WorldWideScience

Sample records for unit nineteen years

  1. The Applied Meteorology Unit: Nineteen Years Successfully Transitioning Research into Operations for America's Space Program

    Science.gov (United States)

    Madura, John T.; Bauman, William H.; Merceret, Francis J.; Roeder, William P.; Brody, Frank C.; Hagemeyer, Bartlett C.

    2010-01-01

    The Applied Meteorology Unit (AMU) provides technology transition and technique development to improve operational weather support to the Space Shuttle and the entire American space program. The AMU is funded and managed by NASA and operated by a contractor that provides five meteorologists with a diverse mix of advanced degrees, operational experience, and associated skills including data processing, statistics, and the development of graphical user interfaces. The AMU's primary customers are the U.S. Air Force 45th Weather Squadron at Patrick Air Force Base, the National Weather Service Spaceflight Meteorology Group at NASA Johnson Space Center, and the National Weather Service Melbourne FL Forecast Office. The AMU has transitioned research into operations for nineteen years and worked on a wide range of topics, including new forecasting techniques for lightning probability, synoptic peak winds,.convective winds, and summer severe weather; satellite tools to predict anvil cloud trajectories and evaluate camera line of sight for Space Shuttle launch; optimized radar scan strategies; evaluated and implemented local numerical models; evaluated weather sensors; and many more. The AMU has completed 113 projects with 5 more scheduled to be completed by the end of 2010. During this rich history, the AMU and its customers have learned many lessons on how to effectively transition research into operations. Some of these lessons learned include collocating with the operational customer and periodically visiting geographically separated customers, operator submitted projects, consensus tasking process, use of operator primary advocates for each project, customer AMU liaisons with experience in both operations and research, flexibility in adapting the project plan based on lessons learned during the project, and incorporating training and other transition assistance into the project plans. Operator involvement has been critical to the AMU's remarkable success and many awards

  2. The Applied Meteorology Unit: Nineteen Years Successfully Transitioning Research Into Operations for America's Space Program

    Science.gov (United States)

    Madura, John T.; Bauman, William H., III; Merceret, Francis J.; Roeder, William P.; Brody, Frank C.; Hagemeyer, Bartlett C.

    2011-01-01

    The Applied Meteorology Unit (AMU) provides technology development and transition services to improve operational weather support to America's space program . The AMU was founded in 1991 and operates under a triagency Memorandum of Understanding (MOU) between the National Aeronautics and Space Administration (NASA), the United States Air Force (USAF) and the National Weather Service (NWS) (Ernst and Merceret, 1995). It is colocated with the 45th Weather Squadron (45WS) at Cape Canaveral Air Force Station (CCAFS) and funded by the Space Shuttle Program . Its primary customers are the 45WS, the Spaceflight Meteorology Group (SMG) operated for NASA by the NWS at the Johnson Space Center (JSC) in Houston, TX, and the NWS forecast office in Melbourne, FL (MLB). The gap between research and operations is well known. All too frequently, the process of transitioning research to operations fails for various reasons. The mission of the AMU is in essence to bridge this gap for America's space program.

  3. [Democracy without equity: analysis of health reform and nineteen years of National Health System in Brazil].

    Science.gov (United States)

    Coelho, Ivan Batista

    2010-01-01

    This paper aims to evaluate the nineteen years of the National Health System in Brazil, under the prism of equity. It takes into account the current political context in Brazil in the 80s, that the democratization of the country and the health sector could, per se, lead to a more equitable situation regarding the access to health services. Democracy and equity concepts are here discussed; analyzing which situations may facilitate or make it difficult its association in a theoretical plan, applying them to the Brazilian context in a more general form and, to emphasizing practical implications to the National Health System and to groups of activism related to health reforms. It also seeks to show the limits and possibilities of these groups with regards to the reduction of inequality, in relation to the access to health services, which still remain. To conclude, the author points out the need for other movements to be established which seek the reduction of such and other inequalities, such as access to education, housing, etc, drawing special attention to the role played by the State, which is questioned regarding its incapacity of promoting equity, once it presents itself as being powerful when approaching other matters.

  4. Nineteen Years of Adult Congenital Heart Surgery in a Single Center

    DEFF Research Database (Denmark)

    Perinpanayagam, Madurra; Larsen, Signe H; Emmertsen, Kristian

    2017-01-01

    who underwent cardiac surgery at Aarhus University Hospital, Denmark, from 1994 to 2012 were included in the study. Diagnoses, surgical procedures, postoperative complications, and survival were identified in hospital databases, medical records, and the Danish Civil Registration System. RESULTS: Four...... hundred seventy-four surgeries were performed in 445 adults (50% men). The median age was 39 years (range 18-83). Thirty-nine percent had previous surgical or catheter-based interventions. Thirty-day and in-hospital mortality were 1.1%. Postoperative complications occurred in 50% of cases, most were minor...... interval (CI): 1.5-3.7), New York Heart Association functional class III and IV compared to class I (OR = 2.2; 95% CI: 1.3-3.7) and age at surgery (OR = 1.03, 95% CI: 1.01-1.04), as risk factors for adverse events. Survival during a median follow-up of 7.8 years (range 0 days-21.4 years) was 85% (95% CI...

  5. Pioneer institutions of distance electronic learning in Poland in the years nineteen sixties and seventies of the XX century

    Directory of Open Access Journals (Sweden)

    Mariusz Portalski

    2012-12-01

    Full Text Available In the final years of XX century, and especially in first decade of recent century was developed a number of formal learning forms, informal and outside formal with using systems and devices based on electronic techniques. Especially Internet and computer techniques next to multitude of television channels, mobile telephony and many others opportunities of data processing, accumulation and sending allow for realisation modern forms of intramural and remote teaching and learning. Persons, which are interested in remote education, open education or e-learning is worth to close pioneer activities in Poland in this areas in years nineteen sixties and seventies of the previous century. Two of activities like that, one worldwide and second in local scale implemented electronic remote education with using television are exactly subjects of this publication.

  6. Diagnosis of pyridoxine-dependent seizures in a nineteen-year-old patient.

    Science.gov (United States)

    Russell, Kate E; Mulligan, Sarah R; Mallory, Leah A

    2012-08-01

    Although a diagnosis of pyridoxine-dependent seizures may commonly be delayed, this case involves an extremely late diagnosis with associated morbidity. Our patient received pyridoxine during the neonatal period, in conjunction with other antiepileptic drugs that masked its effect. This patient also underwent ventriculoperitoneal shunting, which complicated the diagnosis. Pyridoxine was continued with other antiepileptic drugs, without definite recognition of its therapeutic relationship. Pyridoxine-dependent seizures were finally recognized at age 19 years when the patient manifested refractory status epilepticus, several days after wisdom tooth removal (and discontinuing oral medications including pyridoxine and phenobarbital before surgery). The diagnosis was only established via genetic testing. Our patient highlights the difficulty in diagnosing this rare seizure type and its potential importance in refractory epilepsy.

  7. Total hip arthroplasty with cement and use of a collared matte-finish femoral component: nineteen to twenty-year follow-up.

    Science.gov (United States)

    Callaghan, John J; Liu, Steve S; Firestone, Daniel E; Yehyawi, Tameem M; Goetz, Devon D; Sullivan, Jason; Vittetoe, David A; O'Rourke, Michael R; Johnston, Richard C

    2008-02-01

    In the mid- to late 1970s, on the basis of laboratory and finite element data, many surgeons in the United States began using collared matte-finish femoral components and metal-backed acetabular components in their total hip arthroplasties. The purpose of this study was to evaluate the long-term results of the use of one such construct in arthroplasties performed by a single surgeon in a consecutive nonselected patient cohort. Between January 1984 and December 1985, 273 patients underwent a total of 304 consecutive nonselected total hip arthroplasties with cement and use of the Iowa femoral component (which is collared, has a proximal cobra shape, and has a matte finish) and a metal-backed TiBac acetabular component performed by a single surgeon. At nineteen to twenty years postoperatively, only two patients (two hips) were lost to follow-up. For clinical evaluation, we attempted to interview all living patients and the families of the patients who had died to verify the status of the hip prosthesis or any revisions. Radiographic evaluation consisted of analysis for loosening and osteolysis as well as wear of the acetabular component. At the time of the nineteen to twenty-year follow-up, the rate of revision of the arthroplasty for any reason was 10.5% (thirty-two hips) for all patients and 25% (twenty-three hips) for living patients. The rate of revision due to aseptic femoral loosening was 2.6% (eight hips). There was radiographic evidence of loosening of the femoral component in fifteen hips (4.9%), including those that were revised, and femoral osteolysis was seen distal to the trochanters in twenty-two hips (7.2%). The rate of revision due to aseptic loosening of the acetabular component was 7.9% (twenty-four hips), and there was radiographic evidence of acetabular loosening in forty-two hips (13.8%), including those that were revised. This study demonstrates the durability of a cemented matte-finish collared femoral component at twenty years postoperatively

  8. Moa's Ark or volant ghosts of Gondwana? Insights from nineteen years of ancient DNA research on the extinct moa (Aves: Dinornithiformes) of New Zealand.

    Science.gov (United States)

    Allentoft, Morten E; Rawlence, Nicolas J

    2012-01-20

    The moa (Aves: Dinornithiformes) of New Zealand represent one of the extinct iconic taxa that define the field of ancient DNA (aDNA), and after almost two decades of genetic scrutiny of bones, feathers, coprolites, mummified tissue, eggshell, and sediments, our knowledge of these prehistoric giants has increased significantly. Thanks to molecular and morphological-based research, the insights that have been obtained into moa phylogenetics, phylogeography, and palaeobiology exceeds that of any other extinct taxon. This review documents the strengths of applying a multidisciplinary approach when studying extinct taxa but also shows that cross-disciplinary controversies still remain at the most fundamental levels, with highly conflicting interpretations derived from aDNA and morphology. Moa species diversity, for example, is still heavily debated, as well as their relationship with other ratites and the mode of radiation. In addition to increasing our knowledge on a lineage of extinct birds, further insights into these aspects can clarify some of the basal splits in avian evolution, and the evolutionary implications of the breakup of the prehistoric supercontinent Gondwana. Did a flightless moa ancestor drift away on proto New Zealand (Moa's Ark) or did a volant ancestor arrive by flight? Here we provide an overview of 19 years of aDNA research on moa, critically assess the attempts and controversies in placing the moa lineage among palaeognath birds, and discuss the factors that facilitated the extensive radiation of moa. Finally, we identify the most obvious gaps in the current knowledge to address the future potential research areas in moa genetics.

  9. Nineteen papers on algebraic semigroups

    CERN Document Server

    Aizenshtat, A Ya; Podran, N E; Ponizovskii, IS; Shain, BM

    1988-01-01

    This volume contains papers selected by leading specialists in algebraic semigroups in the U.S., the United Kingdom, and Australia. Many of the papers strongly influenced the development of algebraic semigroups, but most were virtually unavailable outside the U.S.S.R. Written by some of the most prominent Soviet researchers in the field, the papers have a particular emphasis on semigroups of transformations. Boris Schein of the University of Arkansas is the translator.

