the UK and many treatment options may be questionable, as they are not yet based on evidence.
Anita C Schürch
Full Text Available Pathogen surveillance in animals does not provide a sufficient level of vigilance because it is generally confined to surveillance of pathogens with known economic impact in domestic animals and practically nonexistent in wildlife species. As most (re-emerging viral infections originate from animal sources, it is important to obtain insight into viral pathogens present in the wildlife reservoir from a public health perspective. When monitoring living, free-ranging wildlife for viruses, sample collection can be challenging and availability of nucleic acids isolated from samples is often limited. The development of viral metagenomics platforms allows a more comprehensive inventory of viruses present in wildlife. We report a metagenomic viral survey of the Western Arctic herd of barren ground caribou (Rangifer tarandus granti in Alaska, USA. The presence of mammalian viruses in eye and nose swabs of 39 free-ranging caribou was investigated by random amplification combined with a metagenomic analysis approach that applied exhaustive iterative assembly of sequencing results to define taxonomic units of each metagenome. Through homology search methods we identified the presence of several mammalian viruses, including different papillomaviruses, a novel parvovirus, polyomavirus, and a virus that potentially represents a member of a novel genus in the family Coronaviridae.
O'Neill, Braden; Ziebland, Sue; Valderas, Jose; Lupiáñez-Villanueva, Francisco
The production of health information has begun to shift from commercial organizations to health care users themselves. People increasingly go online to share their own health and illness experiences and to access information others have posted, but this behavior has not been investigated at a population level in the United Kingdom. This study aims to explore access and production of user-generated health content among UK Internet users and to investigate relationships between frequency of use and other variables. We undertook an online survey of 1000 UK Internet users. Descriptive and multivariate statistical analyses were used to interpret the data. Nearly one-quarter of respondents (23.7%, 237/1000) reported accessing and sharing user-generated health content online, whereas more than 20% (22.2%, 222/1000) were unaware that it was possible to do this. Respondents could be divided into 3 groups based on frequency of use: rare users (78.7%, 612/778) who accessed and shared content less than weekly, users (13.9%, 108/778) who did so weekly, and superusers (7.5%, 58/778) who did so on a daily basis. Superusers were more likely to be male (Ponline health content, only a minority of respondents reported doing so frequently. As this type of content proliferates, superusers are likely to shape the health information that others access. Further research should assess the effect of user-generated online content on health outcomes and use of health services by Internet users.
Schürch, Anita C.; Schipper, Debby; Bijl, Maarten A.; Dau, Jim; Beckmen, Kimberlee B.; Schapendonk, Claudia M. E.; Raj, V. Stalin; Osterhaus, Albert D. M. E.; Haagmans, Bart L.; Tryland, Morten; Smits, Saskia L.
Pathogen surveillance in animals does not provide a sufficient level of vigilance because it is generally confined to surveillance of pathogens with known economic impact in domestic animals and practically nonexistent in wildlife species. As most (re-)emerging viral infections originate from animal sources, it is important to obtain insight into viral pathogens present in the wildlife reservoir from a public health perspective. When monitoring living, free-ranging wildlife for viruses, sample collection can be challenging and availability of nucleic acids isolated from samples is often limited. The development of viral metagenomics platforms allows a more comprehensive inventory of viruses present in wildlife. We report a metagenomic viral survey of the Western Arctic herd of barren ground caribou (Rangifer tarandus granti) in Alaska, USA. The presence of mammalian viruses in eye and nose swabs of 39 free-ranging caribou was investigated by random amplification combined with a metagenomic analysis approach that applied exhaustive iterative assembly of sequencing results to define taxonomic units of each metagenome. Through homology search methods we identified the presence of several mammalian viruses, including different papillomaviruses, a novel parvovirus, polyomavirus, and a virus that potentially represents a member of a novel genus in the family Coronaviridae. PMID:25140520
Brown, Elena Verdine Donoso; Muñoz, Jaime Phillip; Powell, Janet M
ABSTRACT This study was designed to describe multicultural training practices in occupational therapy programs. A survey was sent to occupational therapy programs in the United States to gather information on multicultural content, skills, and teaching methods as well as diversity context and challenges. The response rate was 54%. The most frequently covered multicultural content was related to cultural background and sociopolitical factors. Multicultural skills covered most often were practice oriented and interpersonal skills. Teaching methods reported as used most often differed from the methods thought by the respondents to be most effective. Programs reported multiple challenges to multicultural training including lack of time and lack of diversity in the student body, faculty, and environment. Results suggest that educators may need to expand multicultural content and skills to prepare occupational therapy students for providing care in increasingly diverse practice settings. In addition, increased use of teaching methods that focus on exposure to diverse populations and reflection may be needed to improve the effectiveness of multicultural training in occupational therapy programs.
McCabe, Sean Esteban; West, Brady T; Hughes, Tonda L; Boyd, Carol J
This study examined substance abuse treatment utilization across three dimensions of sexual orientation (identity, attraction, and behavior) in a large national sample of adults in the United States. Prevalence estimates were based on data collected from the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions. The sample consisted of 34,653 adults 20 years and older, and represented a population that was 52% women, 71% White, 12% Hispanic, 11% African American, 4% Asian, and 2% other race/ethnicities. An estimated 2% of the target population self-identified as lesbian, gay or bisexual; 4% reported same-sex sexual behavior, and 6% reported same-sex sexual attraction. Sexual minorities, especially women, had a greater likelihood of lifetime substance use disorders and earlier age of drinking onset. The majority of respondents with substance use disorders were untreated and lifetime substance abuse treatment utilization differed based on sexual orientation. Sexual minorities were found to have more extensive family histories of substance abuse problems. The findings indicate the underutilization of substance abuse treatment among all adults, and highlight some important factors to consider when working with sexual minorities. Copyright © 2013 Elsevier Inc. All rights reserved.
Afaq Hyder Chohan
Full Text Available This research identifies the design quality determinants and parameters for affordable housing in a developing metropolis, Karachi, Pakistan. The absence of quality housing in Karachi has resulted in a variety of factors including policy failure, violation of bylaws, housing scarcity and more low quality housing. The combination of these factors has resulted in poor housing design and construction and has lowered the overall quality of housing. Homeowners (end-users experience unplanned maintenance and repairs. This study provides a design quality model for use as a survey tool among professionals and endusers. This study resulted in a table of 24 quality determinants marked as Housing Quality Determinants (HQD grouped into eight sections. This research concludes that the existing design quality of affordable housing in Karachi could be enhanced by resolving problems related to design, construction, services, site development, neighbourhood and sustainability. The HQD model provides a platform for developing quality indicators of housing design and an opportunity for local and international design and construction professionals to rethink design in the context of housing quality. This article provides the development of the HQD framework (model.
Huang, Qiongyu; Sauer, John R.; Swatantran, Anu; Dubayah, Ralph
Drastic shifts in species distributions are a cause of concern for ecologists. Such shifts pose great threat to biodiversity especially under unprecedented anthropogenic and natural disturbances. Many studies have documented recent shifts in species distributions. However, most of these studies are limited to regional scales, and do not consider the abundance structure within species ranges. Developing methods to detect systematic changes in species distributions over their full ranges is critical for understanding the impact of changing environments and for successful conservation planning. Here, we demonstrate a centroid model for range-wide analysis of distribution shifts using the North American Breeding Bird Survey. The centroid model is based on a hierarchical Bayesian framework which models population change within physiographic strata while accounting for several factors affecting species detectability. Yearly abundance-weighted range centroids are estimated. As case studies, we derive annual centroids for the Carolina wren and house finch in their ranges in the U.S. We further evaluate the first-difference correlation between species’ centroid movement and changes in winter severity, total population abundance. We also examined associations of change in centroids from sub-ranges. Change in full-range centroid movements of Carolina wren significantly correlate with snow cover days (r = −0.58). For both species, the full-range centroid shifts also have strong correlation with total abundance (r = 0.65, and 0.51 respectively). The movements of the full-range centroids of the two species are correlated strongly (up to r = 0.76) with that of the sub-ranges with more drastic population changes. Our study demonstrates the usefulness of centroids for analyzing distribution changes in a two-dimensional spatial context. Particularly it highlights applications that associate the centroid with factors such as environmental stressors, population characteristics
National Park Service, Department of the Interior — NPScape housing metrics are calculated using outputs from the Spatially Explicit Regional Growth Model. Metric GIS datasets are produced seamlessly for the United...
With the establishment and development of public rental housing system in China,how to establish a rational rental system has drawn social attention widely.As one of the countries who have the most mature public housing system,The United States has set up a sound rental policy system of public housing,including the rental management subject,the rental object,the rental standard, rental procedures and exit management of public housing.These policies provide China with useful experience and enlightenment on the establishment and improvement of the rental system of public housing.%随着中国公共租赁住房制度的建立和发展，如何建立起合理的配租制度引起了社会各界的广泛关注。作为公共住房制度较为成熟的国家之一，美国已经建立起了一套包括管理主体、配租对象、配租标准、配租程序以及退出管理在内的公共住房配租政策体系，这为中国建立和完善合理的公共租赁住房配租制度提供了有益的经验和启示。
... Strong Again Rebuilding America’s Infrastructure Repeal and Replace Obamacare Standing Up For Our Law Enforcement Community Trade ... People Petitions Contact the White House Get Involved Obamacare: Share Your Story Getting Americans Back to Work ...
... survey forms. The changes are intended to align the data collection program for multinational companies with available resources and align the statistics on multinational companies with recent changes in... data collection program for multinational companies with available resources. Under the revised...
Ryttov, Thomas Aaby; Sannino, Francesco
fixed point. As a consistency check we recover the previously investigated bounds of the conformal windows when restricting to a single matter representation. The earlier conformal windows can be imagined to be part now of the new conformal house. We predict the nonperturbative anomalous dimensions...... at the infrared fixed points. We further investigate the effects of adding mass terms to the condensates on the conformal house chiral dynamics and construct the simplest instanton induced effective Lagrangian terms...
Over one million HUD-supported public housing units provide rental housing for eligible low-income families across the country. A survey of over 100 public housing authorities (PHAs) across the country indicated that there is a high level of interest in developing low-cost solutions that improve energy efficiency and can be seamlessly included in the refurbishment process. Further, PHAs, have incentives (both internal and external) to reduce utility bills. ARIES worked with four PHAs to develop packages of energy efficiency retrofit measures the PHAs can cost-effectively implement with their own staffs in the normal course of housing operations at the time when units are refurbished between occupancies. The energy efficiency turnover protocols emphasized air infiltration reduction, duct sealing, and measures that improve equipment efficiency. ARIES documented implementation in 18 housing units. Reductions in average air leakage were 16 percent and duct leakage reductions averaged 23 percent. Total source energy consumption savings due to implemented measures was estimated at 3-10 percent based on BEopt modeling with a simple payback of 1.6 to 2.5 years. Implementation challenges were encountered mainly related to required operational changes and budgetary constraints. Nevertheless, simple measures can feasibly be accomplished by PHA staff at low or no cost. At typical housing unit turnover rates, these measures could impact hundreds of thousands of units per year nationally.
More than 1 million HUD-supported public housing units provide rental housing for eligible low-income families across the country. A survey of over 100 PHAs across the country indicated that there is a high level of interest in developing low cost solutions that improve energy efficiency and can be seamlessly included in the refurbishment process. Further, PHAs, have incentives (both internal and external) to reduce utility bills. ARIES worked with two public housing authorities (PHAs) to develop packages of energy efficiency retrofit measures the PHAs can cost effectively implement with their own staffs in the normal course of housing operations at the time when units are refurbished between occupancies. The energy efficiency turnover protocols emphasized air infiltration reduction, duct sealing and measures that improve equipment efficiency. ARIES documented implementation in ten housing units. Reductions in average air leakage were 16-20% and duct leakage reductions averaged 38%. Total source energy consumption savings was estimated at 6-10% based on BEopt modeling with a simple payback of 1.7 to 2.2 years. Implementation challenges were encountered mainly related to required operational changes and budgetary constraints. Nevertheless, simple measures can feasibly be accomplished by PHA staff at low or no cost. At typical housing unit turnover rates, these measures could impact hundreds of thousands of unit per year nationally.
U.S. Geological Survey, Department of the Interior — This dataset represents point locations and flow characteristics for current (as of November 20, 2001) and historical U.S. Geological Survey (USGS) streamgages in...
Full Text Available Housing has always been a significant aspiration of family expression and distinctly priciest investment by household. It plays a momentous role in the country’s economy and so central to the societal well-being that is emplaced in the United Nation Universal declaration of Human rights. Yet in developed and developing world alike, cities struggle to provide decent housing for lower and middle income population. The provision of affordable housing is a major policy concern around the world with Malaysia being no exception; rising income hardly keep pace with price hike of housing unit and housing interventions has majorly concentrated on demand side leading to a non-responsive supply sector. Therefore, this paper highlights affordable housing issues pertaining Malaysia. It formulates Malaysian Map of affordability and conducts an evaluation of global housing schemes to better identify policy priorities for Malaysia. It’s significant to harmonize supply and demand side factors in the housing market to ensure that housing supply fits the needs of citizens based on the location, price and target group. In case of Malaysia supply oriented initiative are of urgency in short and medium run. This must be supported by long term demand side schemes in parallel. Convergence of these two factors is essential for a balanced equilibrium and obtaining affordability.
... of a larger program to align the data collection program for multinational companies with available... of respondent companies. These data are used to derive current universe estimates of direct... investment position in the United States and of the operations of the U.S. affiliates of foreign companies...
Bhat, Anup; Chakravarthy, Kalyana; Rao, Bhamini K
Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. The aim of this study is to obtain data on current chest physiotherapy practices in neurological ICUs of India. A tertiary care hospital in Karnataka, India, and cross-sectional survey. A questionnaire was formulated and content validated to assess the current chest physiotherapy practices in neurological ICUs of India. The questionnaire was constructed online and a link was distributed via E-mail to 185 physiotherapists working in neurological ICUs across India. Descriptive statistics. The response rate was 44.3% (n = 82); 31% of the physiotherapists were specialized in cardiorespiratory physiotherapy and 30% were specialized in neurological physiotherapy. Clapping, vibration, postural drainage, aerosol therapy, humidification, and suctioning were used commonly used airway clearance (AC) techniques by the majority of physiotherapists. However, devices for AC techniques such as Flutter, Acapella, and standard positive expiratory pressure devices were used less frequently for AC. Techniques such as autogenic drainage and active cycle of breathing technique are also frequently used when appropriate for the patients. Lung expansion therapy techniques such as breathing exercises, incentive spirometry exercises, and positioning, proprioceptive neuromuscular facilitation of breathing are used by majority of physiotherapists. Physiotherapists in this study were using conventional chest physiotherapy techniques more frequently in comparison to the devices available for AC.
Bhat, Anup; Chakravarthy, Kalyana; Rao, Bhamini K.
Context: Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. Aim: The aim of this study is to obtain data on current chest physiotherapy practices in neurological ICUs of India. Settings and Design: A tertiary care hospital in Karnataka, India, and cross-sectional survey. Subjects and Methods: A questionnaire was formulated and content validated to assess the current chest physiotherapy practices in neurological ICUs of India. The questionnaire was constructed online and a link was distributed via E-mail to 185 physiotherapists working in neurological ICUs across India. Statistical Analysis Used: Descriptive statistics. Results: The response rate was 44.3% (n = 82); 31% of the physiotherapists were specialized in cardiorespiratory physiotherapy and 30% were specialized in neurological physiotherapy. Clapping, vibration, postural drainage, aerosol therapy, humidification, and suctioning were used commonly used airway clearance (AC) techniques by the majority of physiotherapists. However, devices for AC techniques such as Flutter, Acapella, and standard positive expiratory pressure devices were used less frequently for AC. Techniques such as autogenic drainage and active cycle of breathing technique are also frequently used when appropriate for the patients. Lung expansion therapy techniques such as breathing exercises, incentive spirometry exercises, and positioning, proprioceptive neuromuscular facilitation of breathing are used by majority of physiotherapists. Conclusions: Physiotherapists in this study were using conventional chest physiotherapy techniques more frequently in comparison to the devices available for
Todd, G R G; Acerini, C L; Ross-Russell, R; Zahra, S; Warner, J T; McCance, D
Until recently, only two cases of acute adrenal crisis associated with inhaled corticosteroids (ICS) had been reported worldwide. We identified four additional cases and sought to survey the frequency of this side effect in the United Kingdom. Questionnaires were sent to all consultant paediatricians and adult endocrinologists registered in a UK medical directory, asking whether they had encountered asthmatic patients with acute adrenal crisis associated with ICS. Those responding positively completed a more detailed questionnaire. Diagnosis was confirmed by symptoms/signs and abnormal hypothalamic-pituitary-adrenal axis function test results. From an initial 2912 questionnaires, 33 patients met the diagnostic criteria (28 children, five adults). Twenty-three children had acute hypoglycaemia (13 with decreased levels of consciousness or coma; nine with coma and convulsions; one with coma, convulsions and death); five had insidious onset of symptoms. Four adults had insidious onset of symptoms; one had hypoglycaemia and convulsions. Of the 33 patients treated with 500-2000 micro g/day ICS, 30 (91%) had received fluticasone, one (3%) fluticasone and budesonide, and two (6%) beclomethasone. The frequency of acute adrenal crisis was greater than expected as the majority of these patients were treated with ICS doses supported by British Guidelines on Asthma Management. Despite being the least prescribed and most recently introduced ICS, fluticasone was associated with 94% of the cases. We therefore advise that the licensed dosage of fluticasone for children, 400 micro g/day, should not be exceeded unless the patient is being supervised by a physician with experience in problematic asthma. We would also emphasise that until adrenal function has been assessed patients receiving high dose ICS should not have this therapy abruptly terminated as this could precipitate adrenal crisis.
Full Text Available Context: Neurological intensive care units (ICUs are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. Aim: The aim of this study is to obtain data on current chest physiotherapy practices in neurological ICUs of India. Settings and Design: A tertiary care hospital in Karnataka, India, and cross-sectional survey. Subjects and Methods: A questionnaire was formulated and content validated to assess the current chest physiotherapy practices in neurological ICUs of India. The questionnaire was constructed online and a link was distributed via E-mail to 185 physiotherapists working in neurological ICUs across India. Statistical Analysis Used: Descriptive statistics. Results: The response rate was 44.3% (n = 82; 31% of the physiotherapists were specialized in cardiorespiratory physiotherapy and 30% were specialized in neurological physiotherapy. Clapping, vibration, postural drainage, aerosol therapy, humidification, and suctioning were used commonly used airway clearance (AC techniques by the majority of physiotherapists. However, devices for AC techniques such as Flutter, Acapella, and standard positive expiratory pressure devices were used less frequently for AC. Techniques such as autogenic drainage and active cycle of breathing technique are also frequently used when appropriate for the patients. Lung expansion therapy techniques such as breathing exercises, incentive spirometry exercises, and positioning, proprioceptive neuromuscular facilitation of breathing are used by majority of physiotherapists. Conclusions: Physiotherapists in this study were using conventional chest physiotherapy techniques more frequently in comparison to the
Hall, Rebecca L; Anderson, Britta; Schulkin, Jay; Cantey, Paul T; Montgomery, Susan P; Jones, Jeffrey L
An estimated 50 million persons worldwide are infected with cysticerci, the larval forms of the Taenia solium tapeworm. Neurocysticercosis can cause seizures, epilepsy, and hydrocephalus, and fatal cases have been reported in the United States in immigrants and in travelers returning from endemic countries. Pregnant women with symptomatic neurocysticercosis present treatment challenges, whereas those with the adult tapeworm infection (i.e., taeniasis) can put their infants and other family members, as well as obstetrician-gynecologists and their staff, at risk for cysticercosis. A questionnaire developed by the American College of Obstetricians and Gynecologists was sent to a representative sample of 1,000 physicians to assess their awareness of T. solium infection and the potential for it to be encountered in an obstetrics and gynecology setting. In total, 31.4% of respondents correctly answered that taeniasis is caused by eating undercooked pork containing T. solium cysts (95% confidence interval [CI] = 26.6-36.5). While only 14.5% (95% CI = 11.0-18.6) of respondents correctly answered that cysticercosis is acquired by ingesting tapeworm eggs shed in human stools, twice that number (30.3%; 95% CI = 25.5-35.3) correctly answered that a mother with taeniasis can cause cysticercosis in her infant. Practicing in a state in which cysticercosis was reportable at the time of the survey was not significantly associated with answering any of the 12 knowledge questions correctly. Overall, knowledge of T. solium infection among U.S. obstetricians-gynecologists is limited. This may result in missed opportunities to diagnose and treat pregnant women with taeniasis, which may put family members and obstetrics clinical staff at risk for cysticercosis.
This paper provides the results of the survey-2000 measuring technology transfer and, specifically, Internet usage. The purpose of the survey was to measure the levels of Internet and Intranet existence and usage in acute care hospitals. The depth of the survey includes e-commerce for both business-to-business and customers. These results are compared with responses to the same questions in survey-1997. Changes in response are noted and discussed. This information will provide benchmarks for hospitals to plan their network technology position and to set goals. This is the third of three articles based upon the results of the survey-2000. Readers are referred to prior articles by the author, which discuss the survey design and provide a tutorial on technology transfer in acute care hospitals. (1) Thefirst article based upon the survey results discusses technology transfer, system design approaches, user involvement, and decision-making purposes. (2)
... plan, the following items must be considered by the borrower: (i) Direction of marketing activities... Housing Marketing Plan. (1) Borrowers with housing projects that have four or more rental units must prepare and maintain an Affirmative Fair Housing Marketing Plan (AFHMP) as defined in 24 CFR part...
Aaronson, Jaime; Abramovitz, Sharon; Smiley, Richard; Tangel, Virginia; Landau, Ruth
Remifentanil is most commonly offered when neuraxial labor analgesia is contraindicated. There is no consensus regarding the optimal administration, dosing strategy, or requirements for maternal monitoring, which may pose a patient safety issue. This exploratory survey evaluated the current practices regarding remifentanil use for labor analgesia at academic centers in the United States. Of 126 obstetric anesthesia directors surveyed, 84 (67%) responded. In 2014 to 2015, an estimated 36% (95% confidence interval: 25.7-46.3) of centers used remifentanil, most of which did so less than 5 times. Some serious maternal and neonatal respiratory complications occurred, emphasizing that clinical protocols and adequate monitoring are key to ensure maternal and neonatal safety.
Toscano, Deborah; Brice, Jennifer; Alfaro, Christina
This study was conducted to investigate type 2 diabetes mellitus (T2DM) patient perceptions of their pen injectors and determine which features were deemed most important to overall satisfaction. Frost & Sullivan conducted a Web-based survey of T2DM patients in the United States in November 2010. Survey participants were initially screened prior to full participation. A total of 1002 adult T2DM patients who were using a pen injector on a regular basis to administer their diabetes medication(s) were surveyed. The survey consisted of 24 questions focused on awareness and current usage of pen injectors by type and brand, specific features of pen injectors, and patients' preferences for and satisfaction with pen injectors. The majority of surveyed patients were using prefilled pen injectors as compared with durable pens. The LANTUS SoloSTAR (sanofi-aventis) was reported to be the most commonly used pen. The LANTUS SoloSTAR was also ranked highly for overall satisfaction and likelihood of continued usage. Regardless of brand, most surveyed patients reported that they were likely to continue using their current pen. In general, the single most important feature for user satisfaction was an easy push-button injection. Ease of self-administration is of highest priority to users of pen injectors. Important features facilitating ease of use, such as an easily depressed push-button injection, are likely to minimize the burden on T2DM patients, thereby improving compliance and clinical outcomes. © 2012 Diabetes Technology Society.
AI, Lala; LM, Sturzu; JP, Picard; F, Druot; F, Grama; G, Bobirnac
The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Easter...
Boyd, Alan; Bryce, Marie; Luscombe, Kayleigh; Tazzyman, Abigail; Tredinnick-Rowe, John; Archer, Julian
Objective To describe the implementation of medical revalidation in healthcare organisations in the United Kingdom and to examine reported changes and impacts on the quality of care. Design A cross-sectional online survey gathering both quantitative and qualitative data about structures and processes for medical revalidation and wider quality management in the organisations which employ or contract with doctors (termed ‘designated bodies’) from the senior doctor in each organisation with statutory responsibility for medical revalidation (termed the ‘Responsible Officer’). Setting United Kingdom Participants Responsible Officers in designated bodies in the United Kingdom. Five hundred and ninety-five survey invitations were sent and 374 completed surveys were returned (63%). Main outcome measures The role of Responsible Officers, the development of organisational mechanisms for quality assurance or improvement, decision-making on revalidation recommendations, impact of revalidation and mechanisms for quality assurance or improvement on clinical practice and suggested improvements to revalidation arrangements. Results Responsible Officers report that revalidation has had some impacts on the way medical performance is assured and improved, particularly strengthening appraisal and oversight of quality within organisations and having some impact on clinical practice. They suggest changes to make revalidation less ‘one size fits all’ and more responsive to individual, organisational and professional contexts. Conclusions Revalidation appears primarily to have improved systems for quality improvement and the management of poor performance to date. There is more to be done to ensure it produces wider benefits, particularly in relation to doctors who already perform well. PMID:28084166
Pidgeon, Anna M; Flather, Curtis H; Radeloff, Volker C; Lepczyk, Christopher A; Keuler, Nicholas S; Wood, Eric M; Stewart, Susan I; Hammer, Roger B
As people encroach increasingly on natural areas, one question is how this affects avian biodiversity. The answer to this is partly scale-dependent. At broad scales, human populations and biodiversity concentrate in the same areas and are positively associated, but at local scales people and biodiversity are negatively associated with biodiversity. We investigated whether there is also a systematic temporal trend in the relationship between bird biodiversity and housing development. We used linear regression to examine associations between forest bird species richness and housing growth in the conterminous United States over 30 years. Our data sources were the North American Breeding Bird Survey and the 2000 decennial U.S. Census. In the 9 largest forested ecoregions, housing density increased continually over time. Across the conterminous United States, the association between bird species richness and housing density was positive for virtually all guilds except ground nesting birds. We found a systematic trajectory of declining bird species richness as housing increased through time. In more recently developed ecoregions, where housing density was still low, the association with bird species richness was neutral or positive. In ecoregions that were developed earlier and where housing density was highest, the association of housing density with bird species richness for most guilds was negative and grew stronger with advancing decades. We propose that in general the relationship between human settlement and biodiversity over time unfolds as a 2-phase process. The first phase is apparently innocuous; associations are positive due to coincidence of low-density housing with high biodiversity. The second phase is highly detrimental to biodiversity, and increases in housing density are associated with biodiversity losses. The long-term effect on biodiversity depends on the final housing density. This general pattern can help unify our understanding of the relationship
Zorich, Diane M.
In preparation for the 2008 Scholarly Communications Institute (SCI 6) focused on humanities research centers, the Council on Library and Information Resources (CLIR) commissioned a survey of digital humanities centers (DHCs). The immediate goals of the survey were to identify the extent of these centers and to explore their financing,…
Bowen, John M.
A survey of research resources in 24 veterinary colleges in the US and Canada reports information on university-wide research facilities, college-wide research facilities, personnel, and instrumentation resources. Corporate research resource management was compared with university research resource management. The survey form is outlined.…
Eriksen, Kurt Emil; Olesen, Gitte Gylling Hammershøj
Formålet med dette abstrakt er at illustrere, at huse kan være konstrueret til at basere sig udelukkende på vedvarende energikilder og samtidig være CO2-neutrale og producere mere energi end de forbruger. Active House Visionen undersøger disse muligheder i otte demonstration huse i fem forskellige...
Rising house prices in China’s major cities is a major headache for people taking a first step on the property ladder and has led to a growing number sacrificing quality of life just to have a home of their own Closely watching the family’s spend- ing a
Tang, Yiu-kei; 鄧耀基
This dissertation is about the use of in-cash housing subsidy, in the form of housing voucher, to deliver housing welfare in Hong Kong. This type of subsidy is currently the major type of housing assistance implemented in the United States since 1970s for improving the deteriorating public housing stock as well as the concentrated poverty and racial segregated neighbourhoods developed in the public housing projects. As a foreign policy, the research has taken the academic approach of policy t...
Njai, Rashid; Siegel, Paul; Yin, Shaoman; Liao, Youlian
Recent global (1) and national (2,3) health equity initiatives conclude that the elimination of health disparities requires improved understanding of social context (4,5) and ability to measure social determinants of health, including food and housing security (3). Food and housing security reflect the availability of and access to essential resources needed to lead a healthy life. The 2013 Behavioral Risk Factor Surveillance System (BRFSS) included two questions to assess perceived food and housing security in 15 states.* Among 95,665 respondents, the proportion who answered "never or rarely" to the question "how often in the past 12 months would you say you were worried or stressed about having enough money to buy nutritious meals?" ranged from 68.5% to 82.4% by state. Among 90,291 respondents living in housing they either owned or rented, the proportion who answered "never or rarely" to the question, "how often in the past 12 months would you say you were worried or stressed about having enough money to pay your rent/mortgage?" ranged from 59.9% to 72.8% by state. Food security was reported less often among non-Hispanic blacks (blacks) (68.5%) and Hispanics (64.6%) than non-Hispanic whites (whites) (81.8%). These racial/ethnic disparities were present across all levels of education; housing security followed a similar pattern. These results highlight racial/ethnic disparities in two important social determinants of health, food and housing security, as well as a substantial prevalence of worry or stress about food or housing among all subgroups in the United States. The concise nature of the BRFSS Social Context Module's single-question format for food and housing security makes it possible to incorporate these questions into large health surveys so that social determinants can be monitored at the state and national levels and populations at risk can be identified.
Smith, Benjamin K; Jensen, Eric A
Since 2000, the UK government has funded surveys aimed at understanding the UK public's attitudes toward science, scientists, and science policy. Known as the Public Attitudes to Science series, these surveys and their predecessors have long been used in UK science communication policy, practice, and scholarship as a source of authoritative knowledge about science-related attitudes and behaviors. Given their importance and the significant public funding investment they represent, detailed academic scrutiny of the studies is needed. In this essay, we critically review the most recently published Public Attitudes to Science survey (2014), assessing the robustness of its methods and claims. The review casts doubt on the quality of key elements of the Public Attitudes to Science 2014 survey data and analysis while highlighting the importance of robust quantitative social research methodology. Our analysis comparing the main sample and booster sample for young people demonstrates that quota sampling cannot be assumed equivalent to probability-based sampling techniques.
Full Text Available The focus of this research is to identify the critical factors of shop houses sale failure in Bandar Baru Nilai and further up to discover the critical factors of sale failure of commercial property types, shop houses in new township as report by valuation and Property services department (JPPH showed 5,931 units of shop houses in Malaysia is currently completed but remained unsold where Johor was recorded as the highest with unsold units followed by Negeri Sembilan. Bandar Baru Nilai (a district of Negeri Sembilan is chosen as research sample for unsold shop houses units due to its strategic location which is near to KLIA, International Sepang Circuit, educational instituitions and surrounded by housing scheme but yet still has numbers of unsold units. Data of the research is obtained from literature review and survey question between developers, local authority, purchasers/tenant and local residents. Relative Importance Index (RII method is applied in identifying the critical factor of shop houses sale failure. Generally, the factors of sale failure are economy, demography, politic, location and access, public and basic facilities, financial loan, physical of product, current stock of shop houses upon completion, future potential of subsale and rental, developer’s background, promotion and marketing, speculation and time.
Full Text Available Following the already proved models the sustainable planning culture is endangering several methods directed towards the needs of tenants in the existing post-war housing stock. The case-study of our project is the renewal of the multi stored building in the housing estate Metalna, Maribor/Tezno (1949. It is based on the sustainable renovation principle for the quality of sustainable housing in functional, technological and environmental point of view. According to it, the idea of the project was to improve the functionality of the building as well as of individual housing units. One of the main goals was to introduce the variety of space and typology of individual housing units. Beside, there was an intention to rebuild and redesign the green area, especially the problems of parking and playground for children. On the other hand, the project is introducing the low-energy renovation principle including new technologies, structural elements and materials. Two scenarios of technological renewal were suggested. The first one was a classical one using additional thermal insulation of the building envelope and fitting of new structural elements such as windows, doors, balconies, windbreaks etc. (Renewal 1. The second scenario, however, included the sunspace construction used as a new passive solar structural element, modifying the envelope (Renewal 2. The energy efficiency of the suggested scenarios were calculated according to the procedures given in EN 832 standard considering the attached sunspace as integral part of the building in first case and as a passive solar object adjacent to the thermal envelope of the building in the second case. The results show that the last case yields the most energy efficient renewal of the existing residential building.
Vale Claire L
Full Text Available Abstract Background We aimed to establish levels of consumer involvement in randomised controlled trials (RCTs, meta-analyses and other studies carried out by the UK Medical Research Council (MRC Clinical Trials Unit across the range of research programs, predominantly in cancer and HIV. Methods Staff responsible for studies that were included in a Unit Progress Report (MRC CTU, April 2009 were asked to complete a semi-structured questionnaire survey regarding consumer involvement. This was defined as active involvement of consumers as partners in the research process and not as subjects of that research. The electronic questionnaires combined open and closed questions, intended to capture quantitative and qualitative information on whether studies had involved consumers; types of activities undertaken; recruitment and support; advantages and disadvantages of involvement and its perceived impact on aspects of the research. Results Between October 2009 and April 2010, 138 completed questionnaires (86% were returned. Studies had been conducted over a 20 year period from 1989, and around half were in cancer; 30% in HIV and 20% were in other disease areas including arthritis, tuberculosis and blood transfusion medicine. Forty-three studies (31% had some consumer involvement, most commonly as members of trial management groups (TMG [88%]. A number of positive impacts on both the research and the researcher were identified. Researchers generally felt involvement was worthwhile and some felt that consumer involvement had improved the credibility of the research. Benefits in design and quality, trial recruitment, dissemination and decision making were also perceived. Researchers felt they learned from consumer involvement, albeit that there were some barriers. Conclusions Whilst most researchers identified benefits of involving consumers, most of studies included in the survey had no involvement. Information from this survey will inform the development
Full Text Available Analgesia, sedation and delirium management are important parts of intensive care treatment as they are relevant for patients' clinical and functional long-term outcome. Previous surveys showed that despite this fact implementation rates are still low. The primary aim of the prospective, observational multicenter study was to investigate the implementation rate of delirium monitoring among intensivists. Secondly, current practice concerning analgesia and sedation monitoring as well as treatment strategies for patients with delirium were assesed. In addition, this study compares perceived and actual practice regarding delirium, sedation and analgesia management. Data were obtained with a two-part, anonymous survey, containing general data from intensive care units in a first part and data referring to individual patients in a second part. Questionnaires from 101 hospitals (part 1 and 868 patients (part 2 were included in data analysis. Fifty-six percent of the intensive care units reported to monitor for delirium in clinical routine. Fourty-four percent reported the use of a validated delirium score. In this respect, the survey suggests an increasing use of delirium assessment tools compared to previous surveys. Nevertheless, part two of the survey revealed that in actual practice 73% of included patients were not monitored with a validated score. Furthermore, we observed a trend towards moderate or deep sedation which is contradicting to guideline-recommendations. Every fifth patient was suffering from pain. The implementation rate of adequate pain-assessment tools for mechanically ventilated and sedated patients was low (30%. In conclusion, further efforts are necessary to implement guideline recommendations into clinical practice. The study was registered (ClinicalTrials.gov identifier: NCT01278524 and approved by the ethical committee.
Bork, Lasse; Møller, Stig Vinther; Pedersen, Thomas Quistgaard
We propose a new measure for housing sentiment and show that it accurately tracks expectations about future house price growth rates. We construct the housing sentiment index using partial least squares on questions related to consumers' opinions of buying conditions for houses from University...... of Michigan's consumer survey. We find that housing sentiment strongly outperforms several macroeconomic variables typically used to forecast house prices. An in-sample forecast regression using quarterly data over the period 1975-2014 shows that housing sentiment is able to explain 48 percent of next quarter......'s national house price growth. Out-of-sample forecast regressions yield similar results. The strong predictive power of the sentiment index is robust across forecast horizons and holds at the state-level....
Deziel, N.C.; Nuckols, J.R.; Colt, J.S.; Roos, A.J. de; Pronk, A.; Gourley, C.; Severson, R.K.; Cozen, W.; Cerhan, J.R.; Hartge, P.; Ward, M.H.
Determinants of levels of polychlorinated dibenzo- p-dioxins and polychlorinated dibenzofurans (PCDD/F) in dust in U.S. homes are not well characterized. We conducted a pilot study to evaluate the relationship between concentrations of PCDD/F in house dust and residential proximity to known sources,
Bowen, Elizabeth A
Elevated HIV prevalence has been observed among urban U.S. individuals who use drugs and who lack stable housing. This article synthesizes extant research on this population and situates it in a multilevel, ecologically based model of HIV risk. Based on a multidisciplinary review of the literature, the model applies social-ecological theory on human development to identify factors shaping the HIV risk context for individuals who use drugs and who are unstably housed at global, societal, neighborhood, household, and individual levels of influence. At the global level, the model includes neoliberal ideologies contributing to the social inequalities that frame the HIV epidemic. U.S. housing and drug policy, including urban renewal, HOPE VI, and the War on Drugs, is the focus of the societal level. At the neighborhood level, mechanisms of the built environment and psychosocial mechanisms are explored for their salience to HIV risk. Research on the association between housing instability and HIV risk is reviewed at the household level. At the last level, relevant individual differences in biology, psychology, and cognition are discussed. Modeling risk at multiple levels of the environment underscores the need to expand the focus of research, treatment, and prevention interventions for HIV/AIDS and addictions beyond individuals and their risk behaviors to address facets of structural violence and incorporate the broader social, political, and economic contexts of risk and health.
Measures to cool down China's red-hot housing market are sweeping the country. The State Council, China's cabinet, issued a circular in late May announcing an increase in the minimum down payment for a new apartment larger than 90 square meters to 30 percent from 20 percent and imposing a transaction tax on properties resold within five years of purchase, among others. One of the aims, according to the cir-
Choi, Sang D; Hudson, Lisa; Kangas, Peter; Jungen, Brett; Maple, Jennifer; Bowen, Chevon
This study discusses the workplace ergonomic issues in highway construction, and the safe work practices associated with the prevention of ergonomic-related injuries and illnesses in the construction field. In order to achieve the study objectives, a survey was designed and sent to Wisconsin based construction contractors. To design an adequate questionnaire, the research team first conducted a pilot study. The findings from the pilot survey provided a clear direction in creating the final survey. The survey results indicated that hand and finger injuries due to cutting operations and back injuries due to the manual handling of heavy materials to be the most frequent construction task/injury combination. All of the construction firms surveyed had a safety program; however, most of the contractors did not have a site-specific ergonomics program. The construction workers were usually walking/working on the ground, ladder and scaffold, and spent significant amount of time for the manual lifting or carrying heavy materials. The findings from this study may assist safety and health professionals in the construction industry in making effective changes for improving health and productivity.
Maas, V.S.; Matejka, M.
We examine how business unit (BU) controllers balance their dual roles of providing information for both local decision-making (local responsibility) and corporate control (functional responsibility). The existing literature suggests that organizations can improve the quality of financial reporting
Full Text Available The passive surface wave survey is a practical, non-invasive seismic exploration method that has increasingly been used in geotechnical engineering. However, in situ deployment of traditional wired geophones is labor intensive for a dense sensor array. Alternatively, stand-alone seismometers can be used, but they are bulky, heavy, and expensive because they are usually designed for long-term monitoring. To better facilitate field applications of the passive surface wave survey, a low-cost energy-efficient geophone system was developed in this study. The hardware design is presented in this paper. To validate the system’s functionality, both laboratory and field experiments were conducted. The unique feature of this newly-developed cableless geophone system allows for rapid field applications of the passive surface wave survey with dense array measurements.
Dai, Kaoshan; Li, Xiaofeng; Lu, Chuan; You, Qingyu; Huang, Zhenhua; Wu, H Felix
The passive surface wave survey is a practical, non-invasive seismic exploration method that has increasingly been used in geotechnical engineering. However, in situ deployment of traditional wired geophones is labor intensive for a dense sensor array. Alternatively, stand-alone seismometers can be used, but they are bulky, heavy, and expensive because they are usually designed for long-term monitoring. To better facilitate field applications of the passive surface wave survey, a low-cost energy-efficient geophone system was developed in this study. The hardware design is presented in this paper. To validate the system's functionality, both laboratory and field experiments were conducted. The unique feature of this newly-developed cableless geophone system allows for rapid field applications of the passive surface wave survey with dense array measurements.
Providence, C; Gommans, J; Burns, A
To determine the current provision of acute medical services, including the development of medical assessment and planning units (MAPUs), by district health boards (DHBs) throughout New Zealand (NZ). A questionnaire-based survey about organisation of acute medical services and establishment of MAPUs was sent to all 21 DHBs in NZ. All 21 DHBs responded. Seven DHBs serving 42% of the population have established MAPUs since 2003 and a further six have plans to do so over the next 3 years, potentially expanding service to 73% of the NZ population. All seven current MAPUs are in close proximity to and accept patients directly from emergency departments. Each MAPU has a documented target length of stay, four units have referral protocols, five provide guidelines for management of common medical emergencies and five routinely audit unit performance. Five MAPUs have cardiac monitored beds and isolation rooms. Rapid access is available to computed tomography scanning (six units), ultrasound (five) and echocardiography (four). Two units have no nominated physician leadership and two lack dedicated therapy resources. General physicians are involved in provision of acute medical services in 20 of 21 DHBs. Medical assessment and planning units have become an important component of acute medical service provision in NZ. The established units largely comply with Australasian recommendations, although important deficiencies exist. Training of physicians must combine the needs of acute medical patients and clinical roles of physicians within MAPUs with local DHB requirements for services to be most effective. © 2010 The Authors. Internal Medicine Journal © 2010 Royal Australasian College of Physicians.
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Housing quality standards. 983.101... DEVELOPMENT PROJECT-BASED VOUCHER (PBV) PROGRAM Dwelling Units § 983.101 Housing quality standards. (a) HQS applicability. Except as otherwise provided in this section, 24 CFR 982.401 (housing quality standards)...
Full Text Available Abstract Background Previous studies have found that even limited prevention-related interventions can affect health behaviors such as substance use and risky sex. Substance abuse treatment providers are ideal candidates to provide these services, but typically have little or no financial incentive to do so. The purpose of this study was therefore to explore why some substance abuse treatment units have added new prevention and outreach services. Based on an ecological framework of organizational strategy, three categories of predictors were tested: (1 environmental, (2 unit-level, and (3 unit leadership. Results A lagged cross-sectional logistic model of 450 outpatient substance abuse treatment units revealed that local per capita income, mental health center affiliation, and clinical supervisors' graduate degrees were positively associated with likelihood of adding prevention-related education and outreach services. Managed care contracts and methadone treatment were negatively associated with addition of these services. No hospital-affiliated agencies added prevention and outreach services during the study period. Conclusion Findings supported the study's ecological perspective on organizational strategy, with factors at environmental, unit, and unit leadership levels associated with additions of prevention and outreach services. Among the significant predictors, ties to managed care payers and unit leadership graduate education emerge as potential leverage points for public policy. In the current sample, units with managed care contracts were less likely to add prevention and outreach services. This is not surprising, given managed care's emphasis on cost control. However, the association with this payment source suggests that public managed care programs might affects prevention and outreach differently through revised incentives. Specifically, government payers could explicitly compensate substance abuse treatment units in managed care
Wells, Rebecca; Lemak, Christy Harris; D'Aunno, Thomas A
Previous studies have found that even limited prevention-related interventions can affect health behaviors such as substance use and risky sex. Substance abuse treatment providers are ideal candidates to provide these services, but typically have little or no financial incentive to do so. The purpose of this study was therefore to explore why some substance abuse treatment units have added new prevention and outreach services. Based on an ecological framework of organizational strategy, three categories of predictors were tested: (1) environmental, (2) unit-level, and (3) unit leadership. A lagged cross-sectional logistic model of 450 outpatient substance abuse treatment units revealed that local per capita income, mental health center affiliation, and clinical supervisors' graduate degrees were positively associated with likelihood of adding prevention-related education and outreach services. Managed care contracts and methadone treatment were negatively associated with addition of these services. No hospital-affiliated agencies added prevention and outreach services during the study period. Findings supported the study's ecological perspective on organizational strategy, with factors at environmental, unit, and unit leadership levels associated with additions of prevention and outreach services. Among the significant predictors, ties to managed care payers and unit leadership graduate education emerge as potential leverage points for public policy. In the current sample, units with managed care contracts were less likely to add prevention and outreach services. This is not surprising, given managed care's emphasis on cost control. However, the association with this payment source suggests that public managed care programs might affects prevention and outreach differently through revised incentives. Specifically, government payers could explicitly compensate substance abuse treatment units in managed care contracts for prevention and outreach. The effects of
U.S. Geological Survey, Department of the Interior — These data are part of a larger USGS project to develop an updated geospatial database of mines, mineral deposits and mineral regions in the United States. Mine and...
US Fish and Wildlife Service, Department of the Interior — A brief survey of various small wetlands, ponds and scour holes was conducted at three units of Big Muddy NFWR to determine the presence of fish, amphibians and...
US Fish and Wildlife Service, Department of the Interior — During the spring of 2000, the Vermont Institute of Natural Science (VINS) conducted its first breeding landbird survey at the Putney Mountain Unit (Tract 15) of the...
Institute for Education and Social Policy, 2008
While research and policy debates center on residents moving out of public housing, many families still live in public housing around the country; it is important to consider how to improve their well-being. Approximately 1.2 million units of public housing provide housing for about 3 million tenants throughout the country. In New York City, there…
Johnson, Ping; Priestley, Jennifer Lewis; Johnson, Roy D.
Background: Complementary and alternative medicine (CAM) is popular among U.S. health care consumers, but no study has examined how much health educators know about CAM. Purpose: To examine the knowledge of basic CAM concepts and common CAM therapies among health educators in the U.S. Methods: An online survey was conducted among 1,299 health…
Fimmano, Ralph; Kacharian, John C.
The revised instructor's guide, which is part of the New York State Highway Technician's Program to provide needed technicians and engineers by upgrading people in the lower-level technician jobs, is geared toward the improvement of technical skills and knowledge in highway surveying. In view of the shortage of qualified technicians and engineers…
Hetteberg, Carol G.; Prows, Cynthia A.; Deets, Carol; Monsen, Rita B.; Kenner, Carole A.
A sample of 879 basic nursing programs was used to identify the type and amount of genetics content in curricula. Recommendations were made for increasing genetics content as a result of the synthesis of the survey data with previously collected data. (25 references) (Author/JOW)
... Survey (USGS), Interior ACTION: Notice of an extension of a currently approved collection (1028-0088... comments on or before April 27, 2012. ADDRESSES: Please submit a copy of your written comments to USGS..., VA 20192 (mail); 703-648-7199 (fax); or email@example.com . Please reference Information Collection...
Wetherholt, William A.; Rundquist, Bradley C.
Easier access to submeter imagery has fueled debates over ethical uses of remote sensing. Some have called for ethics instruction to counter undesired uses of the technology. Here, this article reports the results of a survey examining attitudes related to teaching ethics in remote sensing. It was found that 52 percent of respondents teaching…
Jimerson, Shane R.; Graydon, Kelly; Skokut, Mary; Alghorani, Mohammad Adnan; Kanjaradze, Anna; Forster, Jurg
Using the International School Psychology Survey (ISPS), this study aims to advance our knowledge of the characteristics, training, roles and responsibilities, challenges and research interests of school psychologists around the world by comparing recent international data. The current study contributes valuable information regarding the…
Power, Sarah; Symons, Charles; Carter, Holly; Jones, Emma; Amlôt, Richard; Larner, Joanne; Matar, Hazem; Chilcott, Robert P
Mass casualty decontamination is a public health intervention that would be employed by emergency responders following a chemical, biological, or radiological incident. The decontamination of large numbers of casualties is currently most often performed with water to remove contaminants from the skin surface. An online survey was conducted to explore US fire departments' decontamination practices and their preparedness for responding to incidents involving mass casualty decontamination. Survey respondents were asked to provide details of various aspects of their decontamination procedures, including expected response times to reach casualties, disrobing procedures, approaches to decontamination, characteristics of the decontamination showering process, provision for special populations, and any actions taken following decontamination. The aim of the survey was to identify any differences in the way in which decontamination guidance is implemented across US states. Results revealed that, in line with current guidance, many US fire departments routinely use the "ladder-pipe system" for conducting rapid, gross decontamination of casualties. The survey revealed significant variability in ladder-pipe construction, such as the position and number of fire hoses used. There was also variability in decontamination characteristics, such as water temperature and water pressure, detergent use, and shower duration. The results presented here provide important insights into the ways in which implementation of decontamination guidance can vary between US states. These inconsistencies are thought to reflect established perceived best practices and local adaptation of response plans to address practical and logistical constraints. These outcomes highlight the need for evidence-based national guidelines for conducting mass casualty decontamination.
Huang, Y. W; Andrew, E. E; Hu, T. C; Singer, B. C; Ding, L.; Logue, J. M
Cooking has a significant impact on indoor air quality. When cooking occurs, how foods are cooked, and the types of food that are cooked have all been shown to impact the rate at which occupants are exposed to pollutants. Home occupancy characteristics impact how concentrations in the home translate into exposures for the occupants. With the intent of expanding our understanding of cooking behavior in the U.S., we developed and advertised an online survey to collect household cooking behavior for the 24 hrs prior to taking the survey. The survey questions were designed to address gaps in knowledge needed to predict the impact of cooking on indoor concentrations of PM2.5 and other pollutants. The survey included the following questions: 1) which meals households ate at home; 2) number of household members at home during cooking; 3) the type of oil used for cooking; 4) the type of foods cooked at each meal; 5) the type of cooking devices used; and 6) the methods selected for food preparation. We also collected information on household characteristics such as their location (zip code), ethnicity, and ages of family members. We analyzed the variability in home cooking characteristics for households in different climate zones and with four different types of family compositions: 1 senior living alone, 1 adult living alone, 2 or more adults/seniors, and families with children. We used simple statistical tests to determine if the probability of certain cooking behaviors differed between these subgroups.
Chi, C; Shiltagh, N; Kingman, C E C; Economides, D L; Lee, C A; Kadir, R A
A mail survey of members and fellows of Royal College of Obstetricians and Gynaecologists was carried out to determine current practices of obstetricians and gynaecologists in the United Kingdom in the management of women with inherited bleeding disorders. In total, 3929 questionnaires were sent, 707 returned and analysis was limited to 545 valid questionnaires. In the past 5 years, 91% have managed women with inherited bleeding disorders. The majority (83%) considered inherited bleeding disorders to be under diagnosed in obstetrics and gynaecology. More than 80% considered the prevalence of von Willebrand's disease (VWD) to be management guidelines are essential in minimizing haemorrhagic complications and improving quality of care of these women.
School Improvement Change Grant Community Survey, Final Report. A Report to Toluca Community Unit School District #2, El Paso Community Unit School District #375, Lowpoint-Washburn Community Unit School District #21, Minonk-Dana-Rutland Community Unit School District #108, and Roanoke-Benson Community Unit School District #60.
O'Connell, Patricia A.; And Others
This report presents the results of a collaborative study undertaken by five rural, unit school districts in Illinois to provide data to be used in planning for school improvement. Information was gathered from on-site visits by teams of constituents from other districts and through a survey of perceptions of local community persons regarding…
Herzig, Carolyn T. A.; Stone, Patricia W.; Castle, Nicholas; Pogorzelska-Maziarz, Monika; Larson, Elaine L.; Dick, Andrew W.