  10. Deltoid contracture: A study of nineteen cases

    Directory of Open Access Journals (Sweden)

    Banerji Debabrata

    2008-01-01

    Full Text Available Objective: Deltoid contracture is not uncommon in India. Contractures of deltoid often do not have definite etiology. We have critically analyzed the condition as regards the etiopathogenesis and its surgical results. Materials and Methods: Nineteen patients with deltoid contracture operated between June 1990 and September 2001 were enrolled for a unicentric retrospective study. The surgery was indicated in patients with abduction deformity of more than 30° at the shoulder. The etiology of deltoid contracture was idiopathic ( n = 13 intramuscular injection in deltoid muscle ( n = 5 and blunt trauma ( n = 1. All were operated by distal release (incision near the insertion of the deltoid muscle. The average follow-up was of 9.5 years (range 6-17 years. They were evaluated based on parameters like pain, persistence of deformity, range of shoulder movements and strength of deltoid. Results: All patients recovered painless full range of shoulder motion except one. The correction of deformity was achieved in all patients and there was no loss of strength of deltoid compared to the opposite side. Histology of excised tissue showed features of chronic inflammation. The complications observed were hypertrophic scar ( n = 1, painful terminal restriction of shoulder movements ( n = 1 and prominent vertebral border of scapula ( n = 1. Conclusion: Deltoid contracture has features of chronic inflammation, and the intramuscular deltoid injection is the most incriminating factor in its etiopathogenesis. The condition can be effectively managed surgically by distal release of the deltoid muscle combined with excision of the muscular fibrotic contracture band.

  11. Semantic dementia: Brazilian study of nineteen cases

    Directory of Open Access Journals (Sweden)

    Mirna Lie Hosogi Senaha

    Full Text Available Abstract The term semantic dementia was devised by Snowden et al. in 1989 and nowadays, the semantic dementia syndrome is recognized as one of the clinical forms of frontotemporal lobar degeneration (FTLD and is characterized by a language semantic disturbance associated to non-verbal semantic memory impairment. Objectives: The aim of this study was to describe a Brazilian sample of 19 semantic dementia cases, emphasizing the clinical characteristics important for differential diagnosis of this syndrome. Methods: Nineteen cases with semantic dementia were evaluated between 1999 and 2007. All patients were submitted to neurological evaluation, neuroimaging exams and cognitive, language and semantic memory evaluation. Results: All patients presented fluent spontaneous speech, preservation of syntactic and phonological aspects of the language, word-finding difficulty, semantic paraphasias, word comprehension impairment, low performance in visual confrontation naming tasks, impairment on tests of non-verbal semantic memory and preservation of autobiographical memory and visuospatial skills. Regarding radiological investigations, temporal lobe atrophy and/or hypoperfusion were found in all patients. Conclusions: The cognitive, linguistic and of neuroimaging data in our case series corroborate other studies showing that semantic dementia constitutes a syndrome with well defined clinical characteristics associated to temporal lobe atrophy.

  12. Analysis of Imagery Description in To Room Nineteen

    Institute of Scientific and Technical Information of China (English)

    高凤花

    2009-01-01

    Doris Lessing is the well-known contemporary British writer and novelist. Her famous short story To Room Nineteen tells Susan, a intelligent woman, is lost in the chaos housework and tries to search for an authentic self which leads to her madness and ultimately suicide.This paper focuses on imagery in Lessing's To Room Nineteen from which foreshadows Susan's suicide.

  13. To Room Nineteen:Double-voiced Discourse in Female Bildungsroman

    Institute of Scientific and Technical Information of China (English)

    蒯望舒

    2010-01-01

    @@ Doris Lessing's To Room Nineteen can be safely regarded as a female Bildungsroman about the female protagonist's hard quest for a psychological balance sense and journey to identity-seeking.Bildungsroman is a general genre that describes the mental and psychological growth of the protagonist.The female Bildungsroman is the sub-genre of the traditional Bildungsroman.In Doris Lessing's To Room Nineteen,the author adopts double-voiced discourse so that the protagonist,Susan,successfully challenged the series of standards in the traditional men's right society through the discourse with her husband and herself,and the female writer's potential discourse with the social system.

  14. Leaching and retention of nutrients and trace elements in peat nineteen years after wood ash application and afforestation of a terminated peat cutover area; Utlakning och retention av naeringsaemnen och spaaraemnen i torv nitton aar efter vedasktillfoersel och beskogning paa en avslutad torvtaekt

    Energy Technology Data Exchange (ETDEWEB)

    Nilsson, Torbjoern; Lundin, Lars (Dept. of Forest Soils, Swedish Univ. of Agricultural Sciences, P.O. Box 7001, SE-750 07 Uppsala (Sweden))

    2008-04-15

    Ash application on peatlands for improved biomass production attracts great interest. On drained peatlands in forestry use, application of wood ash would increase the forest production. Before such activities starts on a large-scale, the existing knowledge in this field should be compiled, with the aim to illustrate positive and negative effects of such a measure and to suggest recommendations for wood ash application to drained and afforested peatlands. The aim of this project was to investigate how much of different nutrients and trace elements that was still left in the peat, 19 years after application of 23 tonnes of wood fly ash, 0.6 tonnes of raw phosphate and 0.25 tonnes of superphosphate per hectare to 14 hectares of a terminated peat cutover area. This area was located on a mire, Flakmossen, in west-central Sweden. As it was nearly 40 years since peat harvesting had terminated on this mire, the area was drained before the application of wood ash and phosphorus fertilizer. A tractor-driven cultivator mixed the applied fertilizers with the upper 30-40 cm of the remaining peat and afterwards different tree species were planted in the cultivated peat. Peat sampling, down to 80 cm depth, was carried out before soil treatment, one year after, three years after and 19 years after the soil treatment. Analyses of these peat samples showed that: - After the soil treatments an initial increase of pH in the upper peat layers (0-40 cm depth) was observed, but 19 years after the soil treatments pH had decreased to levels that were lower than before the treatments. This decrease in pH was probably due to an oxidation of sulphur compounds in the peat, which was a result of the drainage. This acidification of the peat could not be buffered by the large dose of applied wood ash. However, it should be observed that the main part of the peat in this field study consists of reed peat, that has a considerable higher sulphur content than other peat types. - Nineteen years after

  15. An integrable nineteen vertex model lying on a hypersurface

    Directory of Open Access Journals (Sweden)

    M.J. Martins

    2015-03-01

    Full Text Available We have found a family of solvable nineteen vertex model with statistical configurations invariant by the time reversal symmetry within a systematic study of the respective Yang–Baxter relation. The Boltzmann weights sit on a degree seven algebraic threefold which is shown birationally equivalent to the three-dimensional projective space. This permits to write parameterized expressions for both the transition operator and the R-matrix depending on three independent affine spectral parameters. The Hamiltonian limit tells us that the azimuthal magnetic field term is connected with the asymmetry among two types of spectral variables. The absence of magnetic field defines a physical submanifold whose geometrical properties are remarkably shown to be governed by a quartic K3 surface. This expands considerably the class of irrational manifolds that could emerge in the theory of quantum integrable models.

  16. One year work experience in a municipal Intensive Therapy Unit.

    Directory of Open Access Journals (Sweden)

    Alba Enseñat Alvarez

    2006-04-01

    Full Text Available Background: The Municipal Intensive Care Units were created in the year 2004, to better the urgency attention in the primary health level. Objective: To characterize the functioning of a Municipal Intensive Care Unit. Method: A descriptive, prospective study that included 348 patients that were received in the unit during the year 2004. The following variables were analized: patients evolution, distribution by diseases, and evolution of the diseases. Results and Conclusions: The number of remissions to the hospital dropped; 183 patients weresent to their homes, 165 were remitted to the Provincial Hospital of Cienfuegos and three of them died in the unit. The angina pectoris was the first cause of admission, followed by cardiac arritmias and cerebrovascular disease.

  17. A Sustainable Energy Scenario for the United States: Year 2050

    Directory of Open Access Journals (Sweden)

    Jessa Meyers

    2010-11-01

    Full Text Available This paper presents a scenario depicting life in the United States in the year 2050. The scenario is designed to achieve energy sustainability: fossil fuels and corn ethanol have been replaced by other sustainable and inexhaustible energy sources. The scenario describes the disappearance of the suburbs, replaced by a mix of high density urban centers and low density eco-communities. A suite of advanced technologies and significant social changes underpin the scenario. Analysis of the energy implications inherent in the scenario suggest that total US energy consumption would be around 100 quads in 2050, approximately the same as in the year 2010 despite a forecasted population increase of 130 million.

  18. Living with Volcanoes: Year Eleven Teaching Resource Unit.

    Science.gov (United States)

    Le Heron, Kiri; Andrews, Jill; Hooks, Stacey; Larnder, Michele; Le Heron, Richard

    2000-01-01

    Presents a unit on volcanoes and experiences with volcanoes that helps students develop geography skills. Focuses on four volcanoes: (1) Rangitoto Island; (2) Lake Pupuke; (3) Mount Smart; and (4) One Tree Hill. Includes an answer sheet and resources to use with the unit. (CMK)

  19. The Horrific World of "Nineteen Eighty-Four": A Classified Bibliography of Orwell's Prophetic Novel.

    Science.gov (United States)

    Schaeffer, Matthew M., Comp.

    Drawn from articles, books, book chapters, and audio and visual materials, this bibliography contains nearly 900 items pertaining to George Orwell's novel "Nineteen Eighty-Four." The items are arranged in a topical format under the following headings: (1) biographical materials, (2) general comment and literary criticism, (3) science and…

  20. Examining the Dutch Trends in the Nineteen-nineties: Age, Period and Cohort Effects

    NARCIS (Netherlands)

    Portrait, F.; Deeg, D.; Alessie, R.|info:eu-repo/dai/nl/074624385

    2004-01-01

    The paper focuses on changes in the prevalence of disability at older ages in the Netherlands during the nineteen-nineties. Disability is characterized by two self-reported indicators of mild and severe disability and two self-reported and objectivemeasures of functional limitations. Age, period, an

  1. Public Libraries in the United States Survey: Fiscal Year 2010

    Science.gov (United States)

    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

    2013-01-01

    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…

  2. 10 CFR 35.655 - Five-year inspection for teletherapy and gamma stereotactic radiosurgery units.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Five-year inspection for teletherapy and gamma... Radiosurgery Units § 35.655 Five-year inspection for teletherapy and gamma stereotactic radiosurgery units. (a... and serviced during source replacement or at intervals not to exceed 5 years, whichever comes first...

  3. Accumulated Growing Degree Days, Contiguous United States, 1981 - Current Year

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The USA National Phenology Network has available a series of gridded products enabling researchers to analyze current year Accumulated Growing Degree Days (AGDD)...

  4. Sandia`s computer support units: The first three years

    Energy Technology Data Exchange (ETDEWEB)

    Harris, R.N. [Sandia National Labs., Albuquerque, NM (United States). Labs. Computing Dept.

    1997-11-01

    This paper describes the method by which Sandia National Laboratories has deployed information technology to the line organizations and to the desktop as part of the integrated information services organization under the direction of the Chief Information officer. This deployment has been done by the Computer Support Unit (CSU) Department. The CSU approach is based on the principle of providing local customer service with a corporate perspective. Success required an approach that was both customer compelled at times and market or corporate focused in most cases. Above all, a complete solution was required that included a comprehensive method of technology choices and development, process development, technology implementation, and support. It is the authors hope that this information will be useful in the development of a customer-focused business strategy for information technology deployment and support. Descriptions of current status reflect the status as of May 1997.