Objectives The objectives of this study were to (1) obtain a national perspective of the current state of nursing home (NH) infection prevention and control (IPC) programs and (2) examine differences in IPC program characteristics for NHs that had and had not received an infection control deficiency citation. Design A national cross-sectional survey of randomly sampled NHs was conducted and responses were linked with Certification and Survey Provider Enhanced Reporting (CASPER) and NH Compare data. Setting Surveys were completed and returned by 990 NHs (response rate 39%) between December 2013 and December 2014. Participants The person in charge of the IPC program at each NH completed the survey. Measurements The survey consisted of 34 items related to respondent demographics, IPC program staffing, stability of the workforce, resources and challenges, and resident care and employee processes. Facility characteristics and infection control deficiency citations were assessed using CASPER and NH Compare data. Results Most respondents had at least two responsibilities in addition to those related to infection control (54%) and had no specific IPC training (61%). While many practices and processes were consistent with infection prevention guidelines for NHs, there was wide variation in programs across the US. About 36% of responding facilities had received an infection control deficiency citation. NHs that received citations had infection control professionals with less experience (P = .01) and training (P = .02) and were less likely to provide financial resources for continuing education in infection control (P = .01). Conclusion The findings demonstrate that a lack of adequately trained infection prevention personnel is an important area for improvement. Furthermore, there is a need to identify specific evidence-based practices to reduce infection risk in NHs. PMID:26712489
Chari, Amalavoyal V; Engberg, John; Ray, Kristin N; Mehrotra, Ateev
To provide nationally representative estimates of the opportunity costs of informal elder-care in the United States. Data from the 2011 and 2012 American Time Use Survey. Wage is used as the measure of an individual's value of time (opportunity cost), with wages being imputed for nonworking individuals using a selection-corrected regression methodology. The total opportunity costs of informal elder-care amount to $522 billion annually, while the costs of replacing this care by unskilled and skilled paid care are $221 billion and $642 billion, respectively. Informal caregiving remains a significant phenomenon in the United States with a high opportunity cost, although it remains more economical (in the aggregate) than skilled paid care. © Health Research and Educational Trust.
SURVEY er en udbredt metode og benyttes inden for bl.a. samfundsvidenskab, humaniora, psykologi og sundhedsforskning. Også uden for forskningsverdenen er der mange organisationer som f.eks. konsulentfirmaer og offentlige institutioner samt marketingsafdelinger i private virksomheder, der arbejder...... med surveys. Denne bog gennemgår alle surveyarbejdets faser og giver en praktisk indføring i: • design af undersøgelsen og udvælgelse af stikprøver, • formulering af spørgeskemaer samt indsamling og kodning af data, • metoder til at analysere resultaterne...
Pasquali, Sara; Capitoni, Enrica; Tiraboschi, Giuseppina; Alborghetti, Adriana; De Luca, Giuseppe; Di Mauro, Stefania
Eleven medical care units of nine Lombardy Region hospitals organized by levels of care model or by the traditional departmental model have been analyzed, in order to evaluate if methods for complexity of patient-care evaluation represent an index factor of nursing organizational effectiveness. Survey with nine Nurses in managerial position was conducted between Nov. 2013-Jan. 2014. The following factors have been described: context and nursing care model, staffing, complexity evaluation, patient satisfaction, staff well-being. Data were processed through Microsoft Excel. Among Units analysed ,all Units in levels of care and one organized by the departmental model systematically evaluate nursing complexity. Registered Nurses (RN) and Health Care Assistants (HCA) are on average numerically higher in Units that measure complexity (0.55/ 0.49 RN, 0.38/0.23 HCA - ratio per bed). Adopted measures in relation to changes in complexity are:rewarding systems, supporting interventions, such as moving personnel within different Units or additional required working hours; reduction in number of beds is adopted when no other solution is available. Patient satisfaction is evaluated through Customer Satisfaction questionnaires. Turnover, stress and rate of absenteeism data are not available in all Units. Complexity evaluation through appropriate methods is carried out in all hospitals organized in levels of care with personalized nursing care models, though complexity is detected with different methods. No significant differences in applied managerial strategies are present. Patient's satisfaction is evaluated everywhere. Data on staffing wellbeing is scarcely available. Coordinated regional actions are recommended in order to gather comparable data for research, improve decision making and effectiveness of Nursing care.
von Stackelberg, Katherine; Li, Miling; Sunderland, Elsie
Exposure to contaminants in fish may be associated with adverse health outcomes even as fish consumption is generally considered beneficial. Risk assessments conducted to support regulatory analyses rely on quantitative fish consumption estimates. Here we report the results of a national survey of high-frequency fish consumers (n = 2099) based on a survey population statistically representative of ~17.6 million U.S. individuals consuming three or more fish meals per week. The survey was conducted during 2013 using an on-line survey instrument. Total fish consumption averaged 111g/day from market, restaurant and self-caught sources. Depending on the season, the incidence of individuals reporting consumption of self-caught species ranged between 10-12% of our high-frequency fish consuming demographic, averaging approximately 30g/day and comprising 23% of total fish consumption from all sources of fish. Recreational or self-caught consumption rates vary regionally and are poorly understood, particularly for high-frequency consumers, making it difficult to support national-scale assessments. A divergence between sport-fishing and harvesting of fish as a food-staple is apparent in survey results given differences in consumption patterns with income and education. Highest consumption rates were reported for low income respondents more likely to harvest fish as a food staple. By contrast, the incidence of self-caught fish consumption was higher with income and education although overall consumption rates were lower. Regional differences were evident, with respondents from the East-South Central and New England regions reporting lowest consumption rates from self-caught fish on the order of 12-16g/day and those from Mountain, Pacific and Mid-Atlantic regions reporting highest rates ranging from 44 to 59g/day. Respondent-specific consumption rates together with national-level data on fish tissue concentrations of PCBs, MeHg, and PFOS suggest that 10-58% of respondents
... fair housing marketing plan satisfactory to HUD for both the market-rate units and the units that will... (a satisfactory affirmative fair housing marketing plan must include marketing of affordable units...
Voorde, F.C. van de; Paauwe, J.; Veldhoven, M.J.P.M. van
Organisations are increasingly using strategy tools such as workforce scorecards to keep track of human resource management related change processes that have been implemented and the effects of these on business unit performance. However, in this area, the challenge of finding appropriate
Wiegerinck, Melanie M. J.; Jones, Heidi E.; O'Connell, Katharine; Lichtenberg, E. Steve; Paul, Maureen; Westhoff, Carolyn L.
Background: Little is known about clinical implementation of medical abortion in the United States following approval of mifepristone as an abortifacient by the Food and Drug Administration (FDA) in 2000. We collected information regarding medical abortion practices of National Abortion Federation
Cilliers, C. D.; Pretorius, K.; van der Westhuizen, L. R.
Students experience various challenges during their studies, such as personal problems, academic difficulties and mental health problems. Therefore, student counselling centres/units play a valuable role in providing support systems for students in need. The most frequent problems South African students experience are relationship problems and…
Baldwin, James; And Others
A 40-item questionnaire designed to investigate the variety and scope of developmental mathematics courses (DMC) offered at colleges and universities throughout the United States was administered to a selected sample of two- and four-year colleges in October 1974. The 104 respondents represented 21 states. Most (58%) of the colleges responding…
Cuttini, M.; Casotto, V.; Kaminski, M.; Beaufort, I.D. de; Berbik, I.; Hansen, G.; Kollee, L.A.A.; Kucinskas, A.; Lenoir, S.; Levin, A.V.; Orzalesi, M.; Persson, J.; Rebagliato, M.; Reid, M.; Saracci, R.
OBJECTIVE: To present the views of a representative sample of neonatal doctors and nurses in 10 European countries on the moral acceptability of active euthanasia and its legal regulation. DESIGN: A total of 142 neonatal intensive care units were recruited by census (in the Netherlands, Sweden,
Cuttini, M.; Casotto, V.; Kaminski, M.; Beaufort, I.D. de; Berbik, I.; Hansen, G.; Kollee, L.A.A.; Kucinskas, A.; Lenoir, S.; Levin, A.V.; Orzalesi, M.; Persson, J.; Rebagliato, M.; Reid, M.; Saracci, R.
OBJECTIVE: To present the views of a representative sample of neonatal doctors and nurses in 10 European countries on the moral acceptability of active euthanasia and its legal regulation. DESIGN: A total of 142 neonatal intensive care units were recruited by census (in the Netherlands, Sweden, Hung
Jensen, Karen S.
There is very little published information available about occupational safety and health libraries. This study identified, described, and compared the occupational safety and health libraries in the United States. The questionnaire first filtered out those libraries that did not fit the definition of an occupational safety and health library;…
Brian H. Hill; Randall K. Kolka; Frank H. McCormick; Matthew A. Starry
Ecosystem production functions for water supply, climate regulation, and water purification were estimated for 568 headwater streams and their catchments. Results are reported for nine USA ecoregions. Headwater streams represented 74-80% of total catchment stream length. Water supply per unit catchment area was highest in the Northern Appalachian Mountains ecoregion...
Cuttini, M.; Casotto, V.; Kaminski, M.; Beaufort, I.D. de; Berbik, I.; Hansen, G.; Kollee, L.A.A.; Kucinskas, A.; Lenoir, S.; Levin, A.V.; Orzalesi, M.; Persson, J.; Rebagliato, M.; Reid, M.; Saracci, R.
OBJECTIVE: To present the views of a representative sample of neonatal doctors and nurses in 10 European countries on the moral acceptability of active euthanasia and its legal regulation. DESIGN: A total of 142 neonatal intensive care units were recruited by census (in the Netherlands, Sweden, Hung
Wiegerinck, Melanie M. J.; Jones, Heidi E.; O'Connell, Katharine; Lichtenberg, E. Steve; Paul, Maureen; Westhoff, Carolyn L.
Background: Little is known about clinical implementation of medical abortion in the United States following approval of mifepristone as an abortifacient by the Food and Drug Administration (FDA) in 2000. We collected information regarding medical abortion practices of National Abortion Federation (
Fitzner, Karen; Fox, Kathe; Schmidt, Joseph; Roberts, Mark; Rindress, Donna; Hay, Joel
Despite widespread adoption of disease management (DM) programs by US health plans, gaps remain in the evidence for their benefit. The Disease Management Outcomes Consolidation Survey was designed to gather data on DM programs for commercial health plans, to assess program success and DM effectiveness. The questionnaire was mailed to 292 appropriate health plan contacts; 26 plans covering more than 14 million commercial members completed and returned the survey. Respondents reported that DM plays a significant and increasing role in their organizations. Key reasons for adopting DM were improving clinical outcomes, reducing medical costs and utilization, and improving member satisfaction. More respondents were highly satisfied with clinical results than with utilization or cost outcomes of their programs (46%, 17%, and 13%, respectively). Detailed results were analyzed for 57 DM programs with over 230,000 enrollees. Most responding plans offered DM programs for diabetes and asthma, with return on investment (ROI) ranging from 0.16:1 to 4:1. Weighted by number of enrollees per DM program, average ROI was 2.56:1 for asthma (n = 1,136 enrollees) and 1.98:1 for diabetes (n = 25,364). Most (but not all) respondents reported reduced hospital admissions, increasing rates of preventive care, and improved clinical measures. Few respondents provided detailed information about DM programs for other medical conditions, but most that did reported positive outcomes. Lack of standardized methodology was identified as a major barrier to in-house program evaluation. Although low response rate precluded drawing many general conclusions, a clear need emerged for more rigorous evaluation methods and greater standardization of outcomes measurement.
Choi, Sang D; Carlson, Kathryn
Residential construction is a high-risk industry in the U.S. due to the exposure to work-related safety hazards and fall injuries. This study aimed to examine the safety training and safe work practices of construction workers within the small residential construction industry. In order to achieve the study objectives, a survey was designed and sent to approximately 200 Wisconsin based residential construction contractors. About one third of the respondents stated that they did not have any form of safety programs. The study indicated that the most common types of work-related injuries in residential construction were slips/trips/falls and cuts/lacerations. The survey findings also suggested that the residential construction contractors needed to increase the utilization of fall protection safety equipment. Further education and subject matter expert training could provide benefits to improve occupational safety and health of the small business workforce in the residential construction industry.
Schmidt, William A.
In August 1973, the U.S. Geological Survey moved its first group of employees into the John Wesley Powell Federal Building of its newly constructed National Center at Reston, Virginia. The move signaled the fruition of more than 20 years of dedicated planning and work following World War II, to consolidate the agency's widespread activities into one location, which could truly serve as a national center.
Xian-Bo Pei; Peng-Lin Ma; Jian-Guo Li; Zhao-Hui Du; Qing Zhou; Zhang-Hong Lu; Luo Yun; Bo Hu
Background: Inconsistencies in the use of the vasoactive agent therapy to treat shock are found in previous studies. A descriptive study was proposed to investigate current use of vasoactive agents for patients with shock in Chinese intensive care settings. Methods: A nationwide survey of physicians was conducted from August 17 to December 30, 2012. Physicians were asked to complete a questionnaire which focused on the selection of vasoactive agents, management in the use of vasopressor/i...
Duval, Joseph S.; Riggle, Frederic E.
This publication contains images for the conterminous U.S. generated from geophysical data, software for displaying and analyzing the images, and software for displaying and examining the profile data from the aerial surveys flown as part of the National Uranium Resource Evaluation (NURE) Program of the U.S. Department of Energy. The images included are of gamma-ray data (uranium, thorium, and potassium channels), Bouguer gravity data, isostatic residual gravity data, aeromagnetic anomalies, topography, and topography with bathymetry.
Glenn Smith developed the survey instrument. Ms. Jeanie Guesman provided computer programming support and Ms. Dolores Navarro provided...corps were recurring separation factors. Factors such as job security, retirement benefits, and medical or dental care were reported as weighing...had on their decision to reenlist. Factors with the highest average response scores for 1-48 months TAFMS include medical or dental care for active
Gregory R Stein
Full Text Available Objective: The objective of this study is to conduct a review of pertinent literature, assess pharmacy involvement in medication reconciliation, and offer insight into best practices for hospitals to implement and enhance their medication reconciliation programs. Method: Pharmacists in hospitals nationwide were asked to complete an anonymous survey via the American College of Clinical Pharmacy online database. The multiple choice survey analyzed the roles that healthcare professionals play in medication reconciliation programs at hospitals. Results: Of the survey responses received, 32/91 (35% came from pharmacists at hospitals with a pharmacy-led medication reconciliation program. Of these pharmacy-led programs, 17/32 (53% have a dedicated pharmacist or pharmacy staff to perform medication reconciliation. Conclusion: A comprehensive review of literature suggests that pharmacy involvement has the potential to reduce medication reconciliation errors and may improve patient satisfaction. Focused, full-time medication reconciliation pharmacists can help hospitals save time and money, improve outcomes, and meet higher standards issued by the Joint Commission. Data obtained in this study show the extent to which pharmacists contribute to achieving these goals in healthcare systems nationwide. This baseline study provides a strong case for hospitals to implement a pharmacy-led medication reconciliation program.
Simmons, H Clifton; Kilpatrick, Steven R
In an effort to explore whether a specialty for craniofacial pain is warranted, the American Academy of Craniofacial Pain (AACP) commissioned an opinion survey of dentists. The survey population (N=4000) was stratified by specialty, so that dentists in affected areas would be adequately represented: 500 orthodontists and dentofacial orthopedists, 500 oral and maxillofacial surgeons, 500 periodontists, 500 prosthodontists, and 2,000 general practitioners. A total of 930 dentists responded for a 23.2% response rate. The survey had multiple purposes: 1. to measure the percentage of craniofacial pain patients perceived in dental patient populations; 2. to determine whether each dentist prefers to treat the disorder or; 3. prefers to refer craniofacial pain patients to clinicians specializing in the disorder; and 4. whether dentists favor/oppose the formation of a craniofacial pain specialty. The respondents' perception of the prevalence of craniofacial pain among their patients was 13.9%. A majority of the responding dentists, 54.7%, are in favor of a craniofacial pain specialty. Overall, 65% of dentists treat craniofacial pain patients, although more than half, 55%, of all dentists also refer such patients. Even 43.6% of dentists who regularly treat craniofacial pain favor a specialty, while 76% of those who do not treat such patients favor the specialty. The data presented here advocate development of a dental specialty in craniofacial pain.
Full Text Available Background. The aim of this survey was to describe, in a situation of growing availability of monitoring devices and parameters, the practices in haemodynamic monitoring at the bedside. Methods. We conducted a Web-based survey in Swiss adult ICUs (2009-2010. The questionnaire explored the kind of monitoring used and how the fluid management was addressed. Results. Our survey included 71% of Swiss ICUs. Echocardiography (95%, pulmonary artery catheter (PAC: 85%, and transpulmonary thermodilution (TPTD (82% were the most commonly used. TPTD and PAC were frequently both available, although TPTD was the preferred technique. Echocardiography was widely available (95% but seems to be rarely performed by intensivists themselves. Guidelines for the management of fluid infusion were available in 45% of ICUs. For the prediction of fluid responsiveness, intensivists rely preferentially on dynamic indices or echocardiographic parameters, but static parameters, such as central venous pressure or pulmonary artery occlusion pressure, were still used. Conclusions. In most Swiss ICUs, multiple haemodynamic monitoring devices are available, although TPTD is most commonly used. Despite the usefulness of echocardiography and its large availability, it is not widely performed by Swiss intensivists themselves. Regarding fluid management, several parameters are used without a clear consensus for the optimal method.
Rochlen, Lauryn R; Housey, Michelle; Gannon, Ian; Tait, Alan R; Naughton, Norah; Kheterpal, Sachin
Given the evolution of competency-based education and evidence supporting the benefits of incorporating simulation into anesthesiology residency training, simulation will likely play an important role in the training and assessment of anesthesiology residents. Currently, there are little data available regarding the current status of simulation-based curricula across US residency programs. In this study, we assessed simulation-based training and assessment in US anesthesiology programs using a survey designed to elicit information regarding the type, frequency, and content of the simulation courses offered at the 132 Accreditation Council of Graduate Medical Education-certified anesthesiology training programs. The response rate for the survey was 66%. Although most of the responding programs offered simulation-based courses for interns and residents and during CA-1 orientation, the curriculum varied greatly among programs. Approximately 40% of responding programs use simulation for resident assessment and remediation. The majority of responding programs favored standard simulation-based training as part of residency training (89%), and the most common perceived obstacles to doing so were time, money, and human resources. The results from this survey highlight that there are currently large variations in simulation-based training and assessment among training programs. It also confirms that many program directors feel that standardizing some components of simulation-based education and assessment would be beneficial. Given the positive impact simulation has on skill retention and operating room preparedness, it may be worthwhile to consider developing a standard curriculum.
Dartnell, Lewis R; Burchell, Mark J
While astrobiology is apparently growing steadily around the world, in terms of the number of researchers drawn into this interdisciplinary area and teaching courses provided for new students, there have been very few studies conducted to chart this expansion quantitatively. To address this deficiency, the Astrobiology Society of Britain (ASB) conducted a questionnaire survey of universities and research institutions nationwide to ascertain the current extent of astrobiology research and teaching in the UK. The aim was to provide compiled statistics and an information resource for those who seek research groups or courses of study, and to facilitate new interdisciplinary collaborations. The report here summarizes details gathered on 33 UK research groups, which involved 286 researchers (from undergraduate project students to faculty members). The survey indicates that around 880 students are taking university-level courses, with significant elements of astrobiology included, every year in the UK. Data are also presented on the composition of astrobiology students by their original academic field, which show a significant dominance of physics and astronomy students. This survey represents the first published systematic national assessment of astrobiological academic activity and indicates that this emerging field has already achieved a strong degree of penetration into the UK academic community.
Brody, Samuel D; Lee, Yoonjeong; Highfield, Wesley E
Individual households have increasingly borne responsibility for reducing the adverse impacts of flooding on their property. Little observational research has been conducted, however, at the household level to examine the major factors contributing to the selection of a particular household adjustment. This study addresses the issue by evaluating statistically the factors influencing the adoption of various household flood hazard adjustments. The results indicate that respondents with higher-value homes or longer housing tenure are more likely to adopt structural and expensive techniques. In addition, the information source and the Community Rating System (CRS) score for the jurisdiction where the household is located have a significant bearing on household adjustment. In contrast, proximity to risk zones and risk perception yield somewhat mixed results or behave counter to assumptions in the literature. The study findings provide insights that will be of value to governments and decision-makers interested in encouraging homeowners to take protective action given increasing flood risk. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.
Mahboub Bassam H
Full Text Available Abstract Background No population study has explored the population distribution of adult asthma in the United Arab Emirates (UAE. The objective is to estimate asthma prevalence in general population in UAE. Methods Using standard European Community Respiratory Health Survey (ECRHS questionnaires and tools, this is a cross-sectional assessment of a random sample of the population in established quotas of the seven Emirates in the UAE. We surveyed 1,220 participants, of which 63.2% were male, and 20.1% were UAE Nationals, with a mean (SD age of 32.9 (14.1 years. Results Prevalence of individual respiratory symptoms from the ECRHS screening questionnaire in all participants were generally ranging 8 - 10%, while participants 20-44 years presented lower prevalence in all symptoms (p Conclusion We conclude that asthma is common in the UAE, and gender differences are not observed in reported asthma symptoms in young adults. This being the first population based study exploring the prevalence of asthma and its determinants in the United Arab Emirates based on the ECRHS.
By the mid-19th century, astronomy in the United States was productive and growing. Information gathered by and at the behest of the Smithsonian Institution shows that the community consisted of approximately 50 individuals, including a significant number of military officers, and a dozen observatories. Americans were deeply involved in astronomical research, and the discipline was entrenched in the college curriculum. What the discipline lacked was an adequate publication vehicle to ensure refereed, rapid dissemination of observations.
Context: Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. Aim: The aim of this study is to obtain data on current chest physiotherapy practi...
Hawkins, Irana W.; Balsam, Alan L.; Goldman, Robert
Dietary choices are a tool to reduce greenhouse gas emissions. While registered dietitians are on the front lines of food and nutrition recommendations, it is unclear how many are concerned with climate change and take action in practice in the United States. We explored concern about climate change among registered dietitians, and identified factors that may influence practice-related behaviors. Our study population included a random sample of all registered dietitians credentialed in the Un...
Mitchell, Katrina B; Giiti, Geofrey; Gallagher, James J
Weill Cornell Medical College in New York, partnered with Weill Bugando Medical College and Sekou Toure Regional Referral Hospital, in Mwanza, Tanzania, to consider the development of a burn unit there. This institutional partnership provided a unique opportunity to promote sustainable academic exchange and build burn care capacity in the East African region. A Weill Cornell burn surgeon and burn fellow collaborated with the Sekou Toure department of surgery to assess its current burn care capabilities and potential for burn unit development. All aspects of interdisciplinary burn care were reviewed and institutional infrastructure evaluated. Sekou Toure is a 375-bed regional referral center and teaching hospital of Weill Bugando Medical College. In 2010-2011, it admitted 5244 pediatric patients in total; 100 of these patients were burn-injured children (2% of admissions). There was no specific data kept on percentage of body surface burned, degree of burn, length of stay, or complications. No adult, operative, or outpatient burn data were available. There are two operating theaters. Patient's families perform wound care with nursing supervision. Rehabilitation therapists consult as needed. Meals are provided three times daily by a central kitchen. Public health outreach is possible through village-based communication networks. Infrastructure to support the development of a burn care unit exists at Sekou Toure, but needs increased clinical focus, human resource capacity building, and record-keeping to track accurate patient numbers. A multidisciplinary center could improve record-keeping and outcomes, encourage referrals, and facilitate outreach through villages.
Bottcher, Mary Rose; Marincic, Patricia Z; Nahay, Katie L; Baerlocher, Brittany E; Willis, Amy W; Park, Jieun; Gaillard, Philippe; Greene, Michael W
The Mediterranean diet (MD) can reduce chronic disease risk and is a recommended diet for prevention and management of diabetes. Adherence to the MD in the southeast United States where obesity and diabetes are highly prevalent is unknown. The purpose of the present study was to: 1) construct a survey instrument relevant to the general population integrating both MD related nutrition knowledge and adherence questions from previously validated instruments, and 2) assess MD related nutrition knowledge and adherence in a sample population in the southest United States. Adherance was assessed using the validated short MD Adherence Screener (MEDAS). A MD nutrition knowledge (MDNK) questionnaire was developed from previously validated general nutrition knowledge questionnaires and was validated using 127 university students enrolled in three courses with varying levels of nutrition education. Cronbach's α for internal validity of MDNK was acceptable for a short questionnaire (0.653). Test-retest reliability was established (r = 0.853). Field validation of the three-part survey instrument (MEDAS, MDNK and demographic questions) was subsequently performed in 230 adults shopping at supermarkets and farmers markets in eastern Alabama. Total MDNK and MEDAS scores were significantly higher in students with formal nutrition education and in patrons of farmers markets. Greater MD adherence, assessed by dividing MEDAS scores into thirds, was found with increasing formal nutrition education in university students (p = 0.002) and in farmers market participants (p < 0.001). There was a weak but significant association between MDNK and MEDAS scores within university students and participants in the field. Together, the MDNK-MEDAS survey instrument is an effective tool for assessing baseline knowledge and adherence and can be used to target nutritional interventions to improve MD adherence for prevention and management of diabetes and other chronic disease.
Tarica, Diane Yoshinobu; Alvarado, Veronica M; Truong, Samantha T
With conflicting results in the literature and various manufacturer recommendations, it is not known what cementation protocols are currently being used for implant restorations in US dental schools. The purpose of this survey was to determine what dental cementation protocols are taught and recommended by 62 US dental schools and postgraduate programs. From February to September 2008, 96 questionnaires consisting of 8 questions were sent to the chairperson or director of restorative departments, advanced prosthodontics programs, and implant programs. The questionnaire asked recipients which implant manufacturers provided the products used at their dental schools. Additionally, recipients were queried as to the choice of material and techniques for abutment and restoration preparations prior to definitive cementation. Data were analyzed with descriptive statistics. A total of 68 (71%) surveys were returned, and 52 (84%) of the 62 predoctoral and postgraduate programs were represented. After deleting duplicate responses, 31 surveys were returned from restorative department chairpersons, 29 from advanced prosthodontic program directors, and 2 from implant program directors. Frequency of responses to each question was tabulated, and results are presented in 3 sections. For all 3 types of programs, Nobel Biocare was reported to be the most widely used implant system, followed by Biomet 3i, Straumann, Astra Tech, and Zimmer Dental systems. The most commonly used technique prior to definitive cementation is to airborne-particle abrade the intaglio surface of the restoration. Resin-modified glass ionomer is the most frequently used luting agent for cementing implant restorations. The 5 most commonly used materials to fill screw access openings are cotton pellets, composite resin, rubber-based material, gutta-percha, and light-polymerized provisional composite resin. Most predoctoral and postgraduate programs teach students to fill the screw access opening completely to
Supina, Dylan; Herman, Barry K; Frye, Carla B; Shillington, Alicia C
Binge eating disorder (BED)--now a designated disorder in the DSM-5--is the most prevalent eating disorder (ED), affecting 2-3% of the US population. This survey of US physicians assesses how BED is diagnosed, treated and referred. Internists, family practitioners, obstetrics/gynecologist (OB/GYNs) and psychiatrists were randomly selected from a nationally-representative panel. Participants completed an online survey and reviewed case vignettes consistent with DSM-5-defined BED, then answered questions to elicit whether they would assess for psychiatric conditions including EDs. Those reporting they would screen and who correctly identified BED in vignettes received additional questions about BED diagnosis, treatment, and referral patterns. Of 278 physicians surveyed, 96% were board-certified and 87% had practiced >10 years. 23% were psychiatrists, 27% family practitioners, 31% internists and 19% OB/GYNs. 92% were 'somewhat likely' to screen for ED after reviewing DSM-5-consistent vignettes. 206 (74%) correctly identified BED. Of these, 33% and 68% reported they proactively screen eating habits for all patients and obese patients, respectively. 10% reported not screening eating habits even in the presence of ED symptoms. Fewer than half reported using DSM criteria in Diagnosing BED, and 56 (27%) did not recognize BED to be a discreet ED. Although ED awareness is improving, understanding BED as a distinct ED is lacking, which may result in low rates of screening and diagnosis. This study illustrates how taking a complete patient history (including probing BED characteristics) may be an effective first-line strategy for clinicians to facilitate optimal care for these patients.
The seismic survey was successful in imaging the water table and underlying structures at the site. The configuration of the water table reflector confirms the general southeast horizontal flow direction in the alluvial aquifer. Offsets in the water table reflector, both at known faults that reach the surface and at subsurface faults not previously recognized, indicate that both extension and blast-related faults are barriers to lateral groundwater flow. The results from this study have been used to optimally locate two new wells designed to monitor head levels and possible contaminant migration in the alluvial aquifer at CTNA.
Curlin Farr A
Full Text Available Abstract Background We aimed to describe prevailing attitudes and practices of rheumatologists in the United States toward complementary and alternative medicine (CAM treatments. We wanted to determine whether rheumatologists' perceptions of the efficacy of CAM therapies and their willingness to recommend them relate to their demographic characteristics, geographic location, or clinical practices. Methods A National Institutes of Health-sponsored cross-sectional survey of internists and rheumatologists was conducted regarding CAM for treatment of chronic back pain or joint pain. In this study we analyzed responses only from rheumatologists. Response items included participant characteristics and experience with 6 common CAM categories, as defined by the National Institutes of Health. Descriptive statistics were used to describe attitudes to CAM overall and to each CAM category. Composite responses were devised for respondents designating 4 or more of the 6 CAM therapies as "very" or "moderately" beneficial or "very likely" or "somewhat likely" to recommend. Results Of 600 rheumatologists who were sent the questionnaire, 345 responded (58%; 80 (23% were women. Body work had the highest perceived benefit, with 70% of respondents indicating benefit. Acupuncture was perceived as beneficial by 54%. Most were willing to recommend most forms of CAM. Women had significantly higher composite benefit and recommend responses than men. Rheumatologists not born in North America were more likely to perceive benefit of select CAM therapies. Conclusions In this national survey of rheumatologists practicing in the United States, we found widespread favorable opinion toward many, but not all, types of CAM. Further research is required to determine to what extent CAM can or should be integrated into the practice of rheumatology in the United States.
La Roche, Claire Reeves; Flanigan, Mary A.; Copeland, P. Kenneth, Jr.
To attract and retain students, universities are confronted with increased demand to provide housing options that meet the new expectations of the millennial generation. Recent trends and housing preferences are examined. The results of surveys detailing some of these new demands and how universities are attempting to address these demands are…
Sweet, Marshall L. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Francisco, Abby [Partnership for Home Innovation, Upper Marlboro, MD (United States); Roberts, Sydney G. [Partnership for Home Innovation, Upper Marlboro, MD (United States)
Rea Ventures Group, LLC (Rea Ventures) partnered with Southface Energy Institute (Southface)—a member of the U.S. Department of Energy’s Partnership for Home Innovation Building America research team—to rehabilitate 418 low-income multifamily rental apartments located at 14 properties in Georgia (International Energy Conservation Code Climate Zones 2–4). These 22-year-old units with individual utility meters were arranged in row house or townhouse style. Rehabilitation plans were developed using a process prescribed by the U.S. Department of Agriculture (USDA) Rural Development program, which partially funded the building upgrades. The USDA is responsible for building, upgrading, and subsidizing housing in rural areas nationwide; this housing includes more than 14,000 existing multifamily housing developments. In 2012, more than $100 million in grants and loans were allocated for that purpose.
Full Text Available Malaysia currently has a housing shortage of 12 million units. Towards the year 2020, this would require an annual supply of a minimum of 2 million homes. With the current production rate, the deficits will remain over the next 100 years. The crisis will lead to poor standards of living, un-affordable rental price, high mortgage payment, abandonment, and dilapidation of the existing housing stock. Lack of affordable housing is already a source of concern among many Malaysians. The middle and lower income earners spend more than 30% of their income on rent or for mortgage payment. Housing rent or mortgage is a basic need like foods, education, clothing and health. The government has introduced various measures to address the housing deficit. Despite these measures, the housing supply and distribution gaps continue to grow. To better understand the issues, there is a need to examine how the procurement planning in the affordable housing delivery supply chain and market is formulated, explore how cost of affordable housing would be reduced, identify the user value systems in affordable housing, and identify the criteria in the current regulatory framework? For these purposes, this paper reviews the relevant literature to reach preliminary findings on the stated issues. Among the factors found accounting for housing shortages, the overwhelming factors were that of poor policies, strategies, practice, management, and finance. The findings are meaningful in framing an affordable housing delivery model. It could also be useful to stakeholders involved in affordable housing delivery in Malaysia and elsewhere.
Byrd, Patricia J; Gonzales, Irene; Parsons, Virgil
To explore barriers that NICU nurses face when attempting to optimally manage newborn pain. Ninety California NICU nurses with current membership in the National Association of Neonatal Nurses (NANN) voluntarily participated. A descriptive survey study. A researcher-developed survey consisting of 37 questions was mailed to 300 NICU nurses; 102 were returned and 90 were usable. Probability sampling from a listing of California registered nurses with current membership in the NANN was used to obtain the study's sampling frame. Less than half of the nurses felt that newborn pain is well managed within the NICUs where they are employed. Barriers identified related to physicians' pain management practices, lack of evidence-based pain management protocols, nurses' and physicians' resistance to change practice, infant pain assessment tools, and inadequate staff training regarding pain assessment and management. A knowledge-practice gap still exists within newborn pain management. Increased caregiver education remains a necessity, but strategies that address resistance to change practice within healthcare settings must also be considered.
Shaw, A J; Nunn, J H; Welbury, R R
Following the changes in October 1990 in the payment system for children's dental treatment within the General Dental Service in the UK there has been widespread concern that repercussions would be felt in other branches of dentistry. The aim of this survey was to investigate the referral of children for specialist care to the Department of Child Dental Health in Newcastle upon Tyne after the changes in 1990, so that consultant clinics and the provision of advice and treatment could be targeted more effectively. Information was obtained from the patients' referral letters and from their hospital records between March 1991 and March 1993. There were 513 referrals (excluding those for orthodontic treatment, extractions under general anaesthesia and acute emergencies), the number more than doubling during the 2-year survey period. 83% of these patients lived within 15 miles of the hospital. 84% of these referrals were from general dental practitioners, and the greater proportion were from those who graduated within the previous 4 years. The most common reason for referral involved behaviour problems. Changes in the payment system that occurred in 1990 may have been a contributory factor in explaining these findings.
Carder, Paula; Luhr, Gretchen; Kohon, Jacklyn
Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV; previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. We conclude with policy implications for housing and health agencies that serve low-income older persons.
Nilson, Jeff, Ed.
This material emphasizes student development of a computer program to keep track of data about people in a neighborhood. The first part involves taking a survey of people and the second part is on entering the information into a program. The use of file structures in BASIC is outlined. (MP)
Thomson, Dana R; Stevens, Forrest R; Ruktanonchai, Nick W; Tatem, Andrew J; Castro, Marcia C
Household survey data are collected by governments, international organizations, and companies to prioritize policies and allocate billions of dollars. Surveys are typically selected from recent census data; however, census data are often outdated or inaccurate. This paper describes how gridded population data might instead be used as a sample frame, and introduces the R GridSample algorithm for selecting primary sampling units (PSU) for complex household surveys with gridded population data. With a gridded population dataset and geographic boundary of the study area, GridSample allows a two-step process to sample "seed" cells with probability proportionate to estimated population size, then "grows" PSUs until a minimum population is achieved in each PSU. The algorithm permits stratification and oversampling of urban or rural areas. The approximately uniform size and shape of grid cells allows for spatial oversampling, not possible in typical surveys, possibly improving small area estimates with survey results. We replicated the 2010 Rwanda Demographic and Health Survey (DHS) in GridSample by sampling the WorldPop 2010 UN-adjusted 100 m × 100 m gridded population dataset, stratifying by Rwanda's 30 districts, and oversampling in urban areas. The 2010 Rwanda DHS had 79 urban PSUs, 413 rural PSUs, with an average PSU population of 610 people. An equivalent sample in GridSample had 75 urban PSUs, 405 rural PSUs, and a median PSU population of 612 people. The number of PSUs differed because DHS added urban PSUs from specific districts while GridSample reallocated rural-to-urban PSUs across all districts. Gridded population sampling is a promising alternative to typical census-based sampling when census data are moderately outdated or inaccurate. Four approaches to implementation have been tried: (1) using gridded PSU boundaries produced by GridSample, (2) manually segmenting gridded PSU using satellite imagery, (3) non-probability sampling (e.g. random-walk, "spin
Silver, Geoffrey M; Freiburg, Carter; Halerz, Marcia; Tojong, Jonathan; Supple, Kathy; Gamelli, Richard L
A survey was used to gather information regarding airway management patterns in thermally injured children. North American pediatric burn centers listed by the American Burn Association were sent a survey designed to examine patterns of pediatric airway management in children with acute respiratory failure. The sample population means for the number of patients ventilated more than 48 hours and the number of patients ventilated more than 48 hours with inhalation injury were used to separate centers into large and small pediatric burn centers. Small pediatric burn centers had less than 50 patients who were intubated during a 5-year period. A five-point nominal scale was used to facilitate statistical analysis. Twenty-five pediatric burn centers included in the analysis estimated that 11,494 children were admitted during the 5-year period. There was no statistically dominant ventilator mode being used in the setting of acute respiratory failure identified by this survey. Large pediatric burn centers reported more frequent use of cuffed endotracheal tubes and more frequent change from an uncuffed to a cuffed endotracheal tube in patients who were difficult to ventilate because of an excess leak. Large pediatric burn centers reported a higher prevalence of tracheomalacia then small pediatric burn centers. Steroids were used by most centers before extubation in patients with persistent airway edema. No centers reported complications from steroid use. There is lack of clear consensus regarding the application of various ventilator modes in the setting of acute respiratory failure irrespective of center volume. There were divergent of practice patterns between large and small pediatric burn centers regarding the use of cuffed endotracheal tubes and the timing of tracheostomy. There was agreement between large and small pediatric burn centers in tracheostomy use in children older the age of 7 and the use of steroids as an adjunct to extubation in patients with lingering
Friedman, Adam; Nasir, Adnan
Nanotechnology is a rapidly growing discipline with important implications for consumers, patients, physicians and investigators. In an era when nanotechnology is being both incorporated into educational requirements for medical fields such as radiology and oncology and vigorously pursued and developed by cosmeceutical companies, dermatology is falling behind. A survey was conducted to ascertain knowledge, attitudes and perception of nanotechnology in dermatology teaching programs. To ascertain baseline knowledge, attitudes and preceptions regarding nanotechnology among dermatology trainees, dermatology investigators and dermatology faculty in US academic medical centers, an online survey was sent out to random members of the dermatology community and data analyzed (100 participants, 23% response rate). Participants responded to a questionnaire on a five-point scale ranging from strongly disagree, disagree, uncertain, agree, to strongly agree. Due to the low response rate, strongly disagree/disagree and strongly agree/agree values were combined and compared to uncertain responses. Approximately equal numbers of faculty vs. chief residents responded to the survery (52% vs. 47.75%, respectively). The majority of respondents had not previously attended any educational activity on nanotechnology (69.57%). The majority of participants agreed that more education on nanotechnology for dermatologists is needed (78.26% agreed vs. 21.74% uncertain) and that it should be incorporated into the residency training curriculum (60.87% agree vs. 13.04% disagree). Participants mostly agreed that nanotechnology research can contribute to better fundamental understanding of skin disease (78.26%), to advances in the diagnosis of skin disease (73.91%) and to therapies (78.26%). Participants mostly agreed that more research is needed (82.60%) and that this research should be funded (78.26%). Not surprisingly, respondents were uncertain with respect to issues of nanotechnology safety both
U.S. Environmental Protection Agency — This EnviroAtlas web service includes maps that illustrate the number and density of housing units. Housing density and the proximity of housing to employment can...
Malaysia currently has a housing shortage of 12 million units. Towards the year 2020, this would require an annual supply of a minimum of 2 million homes. With the current production rate, the deficits will remain over the next 100 years. The crisis will lead to poor standards of living, un-affordable rental price, high mortgage payment, abandonment, and dilapidation of the existing housing stock. Lack of affordable housing is already a source of concern among many Malaysians. The middle and ...
Jiang, Yufeng; Xia, Lei; Jia, Lijing; Fu, Xiaobing
The purpose of this study is to report the Chinese experience of establishing hospital-based wound care centers over 15 years. A total of 69 wound-healing centers (WHCs) and wound care units (WCUs) were involved. Questionnaires were diverged to the principal directors of these sites; data extracted for this study included origin, year of establishment, medical staff, degree of hospitals, wound etiology, wound-healing rate, hospital stay, and outcomes data. The period of data extraction was defined as before and after 1 year of the establishment of WHCs and WCUs. The earliest WHC was established in 1999, and from 2010 the speeds of establishing WHCs and WCUs rapidly increased. The majority of WHCs were divisions of burn departments, and all WHCs came from departments of outpatient dressing rooms. Full-time multidisciplinary employees of WHCs differed greatly to WCUs. Types of wound and outcomes vary with those of centers reported from Western countries and the United States. Improvement in wound healing caused by the establishment of WHCs and WCUs in China occurred without doubt. Some advices include the following: rearrange and reorganize the distribution of WHCs and WCUs; enact and generalize Chinese guidelines for chronic wounds; utilize medical resources reasonably; improve multidisciplinary medical staff team; draw up and change some medical and public policies and regulations.
Garber, L; Hill, G; Rodriguez, J; Gregory, G; Voelker, L
The National Animal Health Monitoring System (NAHMS) Poultry '04 study was conducted to better describe non-commercial United States poultry populations, in particular, backyard and gamefowl breeder flocks. To estimate the density of backyard flocks in close proximity to commercial operations, a sample of 350 commercial poultry operations in 18 top poultry producing states was selected from the National Agricultural Statistics Service (NASS) list of poultry operations. A 1 mile radius circle was drawn around each operation, and door-to-door canvassing was conducted within these circles to enumerate premises with all species of birds. Premises with backyard poultry flocks completed a questionnaire focusing on bird health, bird movement, and biosecurity practices. A similar questionnaire, provided in both English and Spanish, was mailed to all members of State affiliates of the United Gamefowl Breeders Association (UGBA) as well as to members of State associations not affiliated with UGBA. An average of 29.4 residences was found within a 1 mile radius of commercial operations, of which 1.9 residences per circle had backyard poultry flocks. Gamefowl breeder flocks were larger, used more health care and biosecurity practices, and moved birds more frequently compared to backyard flocks.
Eidenshink, Jeff C.; Howard, Stephen M.
Each day, the U.S. Geological Survey produces 7-day forecasts for all Federal lands of the distributions of number of ignitions, number of fires above a given size, and conditional probabilities of fires growing larger than a specified size. The large fire probability map is an estimate of the likelihood that ignitions will become large fires. The large fire forecast map is a probability estimate of the number of fires on federal lands exceeding 100 acres in the forthcoming week. The ignition forecast map is a probability estimate of the number of fires on Federal land greater than 1 acre in the forthcoming week. The extreme event forecast is the probability estimate of the number of fires on Federal land that may exceed 5,000 acres in the forthcoming week.
Sharma, Rajendra K.; Freeman, III, Richard F.
Impingement of fish at cooling-water intakes of 20 power plants located on the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV.
Freeman, III, Richard F.; Sharma, Rajendra K.
Impingement of fish at cooling-water intakes of 33 power plants located on inland waters other than the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV.
Alam, A. L.; Hespiantoro, S.; Dyar, D.; Balzer, D.; Kuhn, D.; Torizin, J.; Fuchs, M.; Kastl, S.; Anhorn, J.
The Indonesian archipelago is prone to various geological hazards on an almost day to day basis. In order to mitigate disaster risk and reduce losses, the government uses its unique setup of ministerial training institutions. The Centre for Development of Human Resources in Geology, Mineral and Coal offers different level of technical training to local governments in order to provide them with the necessary means to understand geological hazards, mitigate risks, and hence close the gap between local and national governments. One key factor has been the continuous incorporation of new scientific knowledge into their training curricula. The paper presents benefits and challenges of this science-practice nexus using the standardised landslide survey as one example where mobile technology has been introduced to the training just recently.
Brotherton Sarah E
Full Text Available Abstract Background Physicians leaving and reentering clinical practice can have significant medical workforce implications. We surveyed inactive physicians younger than typical retirement age to determine their reasons for clinical inactivity and what barriers, real or perceived, there were to reentry into the medical workforce. Methods A random sample of 4975 inactive physicians aged under 65 years was drawn from the Physician Masterfile of the American Medical Association in 2008. Physicians were mailed a survey about activity in medicine and perceived barriers to reentry. Chi-square statistics were used for significance tests of the association between categorical variables and t-tests were used to test differences between means. Results Our adjusted response rate was 36.1%. Respondents were fully retired (37.5%, not currently active in medicine (43.0% or now active (reentered, 19.4%. Nearly half (49.5% were in or had practiced primary care. Personal health was the top reason for leaving for fully retired physicians (37.8% or those not currently active in medicine (37.8% and the second highest reason for physicians who had reentered (28.8%. For reentered (47.8% and inactive (51.5% physicians, the primary reason for returning or considering returning to practice was the availability of part-time work or flexible scheduling. Retired and currently inactive physicians used similar strategies to explore reentry, and 83% of both groups thought it would be difficult; among those who had reentered practice, 35.9% reported it was difficult to reenter. Retraining was uncommon for this group (37.5%. Conclusion Availability of part-time work and flexible scheduling have a strong influence on decisions to leave or reenter clinical practice. Lack of retraining before reentry raises questions about patient safety and the clinical competence of reentered physicians.
The development of geothermal energy as a source of electric power in the United States is reviewed. A thorough description is given of The Geysers geothermal power project in northern California. The recent efforts to exploit the hot-water resources of the Mexicali-Imperial Rift Valley are described. Details are given concerning the geology of the several sites now being used and for those at which power plants will soon be built. Attention is paid to the technical particulars of all existing plants, including wells, gathering systems, energy conversion devices, materials, environmental impacts, economics and operating characteristics. Specifically, plants which either exist or are planned for the following locations are covered: The Geysers, CA; East Mesa, CA; Heber, CA; Roosevelt Hot Springs, UT; Valles Caldera, NM; Salton Sea, CA; Westmorland, CA; Brawley, CA; Desert Peak, NV; and Raft River, ID. The growth of installed geothermal electric generating capacity is traced from the beginning in 1960 and is projected to 1984.
Cuttini, M; Casotto, V; Kaminski, M; de Beaufort, I; Berbik, I; Hansen, G; Kollée, L; Kucinskas, A; Lenoir, S; Levin, A; Orzalesi, M; Persson, J; Rebagliato, M; Reid, M; Saracci, R
To present the views of a representative sample of neonatal doctors and nurses in 10 European countries on the moral acceptability of active euthanasia and its legal regulation. A total of 142 neonatal intensive care units were recruited by census (in the Netherlands, Sweden, Hungary, and the Baltic countries) or random sampling (in France, Germany, Italy, Spain, and the United Kingdom); 1391 doctors and 3410 nurses completed an anonymous questionnaire (response rates 89% and 86% respectively). The staff opinion that the law in their country should be changed to allow active euthanasia "more than now". Active euthanasia appeared to be both acceptable and practiced in the Netherlands, France, and to a lesser extent Lithuania, and less acceptable in Sweden, Hungary, Italy, and Spain. More then half (53%) of the doctors in the Netherlands, but only a quarter (24%) in France felt that the law should be changed to allow active euthanasia "more than now". For 40% of French doctors, end of life issues should not be regulated by law. Being male, regular involvement in research, less than six years professional experience, and having ever participated in a decision of active euthanasia were positively associated with an opinion favouring relaxation of legal constraints. Having had children, religiousness, and believing in the absolute value of human life showed a negative association. Nurses were slightly more likely to consider active euthanasia acceptable in selected circumstances, and to feel that the law should be changed to allow it more than now. Opinions of health professionals vary widely between countries, and, even where neonatal euthanasia is already practiced, do not uniformly support its legalisation.
Cuttini, M; Casotto, V; Kaminski, M; de Beaufort, I; Berbik, I; Hansen, G; Kollee, L; Kucinskas, A; Lenoir, S; Levin, A; Orzalesi, M; Persson, J; Rebagliato, M; Reid, M; Saracci, R
Objective: To present the views of a representative sample of neonatal doctors and nurses in 10 European countries on the moral acceptability of active euthanasia and its legal regulation. Design: A total of 142 neonatal intensive care units were recruited by census (in the Netherlands, Sweden, Hungary, and the Baltic countries) or random sampling (in France, Germany, Italy, Spain, and the United Kingdom); 1391 doctors and 3410 nurses completed an anonymous questionnaire (response rates 89% and 86% respectively). Main outcome measure: The staff opinion that the law in their country should be changed to allow active euthanasia "more than now". Results: Active euthanasia appeared to be both acceptable and practiced in the Netherlands, France, and to a lesser extent Lithuania, and less acceptable in Sweden, Hungary, Italy, and Spain. More then half (53%) of the doctors in the Netherlands, but only a quarter (24%) in France felt that the law should be changed to allow active euthanasia "more than now". For 40% of French doctors, end of life issues should not be regulated by law. Being male, regular involvement in research, less than six years professional experience, and having ever participated in a decision of active euthanasia were positively associated with an opinion favouring relaxation of legal constraints. Having had children, religiousness, and believing in the absolute value of human life showed a negative association. Nurses were slightly more likely to consider active euthanasia acceptable in selected circumstances, and to feel that the law should be changed to allow it more than now. Conclusions: Opinions of health professionals vary widely between countries, and, even where neonatal euthanasia is already practiced, do not uniformly support its legalisation. PMID:14711848
NSGIC State | GIS Inventory — WATERSHEDS_HUC06_USGS_IN is a polygon shapefile showing the boundaries of accounting units (HUA) in Indiana. Accounting units are noted by a 6-digit hydrologic unit....
Welniak, E J; Littman, M S
This report presents 1987 data on the income and poverty status of persons and families in the US. Data were drawn from the March 1988 Current Population Survey that studied 60,000 households nationwide. Income and poverty estimates in this report are based solely on money income before taxes and exclude noncash benefits such as food stamps, Medicare, medicaid, public housing, and other employer-provided fringe benefits. Some highlights of the data follow. 1) In 1987, median family income was $30,850, a 1% increase from 1986. This is the 5th consecutive year this figure has increased. 2) Median income of families with a female householder, no husband present, increased from $14,146 in 1986 to $14,620 in 1987, a 3.4% increase; this is the 2nd significant annual increase since 1979. 3) Real per capita income increased to $12,290 in 1987, a 1.6% increase over 1986. 4) The 32.5% of persons below the poverty level stayed at about the same number from 1986 to 1987. The poverty rate also stayed at about the same level, 13.6% in 1986 and 13.5% in 1987. 5) Both the number of poor and the poverty rate have declined since 1983 but remain above their recent low-point in 1978. 6) In 1987, 10.5% of Whites were in poverty, a decrease of .5% from 1986; 33.1% of Blacks were in poverty, an increase of 2%. 7) The Hispanic poverty rate showed no significant change, while the number in poverty increased by 353,000. 8) The poverty rate among persons living on farms was 12.6% in 1987, a decline of 7%.
Radon, a naturally occurring radioactive gas, is drawn from the soil into a house when low air pressure exists in the house. This is a commonplace environmental hazard in the United States, Canada, and northern Europe. The U.S. Environmental Protection Agency (EPA) is developing ...
Radon, a naturally occurring radioactive gas, is drawn from the soil into a house when low air pressure exists in the house. This is a commonplace environmental hazard in the United States, Canada, and northern Europe. The U.S. Environmental Protection Agency (EPA) is developing ...
Stewart Paul W
Full Text Available Abstract Background Little evidence exists to guide treatment of alopecia areata (AA. The current practices in treatment of children compared to adults and of progressive stages of hair loss are unknown. The objective of this study was to examine the current practices of southeastern United States dermatologists for the treatment of AA. Methods Dermatologists were sent anonymous questionnaires regarding their treatment practices by mail. Respondents' frequencies of treatment in children compared to adults and in patchy hair loss compared to widespread hair loss were compared with Wilcoxon signed-ranks tests and Friedman tests. As a secondary source, the National Alopecia Areata Registry (NAAR database was analyzed for patients' treatment histories. Results Survey results suggested that dermatologists recommend treatment less frequently for children than adults and for more advanced hair loss. NAAR data confirmed that offering no treatment for AA is relatively common. Conclusion Dermatologists' treatment of AA is inconsistent. A stronger evidence base will provide more consistent treatment options.