  5. A thousand years of energy use in the United Kingdom

    Energy Technology Data Exchange (ETDEWEB)

    Fouquet, R.; Pearson, P.J.G. (Imperial Coll. of Science, Technology and Medicine, London (United Kingdom). T.H. Huxley School of Environment, Earth Sciences and Engineering)

    1998-01-01

    This paper examines the evolution of energy use and its influences in the United Kingdom over the very long run by combining economic literature and statistical information. The paper argues that the provision of energy services, mainly heat and power, is bound by the tensions between a changing growth rate and structure of economic activity and the constraints of energetic resources. After periods of tension, energy price differentials, as well as the diffusion of technological innovation and the development of new fuels, led to new mixes of energy sources to supply heat and power. This paper identifies three major changes that characterize the history of UK energy use: first, the dramatic increase in per capita energy use; second, the shift in methods of supplying energy services, from biomass sources to fossil fuels, from coal to petroleum to natural gas, and from raw forms to more value-added energy sources; and, third, the replacing of direct methods of generating power, from animate sources, wind and water, by the use of mechanical and electrical methods, which have so far depended mainly on fossil fuels. These changes were instrumental in influencing the relationship between GDP and energy use, and also the levels of environmental pollution.

  6. Neither a year nor an annus can be a derived unit in the SI

    Science.gov (United States)

    Edwards, Lucy E.

    2011-01-01

    The year is not a unit of the SI. The only SI unit of measurement for time is the second. The word “annus” or “annum” does not appear anywhere in the current SI document. The word “year” is not in the table of “Non-SI units accepted for use with the International System of Units,” nor in the table of “Non-SI units whose values in SI units must be obtained experimentally,” nor even in the table of “Other non-SI units.” The year can be found, however, through the list of “Other non-SI units not recommended for use.” This heading directs the reader to a National Institute of Standards and Technology (NIST) list where three kinds of year (365 days, sidereal, and tropical) are given with conversion to seconds, but are set in type to indicate “in general not to be used in NIST publications.” Table 1 summarizes some of the uses of the year in other publications. For example, in the IUPAC chemistry document, the year is not a constant; in the International Astronomy Union Style Guide, the year (Julian) is a constant.   

  7. Orwell's Satirical View of Romantic Love in the Terrorized World of Nineteen Eighty-Four

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Besharati

    2017-09-01

    Full Text Available The beginning of twentieth century was accompanied with the prevailing current of technology in different aspects of human life. At first, it incited a positive stimulus which could build a utopian world on the advancement of technology. However, the bloody World Wars averted this view and the technological utopia was replaced by Orwellian dystopia. Orwell's Nineteen Eighty-Four is a satirical work which moves against Wells' utopian toward the reflection of a distorted technological society. Undoubtedly, satire is the best literary mode for dystopic depiction of the world specifically the one portrayed in Nineteen Eighty-Four. Winston Smith, the central character of this novel, is lower from his society in terms of intelligence and power of action. Therefore, he is put under rigid controls and brainwashing. And at last, he awfully rejects his love in favor the principles of the Party. Thus, in this study, we try to investigate Winston's romantic life in a satiric manner with respect to Northrop Frye's theme of romance which includes the three phase of agon, pathos and anagnorisis.

  8. Cooperative Fish and Wildlife Research Units Program—2016 year in review postcard

    Science.gov (United States)

    Organ, John F.; Thompson, John D.; Dennerline, Don E.; Childs, Dawn E.

    2017-02-22

    Cooperative Fish and Wildlife Research Units Program—2016 Year in Review postcardThis postcard provides details about the Cooperative Fish and Wildlife Research Units (CRU) Program—2016 Year in Review, Circular 1424. This Circular provides information relating to fish and wildlife science, students, staffing, vacancies, research funding, outreach and training, science themes, background on the CRU program, accolades, and professional services. Snapshots of Unit projects with information on how results have been or are being applied by cooperators are included. This is the essence of what we do: science that matters.Throughout the year, keep up with our research projects at www.coopunits.org.

  9. 76 FR 66051 - Availability of the Fiscal Year 2010 United States Special Operations Command (USSOCOM) Inventory...

    Science.gov (United States)

    2011-10-25

    ... of the Secretary Availability of the Fiscal Year 2010 United States Special Operations Command... 2330a of Title 10 United States Code as amended by the National Defense Authorization Act for Fiscal..., Defense Procurement and Acquisition Policy, Office of Strategic Sourcing (DPAP/SS) will make available to...

  10. 77 FR 38274 - Availability of the Fiscal Year 2011 United States Special Operations Command (USSOCOM) Inventory...

    Science.gov (United States)

    2012-06-27

    ... of the Secretary Availability of the Fiscal Year 2011 United States Special Operations Command... 2330a of Title 10, United States Code as amended by the National Defense Authorization Act for Fiscal... Acquisition Policy, Office of Strategic Sourcing (DPAP/SS) will make available to the public the first...

  11. Narrative report Seneca Unit Erie National Wildlife Refuge Calendar year - 1969

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Seneca Unit of the Erie National Wildlife Refuge outlines Refuge accomplishments during the 1969 calendar year. The report begins...

  12. Fundamentals of Physics for Engineering I (Unit guides). Academic year 2013-2014

    OpenAIRE

    2013-01-01

    Guides to the units of course "Fundamentals of Physics for Engineering I". Degree in Sound and Image in Telecommunication Engineering. Polytechnic School of the University of Alicante. Academic year 2013-2014.

  13. Fundamentals of Engineering Physics I (Unit guides). Academic year 2015-2016

    OpenAIRE

    2015-01-01

    Guides to the units of course "Fundamentals of Engineering Physics I". Degree in Sound and Image in Telecommunication Engineering. Polytechnic School of the University of Alicante. Academic year 2015-2016.

  14. Fundamentals of Engineering Physics I (Summaries of the units). Academic year 2015-2016

    OpenAIRE

    2015-01-01

    Summaries of the units of course "Fundamentals of Engineering Physics I". Degree in Sound and Image in Telecommunication Engineering. Polytechnic School of the University of Alicante. Academic year 2015-2016.

  15. Fundamentals of Physics for Engineering I (Unit guides). Academic year 2014-2015

    OpenAIRE

    2014-01-01

    Guides to the units of course "Fundamentals of Physics for Engineering I". Degree in Sound and Image in Telecommunication Engineering. Polytechnic School of the University of Alicante. Academic year 2014-2015.

  16. Aleutian Islands Unit : Alaska Maritime National Wildlife Refuge : Annual narrative report : Calendar year 1980

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report for Aleutian Islands Unit of Alaska Maritime NWR and Bogoslof NWR outlines Refuge accomplishments during the 1980 calendar year. The report...

  17. Reflection K-matrices for a nineteen vertex model with Uq [ osp (2 | 2) (2) ] symmetry

    Science.gov (United States)

    Vieira, R. S.; Lima Santos, A.

    2017-09-01

    We derive the solutions of the boundary Yang-Baxter equation associated with a supersymmetric nineteen vertex model constructed from the three-dimensional representation of the twisted quantum affine Lie superalgebra Uq [ osp (2 | 2) (2) ]. We found three classes of solutions. The type I solution is characterized by three boundary free-parameters and all elements of the corresponding reflection K-matrix are different from zero. In the type II solution, the reflection K-matrix is even (every element of the K-matrix with an odd parity is null) and it has only one boundary free-parameter. Finally, the type III solution corresponds to a diagonal reflection K-matrix with two boundary free-parameters.

  18. Moral development of first-year pharmacy students in the United Kingdom.

    Science.gov (United States)

    Prescott, Julie; Becket, Gordon; Wilson, Sarah Ellen

    2014-03-12

    To investigate the moral development of pharmacy students over their first academic year of study at a university in the United Kingdom. Pharmacy students completed Defining Issues Test (DIT) at the start of their first year (phase 1) and again at the end of their first year (phase 2) of the program. Pharmacy students (N=116) had significantly higher moral reasoning at the beginning of their first year than by the end of it. Scores differed by students' gender and age; however, these findings differed between phase 1 and phase 2. First-year pharmacy students in the United Kingdom scored lower on moral reasoning than did pharmacy students in the United States and Canada.

  19. [Japanese psychiatrists who studied in the United States in pre-war years].

    Science.gov (United States)

    Okada, Y

    1994-12-01

    In pre-war years, the main stream of Japanese psychiatry belonged to the German School, and many eminent psychiatrists studied in Germany. As far as I could confirm, eleven Japanese psychiatrists studied in the United States in pre-war years. The first one was Saburo Matsubara (1877-1936), who studied under Adolf Meyer during the years 1903-1908. Nine psychiatrists studied in the United States during the years of World War I or just after it. Five of them studied under Meyer, and four others at the Wistar Institute of Biology and Anatomy. The last one, Tsuneo Muramatsu (1900-1981), studied at Harvard University during the years 1933-1935. In pre-war years, the seeds sown by them opened into very small flowers. But in post-war years, the seeds bore good fruit in the form of the introduction of dynamic concepts into Japanese psychiatry.

  20. United Airlines Voted 'Best North American Airline' for Fifth Consecutive Year

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Discerning frequent travelers in Asia have voted United Airlines the" Best North American Airline" for the fifth consecutive year in Business Traveller AsiaPacific's 2005 annual travel awards. Each year, the magazine polls frequent travelers to learn their opinions on airlines and services. Results are verified and compiled by an independent market research company :TNS-Hong Kong.

  1. OCLC book interlibrary loan in a basic-unit hospital library: one year's experience.

    Science.gov (United States)

    Landwirth, T K

    1983-04-01

    Methodist Medical Center of Illinois Medical Library, a "basic-unit" medical library (i.e., not a resource library) in the Regional Medical Library Program recently completed one year of borrowing and lending books using OCLC. Of the books successfully borrowed through OCLC, 79% were obtained from nonmedical libraries. Forming cost-sharing OCLC clusters among basic units makes OCLC an affordable alternative to borrowing books from overburdened medical resource libraries.

  2. Symmetry classes of alternating sign matrices in a nineteen-vertex model

    Science.gov (United States)

    Hagendorf, Christian; Morin-Duchesne, Alexi

    2016-05-01

    The nineteen-vertex model of Fateev and Zamolodchikov on a periodic lattice with an anti-diagonal twist is investigated. Its inhomogeneous transfer matrix is shown to have a simple eigenvalue, with the corresponding eigenstate displaying intriguing combinatorial features. Similar results were previously found for the same model with a diagonal twist. The eigenstate for the anti-diagonal twist is explicitly constructed using the quantum separation of variables technique. A number of sum rules and special components are computed and expressed in terms of Kuperberg’s determinants for partition functions of the inhomogeneous six-vertex model. The computations of some components of the special eigenstate for the diagonal twist are also presented. In the homogeneous limit, the special eigenstates become eigenvectors of the Hamiltonians of the integrable spin-one XXZ chain with twisted boundary conditions. Their sum rules and special components for both twists are expressed in terms of generating functions arising in the weighted enumeration of various symmetry classes of alternating sign matrices (ASMs). These include half-turn symmetric ASMs, quarter-turn symmetric ASMs, vertically symmetric ASMs, vertically and horizontally perverse ASMs and double U-turn ASMs. As side results, new determinant and pfaffian formulas for the weighted enumeration of various symmetry classes of alternating sign matrices are obtained.

  3. [The first Obesity Unit in Czechoslovakia was established twenty years ago].

    Science.gov (United States)

    Hainer, V; Kunesová, M; Stich, V

    2009-01-01

    The first Obesity Unit in former Czechoslovakia was established at the Fourth Department of Internal Medicine of the Faculty of General Medicine and Faculty Hospital I twenty years ago. Both personal resources (physicians specialized in metabolism and obesity, psychologist, dietician, physiatrist and medical nurses trained in the care of obese patients) and diagnostic tools (body composition assessment by hydrodensitometry, determination of energy expenditure by indirect calorimetry, evaluation of energy and nutrient intake by PC assessment of dietary records, hormonal and biochemical examinations etc.) enabled comprehensive examinations of obese patients. Obesity unit included a specialized in-patient department where the patients with severe and complicated obesity underwent a comprehensive treatment programme which consisted of very low energy diet developed in collaboration with the Obesity Unit. The article summarizes not only clinical experiences of the unit but also its engagement in education on obesity, in research projects and international collaboration over the past 20-years period. Obesity unit succeeded to keep its continuity in spite of repeated moving between 1997-2002. Since 2002 Obesity Unit has been a part of the Institute of Endocrinology which provided additional modern facilities for hormonal and molecular genetic examinations.

  4. United States Textiles and Clothing Imports in Worst Fall in 20 Years

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Compared to 2008,United States textiles and clothing(T&C)imports in 2009 suffered a drop of 13.1%.Coming on top of a decrease of 3.3% in the previous year,it brought the total US T&C imports in 2009 lower(by USD 2billion)than they were in 2004.

  5. United States Textiles and Clothing Imports in Worst Fall in 20 Years

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Compared to 2008,United States textiles and clothing(T&C)imports in 2009 suffered a drop of 13.1%.Coming on top of a decrease of 3.3% in the previous year,it brought the total US T&C imports in 2009 lower(by USD 2

  6. Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study

    NARCIS (Netherlands)

    Zwart, J.J.; Dupuis, J.R.O.; Richters, A.; Öry, F.; Roosmalen, J. van

    2010-01-01

    Purpose: As part of a larger nationwide enquiry into severe maternal morbidity, our aim was to assess the incidence and possible risk factors of obstetric intensive care unit (ICU) admission in the Netherlands. Methods: In a 2-year nationwide prospective population-based cohort study, all ICU admiss

  7. Color Vision Deficiencies in Youths 12-17 Years of Age United States.

    Science.gov (United States)

    Slaby, David; Roberts, Jean

    The prevalence of color vision deficiencies among youths 12 to 17 years of age in the United States was evaluated during a 1966-1970 survey of 6,768 youths selected as representative of noninstitutionalized adolescents with respect to age, sex, race, geographic region, income, population size of place of residence, and rate of population change in…

  8. Fifty Ninth Annual Report: United States Department of Labor. Fiscal Year 1971.

    Science.gov (United States)

    Department of Labor, Washington, DC.

    This fifty-ninth annual report of the United States Department of Labor for the fiscal year 1971 contains a 6-page report by the Secretary of Labor, 11 separate Federal Department reports, and a variety of appended tables covering such areas as enrollments and funding for various government programs. Detailing the initiation or improvement of a…

  9. Treatment and rehabilitation on a stroke unit improves 5-year survival. A community-based study

    DEFF Research Database (Denmark)

    Jørgensen, H S; Kammersgaard, L P; Nakayama, H

    1999-01-01

    We have previously reported a marked reduction in mortality up to 1 year after treatment and rehabilitation on a stroke unit versus on general neurological and medical wards in unselected stroke patients. In the present study we wanted to test the hypothesis that this mortality-reducing effect...

  10. Victory Gin Lane. Starvation and Beverages in Orwell’s Nineteen Eighty-Four

    Directory of Open Access Journals (Sweden)

    Paolo Caponi

    2015-05-01

    Full Text Available Gin is an ubiquitous presence in the domestic and urban scenery of Nineteen Eighty-Four (1949. For a population mercilessly hungered, it represents a handy and cheap commodity item providing a fluid opportunity for social aggregation. Victory Gin, served “in handless chine mugs” (53, is part of the workers’ staple diet at the Ministry of Truth, and is sold “at ten cents the large nip” from the small bar (actually, “a mere hole in the wall”, 51 in the canteen; served with cloves, it is the “speciality” (79 of that disreputable place which is the Chestnut Tree Café, where Winston Smith once spotted three fallen-out-of-favor members of the Inner Party – Jones, Aaronson and Rutherford – drink it silently after their release from Oceania prison camps (79. As is typical of the fate of spirits in literature, gin also serves as self-medication and can fuel a kind of inner escapism. It is to make the world “look more cheerful” that Winston gulps it down “like a dose of medicine”, and only after the “shock” of swallowing it can he squeeze himself into his alcove and begin his diary (7; gin clears out Winston’s stomach (53, and is the ultima ratio against that prescient “dull ache” in his belly (105; 106 that originates after bumping into “the girl with dark hair” (later: Julia one evening outside Mr. Charrington’s shop.

  11. A ten-year experience of physical Intimate partner violence (IPV) in a French forensic unit.

    Science.gov (United States)

    Savall, Frédéric; Lechevalier, Agathe; Hérin, Fabrice; Vergnault, Marion; Telmon, Norbert; Bartoli, Christophe

    2017-02-01

    Forensic units have a central role to play in healthy public policy, by the collection and management of violence. This study aims to describe the characteristics of physical Intimate Partner Violence (IPV) against men reported over 10 years in the forensic unit of Toulouse (France) and to compare them with the characteristics of physical IPV against women over the same period. All the medico-legal reports of male victims over 18 years of age between 2005 and 2014 were analyzed. Female victims over 18 years of age in the same period were randomized by year in order to study a similar number of individuals. We analyzed 712 forensic reports of male victims and 865 forensic reports of female victims. Repeated consultation concerned 20.5% of women and 7.5% of men (p origin of the process of violence are difficult to apprehend in such a dyadic context. The findings should be interpreted with caution, but they provide original and substantial material, which can be useful in recognizing victims and in developing preventive strategies. With this aim, forensic units have a central role to play in the collection of violence and in individualized management. In France, this subject has not been extensively studied and future research is needed to emphasize the characteristics of IPV in order to better understand the phenomenon and to create and assess public policies in order to prevent it.

  12. Candida parapsilosis candidaemia in a neonatal unit over 7 years: a case series study

    Science.gov (United States)

    Miranda, Lourdes das Neves; Rodrigues, Eliete C A; Costa, Silvia F; van der Heijden, Inneke Marie; Dantas, Kátia C; Lobo, Renata D; Basso, Mariusa; Varkulja, Gláucia F; Krebs, Vera Lúcia Jornada; Gibelli, Maria Augusta Bento Cicaroni; Criado, Paulo R; Levin, Anna Sara

    2012-01-01

    Objective To evaluate Candida parapsilosis candidaemia in a neonatal unit over 7 years. Design Case series study. Setting A 2000-bed tertiary-care university hospital at São Paulo, Brazil. Participants Neonates hospitalised in a 63-bed neonatal unit. Primary and secondary outcome measures We evaluated the incidence of C parapsilosis fungemia in a neonatal unit from 2002 through 2008 and the main microbiological, clinical and epidemiological aspects of this disease in neonates. During the study period an outbreak occurred, an infection control programme was implemented, and isolates from blood and hand healthcare workers (HCWs) were submitted to molecular typing. Results During 7 years, there were 36 cases of C parapsilosis fungaemia and annual incidence varied from 0 to 19.7 per 1000 admissions. Evaluating 31 neonates with fungemia, the mean age at diagnosis was 19 days. All children except for one were premature; all had received total parenteral nutrition and all but one had used central venous catheter. Three neonates had received antifungal treatment previously to the diagnosis. Thirty-day mortality was 45%. Only lower birthweight was associated with mortality. C parapsilosis species complex was isolated from hand cultures in eight (11%) of the HCWs (one isolate was identified as C orthopsilosis). By molecular typing no HCW isolate was similar to any of the blood isolates. Conclusions The incidence of C parapsilosis fungemia in a neonatal unit varied widely over 7 years. We observed in our series a higher death rate than that reported in European countries and the USA. PMID:22869093

  13. Politics in Language:on George Orwell’s View of Language in Nineteen Eighty-Four

    Institute of Scientific and Technical Information of China (English)

    LIU Wen-jing; WANG Jing

    2015-01-01

    Language stood in the foreground of George Orwell’s social and political thinking. Language is not only a vehicle for transmitting ideas, but also a product originating from social and political interactions. This paper examines the language, particu⁃larly the abuse of language, in the context of politics presented in Nineteen Eighty-Four, so as to find out George Orwell’s view of language:language as a manipulated tool to control people’s minds.

  14. 200 years of soil carbon nitrogen and phosphorus change across the United Kingdom

    Science.gov (United States)

    Tipping, Ed; Quinton, John; Davies, Jessica; Bell, Vicky; Carnell, Ed; Dragosits, Ulli; Muhammed, Shibu; Naden, Pam; Stuart, Marianne; Tomlinson, Sam; Whitmore, Andy; Wu, Lianhai

    2015-04-01

    Human intervention over the last 200 years has resulted in vast changes to the fluxes of nitrogen (N) and phosphorus (P) entering the United Kingdom's landscape. Industrialisation has resulted in N deposition, agricultural intensification has seen widespread use of N and P fertilizers and societal actions have resulted in extensive land use change. To understand the consequences of these anthropogenic inputs for our soils, freshwaters and ecosystems it is necessary to take an integrated long term large scale approach. Integration across the compartments of the critical zone - from atmosphere, plants to soil and stream - is necessary in order to trace the effects of deposition, fertilization, cultivation and land use change. Coherent integration of C, N and P dynamics is also crucial, as biological processes tightly couple these cycles, so that in unison C N and P control the generation of biomass and consequent production of soil organic matter, having knock on effects for dissolved and particulate fluxes and ecosystem function. The Long-Term Large-Scale (LTLS) project is developing an integrated model that simulates the pools and fluxes of carbon, nitrogen and phosphorus (C, N, and P) between atmospheric, vegetation, soil and aquatic systems for the whole of the United Kingdom for a period spanning from the onset of the industrial revolution up until the present day. In this paper we will present results demonstrating the changes in the soil macronutrient cycles in response to agrarian and social change in the United Kingdom over the last 200 years

  15. Cardiotocography interpretation skills and the association with size of maternity unit, years of obstetric work experience and healthcare professional background

    DEFF Research Database (Denmark)

    Thellesen, Line; Sorensen, Jette Led; Hedegaard, Morten

    2017-01-01

    INTRODUCTION: We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. MATERIAL AND METHODS.......007; >20 years experience: mean difference -0.9, passociated with working in large maternity units and having......-choice question test. Associations between mean test score and work conditions were analyzed using multivariable robust regression, in which the three variables were mutually adjusted. RESULTS: Participants from units with >3000 deliveries/year scored higher on the test than participants from units with