Smallwood, Nicholas; Matsa, Ramprasad; Lawrenson, Philip; Messenger, Jenny; Walden, Andrew
The use of point of care ultrasound (POCU) is increasing across a number of specialties, becoming mandatory within some specialist training programmes (for example respiratory and emergency medicine). Despite this, there are few data looking at the prevalence of use or the training clinicians have undertaken; this survey sought to address this. It shows that the majority of POCU undertaken on the Acute Medical Unit (AMU) is without formal accreditation, with significant arriers to training highlighted including a lack of supervision, time and equipment. For those who undertook POCU, it was shown to regularly speed up clinical decision making, while 76.3% respondents believed a lack of access to POCU out of hours may affect patient safety. The data provide support to the concept of developing AMU specific POCU accreditation, to ensure robust and safe use of this modality on the AMU.
Full Text Available Objectives: This study examined associations between providing caregiving for a biological or adoptive parent and clinically assessed biological risk factors (allostatic load and its three subscales—inflammatory dysfunction, metabolic dysfunction, and neuroendocrine dysfunction, as well as moderation of these associations by gender. Methods: Regression models were estimated using telephone and self-report data from 962 men and women who participated in the National Survey of Midlife in the United States in 2005. Results: Filial caregivers demonstrated higher levels of neuroendocrine dysfunction. No gender difference in biological risks was found. Discussion: Filial caregiving is the most prevalent form of family caregiving, and results indicating the presence of greater neuroendocrine dysfunction among filial caregivers in contrast to noncaregivers suggest an important public health concern. Future research needs to continue to examine different relationship types of caregivers and include a range of biological risk measurement to further the understanding of how family caregiving is linked to biological health risks.
Hyer, Jonathan N; Lee, Richard M; Chowdhury, Haziq R; Smith, Henry B; Dhital, Anish; Khandwala, Mona
Repetitive tasks, awkward or prolonged working postures, and high cognitive load are risk factors for occupational musculoskeletal disorders. Ophthalmologists may be vulnerable given that they are exposed to a combination of these factors. This national study assesses the prevalence, severity and associations of back and neck pain amongst UK consultant ophthalmologists. A postal survey was conducted using addresses supplied by the Royal College of Ophthalmologists. Statistical analysis was performed using Pearson correlation coefficient, two-tailed probability testing, analysis of variance (ANOVA) and Dunn's multiple comparison test. 518 responses were received (50.3 % response rate). Back and neck pain were reported by 50.6 % (262/518) and 31.8 % (165/518) of respondents, respectively, with 62.4 % (323/518) reporting one or both. 33.6 % (174/518) reported pain whilst operating, of whom 78.7 % (137/174) found operating exacerbated their pain. 31.7 % (164/518) reported pain when using the slit lamp, of whom 71.3 % (117/164) found it exacerbated their pain. Individual subspecialties showed a significant relative risk of back or neck pain in some circumstances, when compared to ophthalmologists as a whole. Occupational back and neck pain remains a problem amongst ophthalmologists. Recommendations are made for modifications to the working environment, and consideration should be given to improving education for trainees.
Yuen, Hon K; Fallis, Michelle; Martin-Harris, Bonnie
We surveyed speech language pathology (SLP) programs for head and neck cancer (HNC) training. Program directors of 242 American Speech-Language-Hearing Association accredited masters programs for SLP were contacted regarding curricular HNC material. Directors (n = 120) responded online: six included a required course in HNC, and all but two programs with no required HNC course included HNC topics in other required courses. Thirty-two programs were affiliated with a medical center and/or a teaching hospital. Programs that offered either a required course in HNC or elective courses on HNC were more likely to be affiliated with a medical center and/or a teaching hospital than programs that did not offer a required course in HNC (P = 0.043) or elective courses on HNC (P = 0.007), respectively. Few programs offer a required HNC course but most programs integrate HNC content into the required coursework. Potential strategies to incorporate HNC exposure into formal SLP programs are identified.
Full Text Available Complementary and Alternative Medicine (CAM is widely available in the UK and used frequently by the public, but there is little high quality research to sustain its continued use and potential integration into the NHS. There is, therefore, a need to develop rigorous research in this area. One essential way forward is to train and develop more CAM researchers so that we can enhance academic capacity and provide the evidence upon which to base strategic healthcare decisions. This UK survey identified 80 research active postgraduates registered for MPhils/PhDs in 21 universities and were either current students or had completed their postgraduate degree during the recent UK Research Assessment Exercise (RAE 2001–2008. The single largest postgraduate degree funder was the university where the students registered (26/80. Thirty-two projects involved randomized controlled trials and 33 used qualitative research methods. The UK RAE also indicates a significant growth of postdoctoral and tenured research activity over this period (in 2001 there were three full time equivalents; in 2008 there were 15.5 with a considerable improvement in research quality. This mapping exercise suggests that considerable effort is currently being invested in developing UK CAM research capacity and thus inform decision making in this area. However, in comparative international terms UK funding is very limited. As in the USA and Australia, a centralized and strategic approach by the National Institute of Health Research to this currently uncoordinated and underfunded activity may benefit CAM research in the UK.
Background All medical schools in the UK are required to be able to provide evidence of competence in clinical communication in their graduates. This is usually provided by summative assessment of clinical communication, but there is considerable variation in how this is carried out. This study aimed to gain insight into the current assessment of clinical communication in UK medical schools. Methods The survey was sent via e-mail to communication leads who then were asked to consult with all staff within their medical school involved in the assessment of communication. Results Results were obtained from 27 out of 33 schools (response rate 82%) and a total of 34 courses. The average number of assessments per year was 2.4 (minimum 0, maximum 10). The Objective Structured Clinical Exam (OSCE) was the most commonly used method of assessment (53%). Other assessments included MCQ and workplace based assessments. Only nine courses used a single method of assessment. Issues raised included, logistics and costs of assessing mainly by OSCE, the robustness and reliability of such exams and integration with other clinical skills. Conclusions It is encouraging that a variety of assessment methods are being used within UK medical schools and that these methods target different components of clinical communication skills acquisition. PMID:24417939
Phillips, Clive J. C.
Positivity towards meat consumption remains strong, despite evidence of negative environmental and ethical outcomes. Although awareness of these repercussions is rising, there is still public resistance to removing meat from our diets. One potential method to alleviate these effects is to produce in vitro meat: meat grown in a laboratory that does not carry the same environmental or ethical concerns. However, there is limited research examining public attitudes towards in vitro meat, thus we know little about the capacity for it be accepted by consumers. This study aimed to examine perceptions of in vitro meat and identify potential barriers that might prevent engagement. Through conducting an online survey with US participants, we identified that although most respondents were willing to try in vitro meat, only one third were definitely or probably willing to eat in vitro meat regularly or as a replacement for farmed meat. Men were more receptive to it than women, as were politically liberal respondents compared with conservative ones. Vegetarians and vegans were more likely to perceive benefits compared to farmed meat, but they were less likely to want to try it than meat eaters. The main concerns were an anticipated high price, limited taste and appeal and a concern that the product was unnatural. It is concluded that people in the USA are likely to try in vitro meat, but few believed that it would replace farmed meat in their diet. PMID:28207878
Jesse, M T; Abouljoud, M; Eshelman, A
Burnout is a response to chronic strain within the workplace characterized by feelings of inefficacy (reduced personal accomplishment), cynicism (depersonalization) and emotional exhaustion. The purpose of this study was to report prevalence and explore organizational and interpersonal contributors of burnout in transplant surgeons. We performed a national cross-sectional survey of 218 transplant surgeons on sociodemographics, professional characteristics, frequency of difficult patient interactions and comfort in dealing with difficult patient interactions, decisional authority, psychological job demands, supervisor and coworker support, with burnout as the outcome. 40.1% reported high levels of emotional exhaustion, 17.1% reported high levels of depersonalization and 46.5% reported low personal accomplishment. Greater emotional exhaustion was predicted by lower decisional authority, higher psychological work demands, and lower coworker support. Greater discomfort with difficult patient interactions and lower coworker support predicted depersonalization. Lastly, lower decisional authority, lower coworker support, less frequent difficult patient interactions but greater discomfort with difficult patient interactions predicted lower personal accomplishment. The findings of this study show that unsupportive environments with little decisional control and high work-related demands contribute to the development of burnout in transplant surgeons. Implications for interventions aimed at prevention of burnout in transplant surgeons are discussed. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.
Earth Data Analysis Center, University of New Mexico — The 2006 Second Edition TIGER/Line files are an extract of selected geographic and cartographic information from the Census TIGER database. The geographic coverage...
Earth Data Analysis Center, University of New Mexico — The 2006 Second Edition TIGER/Line files are an extract of selected geographic and cartographic information from the Census TIGER database. The geographic coverage...
Earth Data Analysis Center, University of New Mexico — The 2006 Second Edition TIGER/Line files are an extract of selected geographic and cartographic information from the Census TIGER database. The geographic coverage...
Department of the Treasury — Treasury and the U.S. Department of Housing and Urban Development (HUD) jointly produce a Monthly Housing Scorecard on the health of the nation’s housing market. The...
Yennurajalingam, Sriram; Noguera, Antonio; Parsons, Henrique Afonseca; Torres-Vigil, Isabel; Duarte, Eva Rosina; Palma, Alejandra; Bunge, Sofia; Palmer, J Lynn; Delgado-Guay, Marvin Omar; Bruera, Eduardo
Understanding family caregivers' decisional role preferences is important for communication, quality of care, and patient and family satisfaction. The family caregiver has an important role in a patient's decisional role preferences. There are limited studies on family caregivers' preferences of the patient's decision control at the end of life among Hispanics. To identify Hispanic caregivers' preferences of the decision control of patients with advanced cancer and to compare the preferences of caregivers in Hispanic Latin American and Hispanic American caregivers. We surveyed patients and their family caregivers referred to outpatient palliative care clinics in the United States, Chile, Argentina, and Guatemala. Caregiver preferences of patient's decision control were evaluated using the Control Preference Scale. Caregivers' and patients' sociodemographic variables, patient performance status, and Hispanic American patient acculturation level were also collected. A total of 387 caregivers were surveyed: 100 (26%) in Chile, 99 (26%) in Argentina, 97 (25%) in Guatemala, and 91 (24%) in the United States. The median age was 56 years, and 59% were female. Caregiver preference of patient's decision control was passive, shared, and active for 10 (11%), 45 (52%), and 32 (37%) Hispanic American caregivers and 54 (19%), 178 (62%), and 55 (19%) Hispanic Latin American caregivers (p = 0.0023), respectively. Caregiver acculturation level did not affect the preferences of the Hispanic American sample (p = 0.60). Most Hispanic family caregivers preferred the patient to make shared decisions. Hispanic Latin American caregivers more frequently preferred patients to assume a passive decisional role. Acculturation did not influence the preferences of Hispanic American caregivers.
Based on the concept of cultural capital, this study explores the relationship between habitual behaviors of individuals regarding their past accumulation of such capital and current responses to a scientific institute's public outreach activity. At an open house held at the Institute for Molecular Science (IMS), anonymous questionnaires were distributed among 1,350 visitors and collected from 785 of them (collection rate = 58.1%). The results, measuring the past five to six years, showed that the respondents accumulated cultural capital through participation in scientific activities as well as in activities involving art, music, and literature. Given these quantified values, correlations between citizens' levels of accumulated cultural capital and their current scientific consumption behavior were studied. A statistical analysis of the two components of cultural capital (science and technology/art and literature) showed that people's accumulated scientific capital influenced their current behavior and revealed a correlation between the two components.
Department of Housing and Urban Development — These quarterly Federal Fiscal Year performance reports track the ENERGY STAR qualified HOME units that Participating Jurisdictions record in HUD's Integrated...
Dargatz, David A; Erdman, Matthew M; Harris, Beth
Antimicrobial resistance is a serious threat to animal and human health worldwide, requiring a collaborative, holistic approach. The U.S. Government has developed a national strategy to address antimicrobial resistance, with one component being to monitor antimicrobial resistance in agricultural settings. We developed a survey to collect information about antimicrobial susceptibility testing (AST) from the veterinary diagnostic laboratory community in the United States, assessing current practices and technologies and determining how AST information is shared. Of the 132 surveys administered, 52 (39%) were returned. Overall, responding laboratories conducted susceptibility tests on 98,788 bacterial isolates in 2014, with Escherichia coli being the most common pathogen tested across all animal species. The 2 most common AST methods employed were the disk diffusion method (71%) and the Sensititre platform broth microdilution system (59%). Laboratories primarily used the Clinical Laboratory Standards Institute (CLSI) VET-01 standard (69%) and the automatically calculated interpretations provided by the commercial AST systems (61%) for interpreting their AST data. Only 22% of laboratories published AST data on a periodic basis, usually via annual reports published on the laboratory's website or through peer-reviewed journals for specific pathogens. Our results confirm that disk diffusion and broth microdilution remain the standard AST methods employed by U.S. veterinary diagnostic laboratories, and that CLSI standards are commonly used for interpreting AST results. This information will help determine the most efficient standardized methodology for future surveillance. Furthermore, the current infrastructure within laboratories, once harmonized, will help provide a mechanism for conducting national surveillance programs.
Caggiano, Giuseppina; Lovero, Grazia; De Giglio, Osvalda; Barbuti, Giovanna; Montagna, Osvaldo; Laforgia, Nicola; Montagna, Maria Teresa
We evaluated the epidemiology of Candida bloodstream infections in the neonatal intensive care unit (NICU) of an Italian university hospital during a 9-year period as a means of quantifying the burden of infection and identifying emerging trends. Clinical data were searched for in the microbiological laboratory database. For comparative purposes, we performed a review of NICU candidemia. Forty-one candidemia cases were reviewed (overall incidence, 3.0 per 100 admissions). Candida parapsilosis sensu stricto (58.5%) and C. albicans (34.1%) were the most common species recovered. A variable drift through years was observed; in 2015, 75% of the cases were caused by non-albicans species. The duration of NICU hospitalization of patients with non-albicans was significantly longer than in those with C. albicans (median days, 10 versus 12). Patients with non-albicans species were more likely to have parenteral nutrition than those with C. albicans (96.3% versus 71.4%). Candida albicans was the dominant species in Europe and America (median, 55% and 60%; resp.); non-albicans species predominate in Asia (75%). Significant geographic variation is evident among cases of candidemia in different parts of the world, recognizing the importance of epidemiological data to facilitate the treatment.
Full Text Available We evaluated the epidemiology of Candida bloodstream infections in the neonatal intensive care unit (NICU of an Italian university hospital during a 9-year period as a means of quantifying the burden of infection and identifying emerging trends. Clinical data were searched for in the microbiological laboratory database. For comparative purposes, we performed a review of NICU candidemia. Forty-one candidemia cases were reviewed (overall incidence, 3.0 per 100 admissions. Candida parapsilosis sensu stricto (58.5% and C. albicans (34.1% were the most common species recovered. A variable drift through years was observed; in 2015, 75% of the cases were caused by non-albicans species. The duration of NICU hospitalization of patients with non-albicans was significantly longer than in those with C. albicans (median days, 10 versus 12. Patients with non-albicans species were more likely to have parenteral nutrition than those with C. albicans (96.3% versus 71.4%. Candida albicans was the dominant species in Europe and America (median, 55% and 60%; resp.; non-albicans species predominate in Asia (75%. Significant geographic variation is evident among cases of candidemia in different parts of the world, recognizing the importance of epidemiological data to facilitate the treatment.
Parker, David R; Seyfferth, Angelia L; Reese, Brandi Kiel
Perchlorate is widely used as an oxidant in solid rocket propellants and energetic applications, and it has frequently been detected in groundwaters at concentrations relevant to human health. The possibility of naturally occurring perchlorate has only recently received significant attention. Relying primarily on domestic, agricultural, and recreational wells, we utilized a network of volunteers to help collect 326 groundwater samples from across the coterminous United States. Care was taken to avoid known, USEPA-documented sites of perchlorate use or release, as well as perchlorate contamination due to disinfection using hypochlorite. Using IC-ESI-MS and a Cl18O4- internal standard, we achieved a method detection limit (MDL) of 40 ng/L perchlorate and a minimum reporting level (MRL) of 120 ng/L. Of the 326 samples, 147 (45%) were below the MDL, while 42 (13%) were between the MDL and the MRL. Of the 137 samples that could be quantified, most (109) contained 10000 ng/L) previously reported for the west-central Texas area appear to be anomalous. Perchlorate concentrations were positively correlated with nitrate levels (P < 0.001) but not with chloride concentrations. Opportunities exist for follow-up studies of perchlorate's origins using isotope forensics and for further elucidation of the role of atmospheric processes in the formation or transport of perchlorate.
Barton Behravesh, C; Mayberry, L F; Bristol, J R; Cardenas, V M; Mena, K D; Martínez-Ocaña, J; Flisser, A; Snowden, K F
Taenia solium and T. saginata are zoonotic tapeworms of substantial medical and economic importance. Although human taeniasis is widely recognised as an endemic problem in Mexico, its presence in the United States is poorly understood. The first population-based study to estimate the prevalence of human infection with Taenia tapeworms along the Texas-Mexico border has recently been conducted. Households were interviewed in the Texan city of El Paso and in the neighbouring Ciudad Juárez, in Mexico. Faecal samples from household members were then checked for Taenia eggs by flotation and/or for Taenia copro-antigens in an ELISA. The overall prevalence of taeniasis in this border region was found to be 3% but, compared with the residents of Juárez, El Paso residents were 8.6-fold more likely to be tapeworm carriers. The interviews revealed some important differences between the two study sites, particularly the more frequent use of anthelminthic drugs on the Mexican side of the border. These findings have implications in terms of the planning of effective health-education campaigns to decrease the prevalence of taeniasis in the human populations along the Texas-Mexico border.
Xian-Bo Pei; Peng-Lin Ma; Jian-Guo Li; Zhao-Hui Du; Qing Zhou; Zhang-Hong Lu; Luo Yun
Background:Inconsistencies in the use of the vasoactive agent therapy to treat shock are found in previous studies.A descriptive study was proposed to investigate current use of vasoactive agents for patients with shock in Chinese intensive care settings.Methods:A nationwide survey of physicians was conducted from August 17 to December 30,2012.Physicians were asked to complete a questionnaire which focused on the selection ofvasoactive agents,management in the use ofvasopressor/inotropic therapy,monitoring protocols when using these agents,and demographic characteristics.Results:The response rate was 65.1％ with physicians returning 586 valid questionnaires.Norepinephrine was the first choice of a vasopressor used to treat septic shock by 70.8％ of respondents;73.4％ of respondents favored dopamine for hypovolemic shock;and 68.3％ of respondents preferred dopamine for cardiogenic shock.Dobutamine was selected by 84.1％,64.5％,and 60.6％ of respondents for septic,hypovolemic,and cardiogenic shock,respectively.Vasodilator agents were prescribed by physicians in the management of cardiogenic shock (67.1％) rather than for septic (32.3％) and hypovolemic shock (6.5％).A significant number of physicians working in teaching hospitals were using vasoactive agents in an appropriate manner when compared to physicians in nonteaching hospitals.Conclusions:Vasoactive agent use for treatment of shock is inconsistent according to self-report by Chinese intensive care physicians;however,the variation in use depends upon the form of shock being treated and the type of hospital;thus,corresponding educational programs about vasoactive agent use for shock management should be considered.
随着我国B2 C电子商务的快速发展，网络渠道在图书销售中的地位也日益凸显。调查显示，出版社目前已经把网络渠道作为一个很重要的营销阵地，但是，具体在实施过程中还存在一些问题，影响了网络营销实际效果的发挥。%Internet is playing more and more important role in selling books with the rapid development of B 2C in China. However , the survey shows that the current effect of online-marketing implementation of publishing houses is not as expected due to some problems , even though it has been regarded as one of the most marketing platforms .
Dennerline, Donald E.; Childs, Dawn E.
The U.S. Geological Survey (USGS) has several strategic goals that focus its efforts on serving the American people. The USGS Ecosystems Mission Area has responsibility for the following objectives under the strategic goal of “Science to Manage and Sustain Resources for Thriving Economies and Healthy Ecosystems”:Understand, model, and predict change in natural systemsConserve and protect wildlife and fish species and their habitatsReduce or eliminate the threat of invasive species and wildlife diseaseThis report provides abstracts of the majority of ongoing research investigations of the USGS Cooperative Fish and Wildlife Research Units program and is intended to complement the 2016 Cooperative Research Units Program Year in Review Circular 1424 (https://doi.org/10.3133/cir1424). The report is organized by the following major science themes that contribute to the objectives of the USGS:Advanced TechnologiesClimate ScienceDecision ScienceEcological FlowsEcosystem ServicesEndangered Species Conservation, Recovery, and Proactive StrategiesEnergyHuman DimensionsInvasive SpeciesLandscape EcologySpecies of Greatest Conservation NeedSpecies Population, Habitat, and Harvest ManagementWildlife Health and Disease
Akerlof, Karen; Debono, Roberto; Berry, Peter; Leiserowitz, Anthony; Roser-Renouf, Connie; Clarke, Kaila-Lea; Rogaeva, Anastasia; Nisbet, Matthew C; Weathers, Melinda R; Maibach, Edward W
We used data from nationally representative surveys conducted in the United States, Canada and Malta between 2008 and 2009 to answer three questions: Does the public believe that climate change poses human health risks, and if so, are they seen as current or future risks? Whose health does the public think will be harmed? In what specific ways does the public believe climate change will harm human health? When asked directly about the potential impacts of climate change on health and well-being, a majority of people in all three nations said that it poses significant risks; moreover, about one third of Americans, one half of Canadians, and two-thirds of Maltese said that people are already being harmed. About a third or more of people in the United States and Canada saw themselves (United States, 32%; Canada, 67%), their family (United States, 35%; Canada, 46%), and people in their community (United States, 39%; Canada, 76%) as being vulnerable to at least moderate harm from climate change. About one third of Maltese (31%) said they were most concerned about the risk to themselves and their families. Many Canadians said that the elderly (45%) and children (33%) are at heightened risk of harm, while Americans were more likely to see people in developing countries as being at risk than people in their own nation. When prompted, large numbers of Canadians and Maltese said that climate change can cause respiratory problems (78-91%), heat-related problems (75-84%), cancer (61-90%), and infectious diseases (49-62%). Canadians also named sunburn (79%) and injuries from extreme weather events (73%), and Maltese cited allergies (84%). However, climate change appears to lack salience as a health issue in all three countries: relatively few people answered open-ended questions in a manner that indicated clear top-of-mind associations between climate change and human health risks. We recommend mounting public health communication initiatives that increase the salience of the
Full Text Available We used data from nationally representative surveys conducted in the United States, Canada and Malta between 2008 and 2009 to answer three questions: Does the public believe that climate change poses human health risks, and if so, are they seen as current or future risks? Whose health does the public think will be harmed? In what specific ways does the public believe climate change will harm human health? When asked directly about the potential impacts of climate change on health and well-being, a majority of people in all three nations said that it poses significant risks; moreover, about one third of Americans, one half of Canadians, and two-thirds of Maltese said that people are already being harmed. About a third or more of people in the United States and Canada saw themselves (United States, 32%; Canada, 67%, their family (United States, 35%; Canada, 46%, and people in their community (United States, 39%; Canada, 76% as being vulnerable to at least moderate harm from climate change. About one third of Maltese (31% said they were most concerned about the risk to themselves and their families. Many Canadians said that the elderly (45% and children (33% are at heightened risk of harm, while Americans were more likely to see people in developing countries as being at risk than people in their own nation. When prompted, large numbers of Canadians and Maltese said that climate change can cause respiratory problems (78–91%, heat-related problems (75–84%, cancer (61–90%, and infectious diseases (49–62%. Canadians also named sunburn (79% and injuries from extreme weather events (73%, and Maltese cited allergies (84%. However, climate change appears to lack salience as a health issue in all three countries: relatively few people answered open-ended questions in a manner that indicated clear top-of-mind associations between climate change and human health risks. We recommend mounting public health communication initiatives that increase the
Kosik, R O; Tran, D T; Fan, Angela Pei-Chen; Mandell, G A; Tarng, D C; Hsu, H S; Chen, Y S; Su, T P; Wang, S J; Chiu, A W; Lee, C H; Hou, M C; Lee, F Y; Chen, W S; Chen, Q
The declining number of physician scientists is an alarming issue. A systematic review of all existing programs described in the literature was performed, so as to highlight which programs may serve as the best models for the training of successful physician scientists. Multiple databases were searched, and 1,294 articles related to physician scientist training were identified. Preference was given to studies that looked at number of confirmed publications and/or research grants as primary outcomes. Thirteen programs were identified in nine studies. Eighty-three percent of Medical Scientist Training Program (MSTP) graduates, 77% of Clinician Investigator Training Program (CI) graduates, and only 16% of Medical Fellows Program graduates entered a career in academics. Seventy-eight percent of MSTP graduates succeeded in obtaining National Institute of Health (NIH) grants, while only 15% of Mayo Clinic National Research Service Award-T32 graduates obtained NIH grants. MSTP physician scientists who graduated in 1990 had 13.5 ± 12.5 publications, while MSTP physician scientists who graduated in 1975 had 51.2 ± 38.3 publications. Additionally, graduates from the Mayo Clinic's MD-PhD Program, the CI Program, and the NSRA Program had 18.2 ± 20.1, 26.5 ± 24.5, and 17.9 ± 26.3 publications, respectively. MSTP is a successful model for the training of physician scientists in the United States, but training at the postgraduate level also shows promising outcomes. An increase in the number of positions available for training at the postgraduate level should be considered.
Al Rmalli, S W; Haris, P I; Harrington, C F; Ayub, M
Arsenic is a highly toxic element and its presence in food composites is a matter of concern to the well being of both humans and animals. Arsenic-contaminated groundwater is often used in Bangladesh and West Bengal (India) to irrigate crops used for food and animal consumption, which could potentially lead to arsenic entering the human food chain. In this study, we used graphite furnace atomic absorption spectroscopy to determine the total arsenic concentrations in a range of foodstuffs, including vegetables, rice and fish, imported into the United Kingdom from Bangladesh. The mean and range of the total arsenic concentration in all the vegetables imported from Bangladesh were 54.5 and 5-540 microg/kg, respectively. The highest arsenic values found were for the skin of Arum tuber, 540 microg/kg, followed by Arum Stem, 168 microg/kg, and Amaranthus, 160 microg/kg. Among the other samples, freshwater fish contained total arsenic levels between 97 and 1318 microg/kg. The arsenic content of the vegetables from the UK was approximately 2- to 3-fold lower than those observed for the vegetables imported from Bangladesh. The levels of arsenic found in vegetables imported from Bangladesh in this study, in some cases, are similar to those previously recorded for vegetables grown in arsenic-affected areas of West Bengal, India, although lower than the levels reported in studies from Bangladesh. While the total arsenic content detected in our study in vegetables, imported from Bangladesh, is far less than the recommended maximum permitted level of arsenic, it does provide an additional source of arsenic in the diet. This raises the possibility that the level of arsenic intake by certain sectors of the UK population may be significantly higher then the general population and requires further investigations.