  16. Ten years of unitization in Brazil; Dez anos de unitizacoes no Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Bonolo, Daniel Dellamora; Almeida, Mateus Passeri de [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil)

    2012-07-01

    The unitization concept, as used by the oil industry, was established in Brazil through Art 27 of the Law 9.478/97, also known as the Petroleum Law, and the first process was initiated in 2002. Within these 10 years, four processes were started and finalized, approved by ANP. These processes were developed in a maturing regulatory environment, which was improved in 2010. This article deals with the peculiarities of these processes, putting in context the regulatory framework and doubts at the time. We also verse about the regulatory scene after 2010, pointing out the main enhancements made. It is concluded that, although essential, an elaborated regulation is not the only important factor for the success of a unitization agreement, but also the agreement between parties, which has been encouraged by ANP.(author)

  17. The Slavery in Circassia and the United States (1850–1860-ies years: General and Special

    Directory of Open Access Journals (Sweden)

    Mikhal Smigel

    2016-12-01

    Full Text Available The article provides a comparative analysis of slavery in Circassia and in the territory of the slave South in the United States in 1850–1860-ies years in the context of the fight against the slave trade and slavery in the world. The article discusses the Russian-American general trends for the prohibition of slavery and the slave trade. Among the materials are Russian and foreign archival sources, documents of personal origin (memoirs, diaries of travelers as well as scientific research. The methodological basis of historical-comparative study are the principles of objectivity and historicism, suggesting an unbiased approach to the analysis of the studied problems, a critical attitude to the sources, making judgments as a result of the analysis of a set of facts, and displays the slave of phenomena in the development and the context of the historical situation. In conclusion, the authors note that slavery and the slave position in the United States and the Circassia had their differences in 1850–1860-ies. Such differences included the inability of the transition to the United States from the status of a slave in the state of the dependent peasant, which was the norm in Circassia. In the United States the slaves were brought from outside, while in Circassia the slavery occurred in the region, mainly by trapping. At the root of discrimination in the United States was the racial principle, in Circassia this is based on the religious principle. The position of slaves had their similarities. A slave was powerless property of his master, there were certain unwritten rules governing the relationship, slave owners were reluctant to bring slaves to the extreme and etc. The important similarity between the US and Circassia was the presence of their territories with a strong slave system, where slaves constituted more than 30 % of the population. In the US, it was the territory of the slave-holding South, and in Circassia – the slaveholding Ubykhia.

  18. Technology and educational innovation. The thirty-year history of a learning unit in quantitative geography

    Directory of Open Access Journals (Sweden)

    Giampaolo Chiappini

    2014-04-01

    Full Text Available This article describes a project in computer-mediated educational innovation for the teaching of geography which has been carried out at the Don Milani Experimental Middle School in Genoa. The project concerns a learning unit in quantitative geography that has helped to change the way this discipline is taught in the school. Given its special features and durability over time (28 years, this experience represents a benchmark for studying (a the way in which a technology-mediated educational innovation project can germinate and grow to involve all school classes, and (b the conditions that ensure sustainability over time.

  19. Indications and outcome for obstetric patients' admission to intensive care unit: a 7-year review.

    Science.gov (United States)

    Lataifeh, I; Amarin, Z; Zayed, F; Al-Mehaisen, L; Alchalabi, H; Khader, Y

    2010-05-01

    The objective of this retrospective study was to investigate the indications, interventions and clinical outcome of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit at the King Abdullah University Hospital in Jordan over a 7-year period from January 2002 to December 2008. The collected data included demographic characteristics of the patients, mode of delivery, pre-existing medical conditions, reason for admission, specific intervention, length of stay and maternal outcome. A total of 43 women required admission to the intensive care unit (ICU), which represented 0.37% of all deliveries. The majority (95.3%) of patients were admitted to the ICU postpartum. The most common reasons for admissions were (pre)eclampsia (48.8%) and obstetric haemorrhage (37.2). The remainder included adult respiratory distress syndrome (6.9%), pulmonary embolism (2.3%) and neurological disorders (4.6%). Mechanical ventilation was required to support 18.6% of patients and transfusion of red blood cells was needed for 48.8% of patients. There were three maternal deaths (6.9%). A multidisciplinary team approach is essential to improve the management of hypertensive disorders and postpartum haemorrhage to achieve significant improvements in maternal outcome. A large, prospective study to know which women are at high risk of admission to the intensive care units and to prevent serious maternal morbidity and mortality is warranted.

  20. Cooling unit for the AmpaCity project - One year successful operation

    Science.gov (United States)

    Herzog, Friedhelm; Kutz, Thomas; Stemmle, Mark; Kugel, Torsten

    2016-12-01

    High temperature super conductors (HTS) can efficiently be cooled with liquid nitrogen down to a temperature of 64 K (-209 °C). Lower temperatures are not practical, because at 63 K (-210 °C) nitrogen becomes solid. To achieve this temperature level the coolant has to be vaporized below atmospheric pressure. Messer has developed a cooling unit with an adequate vacuum subcooler, a liquid nitrogen circulation system, and a storage vessel for cooling an HTS-power cable. Liquid nitrogen is circulated through the superconducting cable to take out the heat, and afterward it is pumped through the subcooler to be recooled. In the circulation system liquid nitrogen is used as a dielectric fluid and as a heat transfer medium. It stays always liquid (subcooled) and does not vaporize. On the secondary side of the subcooler liquid nitrogen from the storage vessel is used as refrigerant. It is vaporized under a pressure of 150 mbar to achieve the desired low temperatures. The cooling unit was delivered in 2013 for the German AmpaCity project of RWE Deutschland AG, Nexans and Karlsruhe Institute of Technology. Within this project RWE and Nexans installed the worldwide longest superconducting power cable in the city of Essen, Germany. The cooling unit cools a 10 kV concentric HTS cable (40 MV A) with a length of 1000 m. The cable is in operation since March 10th, 2014. After more than one year of practical operation many important figures from cable and cooling unit are available. These figures are discussed and a total energy balance is shown to compare liquid nitrogen cooling with alternative mechanical cooling systems.

  1. Comparative Study of Effective Factors on Students’ Interests in Fashion at Islamic Azad University Arak Unit and South Tehran Unit Academic Year 2010-2011

    OpenAIRE

    Tahmineh Zareei

    2013-01-01

    This paper intends to provide a comparative study of effective factors on students’ interests in fashion at Faculty of Human Sciences – Islamic Azad University – Arak unit and also Islamic Azad University- South Tehran Unit through academic year 2010- 2011. According to the findings, it is obvious that fashion and any interests in fashion changed into a great social problem among university students. This paper used any thoughts of different specialists including Siemel and Veblen as the high...

  2. 78 FR 65711 - Uncovered Innerspring Units From China, South Africa, and Vietnam Institution of Five-Year Reviews

    Science.gov (United States)

    2013-11-01

    ... COMMISSION Uncovered Innerspring Units From China, South Africa, and Vietnam Institution of Five-Year Reviews... the scope of the five-year reviews, as defined by the Department of Commerce. (2) The Subject.... Former Commission employees who are seeking to appear in Commission five-year reviews are advised that...

  3. [Airway management in intensive care units in Rhineland-Palatinate : Evolution over five years].

    Science.gov (United States)

    Piepho, T; Härer, T; Ellermann, L; Noppens, R R

    2017-05-01

    Securing the airway in severely ill patients is associated with a high rate of complications. So far, no information exists about the equipment readily available for airway management in German intensive care units (ICUs). It is also unknown if the range of material has improved over time. In the present trial the availability of equipment for airway management in ICUs in Rhineland-Palatinate was evaluated at two different times. Using a structured questionnaire, all ICUs in the state were contacted in the years 2010 and 2015. The availability of different types of equipment for airway management, as well as the presence of a training program for airway management, was evaluated. For 2010 data from 64 ICUs were evaluated and for 2015 data sets from 63 ICUs were collected. In 2010 indirect laryngoscopes were available in eight ICUs; in 2015 these devices were directly accessible in 43 units (p airway procedures was available in nearly every ICU (n = 60). The availability of capnography increased significantly from 2010 (n = 12) to 2015 (n = 56; p airway management was performed in 23 and 32 units, respectively (p > 0.05). Most ICUs in Rhineland-Palatinate have a broad range of equipment for airway management available, and the range has significantly improved over the time period evaluated. The availability of indirect laryngoscopes and capnometers improved significantly. However, it is remarkable that in some ICU's there is still a lack of equipment for advanced airway management.

  4. Estimated incidence of pertussis in people aged <50 years in the United States

    Science.gov (United States)

    Chen, Chi-Chang; Balderston McGuiness, Catherine; Krishnarajah, Girishanthy; Blanchette, Christopher M.; Wang, Yuanyuan; Sun, Kainan; Buck, Philip O.

    2016-01-01

    ABSTRACT The introduction of pertussis vaccination in the United States (US) in the 1940s has greatly reduced its burden. However, the incidence of pertussis is difficult to quantify, as many cases are not laboratory-confirmed or reported, particularly in adults. This study estimated pertussis incidence in a commercially insured US population aged models; (3) using the fraction of cough illness (ICD-9 033.0, 033.9, 484.3, 786.2, 466.0, 466.1, 487.1) attributed to laboratory-confirmed pertussis, estimated by time series linear regression models. Method 1 gave a projected annual incidence of diagnosed pertussis of 9/100,000, which was highest in those aged <1 year. Method 2 gave an average annual projected incidence of 21/100,000. Method 3 gave an overall regression-estimated weighted annual incidence of pertussis of 649/100,000, approximately 58–93 times higher than method 1 depending on the year. These estimations, which are consistent with considerable underreporting of pertussis in people aged <50 years and provide further evidence that the majority of cases go undetected, especially with increasing age, may aid in the development of public health programs to reduce pertussis burden. PMID:27246119

  5. Learning from 25 years of experience with the United States clean air act

    Energy Technology Data Exchange (ETDEWEB)

    Schulze, R.H. [Trinity Consultants Incorporated, Dallas, TX (United States)

    1995-12-31

    Twenty-five years ago, the United States embarked on a quest to attain clean air. President Nixon, in signing the Clean Air Act of 1970, defined clean air as the objective for the `70s. Although enormous progress has been made, much remains to be done. Newly constructed industry is quite clean, but many older facilities continue to operate with antiquated controls. Significant advances have been made in cleaning up the emissions from new automobiles, but two factors have impaired progress. First, cars last longer than they did in 1970, so the average age of the fleet has increased. Second, travel has increased as people have moved to the suburbs. Thus, the emission decreases from clean cars have not been as great as expected. This presentation will address some of the lessons learned from the efforts in the United States to implement clean air programs. In a large number of countries, excessively elaborate studies have been substituted for action programs. Since much is now known about air quality, fairly brief studies can define programs that should be undertaken. What may take longer is developing public support and enthusiasm for improved air quality. In most cases, it is desirable to reduce spending on studies and increase spending on devising and implementing plans, as well as effectively communicating the necessary changes to the public. Balanced spending on studies- and action programs is essential to a sound air quality control program. (author)

  6. Dental foundation year 2 training in oral and maxillofacial surgery units - the trainees' perspective.

    Science.gov (United States)

    Wildan, T; Amin, J; Bowe, D; Gerber, B; Saeed, N R

    2013-10-01

    Most dental foundation year 2 (DF2) training takes place in oral and maxillofacial surgery (OMFS) units. We did a survey of DF2 trainees in these units by telephone interviews and an online questionnaire to find out about their experience of training and their career aspirations. A total of 123 responded, which is roughly 41% of the total estimated number of trainees. Trainees applied for these posts mainly to improve their dentoalveolar skills (50%), and this was cited as the best aspect of the training. Most (81%) were on-call at night and this was generally thought to be a valuable training experience (77%), but 20% thought that it was the worst aspect of the job. Most did not regret taking up the post although the experience had caused 75% to alter their intentions about their future career; general dental practice was the commonest choice. In conclusion, trainees are generally satisfied with their training and these positions have guided their choices about future careers.