A Legalization Program for Illegal Aliens Living in the United States. Statement before the Committee on the Judiciary, Subcommittee on Immigration, Refugees and International Law, House of Representatives.
Meissner, Doris M.
A legalization program for illegal aliens living in the United States is examined in this statement by Doris Meissner, Acting Commissioner of the Immigration and Naturalization Service (INS). Meissner states that the Administration's current proposed legislation is designed to regain control of the immigration process through the development of…
Lawson, Scott; Ellis, Cory; Butler, Katie; McRobb, Craig; Mejak, Brian
In early 2011, surveys of active Extracorporeal Life Support Organization (ELSO) centers within the United States were conducted by electronic mail regarding neonatal Extracorporeal Membrane Oxygenation (ECMO) equipment and professional staff. Seventy-four of 111 (67%) U.S. centers listed in the ELSO directory as neonatal centers responded to the survey. Of the responding centers, 53% routinely used roller pumps for neonatal ECMO, 15% reported using centrifugal pumps and 32% reported using a ...
Bradburn Ryan M
Full Text Available Abstract Background Castration of male calves destined for beef production is a common management practice performed in the United States amounting to approximately 15 million procedures per year. Societal concern about the moral and ethical treatment of animals is increasing. Therefore, production agriculture is faced with the challenge of formulating animal welfare policies relating to routine management practices such as castration. To enable the livestock industry to effectively respond to these challenges there is a need for more data on management practices that are commonly used in cattle production systems. The objective of this survey was to describe castration methods, adverse events and husbandry procedures performed by U.S. veterinarians at the time of castration. Invitations to participate in the survey were sent to email addresses of 1,669 members of the American Association of Bovine Practitioners and 303 members of the Academy of Veterinary Consultants. Results After partially completed surveys and missing data were omitted, 189 responses were included in the analysis. Surgical castration with a scalpel followed by testicular removal by twisting (calves 90 kg was the most common method of castration used. The potential risk of injury to the operator, size of the calf, handling facilities and experience with the technique were the most important considerations used to determine the method of castration used. Swelling, stiffness and increased lying time were the most prevalent adverse events observed following castration. One in five practitioners report using an analgesic or local anesthetic at the time of castration. Approximately 90% of respondents indicated that they vaccinate and dehorn calves at the time of castration. Over half the respondents use disinfectants, prophylactic antimicrobials and tetanus toxoid to reduce complications following castration. Conclusions The results of this survey describe current methods of
Joanna L. KEMP
Full Text Available River Habitat Survey (RHS is a system which records and quantifies the physical and vegetational structure of river channels and their immediate floodplains. In the United Kingdom, where it has been applied since the 1990s, it has brought an understanding of state of rivers nationally and has proved to be a useful part of scientific investigation. It is now obvious that such a method should be applied more widely, especially in the European context, where river data is lacking for many countries and there is a need for a standard, internationally comparable method. In this paper an extension to the basic survey method is presented, with the aim of improving the detail and quality of data collected for highly dynamic, braided rivers, more common in the rest of Europe, particularly the south, than in the UK itself. The changes to the survey form included the recording of secondary flow and substrate types for each transect, in addition to the usual recording of primary types. Where more than one wetted channel was present data were collected for both the main and secondary channels. These were common in the areas studied, for instance in autumn 2000 secondary channels were found at 9 out of 11 sites in northern Italy and 4 out of 11 sites in the south. Additionally, the results showed that with the recording of both primary and secondary flow types for each transect the average number of flow types found per site was increased by between 1 - 2.2. For substrate types the average increase per site was close to 1. Certain flow types, in particular ‘chute’ and ‘no perceptible’, and substrate types, for example ‘sand’, tended to be under-represented by the basic survey method. The relevance and implications of these results are discussed with respect to the southern European situation and the point is made that the detail required from RHS depends on the original motivation for choosing to apply it. Where it is part of a detailed biological
... Types Congregate Housing § 982.609 Congregate housing: Housing quality standards. (a) HQS standards for... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Congregate housing: Housing quality standards. 982.609 Section 982.609 Housing and Urban Development Regulations Relating to Housing and...
S. Hadizadeh Zargar
Full Text Available Extended abstract1-IntroductionDevelopment is a multidimensional and complex process that involves making changes in social attitudes and national institutions as well as accelerating the economic growth, reducing inequalities and eradicating poverty. Housing is considered as an integral part of development in a society. With its large economic, social, cultural, environmental, and physical dimensions, this sector plays a pivotal role in presenting the characteristics and improving the appearance of the society in general. Identifying and assessing the housing condition in a country depends on the detection and analysis of the factors affecting housing, which can be considered as guidelines for the resource allocation in future planning and for promoting justice and sustainable development. Isfahan city, with a population of over one million people, is the third most populous city in the country and has fourteen districts. This research can help policymakers and planners alleviate the poverty, promote the social justice and formulate appropriate policies by looking into the indicators of the housing sector in the fourteen districts of Isfahan and their ranking using analytic network process. 2- Theoretical BasesHousing is an extremely complex and extensive issue with different spatial, architectural, physical, economic, social, financial, psychological and medical aspects. As such, in this study various definitions have been proposed that, for example, deal with housing as a physical location and as a shelter, considering it as one of the basic needs of the households. In addition to the physical location, the housing includes the entire residential environment, which has various dimensions and goes beyond the physical shelter. Housing is the first unit of society and the most important unit of human settlements that represents the smallest unit of the planning. Most governments, in response to the importance of housing, incorporate the housing
Murtha, John P.
Major Ma's education includes a Master of Business Administration from the Naval Postgraduate School as a Conrad Scholar Awardee. Mr. MURTHA. Madam Speaker, I rise today to pay tribute to an outstanding officer who will shortly be leaving active duty. Major William W. Ma will be retiring from the United States Marine Corps on March 31, 2010, after more than 21 years of active military service, culminating as Director, Marine Corps Appropriations Matters in the Secretary of the Navy’s Appro...
Larsen, Tine Steen; Jensen, Rasmus Lund; Daniels, Ole
This report describes the results of the Comfort Houses measuring programme conducted by Aalborg University in the period 2008 to 2011. The results from the houses included in the project are examined in detail in 8 house-specific reports. All house-specific reports referred to in this report can...
Benzon, Hubert A; De Oliveira, Gildasio S; Hardy, Courtney A; Suresh, Santhanam
Currently, very little information is known regarding the research education of pediatric anesthesia fellows. The main objective of the current investigation was to evaluate the status of research training in pediatric anesthesia fellowship programs in the United States. Survey responses were solicited from forty-six pediatric anesthesia fellowship directors. Questions evaluated department demographic information, the extent of faculty research activity, research resources and research funding in the department, the characteristics of fellow research education and fellow research productivity, departmental support for fellow research, and perceived barriers to fellow research education. Thirty-six of forty-six fellowship directors responded to the survey, for a response rate of 78%. Eight of fourteen (57%) programs with a structured curriculum had more than 20% of graduating fellows publish a peer-reviewed manuscript compared with only five of twenty-two (23%) programs, which did not have a structured research curriculum (P = 0.03). While the majority of program directors (thirty of thirty-six (83%)) did not think that fellows are adequately trained to pursue research activities, only a minority of program directors (7 of 36 (19%)) thought that an extra year of fellowship dedicated to research should become a requirement. Structured research curriculum is associated with increased research productivity during pediatric anesthesia fellowship. Important barriers to fellows' research education include high clinical demands and lack of research time for faculty. Despite acknowledging the poor research education, a small minority of fellowship directors supports the addition of an extra year exclusively dedicated to research. © 2013 John Wiley & Sons Ltd.
Song, Hayeon; Omori, Kikuko; Kim, Jihyun; Tenzek, Kelly E; Morey Hawkins, Jennifer; Lin, Wan-Ying; Kim, Yong-Chan; Jung, Joo-Young
The Internet has increasingly become a popular source of health information by connecting individuals with health content, experts, and support. More and more, individuals turn to social media and Internet sites to share health information and experiences. Although online health information seeking occurs worldwide, limited empirical studies exist examining cross-cultural differences in perceptions about user-generated, experience-based information compared to expertise-based information sources. To investigate if cultural variations exist in patterns of online health information seeking, specifically in perceptions of online health information sources. It was hypothesized that Koreans and Hongkongers, compared to Americans, would be more likely to trust and use experience-based knowledge shared in social Internet sites, such as social media and online support groups. Conversely, Americans, compared to Koreans and Hongkongers, would value expertise-based knowledge prepared and approved by doctors or professional health providers more. Survey questionnaires were developed in English first and then translated into Korean and Chinese. The back-translation method ensured the standardization of questions. Surveys were administered using a standardized recruitment strategy and data collection methods. A total of 826 participants living in metropolitan areas from the United States (n=301), Korea (n=179), and Hong Kong (n=337) participated in the study. We found significant cultural differences in information processing preferences for online health information. A planned contrast test revealed that Koreans and Hongkongers showed more trust in experience-based health information sources (blogs: t451.50=11.21, Ponline support group: t455.71=9.30, Ponline health information. Further discussion is included regarding effective communication strategies in providing quality health information.
Chandra, Anjani; Copen, Casey E; Stephen, Elizabeth Hervey
This report presents nationally representative estimates and trends for infertility service use among women aged 15-44 and 25-44 in the United States in 1982-2010. While greater detail on types of infertility service is shown for women, basic data on types of infertility service use, as reported by men aged 25-44, are also presented. Data for this report come primarily from the 2006-2010 National Survey of Family Growth (NSFG), consisting of 22,682 interviews with men and women aged 15-44, conducted from June 2006 through June 2010. The response rate for females in the 2006-2010 NSFG was 78%, and for males was 75%. Selected trends are shown based on prior NSFG cycles. Twelve percent of women aged 15-44 in 2006-2010 (7.3 million women), or their husbands or partners, had ever used infertility services. Among women aged 25-44, 17% (6.9 million) had ever used any infertility service, a significant decrease from 20% in 1995. Thirty-eight percent of nulliparous women with current fertility problems in 2006-2010 had ever used infertility services, significantly less than 56% of such women in 1982. In all survey years, ever-use of medical help to get pregnant was highest among older and nulliparous women, non-Hispanic white women, women with current fertility problems, and women with higher levels of education and household income. The most commonly used infertility services among women aged 25-44 in 2006-2010 were advice, testing, medical help to prevent miscarriage, and ovulation drugs. Ever-use of infertility services was reported by 9.4% of men aged 25-44 in 2006-2010, similar to levels seen in 2002. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
Villalobos, Enrique; Barnes, Scott R; Qureshi, Ihtesham A; Cruz-Flores, Salvador; Maud, Alberto; Rodriguez, Gustavo J
To investigate the awareness and the use of Spanish version of National Institutes of Health Stroke Scale (NIHSS) throughout the United States (US) by regions using a web-based survey. A survey targeting physicians from two specialties that regularly manage acute stroke patients was conducted from February to August of 2015. Academic centers from the Accreditation Council for Graduate Medical Education online directory belonging to emergency medicine (EM) and neurology residency programs were identified. The questionnaire was composed of ten questions separated into three different groups. The responses received from the programs were separated by specialty and grouped into different regions in the US for comparison. Out of 230 residency-invited programs, we received a total of 73 responses, 35 from EM and 26 responses from neurology residency programs. In addition, 12 respondents were categorized as unknown recipients. The South region had the highest response rate with 30.3%. There was no significant difference in the responses by region if Puerto Rico was not analyzed. Interviewees reported a substantial percentage of Spanish-speaking patients reported across the regions and more than 75% of the programs report lack of knowledge of the Spanish version of the NIHSS and/or the use of it. There may be a need to increase awareness and to promote the use of the Spanish version of the NIHSS. Spanish-speaking population in the US may be inaccurately assessed for acute stroke and could impact the outcomes. Larger population studies should be conducted to confirm our findings. Dr. Villalobos and Dr. Barnes are involved in formulating the study concept and design; Dr. Rodriguez and Dr. Maud are involved in manuscript writing; Dr. Qureshi is involved in statistical analysis of the data; Dr. Cruz-Flores is involved in critical revision of the manuscript. Dr. Villalobos reports no disclosure; Dr. Barnes reports no disclosure; Dr. Qureshi reports no disclosure; Dr. Cruz
Bezerra, Ilana Nogueira; Goldman, Joseph; Rhodes, Donna G; Hoy, Mary Katherine; Moura Souza, Amanda de; Chester, Deirdra N; Martin, Carrie L; Sebastian, Rhonda S; Ahuja, Jaspreet K; Sichieri, Rosely; Moshfegh, Alanna J
International comparisons of dietary intake are an important source of information to better understand food habits and their relationship to nutrition related diseases. The objective of this study is to compare food intake of Brazilian adults with American adults identifying possible dietary factors associated with the increase in obesity in Brazil. This research used cross-national analyses between the United States and Brazil, including 5,420 adults in the 2007-2008 What We Eat In America, National Health and Nutrition Examination Survey and 26,390 adults in the 2008-2009 Brazilian Household Budget Survey, Individual Food Intake. Dietary data were collected through 24 h recalls in the U.S. and through food records in Brazil. Foods and beverages were combined into 25 food categories. Food intake means and percentage of energy contribution by food categories to the population's total energy intake were compared between the countries. Higher frequencies of intake were reported in the United States compared to Brazil for the majority of food categories except for meat, rice and rice dishes; beans and legumes; spreads; and coffee and tea. In either country, young adults (20-39 yrs) had greater reports of meat, poultry and fish mixed dishes; pizza and pasta; and soft drinks compared to older adults (60 + yrs). Meat, poultry and fish mixed dishes (13%), breads (11%), sweets and confections (8%), pizza and pasta (7%), and dairy products (6%) were the top five food category sources of energy intake among American adults. The top five food categories in Brazil were rice and rice dishes (13%), meat (11%), beans and legumes (10%), breads (10%), and coffee and tea (6%). Thus, traditional plant-based foods such as rice and beans were important contributors in the Brazilian diet. Although young adults had higher reports of high-calorie and nutrient-poor foods than older adults in both countries, Brazilian young adults did not consume a diet similar to Americans
Walcott, Charles D.
IntroductionRemarks on the work of the yearBranches of workThe United States Geological Survey was created in 1879 for the purpose—as its name implies—of examining and reporting on the geologic structure and mineral resources and products of the national domain. To the adequate description of geologic formations and structure cartography is essential, and Congress early recognized this fact by making appropriations for the preparation of a geologic map of the United States. The topographic base map, in order to show with sufficient precision the relations of the geologic formations and the intricacies of the structure, must have a rather large scale and present considerable detail. No such map of this country existed in 1879, and its preparation was immediately begun. The waters of the country are of vast importance, and in a broad sense may be regarded as one of its greatest mineral resources. Hence, in the evolution of the work of the Survey, and especially in view of the great importance of the subject to the irrigation interests, Congress early began making appropriations for ascertaining the amount and quality of the surface and underground waters and when, in 1902, the service for the reclamation of arid lands was organized, that work naturally was placed in the hands of the Secretary of the Interior and by him intrusted to the Director of the Survey.The three great branches of work carried on by the Geological Survey are, therefore, the geologic, the topographic, and the hydrographic, and with these, more especially the latter, is conjoined the Reclamation Service ; publication and administration constitute necessary auxiliary branches. Along these great lines the work of the Survey has progressed without essential variation for many years. The changes made have been due to normal expansion rather than to radical departure in object or plan.State cooperationDuring the last fiscal year, State cooperation, as explained in previous reports, continued
Werndle, Melissa C; Zoumprouli, Argyro; Sedgwick, Philip; Papadopoulos, Marios C
The aim of this study was to examine how traumatic spinal cord injury is managed in the United Kingdom via a questionnaire survey of all neurosurgical units. We contacted consultant neurosurgeons and neuroanesthetists in all neurosurgical centers that manage patients with acute spinal cord injury. Two clinical scenarios-of complete and incomplete cervical spinal cord injuries-were given to determine local treatment policies. There were 175 responders from the 33 centers (36% response rate). We ascertained neurosurgical views on urgency of transfer, timing of surgery, nature and aim of surgery, as well as neuroanesthetic views on type of anesthetic, essential intraoperative monitoring, drug treatment, and intensive care management. Approximately 70% of neurosurgeons will admit patients with incomplete spinal cord injury immediately, but only 40% will admit patients with complete spinal cord injury immediately. There is no consensus on the timing or even the role of surgery for incomplete or complete injuries. Most (96%) neuroanesthetists avoid anesthetics known to elevate intracranial pressure. What was deemed essential intraoperative monitoring, however, varied widely. Many (22%) neuroanesthetists do not routinely measure arterial blood pressure invasively, central venous pressure (85%), or cardiac output (94%) during surgery. There is no consensus among neuroanesthetists on the optimal levels of arterial blood pressure, or oxygen and carbon dioxide partial arterial pressure. We report wide variability among U.K. neurosurgeons and neuroanesthetists in their treatment of acute traumatic spinal cord injury. Our findings reflect the lack of Class 1 evidence that early surgical decompression and intensive medical management of patients with spinal cord injury improves neurological outcome.
Eaton, K A; Harris, M; Ross, M K; Arevalo, C
The aims of this survey were to establish the demographic profile of dental hygienists (DHs) and dental hygienist/therapists (DH/Ts) in the United Kingdom in 2011 and their patterns of practice as DHs. A 10% sample of all those registered with the General Dental Council as DHs or DH/Ts in April 2011 were sent a pre-piloted questionnaire, explanatory letter and stamped addressed envelope. The questionnaire contained a total of 100 questions, 24 of which related to demographics and working patterns. All 100 questions were solely on tasks/work performed by DH, none related to other types of work performed by DH/Ts. Three mailings were distributed between May and July 2011. The resulting data were entered into an Excel spreadsheet. Where appropriate, differences between the responses from DHs and DH/Ts were statistically tested with the chi-squared test. Five hundred and sixty-one DHs and DH/Ts were sent the questionnaire, by the third mailing 371 (66.1%) had responded and returned completed questionnaires. The respondents were 288 DHs, 79 DH/Ts and 4 who did not specify which category they were. The mean year of qualification of the DHs was 1990 and for the DH/Ts 2005. One hundred and twenty-four (33%) reported that they worked full-time, 235 (63%) part-time and the remainder that they were not working as DHs or DH/Ts or had retired. The average number of clinical hours worked per week was reported as 24.6 hours for DHs and 25 hours for DH/Ts, but there were regional variations. For DHs the mean percentage of patients treated under NHS contract was 15.5% and for DH/Ts it was 40.2%. Again there were regional variations and in Scotland these figures were 45.5% for DHs and 70% for DH/Ts. Two hundred and forty-eight (69%) of all respondents were either fully or partly self-employed and 221 (62.7%) worked in two or more locations. The results of this study provide a snapshot of the demographics and practice patterns of DHs and DH/Ts in the UK in the summer of 2011. They
Prochorskaite, Agne; Couch, Chris; Malys, Naglis; Maliene, Vida
It is widely recognised that the quantity and sustainability of new homes in the UK need to increase. However, it is important that sustainable housing is regarded holistically, and not merely in environmental terms, and incorporates elements that enhance the quality of life, health and well-being of its users. This paper focuses on the "soft" features of sustainable housing, that is, the non-technological components of sustainable housing and neighbourhood design that can impact occupants' health and well-being. Aims of the study are to ascertain the relative level of importance that key housing stakeholders attach to these features and to investigate whether the opinions of housing users and housing providers are aligned with regards to their importance. An online survey was carried out to gauge the level of importance that the key stakeholders, such as housing users, local authorities, housing associations, and developers (n = 235), attach to these features. Results revealed that while suitable indoor space was the feature regarded as most important by all stakeholders, there were also a number of disparities in opinion between housing users and housing providers (and among the different types of providers). This implies a scope for initiatives to achieve a better alignment between housing users and providers.
... Bureau of Economic Analysis XRIN 0691-XC011 BE-605: Quarterly Survey of Foreign Direct Investment in the... of Foreign Direct Investment in the United States-- Transactions of U.S. Affiliate with Foreign... enterprise in which a foreign entity has a direct and/or indirect ownership interest of 10 percent or more...
Lietz, Jeremy Jon
The Wisconsin Administrative Practice Scale: Special Education (WAPS) is a self-administering survey instrument designed to measure implementation of 162 selected administrative practices and policies used to coordinate diagnostic units for handicapped children. One hundred thirty-five items are grouped into seven subscales each consisting of…
Miller, Laura McKeller; Sawyer, Robin G.
The authors conducted a 10-year follow-up study using a telephone survey to investigate the availability of emergency contraceptive pills (ECPs) at college health centers in the mid-Atlantic region of the United States. They also examined related issues, such as distribution procedure, existence of a written protocol, personnel involved,…
Stokes, T.; Tarrant, C.; Mainous, A.G.; Schers, H.J.; Freeman, G.; Baker, R.
PURPOSE: We determined the reported value general practitioners/family physicians in 3 different health care systems place on the various types of continuity of care. METHODS: We conducted a postal questionnaire survey in England and Wales, the United States, and The Netherlands. The participants we
Fan, Yingling; Chen, Qian
This study examines whether the associations between neighborhood conditions and children's health can be indirect and operate through aspects of family functioning. We use data from the 2007 National Survey of Children's Health in the United States with the interviewed parents/guardians as the only source of the data. Our study sample includes 53,023 children aged between 6 and 17 years. Using structural equation modeling, we test both direct and indirect relationships between a family functioning index, a general indicator of children's health status, and three neighborhood factors: neighborhood physical resources, environmental threats, and collective efficacy. Covariates in the analysis include gender, age, income, race, family structure, parental education, and health insurance coverage. All the three neighborhood factors show direct associations with children's general health status, as well as indirect associations mediated by aspects of family functioning. Among the three neighborhood factors, collective efficacy and environmental threats are found to have much stronger associations with children's general health than physical resources. When designing health-promoting neighborhoods for children and families, it may be more efficient for urban planners and health professionals to focus on community programs that reduce environmental stressors and foster neighborhood cohesion than programs that solely improve physical infrastructure. This study also verifies that aspects of family functioning mediate the associations between neighborhood conditions and children's health. It is recommended that both family and neighborhood are critical points for child health intervention. Copyright © 2012 Elsevier Ltd. All rights reserved.
Lala, AI; Sturzu, LM; Picard, JP; Druot, F; Grama, F; Bobirnac, G
The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Eastern France with similar workforce and daily patient loads statistics. The instruments used were the Perceived Stress Scale PSS-10 and the Brief COPE questionnaire. Conclusions. Perceived work overload and overall stress is strongly related to work hours and tend to have a stronger influence on doctors than on the nursing staff. Substance use is a common coping method for medical interns, consistent with prior research. The regular assessment of the ED staff perception of stress and stress related factors is essential to support organizational decisions in order to promote a better work environment and better patient care. PMID:27928439
Lala, A I; Sturzu, L M; Picard, J P; Druot, F; Grama, F; Bobirnac, G
The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Eastern France with similar workforce and daily patient loads statistics. The instruments used were the Perceived Stress Scale PSS-10 and the Brief COPE questionnaire. Conclusions. Perceived work overload and overall stress is strongly related to work hours and tend to have a stronger influence on doctors than on the nursing staff. Substance use is a common coping method for medical interns, consistent with prior research. The regular assessment of the ED staff perception of stress and stress related factors is essential to support organizational decisions in order to promote a better work environment and better patient care.
Dargie Henry J
Full Text Available Abstract Background The indications, complexity and capabilities of cardiovascular magnetic resonance (CMR have rapidly expanded. Whether actual service provision and training have developed in parallel is unknown. Methods We undertook a systematic telephone and postal survey of all public hospitals on behalf of the British Society of Cardiovascular Magnetic Resonance to identify all CMR providers within the United Kingdom. Results Of the 60 CMR centres identified, 88% responded to a detailed questionnaire. Services are led by cardiologists and radiologists in equal proportion, though the majority of current trainees are cardiologists. The mean number of CMR scans performed annually per centre increased by 44% over two years. This trend was consistent across centres of different scanning volumes. The commonest indication for CMR was assessment of heart failure and cardiomyopathy (39%, followed by coronary artery disease and congenital heart disease. There was striking geographical variation in CMR availability, numbers of scans performed, and distribution of trainees. Centres without on site scanning capability refer very few patients for CMR. Just over half of centres had a formal training programme, and few performed regular audit. Conclusion The number of CMR scans performed in the UK has increased dramatically in just two years. Trainees are mainly located in large volume centres and enrolled in cardiology as opposed to radiology training programmes.