  7. RECALMIN II. Eight years of hospitalisation in Internal Medicine Units (2007-2014). What has changed?

    Science.gov (United States)

    Zapatero-Gaviria, A; Barba-Martín, R; Canora Lebrato, J; Fernández-Pérez, C; Gómez-Huelgas, R; Bernal-Sobrino, J L; Díez-Manglano, J; Marco-Martínez, J; Elola-Somoza, F J

    2017-08-30

    To analyse the evolution of care provided by the internal medicine units (IMU) of the Spanish National Health System from 2007 to 2014. We analysed all discharges from the IMU of the Spanish National Health System in 2007 and 2014, using the Minimum Basic Data Set. We compared the risk factors by episode, mortality and readmissions between the two periods. We prepared specific fits for the risk for mortality and readmissions in heart failure, pneumonia and chronic obstructive pulmonary disease, as well as the Charlson index for all activity. Discharges from the IMU between the two periods increased 14%. The average patient age increased by 2.8 years (71.2±17.1 vs. 74±16.2; pMedicina Interna (SEMI). All rights reserved.

  8. Thirty years of the United Nations and global ageing: an Australian perspective.

    Science.gov (United States)

    Kendig, Hal; Lucas, Nina; Anstey, Kaarin J

    2013-10-01

    Over the past three decades, the United Nations (UN) has slowly devoted increasing attention to global ageing. Concern for individually based welfare or health-care programs for older people in developed countries has progressed to also consider the contributions of older people and implications of ageing for socioeconomic advancement in developing countries, including those in Asia Oceania. These shifts are evident in the International Plans of Action on Ageing from Vienna in 1982 to Madrid in 2002; recent 10-year reviews of the Madrid Plan; and current advocacy for inclusion of ageing in the influential UN Millennium Plan post-2015. Australia has demonstrated progressive policies and contributed to ageing developments by the UN, International Federation on Ageing the World Health Organization and the International Association of Gerontology. Key ideas driving further action are the importance of valuing people at all ages, addressing inequalities over the life-course and implementing human rights approaches to ageing. © 2013 ACOTA.

  9. Twenty-year summary of surveillance for human hantavirus infections, United States.

    Science.gov (United States)

    Knust, Barbara; Rollin, Pierre E

    2013-12-01

    In the past 20 years of surveillance for hantavirus in humans in the United States, 624 cases of hantavirus pulmonary syndrome (HPS) have been reported, 96% of which occurred in states west of the Mississippi River. Most hantavirus infections are caused by Sin Nombre virus, but cases of HPS caused by Bayou, Black Creek Canal, Monongahela, and New York viruses have been reported, and cases of domestically acquired hemorrhagic fever and renal syndrome caused by Seoul virus have also occurred. Rarely, hantavirus infections result in mild illness that does not progress to HPS. Continued testing and surveillance of clinical cases in humans will improve our understanding of the etiologic agents involved and the spectrum of diseases.

  10. Propaganda and Surveillance in George Orwell’s Nineteen Eighty-Four: Two Sides of the Same Coin

    Directory of Open Access Journals (Sweden)

    Michael Yeo

    2010-01-01

    Full Text Available Propaganda and surveillance are pervasive in contemporary society. Extensive literatures have developed around each. George Orwell’s Nineteen Eighty-Four is an important point of reference in both literatures. Orwell takes both propaganda and surveillance to extreme limits: total surveillance and total propaganda. Writing them large he brings important aspects of each into sharp relief, which is why his novel has the iconic status that it does for theorists in both literatures. However Nineteen Eighty-Four is of interest not just for its potential contribution to theorizing about propaganda or about surveillance. Propaganda and surveillance in the novel are not just accidentally related but essentially linked. I show how they work not just individually but in tandem in Orwell’s text, playing complementary roles in an absurd project of total social control directed not just at behaviour but also thought. Relating propaganda and surveillance in a sustained and systematic reading of the novel reveals it to be an even richer resource for theorizing about either surveillance or propaganda than it is when read, as it typically is, with an emphasis on one or the other. Additionally, from a literary perspective this reading opens up what I believe is a fresh perspective on the novel and makes it more inviting for a thoughtful and rewarding reread.

  11. Oesophageal atresia: a 10-year experience of a Paediatric Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Liliana Pinho

    2016-03-01

    Full Text Available Background/Purpose: Oesophageal atresia (OA is a congenital malformation with a variable prognosis. The aims were to establish OA’s incidence in the central region, to characterize infants with OA admitted and to compare its clinical outcome after surgical repair, according to OA classifi cation. Methods: A retrospective review of infants with OA admitted to a PICU, after surgical repair, between 2002 and 2011. Patient characteristics, OA’s classifi cation, surgery, morbidity and mortality were analyzed. Two groups were compared according to OA classifi cation. Results: Thirty-four infants were admitted, out of which 65% were male, with a median gestational age of 36 weeks and birth weight of 2310g. Nineteen of them presented other malformations, mainly cardiac. Nine cases were classifi ed as long-gap OA. Fistula ligation and primary oesophageal anastomosis was the most common surgical option (n=27. Early complications occurred in 13 infants (38%, mostly anastomotic leak, and were similar according to gap length (p=0.704. PICU stay and mechanical ventilation were longer in long-gap OA patients (p=0.009 and p<0.001 respectively and in infants with other malformations (p=0.027 and p=0.003 respectively. There was no mortality. Conclusions: The frequency of OA associated malformations implies a systematic screening of these patients. Gap length and presence of associated malformations were the major determinants of length of intensive care stay and ventilation days in OA patients.

  12. Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

    Directory of Open Access Journals (Sweden)

    Amilton dos Santos Jr.

    2013-01-01

    Full Text Available Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02. Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5% reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

  13. Paediatric head injury admissions over a 10-year period in a regional neurosurgical unit.

    Science.gov (United States)

    Phang, I; Mathieson, C; Sexton, I; Forsyth, S; Brown, J; St George, E J

    2012-08-01

    Traumatic brain injury is a leading cause of death and disability in childhood. A retrospective study of all paediatric head injuries admitted to the neurosurgical unit for the West of Scotland over a 10-year period was performed to assess the impact of the National Institute for Health and Clinical Excellence head injury guidelines on the admission rate and to determine the associated risk factors, causes, severity and outcomes of these injuries. There were 564 admissions between 1998 and 2007. The median age at presentation was nine years and two months. There was no change in the admission rate, injury mechanism or severity of head injury admitted over the period studied. A relationship was observed between the Scottish Index of Multiple Deprivation Score and the incidence of head injury (P = 0.05). Alcohol was reported as a causative factor in only a small number of cases, and moderate to severe head injuries were more commonly identified as a result of road traffic accidents.

  14. An electrical load measurements dataset of United Kingdom households from a two-year longitudinal study

    Science.gov (United States)

    Murray, David; Stankovic, Lina; Stankovic, Vladimir

    2017-01-01

    Smart meter roll-outs provide easy access to granular meter measurements, enabling advanced energy services, ranging from demand response measures, tailored energy feedback and smart home/building automation. To design such services, train and validate models, access to data that resembles what is expected of smart meters, collected in a real-world setting, is necessary. The REFIT electrical load measurements dataset described in this paper includes whole house aggregate loads and nine individual appliance measurements at 8-second intervals per house, collected continuously over a period of two years from 20 houses. During monitoring, the occupants were conducting their usual routines. At the time of publishing, the dataset has the largest number of houses monitored in the United Kingdom at less than 1-minute intervals over a period greater than one year. The dataset comprises 1,194,958,790 readings, that represent over 250,000 monitored appliance uses. The data is accessible in an easy-to-use comma-separated format, is time-stamped and cleaned to remove invalid measurements, correctly label appliance data and fill in small gaps of missing data.

  15. Moral distress in intensive care unit professionals is associated with profession, age, and years of experience.

    Science.gov (United States)

    Dodek, Peter M; Wong, Hubert; Norena, Monica; Ayas, Najib; Reynolds, Steven C; Keenan, Sean P; Hamric, Ann; Rodney, Patricia; Stewart, Miriam; Alden, Lynn

    2016-02-01

    To determine which demographic characteristics are associated with moral distress in intensive care unit (ICU) professionals. We distributed a self-administered, validated survey to measure moral distress to all clinical personnel in 13 ICUs in British Columbia, Canada. Each respondent to the survey also reported their age, sex, and years of experience in the ICU where they were working. We used multivariate, hierarchical regression to analyze relationships between demographic characteristics and moral distress scores, and to analyze the relationship between moral distress and tendency to leave the workplace. Response rates to the surveys were the following: nurses--428/870 (49%); other health professionals (not nurses or physicians)--211/452 (47%); physicians--30/68 (44%). Nurses and other health professionals had higher moral distress scores than physicians. Highest ranked items associated with moral distress were related to cost constraints and end-of-life controversies. Multivariate analyses showed that age is inversely associated with moral distress, but only in other health professionals (rate ratio [95% confidence interval]: -7.3 [-13.4, -1.2]); years of experience is directly associated with moral distress, but only in nurses (rate ratio (95% confidence interval):10.8 [2.6, 18.9]). The moral distress score is directly related to the tendency to leave the ICU job, in both the past and present, but only for nurses and other non-physician health professionals. Moral distress is higher in ICU nurses and other non-physician professionals than in physicians, is lower with older age for other non-physician professionals but greater with more years of experience in nurses, and is associated with tendency to leave the job. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. United Airlines Named Best Transpacific Airline at OAAG Airline of the Year Awards "Oscars of the Airline Industry" Highlight United's Extensive Service to Asia-Pacific Region"

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ United Airlines (OTCBB:UALAQ.OB) was named Best Transpacific Airline by the annual OAG Airline of the Year Awards during an awards ceremony in London. OAG is a content management company specializing in travel and transport, which selected winners of the awards based on the votes of a worldwide audience of business travelers.

  17. United Airlines Named Best Transpacific Airline at OAAG Airline of the Year Awards "Oscars of the Airline Industry" Highlight United's Extensive Service to Asia-Pacific Region"

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

      United Airlines (OTCBB:UALAQ.OB) was named Best Transpacific Airline by the annual OAG Airline of the Year Awards during an awards ceremony in London. OAG is a content management company specializing in travel and transport, which selected winners of the awards based on the votes of a worldwide audience of business travelers.……

  18. AN EXPERIMENTAL COURSE IN MATHEMATICS FOR THE NINTH YEAR. UNIT 12, TRIGONOMETRIC FUNCTIONS.

    Science.gov (United States)

    New York State Education Dept., Albany.

    THIS TEACHING GUIDE FOR TRIGONOMETRY IS THE FINAL UNIT OF A SERIES OF 12 UNITS FOR AN EXPERIMENTAL COURSE IN MATHEMATICS FOR GRADE 9. BACKGROUND MATERIAL FOR TEACHERS AS WELL AS QUESTIONS AND ACTIVITIES FOR CLASSROOM PRESENTATIONS ARE PROVIDED. A GLOSSARY OF MATHEMATICAL TERMS FOR THE 12 UNITS CONCLUDES THE REPORT. (RP)

  19. 76 FR 12700 - Allocation of Duty-Exemptions for Calendar Year 2011 for Watch Producers Located in the United...

    Science.gov (United States)

    2011-03-08

    ... total of $1,214,003. The calendar year 2011 USVI annual duty exemption allocations, based on the data... International Trade Administration DEPARTMENT OF THE INTERIOR Allocation of Duty-Exemptions for Calendar Year... responsibility for the allocation of duty exemptions among program producers in the United States...

  20. 77 FR 13533 - Allocation of Duty-Exemptions for Calendar Year 2012 for Watch Producers Located in the United...

    Science.gov (United States)

    2012-03-07

    ... total of $1,036,055. The calendar year 2012 USVI annual duty exemption allocations, based on the data... International Trade Administration DEPARTMENT OF THE INTERIOR Allocation of Duty-Exemptions for Calendar Year... responsibility for the allocation of duty exemptions among program producers in the United States...

  1. Analysis of neonatal sepsis in one neonatal intensive care unit for 6 years

    Directory of Open Access Journals (Sweden)

    Peter Chun

    2010-04-01

    Full Text Available Purpose : Sepsis is a significant cause of morbidity and mortality in the newborn, particularly in preterm. The objective of this study was to analyze the incidence rate, causative pathogens and clinical features of neonatal sepsis in one neonatal intensive care unit (NICU for 6 years. Methods : This study was retrospectively performed to review the clinical and laboratory characteristics including sex, gestational age, birth weight, Apgar score, length of hospitalization, length of total parenteral nutrition, presence of central venous catheter, underlying diseases, laboratory findings, microorganisms isolated from blood culture, complications and mortality in 175 patients between January 2003 and December 2008. Results : 1 Sepsis was present in 175 of 3,747 infants for 6 years. There were more gram-positive organisms. 2 The gram-negatives were more prevalent in preterm. There were no significant differences of other clinical features between two groups. 3 Underlying diseases were found in 73.7%, and the most common disease was cardiovascular disease. The most common organisms of gram-positives and gram-negatives were methicillin resistant Staphylococcus aureus (MRSA and Serratia marcescens. 4 There was statistically significant difference on platelet counts between two groups (P&lt;0.05. 5 Complications were found in 18.3% and septic shock was the most common. MRSA was the most common pathogen in sepsis with complication. 6 The mortality rate was 7.4%. 7 There were differences in monthly blood stream infection/ 1,000 patient-days. Conclusion : The studies about the factors that can influence neonatal sepsis will contribute to decrease the infection rates in NICUs.

  2. Basic real immunization coverage for the first year of life in a Family Health Unit

    Directory of Open Access Journals (Sweden)

    Sandra Maria Magalhães Villela Carneiro

    2012-05-01

    Full Text Available Purpose: to evaluate basic immunization coverage for the first year of life in a family health unit in Maceio, Alagoas, Brazil. Methods: it was a cross-sectional study. Sixty six children from 12 to 24 months old were included. All parents or answerable persons for the children undergone to an interview. Additional data were collected from immunization cards for each child. Basic immunization coverage was considered complete when children received immunization on adequate age and intervals. Categorical variables were disposed in proportions. Mean and standard deviation were calculated for numeral variables. Differences between appropriate and inappropriate vacinal coverage groups were measured through Pearson’s qui-square (p < 0.05. Results: We obtained a sample of 66 children, of whom 24,2% (n = 16 completed the basic immunization schedule. The average number of residents was 4,7 ± 1,8, while the averege number of siblngs was 1,0 ± 1,0. It was found that 75,8% (n = 50 of children were part of the C2 or D. The average age of the person responsible was 30,53 ± 11 ranging from 16 to 62 years. Conclusion: The coverage for each of vaccines was always greater than the coverage for theentire scheme. It was found that a significant portion of children in this research did not receive all recommended doses, at ages appropriate and corret intervals. Therefore, the init needs to improve it’s technical procedures, and administrative in order to ensure full immunization coverage in due course.

  3. Discharge against medical advice from Neonatal Intensive Care Unit: 10 years experience at a University Hospital

    Directory of Open Access Journals (Sweden)

    Hatim K Al-Turkistani

    2013-01-01

    Full Text Available Background: Discharging patients against medical advice is a problem of every age-group. However, because of their physiological vulnerability, the risk for the neonatal population is greater when discharged against medical advice (DAMA. This article is a study of the prevalence of the problem, the possible causes and/or risk factors. Materials and Methods: A retrospective review of 10 years of medical records of neonates discharged against medical advice from a Neonatal Intensive Care Unit (NICU at a university hospital. Results: The overall prevalence of DAMA was 1.6%. Most of the 51 infants who were taken out of hospital against medical advice (AMA were term (72.5% with a mean gestational age of 37.78 ± 2.5 weeks, of normal birth weight, with a mean of 2736 ± 661 g, Saudis (96%, those delivered vaginally (69%, and those that were provisionally diagnosed with transient tachypnea of newborn (TTN and/or query sepsis (49%. There was no difference between males and females (M/F = 1.2. There was an association between DAMA and the timing of DAMA (27.5% of DAMA at weekends and 67% of DAMA from May to October. Conclusion: DAMA of neonates is particularly critical. The causes and risk factors are many and difficult to predict. In addition to several other factors, its prevalence is influenced negatively by some socio-cultural beliefs.

  4. Mortality profile across our Intensive Care Units: A 5-year database report from a Singapore restructured hospital.

    Science.gov (United States)

    Siddiqui, Shahla

    2015-12-01

    Intensive care remains an area of high acuity and high mortality across the globe. With a rapidly aging population, the disease burden requiring intensive care is growing. The cost of critical care also is rising with new technology becoming available rapidly. We present the all-cause mortality results of 5 years database established in a restructured, large public hospital in Singapore, looking at all three types of Intensive Care Units present in our hospital. These include medical, surgical, and coronary care units.

  5. Asthma changes at a Pediatric Intensive Care Unit after 10 years: Observational study

    Directory of Open Access Journals (Sweden)

    Ayman A Al-Eyadhy

    2015-01-01

    Full Text Available Objectives: To describe the change in the management, and outcome of children with acute severe asthma (ASA admitted to Pediatric Intensive Care Unit (PICU at tertiary institute, as compared to previously published report in 2003. Methods : This is a retrospective observational study. All consecutive pediatric ASA patients who were admitted to PICU during the study period were included. The data were extracted from PICU database and medical records. The Cohort in this study (2013 Cohort was compared with the Cohort of ASA, which was published in 2003 from the same institution (2003 Cohort. Results: In comparison to previous 2003 Cohort, current Cohort (2013 revealed higher mean age (5.5 vs. 3.6 years; P ≤ 0.001, higher rate of PICU admission (20.3% vs. 3.6%; P ≤ 0.007, less patients who received maintenance inhaled steroids (43.3% vs. 62.4%; P ≤ 0.03, less patients with pH <7.3 (17.9% vs. 42.9%; P ≤ 0.001. There were more patients in 2013 Cohort who received: Inhaled Ipratropium bromide (97% vs. 68%; P ≤ 0.001, intravenous magnesium sulfate (68.2% vs. none, intravenous salbutamol (13.6% vs. 3.6%; P ≤ 0.015, and noninvasive ventilation (NIV (35.8% vs. none while no patients were treated with theophylline (none vs. 62.5%. The median length of stay (LOS was 2 days while mean LOS was half a day longer in the 2013 Cohort. None of our patients required intubation, and there was no mortality. Conclusion: We observed slight shift toward older age, considerably increased the rate of PICU admission, increased utilization of Ipratropium bromide, magnesium sulfate, and NIV as important modalities of treatment.

  6. Nosocomial infections in a neonatal intensive care unit during 16 years: 1997-2012

    Directory of Open Access Journals (Sweden)

    Jane Eire Urzedo

    2014-06-01

    Full Text Available Introduction Surveillance of nosocomial infections (NIs is an essential part of quality patient care; however, there are few reports of National Healthcare Safety Network (NHSN surveillance in neonatal intensive care units (NICUs and none in developing countries. The purpose of this study was to report the incidence of NIs, causative organisms, and antimicrobial susceptibility patterns in a large cohort of neonates admitted to the NICU during a 16-year period. Methods The patients were followed 5 times per week from birth to discharge or death, and epidemiological surveillance was conducted according to the NHSN. Results From January 1997 to December 2012, 4,615 neonates, representing 62,412 patient-days, were admitted to the NICU. The device-associated infection rates were as follows: 17.3 primary bloodstream infections per 1,000 central line-days and 3.2 pneumonia infections per 1,000 ventilator-days. A total of 1,182 microorganisms were isolated from sterile body site cultures in 902 neonates. Coagulase-negative staphylococci (CoNS (34.3% and Staphylococcus aureus (15.6% were the most common etiologic agents isolated from cultures. The incidences of oxacillin-resistant CoNS and Staphylococcus aureus were 86.4% and 28.3%, respectively. Conclusions The most important NI remains bloodstream infection with staphylococci as the predominant pathogens, observed at much higher rates than those reported in the literature. Multiresistant microorganisms, especially oxacillin-resistant staphylococci and gram-negative bacilli resistant to cephalosporin were frequently found. Furthermore, by promoting strict hygiene measures and meticulous care of the infected infants, the process itself of evaluating the causative organisms was valuable.

  7. Two years experience with the 100 kW SOFC Cogeneration Unit at Arnhem

    Energy Technology Data Exchange (ETDEWEB)

    Sukkel, Jaap [NUON, Arnhem (Netherlands)

    2000-07-01

    Since January 1998, the 100 kWe EDB/EIsam solid oxide fuel cell cogeneration unit is in operation in Westervoort. The projects objectives are to: 1) demonstrate the high efficiency and low emissions of the Westinghouse SOFC technology on a 100 kWe scale, 2) gain experience on the operation and maintenance of the SOFC as a cogeneration unit, 3) establish technical characteristics (in-/output, availability/durability and low emissions) of the SOFC technology, and 4) determine the technical and economical possibilities of the SOFC technology. In the first half of 1998 the unit operated at nominal power conditions for almost 3700 hours. After a revision in the U.S., the unit started operations in March 1999, and operated for more than 8000 hours (April 2000). The experience with the operation of the unit and some test results are presented in this paper. (author)

  8. Cooperative Fish and Wildlife Research Units Program—2016 year in review

    Science.gov (United States)

    Organ, John F.; Thompson, John D.; Dennerline, Donald E.; Childs, Dawn E.