Fernandez, Helen M; Callahan, Kathryn E; Likourezos, Antonios; Leipzig, Rosanne M
Many hospitalized older adults develop iatrogenic complications unrelated to their presenting diagnoses that can result in longer hospitalizations, functional impairment, or unanticipated medical or surgical interventions. These complications are often referred to as "hazards of hospitalization" and include delirium, malnutrition, urinary incontinence, pressure ulcers, depression, falls, restraint use, infection, functional decline, adverse drug effects, and death. The aims of this study were to assess house staff member awareness of older patients' risk factors for developing hazards of hospitalization and to determine areas in which interventions may help improve recognition. A cross-sectional study was performed, from December 1, 1999, through August 31, 2002, of internal medicine and medicine or pediatric house staff members and their patients from 4 medical units at Mount Sinai Medical Center. Each house staff member completed a 23-item survey on 3 of their recently admitted patients. These patients and, if appropriate, their surrogates were interviewed by the study investigator within 2 hours of the completion of the house staff survey. House staff member responses are compared with those obtained by the study investigator. The completed house staff surveys were compared with the reference standard, and areas of agreement and disagreement were noted. Eighty-six house staff teams, consisting of 1 intern and 1 resident (in either the second or third postgraduate year), and 105 patients were enrolled in the study. The house staff members were in frank disagreement or poor agreement with the reference standard in knowing the following: how well their patients were oriented to place or how long they had been hospitalized; patients' quality of sleep, presence of pain, history of falls, mood, quantity of food intake, and use of hearing aids, glasses, or an ambulation assistive device when at home; and the name of their patients' primary care physicians. This study
Full Text Available In Malaysia, terraced houses have been rapidly constructed since 50 years ago and account for 44% of the existing urban housings. However, these houses have very limited use of natural ventilation and daylighting due to openings with small window-to-floor ratio. The deep plan design causes gloomy indoor spaces, low air change rate and poor indoor air quality. Studies showed that indoor environments have major impact on occupantsâ well-being. Thereby this study evaluates the effects of indoor comforts on occupantsâ perceived health in Malaysian typical terraced houses. Survey of terraced houses in Johor Bahru, Malaysia was conducted using questionnaire. Various terraced houses were studied to identify the critical comfort and health issues in terraced housing. The relationships among occupantsâ perceived comforts, health and behavior were studied. The variance of types of terraced house was also analyzed. The findings demonstrated significant linear relationships between indoor comfort and health. However, occupantsâ behavior did not give significant impact on thermal comfort. This study concludes that it is very essential to improve indoor comfort in Malaysian typical terraced houses through tropical design strategies to enhance occupantsâ well-being.
Pasicz, Katarzyna; Fabiszewska, Ewa; Grabska, Iwona; Skrzyński, Witold
The purpose of this work is to compare the mean glandular dose (MGD) displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women. This study also attempts to analyse whether the relationship between the calculated and the displayed values is constant and what factors influence this relationship. Material for this study included data from 1200 exposures (i.e. six series; each series consisting of 200 exposures) performed with one full-field digital mammography unit. Based on collected parameters of exposures, values of the MGD for individual mammography examinations were calculated according to the methods proposed by Dance. Obtained values of the MGD were compared with the values displayed by the mammography system. The MGD displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women are significantly different. This result emphasises the importance of verifying MGD values for patient radiation protection, particularly after machine servicing.
Jensen, Jesper Ole; Stensgaard, Anne Gro
, the “SocialHousing Plus” (“AlmenBolig+”) which is based on lowering production costs as well as operation costs including residential self-management, large-scale production of pre-fab housing units, low-energy solutions and other innovative approaches. The concept was developed in 2007, and has so far...
.... (a) Meaning of pro-rata portion. For shared housing, the term “pro-rata portion” means the ratio... for the family may not exceed the pro-rata portion of the reasonable rent for the shared housing... standard amount on the PHA payment standard schedule for the family unit size; or (2) The pro-rata...
The pilot project, named Comfort Houses, aims to show the industry that it is possible to construct traditional Danish houses as passive houses and promote them as comfortable houses. For this to be a success in the future, it is necessary to fulfil the occupants’ wants and needs. This study aims...... to communicate how the occupants of the Comfort Houses experience living in a passive house and illustrate how their behaviour affect the performance of the house. This is done through qualitative interviews with the occupants compared with quantitative measurements of the performance of the Comfort Houses....... A total of 3 residential units have been examined and the results show that the occupants’ everyday lives have changed – some as a result of the architectural and structural solutions, others as a result of the technology integrated in the houses. The study determines the importance of considering...
As noted by the late housing economist John Quigley (1979), housing markets are characterized by a peculiar combination of features, such as durability, spatial fixity and multidimensional heterogeneity. The combination of these features differentiate it from other product markets and it has been shown that they have a non-negligible impact upon market outcomes in housing and real estate brokerage markets. The inherent spatial fixation and the multidimensional heterogeneity of housing units, ...
Sea Training at Maritime Academies Oversight. Hearings Before the Ad Hoc Select Subcommittee on Maritime Education and Training of the Committee on Merchant Marine and Fisheries, House of Representatives, Ninety-Sixth Congress, Second Session on Sea Training of United States Merchant Marine Officers and Different Ways of Satisfying This Requirement at the Various Maritime Academies.
Congress of the U.S., Washington, DC. House Committee on Merchant Marine and Fisheries.
Recorded are minutes of hearings before the House Ad Hoc Select Subcommittee on Maritime Education and Training regarding the sea training of United States Merchant Marine officers. Examined are various approaches to meeting the sea training requirement, especially the options of maritime academy training vessels, sailing on U.S.-flag merchant…
percentage of the people living in these estates are tenants and cannot afford to pay for the ... developments, prospective house occupiers should be determined first in order to obtain relevant ... researchers putting the figure for housing ... materials to type of building design (Adedeji & ... schemes have become profit driven.
De Vries, P.; Boelhouwer, P.J.
The literature on housing markets suggest that periods of economic growth are characterised by a demand for better housing quality and increasing prices. The basic principles of the theory are that the short-run price fluctuations occur due to market imperfection, while over the long term, causality
Fu, Qiang; Zhu, Yushu; Ren, Qiang
Based on data from the 2005 National Population Sample Survey and compiled covariates of 205 prefectures, this research adopted principal-component and multilevel-logistic analyses to study homeownership in urban China. Although the housing reform has severed the link between work units and residence, working in state sectors (government, state-owned enterprises and collective firms) remained significant in determining a household’s entitlement to reform-era housing with heavy subsidies or better qualities. While the prefecture-level index of marketization reduced local homeownership of self-built housing, affordable housing and privatized housing, its effect is moderated by cross-level interactions with income, education and working in state sectors across different types of housing. Meanwhile, the index of political and market connections promoted all types of homeownership except for self-built housing. By situating the downside of marketization within a context of urban transformation, this research not only challenges the teleological premise of the neoliberal market transition theory but calls for research on institutional dynamics and social consequences of urban transformation in China. PMID:25432608
The Philadelphia Housing Authority worked with the U.S. Department of Energy’s Building America Program to integrate energy-efficiency measures into the refurbishment process that each unit normally goes through between occupancies.
Knudsen, Henrik Nellemose; Kragh, Jesper
The purpose of this study was to identify experience and satisfaction with new Danish detached low-energy single-family houses. A questionnaire survey was carried out in the autumn of 2013 among owners of newly built energy class 2015 houses. It included i.a. questions on their overall satisfaction...... showed an overall satisfaction with the new low-energy houses, as 93% of the house owners would recommend living in such houses to others. The high rate of satisfaction may, among other things, be due to the fact that more than 90% of the house owners perceived the indoor environment as satisfactory both...... in summer and winter. The energy consumption was found to be as low as expected by 59%, while only 7% answered that it was higher than expected. Compared with previous similar studies, problems with technical installations and design have decreased. However, there is a need for continued focus...
Villalobos, Enrique; Barnes, Scott R.; Qureshi, Ihtesham A.; Cruz-Flores, Salvador; Maud, Alberto; Rodriguez, Gustavo J.
Objective To investigate the awareness and the use of Spanish version of National Institutes of Health Stroke Scale (NIHSS) throughout the United States (US) by regions using a web-based survey. Methods A survey targeting physicians from two specialties that regularly manage acute stroke patients was conducted from February to August of 2015. Academic centers from the Accreditation Council for Graduate Medical Education online directory belonging to emergency medicine (EM) and neurology residency programs were identified. The questionnaire was composed of ten questions separated into three different groups. The responses received from the programs were separated by specialty and grouped into different regions in the US for comparison. Results Out of 230 residency-invited programs, we received a total of 73 responses, 35 from EM and 26 responses from neurology residency programs. In addition, 12 respondents were categorized as unknown recipients. The South region had the highest response rate with 30.3%. There was no significant difference in the responses by region if Puerto Rico was not analyzed. Interviewees reported a substantial percentage of Spanish-speaking patients reported across the regions and more than 75% of the programs report lack of knowledge of the Spanish version of the NIHSS and/or the use of it. Conclusion There may be a need to increase awareness and to promote the use of the Spanish version of the NIHSS. Spanish-speaking population in the US may be inaccurately assessed for acute stroke and could impact the outcomes. Larger population studies should be conducted to confirm our findings. Author contributions Dr. Villalobos and Dr. Barnes are involved in formulating the study concept and design; Dr. Rodriguez and Dr. Maud are involved in manuscript writing; Dr. Qureshi is involved in statistical analysis of the data; Dr. Cruz-Flores is involved in critical revision of the manuscript. Disclosures Dr. Villalobos reports no disclosure; Dr. Barnes
Bedford, Binaifer; Yu, Ye; Wang, Xue; Garber, Eric A E; Jackson, Lauren S
Undeclared allergens in chocolate products have been responsible for numerous allergen-related recalls in the United States. A survey was conducted to determine the prevalence of undeclared milk and peanut in 88 and 78 dark chocolate bars, respectively. Concentrations of milk (as nonfat dry milk) or peanut in three samples of each chocolate product were determined with two milk- or peanut-specific enzyme-linked immunosorbent assay kits. In 75% of the chocolate bar products with a milk advisory statement, milk concentrations were above the limit of quantitation (2.5 μg/g [ppm]), with the majority having concentrations >1,000 ppm. An additional 67% of chocolate bars with a "traces of milk" statement contained 3 to 6,700 ppm of milk. Fifteen percent of chocolates labeled dairy free or lactose free and 25% labeled vegan were positive for milk, all with concentrations >1,000 ppm. Even for chocolates with no reference to milk on the label, 33% of these products contained 60 to 3,400 ppm of milk. The survey of chocolate products for peanuts revealed that 8% of products with an advisory statement contained peanut, with the highest concentration of 550 ppm. All nine chocolates bearing the peanut-free or allergen-free statement were negative for peanut, but 17% of chocolates with no label statement for peanut were positive for peanut at concentrations of 9 to 170 ppm. Evaluation of multiple lots of four chocolate products revealed that milk was consistently present or absent for the products investigated, but mixed results were obtained when multiple lots were tested for peanut. This study indicates that a large proportion of dark chocolate bars contain undeclared milk. The type of advisory statement or the absence of a milk advisory statement on products did not predict the amount or absence of milk protein. In contrast, a lower proportion of chocolates containing undeclared peanut was found. Consumers with food allergies should be cautious when purchasing dark chocolate
Lawrence, Yaacov Richard, E-mail: firstname.lastname@example.org [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Whiton, Michal A. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Skagit Valley Hospital Regional Cancer Care Center, Mt. Vernon, Washington (United States); Symon, Zvi [Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Wuthrick, Evan J. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Ohio State University, Columbus, Ohio (United States); Doyle, Laura; Harrison, Amy S.; Dicker, Adam P. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States)
Purpose: In light of concerns regarding the quality of radiation treatment delivery, we surveyed the practice of quality assurance peer review chart rounds at American academic institutions. Methods and Materials: An anonymous web-based survey was sent to the chief resident of each institution across the United States. Results: The response rate was 80% (57/71). The median amount of time spent per patient was 2.7 minutes (range, 0.6-14.4). The mean attendance by senior physicians and residents was 73% and 93%, respectively. A physicist was consistently present at peer review rounds in 66% of departments. There was a close association between attendance by senior physicians and departmental organization: in departments with protected time policies, good attendance was 81% vs. 31% without protected time (p = 0.001), and in departments that documented attendance, attending presence was 69% vs. 29% in departments without documentation (p < 0.05). More than 80% of institutions peer review all external beam therapy courses; however, rates were much lower for other modalities (radiosurgery 58%, brachytherapy 40%-47%). Patient history, chart documentation, and dose prescription were always peer reviewed in >75% of institutions, whereas dosimetric details (beams, wedges), isodose coverage, intensity-modulated radiation therapy constraints, and dose-volume histograms were always peer reviewed in 63%, 59%, 42%, and 50% of cases, respectively. Chart rounds led to both minor (defined as a small multileaf collimator change/repeated port film) and major (change to dose prescription or replan with dosimetry) treatment changes. Whereas at the majority of institutions changes were rare (<10% of cases), 39% and 11% of institutions reported that minor and major changes, respectively, were made to more than 10% of cases. Conclusion: The implementation of peer review chart rounds seems inconsistent across American academic institutions. Brachytherapy and radiosurgical procedures are
Pavao, Joanne; Alvarez, Jennifer; Baumrind, Nikki; Induni, Marta; Kimerling, Rachel
The mental and physical health consequences of intimate partner violence (IPV) have been well established, yet little is known about the impact of violence on a woman's ability to obtain and maintain housing. This cross-sectional study examines the relationship between recent IPV and housing instability among a representative sample of California women. It is expected that women who have experienced IPV will be at increased risk for housing instability as evidenced by: (1) late rent or mortgage, (2) frequent moves because of difficulty obtaining affordable housing, and/or (3) without their own housing. Data were taken from the 2003 California Women's Health Survey, a population-based, random-digit-dial, annual probability survey of adult California women (N=3619). Logistic regressions were used to predict housing instability in the past 12 months, adjusting for the following covariates; age, race/ethnicity, education, poverty status, marital status, children in the household, and past year IPV. In the multivariate model, age, race/ethnicity, marital status, poverty, and IPV were significant predictors of housing instability. After adjusting for all covariates, women who experienced IPV in the last year had almost four times the odds of reporting housing instability than women who did not experience IPV (adjusted odds ratio=3.98, 95% confidence interval: 2.94-5.39). This study found that IPV was associated with housing instability among California women. Future prospective studies are needed to learn more about the nature and direction of the relationship between IPV and housing instability and the possible associated negative health consequences.
Arbelaez, Maria Angelica; Camacho, Carolina; Fajardo, Johanna
This paper explores the role played by policy instruments in access to housing finance by low-income households. It also analyzes the impact of housing credit and subsidies on both the quality of life and the quality of dwelling of the beneficiaries. Using the Quality of Life Surveys conducted in Colombia in 2003 and 2008, the study finds that policy instruments aimed at easing access of low-income households to affordable housing such as subsidies and loan guarantees have played a m...
Rehder, Kyle J; Cheifetz, Ira M; Markovitz, Barry P; Turner, David A
To characterize the current state of 24/7 in-hospital pediatric intensivist coverage in academic PICUs, including perceptions of faculty and trainees regarding the advantages and disadvantages of in-hospital coverage. Cross-sectional observational study via web-based survey. PICUs at North American academic institutions. Pediatric intensivists, pediatric critical care fellows, and pediatric residents. None. A total of 1,323 responses were received representing a center response rate of 74% (147 of 200). Ninety percent of respondents stated that in-hospital coverage is good for patient care, and 85% stated that in-hospital coverage provides safer care. Sixty-three percent of intensivists stated that working in in-hospital models limits academic productivity, and 65% stated that in-hospital models interfere with nonclinical responsibilities. When compared with intensivists in home coverage models, intensivists working in in-hospital models generally had more favorable perceptions of the effects of in-hospital on patient care (p quality of life. Physician burnout was measured with the abbreviated Maslach Burnout Inventory. Although 57% of intensivists responded that working in in-hospital models increases burnout risk, burnout scores were not different between coverage models. Seventy-nine percent of intensivists currently working at institutions with in-hospital coverage stated that they would prefer to work in an in-hospital coverage model, compared with 31% of those working in a home coverage model (p < 0.0001). Although concerns exist regarding the effect of 24/7 in-hospital coverage on faculty, the majority of pediatric intensivists and critical care trainees responded that in-hospital coverage by intensivists is good for patient care. The majority of intensivists also state that they would prefer to work at an institution with in-hospital coverage. Further research is needed to objectively delineate the effects of in-hospital coverage on both patients and
Rydlund, Paul H.; Densmore, Brenda K.
Geodetic surveys have evolved through the years to the use of survey-grade (centimeter level) global positioning to perpetuate and post-process vertical datum. The U.S. Geological Survey (USGS) uses Global Navigation Satellite Systems (GNSS) technology to monitor natural hazards, ensure geospatial control for climate and land use change, and gather data necessary for investigative studies related to water, the environment, energy, and ecosystems. Vertical datum is fundamental to a variety of these integrated earth sciences. Essentially GNSS surveys provide a three-dimensional position x, y, and z as a function of the North American Datum of 1983 ellipsoid and the most current hybrid geoid model. A GNSS survey may be approached with post-processed positioning for static observations related to a single point or network, or involve real-time corrections to provide positioning "on-the-fly." Field equipment required to facilitate GNSS surveys range from a single receiver, with a power source for static positioning, to an additional receiver or network communicated by radio or cellular for real-time positioning. A real-time approach in its most common form may be described as a roving receiver augmented by a single-base station receiver, known as a single-base real-time (RT) survey. More efficient real-time methods involving a Real-Time Network (RTN) permit the use of only one roving receiver that is augmented to a network of fixed receivers commonly known as Continually Operating Reference Stations (CORS). A post-processed approach in its most common form involves static data collection at a single point. Data are most commonly post-processed through a universally accepted utility maintained by the National Geodetic Survey (NGS), known as the Online Position User Service (OPUS). More complex post-processed methods involve static observations among a network of additional receivers collecting static data at known benchmarks. Both classifications provide users
This paper looks at policies implemented to improve troubled housing estates during more than two decades. Based on evaluations of implemented programmes and case studies the paper provides a basis for discussing a number of questions: • Why do we have troubled housing estates? • What...... is the definition of troubled housing estates? • Who lives on troubled housing estates? • Who owns and manages the troubled housing estates? • What have been the reasons behind improvement programmes for troubled housing estates? • What kind of improvement programmes have been implemented and with what kind...... of results? • Have improvement programmes changed the position of the estates on the local housing markets? • What are the changes in policies and results? • What are the perspectives for policy initiatives in the field of troubled housing estates?...
Wysocki, Joseph L.
A list of topics and related field experiences accompany this description of an introductory undergraduate course on housing and society. Topics and community experiences are also outlined for a graduate course in advanced housing and interior design. (TA)
Department of Housing and Urban Development — This report displays the data communities reported to HUD about the nature of their dedicated homeless inventory, referred to as their Housing Inventory Count (HIC)....
Mealer, Meredith; Jones, Jacqueline; Newman, Julia; McFann, Kim K; Rothbaum, Barbara; Moss, Marc
ICU nurses are repeatedly exposed to work related stresses resulting in the development of psychological disorders including posttraumatic stress disorder and burnout syndrome. Resilience is a learnable multidimensional characteristic enabling one to thrive in the face of adversity. In a national survey, we sought to determine whether resilience was associated with healthier psychological profiles in intensive care unit nurses. Surveys were mailed to 3500 randomly selected ICU nurses across the United States and included: demographic questions, the Posttraumatic Diagnostic Scale, Hospital Anxiety and Depression Scale, Maslach Burnout Inventory and the Connor-Davidson Resilience Scale. Overall, 1239 of the mailed surveys were returned for a response rate of 35%, and complete data was available on a total of 744 nurses. Twenty-two percent of the intensive care unit nurses were categorized as being highly resilient. The presence of high resilience in these nurses was significantly associated with a lower prevalence of posttraumatic stress disorder, symptoms of anxiety or depression, and burnout syndrome (resilience was independently associated with a lower prevalence of posttraumatic stress disorder (presilience was independently associated with a lower prevalence of posttraumatic stress disorder and burnout syndrome in intensive care unit nurses. Future research is needed to better understand coping mechanisms employed by highly resilient nurses and how they maintain a healthier psychological profile. Copyright Â© 2011 Elsevier Ltd. All rights reserved.
Castetbon, Katia; Andreyeva, Tatiana
Few population-based studies have assessed relationships between body weight and motor skills in young children. Our objective was to estimate the association between obesity and motor skills at 4 years and 5-6 years of age in the United States. We used repeated cross-sectional assessments of the national sample from the Early Childhood Longitudinal Survey-Birth Cohort (ECLS-B) of preschool 4-year-old children (2005-2006; n = 5 100) and 5-6-year-old kindergarteners (2006-2007; n = 4 700). Height, weight, and fine and gross motor skills were assessed objectively via direct standardized procedures. We used categorical and continuous measures of body weight status, including obesity (Body Mass Index (BMI) ≥ 95th percentile) and BMI z-scores. Multivariate logistic and linear models estimated the association between obesity and gross and fine motor skills in very young children adjusting for individual, social, and economic characteristics and parental involvement. The prevalence of obesity was about 15%. The relationship between motor skills and obesity varied across types of skills. For hopping, obese boys and girls had significantly lower scores, 20% lower in obese preschoolers and 10% lower in obese kindergarteners than normal weight counterparts, p skills and fine motor skills of young children were not consistently related to BMI z-scores and obesity. Based on objective assessment of children's motor skills and body weight and a full adjustment for confounding covariates, we find no reduction in overall coordination and fine motor skills in obese young children. Motor skills are adversely associated with childhood obesity only for skills most directly related to body weight.
Full Text Available Abstract Background Few population-based studies have assessed relationships between body weight and motor skills in young children. Our objective was to estimate the association between obesity and motor skills at 4 years and 5-6 years of age in the United States. We used repeated cross-sectional assessments of the national sample from the Early Childhood Longitudinal Survey-Birth Cohort (ECLS-B of preschool 4-year-old children (2005-2006; n = 5 100 and 5-6-year-old kindergarteners (2006-2007; n = 4 700. Height, weight, and fine and gross motor skills were assessed objectively via direct standardized procedures. We used categorical and continuous measures of body weight status, including obesity (Body Mass Index (BMI ≥ 95th percentile and BMI z-scores. Multivariate logistic and linear models estimated the association between obesity and gross and fine motor skills in very young children adjusting for individual, social, and economic characteristics and parental involvement. Results The prevalence of obesity was about 15%. The relationship between motor skills and obesity varied across types of skills. For hopping, obese boys and girls had significantly lower scores, 20% lower in obese preschoolers and 10% lower in obese kindergarteners than normal weight counterparts, p p Conclusions Based on objective assessment of children's motor skills and body weight and a full adjustment for confounding covariates, we find no reduction in overall coordination and fine motor skills in obese young children. Motor skills are adversely associated with childhood obesity only for skills most directly related to body weight.
Payne Karl Frederick
Full Text Available Abstract Background Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257 of medical students and 74.8% (n=98/131 of junior doctors owned a smartphone, with 56.6% (n=115/203 of students and 68.4% (n=67/98 of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, p Conclusions This study found a high level of smartphone ownership and usage among medical students and junior doctors. Both groups endorse the development of more apps to support their education and clinical practice.
Wheeler, Russell L.
Probabilistic seismic‐hazard assessment (PSHA) requires an estimate of Mmax, the moment magnitude M of the largest earthquake that could occur within a specified area. Sparse seismicity hinders Mmax estimation in the central and eastern United States (CEUS) and tectonically similar regions worldwide (stable continental regions [SCRs]). A new global catalog of moderate‐to‐large SCR earthquakes is analyzed with minimal assumptions about enigmatic geologic controls on SCR Mmax. An earlier observation that SCR earthquakes of M 7.0 and larger occur in young (250–23 Ma) passive continental margins and associated rifts but not in cratons is not strongly supported by the new catalog. SCR earthquakes of M 7.5 and larger are slightly more numerous and reach slightly higher M in young passive margins and rifts than in cratons. However, overall histograms of M from young margins and rifts and from cratons are statistically indistinguishable. This conclusion is robust under uncertainties inM, the locations of SCR boundaries, and which of two available global SCR catalogs is used. The conclusion stems largely from recent findings that (1) large southeast Asian earthquakes once thought to be SCR were in actively deforming crust and (2) long escarpments in cratonic Australia were formed by prehistoric faulting. The 2014 seismic‐hazard model of the U.S. Geological Survey represents CEUS Mmax as four‐point probability distributions. The distributions have weighted averages of M 7.0 in cratons and M 7.4 in passive margins and rifts. These weighted averages are consistent with Mmax estimates of other SCR PSHAs of the CEUS, southeastern Canada, Australia, and India.
Claire W. Herbert
Full Text Available The United States has experienced dramatic increases in both incarceration rates and the population of insecurely housed or homeless persons since the 1980s. These marginalized populations have strong overlaps, with many people being poor, minority, and from an urban area. That a relationship between homelessness, housing insecurity, and incarceration exists is clear, but the extent and nature of this relationship is not yet adequately understood. We use longitudinal, administrative data on Michigan parolees released in 2003 to examine returning prisoners’ experiences with housing insecurity and homelessness. Our analysis finds relatively low rates of outright homelessness among former prisoners, but very high rates of housing insecurity, much of which is linked to features of community supervision, such as intermediate sanctions, returns to prison, and absconding. We identify risk factors for housing insecurity, including mental illness, substance use, prior incarceration, and homelessness, as well as protective “buffers” against insecurity and homelessness, including earnings and social supports.
A two-season survey of indoor 222Rn concentrations was conducted in 226 occupied houses in Roane County, TN, during 1985 and 1986. A similar survey of 86 houses in Madison County, AL, was conducted in 1988 and 1989. Alpha track detectors were placed in each of the houses for thre...
Taito, Shunsuke; Sanui, Masamitsu; Yasuda, Hideto; Shime, Nobuaki; Lefor, Alan Kawarai
We conducted an internet survey targeting healthcare providers in intensive care units (ICUs) in Japan and received 318 responses. Eighteen percent of respondents replied that full-time physical therapists (PTs) exist in their ICUs. Practicing sitting upright or sitting in a chair is frequently performed, while standing and walking are occasionally performed for patients undergoing mechanical ventilation. However, only 16 % of respondents use staged rehabilitation protocols. This preliminary survey suggests that full-time involvement of PTs in the ICU and introduction of rehabilitation protocols may not be common in Japanese ICUs.
Haffner, M.E.A.; de Vries, P.
This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price b
Haffner, M.E.A.; de Vries, P.
This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price
Duelund Mortensen, Peder
Presentation of urban housing research on flexible housing types in the Copenhagen Region: Theoretical background, methodology, analyse of spatial organization, interviews and results. Cases: Pærehaven in Ølby, Køge and M-house in Ørestad, Copenhagen...
全成浩; 金世中; 李政锡
the purpose of this study is to get current dato trom relafive onaolysis of multi-family housing unit plans between nowadays China and korea. Even though china and kored belongs to common culturec bond in North.east Asia. there are many cifferent kinds of Housing aspect and unit plans. Trough this study we purpose to grosr the charcteristics of current multi-family housing unit plans of both country and make a contnbution to the China multi-family housing Market and design office for understanding the intention of devetoper in korea.The analysis target is constructing and lotting out multi-family housing at Shenyang city in China and Capital region of Korea in 2010. Through this relative analysis. we are possible to know the grode of rank and centrality of each rooms. and search the difference of multi-family housing in shenyang China and Capital region of koreas%通过中国与韩国的集合住宅户型比较及分析得出当前的数据.尽管中国和韩国同样属于东北亚文化圈,但在集合住宅的户型平面上有很多差异.研究抓住当前两国集合住宅户型平面的特点,有利于韩国建筑设计公司进入中国集合住宅市场和中国设计公司了解韩国开发商的意图.该文的研究案例以2010年中国沈阳地区销售的塔式集合住宅与2010年韩国首都圈销售的塔式集合住宅为主.
Ramos, João Gabriel Rosa; Passos, Rogerio da Hora; Baptista, Paulo Benigno Pena; Forte, Daniel Neves
Objective To evaluate the factors potentially associated with the decision of admission to the intensive care unit in Brazil. Methods An electronic survey of Brazilian physicians working in intensive care units. Fourteen variables that were potentially associated with the decision of admission to the intensive care unit were rated as important (from 1 to 5) by the respondents and were later grouped as "patient-related," "scarcity-related" and "administrative-related" factors. The workplace and physician characteristics were evaluated for correlation with the factor ratings. Results During the study period, 125 physicians completed the survey. The scores on patient-related factors were rated higher on their potential to affect decisions than scarcity-related or administrative-related factors, with a mean ± SD of 3.42 ± 0.7, 2.75 ± 0.7 and 2.87 ± 0.7, respectively (p < 0.001). The patient's underlying illness prognosis was rated by 64.5% of the physicians as always or frequently affecting decisions, followed by acute illness prognosis (57%), number of intensive care unit beds available (56%) and patient's wishes (53%). After controlling for confounders, receiving specific training on intensive care unit triage was associated with higher ratings of the patient-related factors and scarcity-related factors, while working in a public intensive care unit (as opposed to a private intensive care unit) was associated with higher ratings of the scarcity-related factors. Conclusions Patient-related factors were more frequently rated as potentially affecting intensive care unit admission decisions than scarcity-related or administrative-related factors. Physician and workplace characteristics were associated with different factor ratings.
Full Text Available In the memory of Cistercian Father Metod Turnšek, Ph. D., the author surveys Iibrary editions of the Slomšek Publishing House which was founded by him in Klagenfurt in 1964. Adetailed list of aJ] publications published in different places but united by common numbering is intended as help to librarians in including these works in to their Iibrary col1ections and catalogues.
Department of Housing and Urban Development — Public Housing was established to provide decent and safe rental housing for eligible low-income families, the elderly, and persons with disabilities. Public housing...
The United States Environmental Protection Agency (U.S. EPA), in collaboration with the U.S. Department of Housing and Urban Development (HUD), conducted a survey measuring phthalates in randomly selected residential homes throughout the U.S. Multistage sampling with clustering w...
The United States Environmental Protection Agency (U.S. EPA), in collaboration with the U.S. Department of Housing and Urban Development (HUD), conducted a survey measuring phthalates in randomly selected residential homes throughout the U.S. Multistage sampling with clustering w...
李芳萍; 吴军民; 赖水源; 赖建宁
如何有效解决贫困残疾人家庭的住房困难一直是我国农村社会保障政策关注的焦点。通过对江西省四市9县区755位残疾人的问卷调查，分析农村住房社会保障的现状与问题，探讨完善农村贫困家庭住房保障制度的途径、方法。调查发现，农村贫困残疾人家庭住房保障存在人均住房面积远低于平均水平，现有农村住房制度设计未能提供有效保障，住房质量不高、满意度低，农村危房改造指标和资金严重不足等问题。研究认为，既有住房保障方式为建立农村住房社会保障提供了坚实基础，并提出强化分类管理、精准施策、开展农村保障性住房试点、多渠道筹集住房保障资金和严把住房保障建设质量关等政策建议。%How to effectively solve the housing difficulties of the rural poor families with disabled persons is the focus of rural social security policy. This article analyzes the status and problems of rural housing security, and explores the approaches and methods to improve the rural housing security. The survey finds some housing problems exist in rural poor families with disabled persons, including living space per capita below average, inadequate housing protection, low housing quality and satisfaction, a severe shortage of both indicators and funds for the renovation of old and dilapidated houses and so on. The study points out that the existing housing security system lays a solid foundation for constructing rural housing security and it also puts forward suggestions as follows:strengthening classified management;implementing policies exactly;carrying out the pilot rural housing security;raising funds through multi channels;and monitoring the quality of rural security housing.
Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events--a cross-sectional survey.
Van Bogaert, Peter; Timmermans, Olaf; Weeks, Susan Mace; van Heusden, Danny; Wouters, Kristien; Franck, Erik
To investigate the impact of nurse practice environment factors, nurse work characteristics, and burnout on nurse reported job outcomes, quality of care, and patient adverse events variables at the nursing unit level. Nurse practice environment studies show growing insights and knowledge about determining factors for nurse workforce stability, quality of care, and patient safety. Until now, international studies have primarily focused on variability at the hospital level; however, insights at the nursing unit level can reveal key factors in the nurse practice environment. A cross-sectional design with a survey. In a cross-sectional survey, a sample of 1108 nurses assigned to 96 nursing units completed a structured questionnaire composed of various validated instruments measuring nurse practice environment factors, nurse work characteristics, burnout, nurse reported job outcomes, quality of care, and patient adverse events. Associations between the variables were examined using multilevel modelling techniques. Various unit-level associations (simple models) were identified between nurse practice environment factors, nurse work characteristics, burnout dimensions, and nurse reported outcome variables. Multiple multilevel models showed various independent variables such as nursing management at the unit level, social capital, emotional exhaustion, and depersonalization as important predictors of nurse reported outcome variables such job satisfaction, turnover intentions, quality of care (at the unit, the last shift, and in the hospital within the last year), patient and family complaints, patient and family verbal abuse, patient falls, nosocomial infections, and medications errors. Results suggested a stable nurse work force, with the capability to achieve superior quality and patient safety outcomes, is associated with unit-level favourable perceptions of nurse work environment factors, workload, decision latitude, and social capital, as well low levels of burnout
Full Text Available Two themes are evident in housing research in Ghana. One involves the study of how to increase the number of dwellings to correct the overall housing deficit, and the other focuses on how to improve housing for slum dwellers. Between these two extremes, there is relatively little research on why the existing buildings are poorly maintained. This paper is based on a review of existing studies on inadequate housing. It synthesises the evidence on the possible reasons for this neglect, makes a case for better maintenance and analyses possible ways of reversing the problem of inadequate housing.
Haffner, M.E.A.; De Vries, P.
This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price bubble ready to burst; (2) whether house prices will decline in response to the credit crisis that started in 2007; and (3) whether it is likely that house prices will decrease as a result of reform...
To improve environmental hygiene in public housing estates in Hong Kong, the Housing Department launched the Marking Scheme for Tenancy Enforcement in Public Housing Estates in 2003. The marking scheme operates as a penalty-point system where sitting tenants will be expelled from their public housing units if they receive penalty points up to a…
McCarthy, Susan K.
Survey Says is a lesson plan designed to teach college students how to access Internet resources for valid data related to the sexual health of young people. Discussion questions based on the most recent available data from two national surveys, the Youth Risk Behavior Surveillance-United States, 2003 (CDC, 2004) and the National Survey of…
Moodulmaja Passion House. Arhitektuuri sihtkapitali innovatsioonipreemia 2013 kvaliteetse disaini ja perspektiivika arendustegevuse oskusliku sidumise eest. Arhitekt Eero Endjärv (Arhitekt11), sisearhitekt Hannelore Kääramees (Arhitekt11)
ATBU Journal of Environmental Technology 10, 1, June 20 I 7. 53 ... (Adedayo, 2013). It was the expectation of ... factor responsible for the increase in housing demand in the city centres as .... many architects simply discuss with the client.
Moodulmaja Passion House. Arhitektuuri sihtkapitali innovatsioonipreemia 2013 kvaliteetse disaini ja perspektiivika arendustegevuse oskusliku sidumise eest. Arhitekt Eero Endjärv (Arhitekt11), sisearhitekt Hannelore Kääramees (Arhitekt11)
Ismail, Sharif I M F
The aim of this study was to compare foundation doctors in obstetrics and gynaecology to the former grade of senior house officer, as perceived by their consultant and middle grade colleagues. A self-construct questionnaire was sent to College District Tutors in obstetrics and gynaecology in all hospitals in the United Kingdom, for circulation to all consultants and middle grade doctors in obstetrics and gynaecology in their departments. A total of 155 questionnaires were returned, 143 completed and 12 indicating not having foundation doctors. Whilst about 50 % of respondents ranked the competencies of foundation year doctors as similar to that of the former senior house officer grade, the ratings were down in areas specific to obstetrics and gynaecology, such as seeing new patients in antenatal clinic, and up in general terms such as communication. General comments highlighted differences in ability and role and suggested longer attachments and less frequent changes in training structure. The study highlighted the need to focus on teaching generic skills in shorter durations and reflection on whole-patient management, which are relevant to all specialities. It underlined the impact of more frequent change of doctors on service delivery and recommended having a further look at foundation training programme before making any future changes.
In order to obtain lucidity, it is essential to choose adequate terminology when speaking of prehistoric houses. The understanding of house construction requires a terminology with a focus on construction. Very often, archaeologists instead use a terminology with a focus on the remains, and use an inadequate terminology for constructions, indicating that they do not fully consider how the constructions work. The article presents some suggestions for adequate construction terminology.
Chin, Walter; Jacoby, Laura; Simon, Olivia; Talati, Nisha; Wegrzyn, Gracelene; Jacoby, Rachelle; Proano, Jacob; Sprau, Susan E; Markovitz, Gerald; Hsu, Rita; Joo, Ellie
Hyperbaric oxygen therapy is the primary treatment for arterial gas embolism, decompression sickness and acute carbon monoxide poisoning. Though there has been a proliferation of hyperbaric centers throughout the United States, a scarcity of centers equipped to treat emergency indications makes transport of patients necessary. To locate and characterize hyperbaric chambers capable of treating emergency cases, a survey of centers throughout the entire United States was conducted. Using Google, Yahoo, HyperbaricLink and the UHMS directory, a database for United States chambers was created. Four researchers called clinicians from the database to administer the survey. All centers were contacted for response until four calls went unreturned or a center declined to be included. The survey assessed chamber readiness to respond to high-acuity patients, including staff availability, use of medical equipment such as ventilators and intravenous infusion devices, and responding yes to treating hyperbaric emergencies within a 12-month period. Only 43 (11.9%, N = 361) centers had equipment, intravenous infusion pumps and ventilators, and staff necessary to treat high-acuity patients. Considering that a primary purpose of hyperbaric oxygen therapy is the treatment of arterial gas embolism and decompression sickness, more hyperbaric centers nationwide should be able to accommodate these emergency cases quickly and safely.
Karafin, Matthew S; Singavi, Arun K; Irani, Mehraboon S; Puca, Kathleen E; Baumann Kreuziger, Lisa; Simpson, Pippa; Field, Joshua J
In patients with sickle cell disease (SCD), the effects of the red cell storage lesion are not well defined. The objective of this study was to determine the prevalence of transfusion services that limit red cell units by storage age for patients with SCD. We developed a 22 question survey of transfusion service director opinions and their corresponding blood bank policies. Target subjects were systematically identified on the AABB website. Responses were recorded in SurveyMonkey and summarized using standard statistical techniques. Ninety transfusion service directors responded to the survey. Response rate was 22%. Only 23% of respondents had storage age policies in place for patients with SCD, even though 36% of respondents consider older units to be potentially harmful in this patient population. Of those with a policy, a less-than 15 day storage age requirement was most often used (75%), but practices varied, and most respondents (65%) agreed that evidence-based guidelines regarding storage age are needed for patients with SCD. Policies, practices and opinions about the risks of older units for patients with SCD vary. As patients with SCD may have unique susceptibilities to features of the red cell storage lesion, prospective studies in this population are needed to determine best practice.
Tsoi, Man-Fung; Cheung, Ching-Lung; Cheung, Tommy Tsang; Cheung, Bernard Man Yung
Lead is toxic and affects neurodevelopment in children even at low levels. There has been a long-term effort in the United States to reduce exposure to lead in the environment. We studied the latest US population blood lead levels and analyzed its trend. Blood lead levels in 63,890 participants of the National Health Nutrition and Examination Survey 1999-2014 were analyzed using SPSS Complex Samples v22.0 (IBM Corp, Armonk, NY). Mean blood lead levels and 95% confidence intervals (CIs) were 1.65 μg/dL (1.62-1.68), 1.44 μg/dL (1.42-1.47), 1.43 μg/dL (1.40-1.45), 1.29 μg/dL (1.27-1.32), 1.27 μg/dL (1.25-1.29), 1.12 μg/dL (1.10-1.14), 0.97 μg/dL (0.95-0.99), and 0.84 μg/dL (0.82-0.86) in 1999-2000, 2001-2002, 2003-2004, 2005-2006, 2007-2008, 2009-2010, 2011-2012, and 2013-2014, respectively. Blood lead levels decreased significantly (P lead level ≥5 μg/dL were 9.9% (95% CI, 7.5-12.9), 7.4% (95% CI, 5.9-9.4), 5.3% (95% CI, 4.1-6.9), 2.9% (95% CI, 2.1-3.9), 3.1% (95% CI, 2.0-4.8), 2.1% (95% CI, 1.5-3.1), 2.0% (95% CI, 1.0-3.6), and 0.5% (95% CI, 0.3-1.0) in 1999-2000, 2001-2002, 2003-2004, 2005-2006, 2007-2008, 2009-2010, 2011-2012, and 2013-2014, respectively. The decreasing trend was significant (P lead level was 3.48 μg/dL. Blood lead levels have been decreasing in the US population. The reference level also should decrease. It is still important to monitor blood lead levels in the population, especially among pregnant women and children aged 1 to 5 years. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.
Background Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps) has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257) of medical students and 74.8% (n=98/131) of junior doctors owned a smartphone, with 56.6% (n=115/203) of students and 68.4% (n=67/98) of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, papp usage of several times a day. Over 24hours apps were used for between 1–30 minutes for students and 1–20 minutes for doctors, students used disease diagnosis/management and drug reference apps, with doctors favouring clinical score/calculator apps. Conclusions This study found a high level of
Armstrong, April W; Harskamp, Caitlin T; Schupp, Clayton W
Epidemiologic data on sexual behavior in psoriasis patients are lacking. We aim to examine and compare the sexual behaviors between men with and without psoriasis in the United States. We analyzed data from the National Health and Nutrition Examination Survey (NHANES) from 2003 to 2006 and 2009 to 2010. Responses from male participants to the dermatology and sexual behavior questionnaires of the NHANES were collated and analyzed. Outcome measures included sexual orientation, age of first sexual encounter, number of oral and non-oral sexual partners, and frequency of unprotected sex. Among 6,444 U.S. men that responded to the psoriasis question, 170 (2.6%) reported a physician-given diagnosis of psoriasis. Heterosexual men accounted for 95.5% and nonheterosexual men 4.5% of the overall study population. On multivariate analysis, psoriasis was not associated with differences in sexual orientation (odds ratio 1.78, 95% confidence interval [CI] 0.75-4.15). Heterosexual men with psoriasis experienced first sexual encounter at an earlier age than those without psoriasis (weighted difference -0.9 years, P = 0.002). Heterosexual men with psoriasis had significantly fewer female oral sexual partners compared with heterosexual men without psoriasis on multivariate analysis (lifetime partner number: rate ratio [RR] 0.65, 95% CI 0.45-0.95; past-year partner number: RR 0.64, 95% CI 0.42-0.97). No significant differences existed between heterosexual men with and without psoriasis regarding frequency of unprotected sex (RR 0.96, 95% CI 0.85-1.09). Among nonheterosexual men with and without psoriasis, no significant differences existed in age first had sex, number of sexual partners, or frequency of unprotected sex. Heterosexual men with psoriasis have significantly fewer lifetime female oral sexual partners compared with those without psoriasis. Dermatologists and other healthcare providers need to examine the genital region routinely and initiate appropriate therapy to improve
Sweet, Marshall L. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Francisco, Abby [Partnership for Home Innovation, Upper Marlboro, MD (United States); Roberts, Sydney G. [Partnership for Home Innovation, Upper Marlboro, MD (United States)
Rea Ventures Group, LLC, (Rea Ventures) partnered with Southface Energy Institute (Southface) on the rehabilitation of 418 low-income rental multifamily apartments located at 14 different properties in Georgia (Climate Zones 2-4). These 22-year old, individually-metered units were arranged in rowhouse or townhouse style units. Rehabilitation plans were developed using a process prescribed by the US Department of Agriculture (USDA) Rural Development program, who partially funded the building upgrades. The USDA is responsible for building, upgrading, and subsidizing housing in rural areas nationwide. In 2012, over $100 million was allocated in grants and loans. Due to the unique financing mechanism as well as long-term ownership requirements, property owners are especially motivated to invest in upgrades that will increase durability and tenant retention. These buildings represent a large stock of rural affordable housing that have the potential for significant energy and cost savings for property owners and tenants. Southface analyzed the energy upgrade potential of one stereotypical property in the Rea Ventures portfolio. This study will provide insight into the most cost-effective, implementable energy efficiency and durability upgrades for this age multifamily housing, having an enormous impact not only on the portfolio of Rea Ventures but on the vast USDA and larger Federal portfolio. Additionally, Southface will identify gaps in the current capital needs assessment process, examine available audit and simulation tools and protocols, and evaluate additional auditor training or certification needs.
This paper provides the results of the Survey-2000 measuring technology transfer for management information systems in health care. The relationships with systems approaches, user involvement, usersatisfaction, and decision-making were measured and are presented. The survey also measured the levels Internet and Intranet presents in acute care hospitals, which will be discussed in future articles. The depth of the survey includes e-commerce for both business to business and customers. These results are compared, where appropriate, with results from survey 1997 and changes are discussed. This information will provide benchmarks for hospitals to plan their network technology position and to set goals. This is the first of three articles based upon the results of the Srvey-2000. Readers are referred to a prior article by the author that discusses the survey design and provides a tutorial on technology transfer in acute care hospitals.
Abraham, Katharine G; Presser, Stanley; Helms, Sara
The authors argue that both the large variability in survey estimates of volunteering and the fact that survey estimates do not show the secular decline common to other social capital measures are caused by the greater propensity of those who do volunteer work to respond to surveys. Analyses of the American Time Use Survey (ATUS)--the sample for which is drawn from the Current Population Survey (CPS)--together with the CPS volunteering supplement show that CPS respondents who become ATUS respondents report much more volunteering in the CPS than those who become ATUS nonrespondents. This difference is replicated within subgroups. Consequently, conventional adjustments for nonresponse cannot correct the bias. Although nonresponse leads to estimates of volunteer activity that are too high, it generally does not affect inferences about the characteristics of volunteers.
A survey of dermatophytes isolated from human patients in the United States from 1979 to 1981 with chronological listings of worldwide incidence of five dermatophytes often isolated in the United States.
Sinski, J T; Flouras, K
A survey of dermatophytes isolated from patients seeking medical advice was made from 1979 to 1981 in the United States. The survey included 54 locations with data from 40 cities and 2 states. Correlations of these data with that of the other localities of the world were made to illustrate the dynamic epidemiology of several common dermatophytes. The most often isolated dermatophyte in this survey was Trichophyton rubrum having 53.66% of the total for these three calendar years. In a chronological listing of ringworm infections caused by this organism, many areas of the world have reported similar increased incidence of this pathogen. Trichophyton tonsurans was isolated 27.85% of the total. A dramatic increase of this pathogen as a cause of tinea capitis has been observed in most cities of the United States. It has been isolated in 25 different countries of the world. The percentage of isolation of Trichophyton mentagrophytes was 8.56%. This percentage may not be near the true incidence of infection by this dermatophyte because the infections are mild and respond to treatment without the individual seeking medical advice. Since the 1950s the percentage of isolations of the total has dropped for T. mentagrophytes in the United States. Epidermophyton floccosum accounted for 4.36% of the total. In a few areas of the world it causes over 30% of the total of dermatophytoses. Microsporum canis was isolated 3.72% of the total in the United States. It has recently been reported to be the dominant agent of tinea capitis in several South American countries, Tucson, Arizona and Kuwait. Once the dominant pathogen of tinea capitis in children in the United States, it was replaced by Microsporum audouinii before 1960. Today in the United States, M. audouinii only accounts for 0.30% of the total. It is considered eliminated as a pathogen in England. In this survey, isolated less than 1.0% of the total were Microsporum gypseum. Microsporum ferrugineum , Microsporum nanum
U.S. Environmental Protection Agency — Variable was created as part of a set of indicators that demonstrate links between the condition of natural areas and human concerns and that quantify dependencies...
Lorio, Morgan; Ferrara, Lisa
Background Minimally invasive sacroiliac joint arthrodesis (“MI SIJ fusion”) received a Category I CPT® code (27279) effective January 1, 2015 and was assigned a work relative value unit (“RVU”) of 9.03. The International Society for the Advancement of Spine Surgery (“ISASS”) conducted a study consisting of a Rasch analysis of two separate surveys of surgeons to assess the accuracy of the assigned work RVU. Methods A survey was developed and sent to ninety-three ISASS surgeon committee members. Respondents were asked to compare CPT® 27279 to ten other comparator CPT® codes reflective of common spine surgeries. The survey presented each comparator CPT® code with its code descriptor as well as the description of CPT® 27279 and asked respondents to indicate whether CPT® 27279 was greater, equal, or less in terms of work effort than the comparator code. A second survey was sent to 557 U.S.-based spine surgeon members of ISASS and 241 spine surgeon members of the Society for Minimally Invasive Spine Surgery (“SMISS”). The design of the second survey mirrored that of the first survey except for the use of a broader set of comparator CPT® codes (27 vs. 10). Using the work RVUs of the comparator codes, a Rasch analysis was performed to estimate the relative difficulty of CPT® 27279, after which the work RVU of CPT® 27279 was estimated by regression analysis. Results Twenty surgeons responded to the first survey and thirty-four surgeons responded to the second survey. The results of the regression analysis of the first survey indicate a work RVU for CPT® 27279 of 14.36 and the results of the regression analysis of the second survey indicate a work RVU for CPT® 27279 of 14.1. Conclusion The Rasch analysis indicates that the current work RVU assigned to CPT® 27279 is undervalued at 9.03. Averaging the results of the regression analyses of the two surveys indicates a work RVU for CPT® 27279 of 14.23.
... URBAN DEVELOPMENT Affirmative Fair Housing, Marketing (AFHM) Plan-Multifamily Housing, Affirmative Fair Housing Marketing (AFHM) Plan-Single Family Housing and Affirmative Fair Housing Marketing (AFHM) Plan... lists the following information: Title of Proposal: Affirmative Fair Housing, Marketing (AFHM) Plan...
Marckmann, Bella; Gram-Hanssen, Kirsten; Christensen, Toke Haunstrup
In this article we examine aspects of the different arguments for the environmental advantages of co-housing compared with individual households. The analysis is structured around four main questions, which are argued to be decisive for the question of co-housing and sustainability. The first...... oriented; one relates to the claim that co-housing can support pro-environmental behaviour among residents as they can support each other’s norms and practices. The fourth and last claim relates to a discussion of co-housing as a more sustainable opportunity especially for people living alone......, as the growing number of small households is an emerging sustainability problem. The empirical analyses are based on the results from a Danish study of eco-villages including a survey, interviews with representatives of the eco-village movement and a detailed case study of a group of people in the process...
Full Text Available Aim: The purpose of this study is to examine the intensity of light curing units and factors affecting it in dental offices. Materials and Methods: The output intensity of 200 light curing units in dental offices across Maharashtra were examined. The collection of related information (thenumber of months of use of curing unit, the approximate number of times used in a day, and presence or absence of composite build-ups and measurement of the intensity was performed by two operators. L.E.D Radiometer (Kerr was used for measuring the output intensity. The average output intensity was divided into three categories (< 200 mW/cm 2 , 200-400 mW/ cm 2 and> 400 mW/cm 2 . Results: Among the 200 curing units examined, 81 were LED units and 119 were QTH units. Only 10% LED machines and 2% QTH curing units had good intensities (>400 mW/cm 2 . Conclusion: Most of the examined curing lights had low output intensity ranging from 200 to 400 mW/cm 2 , and most of the curing units had composite build-ups on them.
US Fish and Wildlife Service, Department of the Interior — Our moose population estimate for the surveyed area was calculated to be 1,864 ±1911. This included a low stratum estimate of 241, a medium stratum estimate of...
Schiffman, F. J.
Although medical students on clinical ward rotations receive a large part of their education from house officers, very often house officers themselves have had little formal preparation as teachers. Because students and teachers work closely together under special conditions, unique educational situations are created where much more than factual information is conveyed. Although some house officers are "natural" teachers, others find such activities uncomfortable or burdensome. Most people, h...
M. Sitar; K. Krajnc
Following the already proved models the sustainable planning culture is endangering several methods directed towards the needs of tenants in the existing post-war housing stock. The case-study of our project is the renewal of the multi stored building in the housing estate Metalna, Maribor/Tezno (1949). It is based on the sustainable renovation principle for the quality of sustainable housing in functional, technological and environmental point of view. According to it, the idea of the projec...
Smith, B K; Remis, M J; Dierenfeld, E S
The successful management of captive animals requires attention to multiple interconnected factors. One critical aspect of the daily life of a captive animal is the recommended and/or provisioned diet. This study focuses on the diets of zoo-housed gorillas. A national survey of diets among zoo-housed gorillas was conducted to examine diets being offered to captive gorillas in the United States and Canada. This survey serves as a follow-up to a 1995 dietary survey of zoo-housed gorillas and goes further to quantify nutritional profiles at responding institutions. Results are encouraging, as zoos have made clear improvements in dietary nutrient profiles offered over the past 15 years. However, we suggest that zoological and sanctuary institutions follow Gorilla Species Survival Plan (SSP) recommendations and work to continuously improve diets provided, which could improve gorillas' health and well-being. © 2014 Wiley Periodicals, Inc.