    2017-02-22

    SummaryThe Cooperative Fish and Wildlife Research Units (CRU) Program had a productive year in 2016. Despite vacancies in our scientist ranks exceeding 20 percent, our research, training, and teaching portfolio was full and we graduated 93 students and published 398 manuscripts primarily focused on addressing the real conservation challenges of our cooperators. As I’ve stated before, our mission is our legacy: meeting the actionable science needs of our cooperators, providing them technical guidance and assistance in interpreting and applying new advances in science, and developing the future workforce through graduate education and mentoring. Our scientists and the manner in which they approach our mission continue to inspire me. The most rewarding part of my job is meeting and engaging with the students they recruit—the conservation professionals of the future. I cannot help but feel uplifted after discussions with and presentations by these young men and women. Personally, I owe my place in the profession today to the mentoring I received as a CRU student, and today’s CRU scientists have raised the bar. It gives me hope for the future of conservation, and added motivation to see our vacancies filled so that we can expand our portfolio.The National Cooperators’ Coalition has been active and is strategically working to build support on our behalf. Sincere thanks to the American Fisheries Society, the Association of Fish and Wildlife Agencies, the Boone and Crockett Club, the National Association of University Fish and Wildlife Programs, the Wildlife Management Institute, and The Wildlife Society for their efforts and those of their affiliated members.We co-sponsored a workshop at the 2016 North American Wildlife and Natural Resources Conference along with the American Fisheries Society, the Association of Fish and Wildlife Agencies, the Wildlife Management Institute, and The Wildlife Society, titled “Barriers and Bridges in Reconnecting Natural Resources

  9. Rice Lake National Wildlife Refuge : Sandstone Unit : Mille Lacs National Wildlife Refuge : Fiscal year 2002

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Rice Lake (including the Sandstone Unit) and Mille Lacs National Wildlife Refuges outlines Refuge accomplishments during the 2002...

  10. Matagorda Island Unit, Aransas National Wildlife Refuge : Annual Narrative Report : Calendar Year 1987

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Annual Narrative Report for the Matagorda Island Unit of Aransas National Wildlife Refuge summarizes refuge activities during 1987. The report begins with...

  11. Rice Lake National Wildlife Refuge : Mille Lacs National Wildlife Refuge : Sandstone Unit : Fiscal year 2003

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Rice Lake (including the Sandstone Unit) and Mille Lacs National Wildlife Refuges outlines Refuge accomplishments during the 2003...

  12. Matagorda Island Unit, Aransas National Wildlife Refuge : Annual Narrative Report : Calendar Year 1989

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Annual Narrative Report for the Matagorda Island Unit of Aransas National Wildlife Refuge summarizes refuge activities during 1989. The report begins with...

  13. Rice Lake National Wildlife Refuge : Mille Lacs National Wildlife Refuge : Sandstone Unit : Fiscal year 2004

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Rice Lake (including the Sandstone Unit) and Mille Lacs National Wildlife Refuges outlines Refuge accomplishments during the 2004...

  14. Test of the Constancy - Velocity Hypothesis: Navy Unit Functioning and Performance over 12 Years.

    Science.gov (United States)

    1988-01-31

    It was found in Bowers & Krauz (1983) and Bowers, Krauz & Denison (�) that Project Upgrade rates for fleet units (the rate of occurrence of...studies documented in Bowers, Krauz & Denison (1983), it was apparent that the typical Upgrade case was a person who, starting out on an even keel in...Project Upgrade rates in Navy units. Technical Report to the Office of Naval Research, May, 1983. Bowers, D.G., and Krauz , L.S. Organizational

  15. The establishment of endovascular aneurysm coiling at a neurovascular unit: report of experience during early years.

    Science.gov (United States)

    Norbäck, O; Gál, G; Johansson, M; Solander, S; Tovi, M; Persson, L; Ronne-Engström, E; Enblad, P

    2005-02-01

    The treatment of cerebral aneurysms is changing from surgical clipping to endovascular coiling (EVC) in many neurovascular centres. The aim of this study was to evaluate the technical results and clinical outcome at 6 months in a consecutive series of subarachnoid hemorrhage (SAH) patients treated with EVC, in a situation when the EVC had been established very rapidly as the first line of treatment at a neurovascular centre. The patient material comprised 239 SAH patients (155 women and 84 men, mean age 55 years, age range 16-81) allocated to EVC as the first line of treatment in the acute stage (within 3 weeks of rupture) between September 1996 and December 2000. Clinical grade on admission was Hunt & Hess (H&H) I and II in 42%, H&H III in 25% and H&H grade IV and V in 33% of the patients. The aneurysm was located in the anterior circulation in 82% of the cases. EVC was performed on days 0-3 in 77% of the cases. EVC of the target aneurysm was able to be completed in 222 patients (93%). Complete occlusion was achieved in 126 patients (53%). Procedural complications occurred in 39 patients (16%). Favourable clinical outcome was observed in 57%, severe disability in 28% and poor outcome in 14% of the patients. Favourable outcome was achieved in 77% of H&H I and II patients and in 43% of H&H III-V patients. The multivariate logistic regression analysis revealed that younger age, good neurological grade on admission, absence of intracerebral hematoma and intraventricular hematoma respectively, ICA-PcomA aneurysm location, later treatment and absence of complications were significant predictors of favourable outcome. After interventional training and installation of the X-ray system, the introduction and establishment of EVC at a neurovascular unit can be done in a short period of time and with favourable results. Future studies must concentrate on identifying factors of importance for the choice of interventional or surgical therapy. The results of this study indicate

  16. Work-unit measures of organisational justice and risk of depression--a 2-year cohort study

    DEFF Research Database (Denmark)

    Grynderup, Matias Brødsgaard; Mors, Ole; Hansen, Åse Marie

    2013-01-01

    and relational justice were computed for each work unit to obtain exposure measures that were robust to reporting bias related to depression. Two years later in 2009, 3047 (72%) participated at follow-up. Those reporting high levels of depressive, burn-out or stress symptoms were assigned to a psychiatric...

  17. Mobile Units Supplementing Education (M.U.S.E.). Evaluation, ESEA Title III, Fiscal Year 1970.

    Science.gov (United States)

    Dodge County Schools, Fremont, NE.

    A project in Dodge County, Nebraska, from July 1, 1969, to June 30, 1970, used Mobile Units Supplementing Education (MUSE) under an Elementary and Secondary Education Act Title III grant. The primary objective of the pilot project and the operational grant was to demonstrate and explore the possibilities of bringing special and supplemental units…

  18. Men and Health Promotion in the United Kingdom: 20 Years Further Forward?

    Science.gov (United States)

    Robertson, Steve; Baker, Peter

    2017-01-01

    Despite overall improvements in life expectancy, rates of premature male mortality, particularly for men in areas of socioeconomic deprivation, remain an important issue of concern in the United Kingdom. Interventions to engage men and promote their health and wellbeing have developed, albeit sporadically, over recent decades in response to this…

  19. Men and Health Promotion in the United Kingdom: 20 Years Further Forward?

    Science.gov (United States)

    Robertson, Steve; Baker, Peter

    2017-01-01

    Despite overall improvements in life expectancy, rates of premature male mortality, particularly for men in areas of socioeconomic deprivation, remain an important issue of concern in the United Kingdom. Interventions to engage men and promote their health and wellbeing have developed, albeit sporadically, over recent decades in response to this…

  20. United States Army Research Institute of Environmental Medicine: Warfighter Research Focusing on the Past 25 Years

    Science.gov (United States)

    Pandolf, Kent B.; Francesconi, Ralph; Sawka, Michael N.; Cymerman, Allen; Hoyt, Reed W.; Young, Andrew J.; Zambraski, Edward J.

    2011-01-01

    The United States Army Research Institute of Environmental Medicine (USARIEM) celebrated its 50th anniversary on July 1, 2011. This article reviews its history, evolution, and transition of its research programs as well as its scientific and military accomplishments, emphasizing the past 25 yr. During the 1990s, USARIEM published a series of…

  1. Safe intravenous administration in pediatrics: A 5-year Pediatric Intensive Care Unit experience with smart pumps.

    Science.gov (United States)

    Manrique-Rodríguez, S; Sánchez-Galindo, A C; Fernández-Llamazares, C M; Calvo-Calvo, M M; Carrillo-Álvarez, Á; Sanjurjo-Sáez, M

    2016-10-01

    To estimate the impact of smart pump implementation in a pediatric intensive care unit in terms of number and type of administration errors intercepted. Observational, prospective study carried out from January 2010 to March 2015 with syringe and great volumen infusion pumps available in the hospital. A tertiary level hospital pediatric intensive care unit. Infusions delivered with infusion pumps in all pediatric intensive care unit patients. Design of a drug library with safety limits for all intravenous drugs prescribed. Users' compliance with drug library as well as number and type of errors prevented were analyzed. Two hundred and eighty-three errors were intercepted during 62 months of study. A high risk drug was involved in 58% of prevented errors, such as adrenergic agonists and antagonists, sedatives, analgesics, neuromuscular blockers, opioids, potassium and insulin. Users' average compliance with the safety software was 84%. Smart pumps implementation has proven effective in intercepting high risk drugs programming errors. These results might be exportable to other critical care units, involving pediatric or adult patients. Interdisciplinary colaboration is key to succeed in this process. Copyright © 2016 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  2. Acculturative Stress, Perfectionism, Years in the United States, and Depression among Chinese International Students

    Science.gov (United States)

    Wei, Meifen; Heppner, P. Paul; Mallen, Michael J.; Ku, Tsun-Yao; Liao, Kelly Yu-Hsin; Wu, Tsui-Feng

    2007-01-01

    The present study examined whether maladaptive perfectionism (i.e., discrepancy between expectations and performance) and length of time in the United States moderated the association between acculturative stress and depression. Data were collected through online surveys from 189 Chinese international students from China and Taiwan attending a…

  3. Corrective Action Management Unit Report of Post-Closure Care Activities Calendar Year 2016.

    Energy Technology Data Exchange (ETDEWEB)

    Ziock, Robert [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Little, Bonnie Colleen [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-02-01

    The Corrective Action Management Unit (CAMU) at Sandia National Laboratories, New Mexico (SNL/NM) consisted of a containment cell, two treatment systems, four associated waste staging and storage areas, and support areas; all were used for management of remediation wastes between 1997 and 2003.

  4. Atlas/State Data Abstract for the United States, Fiscal Year 1982

    Science.gov (United States)

    1982-01-01

    Performance Amount I Major Areas of Work 1. United Tech. Corp./East Hartford; Stratford I $ 2,762,267 I Aircraft engines & comp.; helicopter coap .; radar; R...Electric Corp./Baltimore I S 792,625 1 Aircraft coap .; comm., radar, & navigation equip.. R&D. 2. Johns Hopkins University/Laurel 236,014 1 R&D for

  5. Contemporary Development of Academic Reference Librarianship in the United States: A 44-Year Content Analysis

    Science.gov (United States)

    Wang, Hanrong; Tang, Yingqi; Knight, Carley

    2010-01-01

    This study analyzes job advertisements to identify the contemporary development of academic reference librarianship in the United States. Results show that more job openings, higher educational backgrounds, more duties & responsibilities, and variety of titles were assigned to academic reference librarian positions from 1966 through 2009.…

  6. Revised Definitions for Statistical Units – Methodology, Application and User Needs. The Main Conceptual Issues of the “Units Discussion” of the Years 2009–2014

    Directory of Open Access Journals (Sweden)

    Roland Sturm

    2015-09-01

    Full Text Available In the years 2009 to 2014 in the European Statistical System (ESS modified definitions for basic statistical units have been proposed and discussed. The author took part in this discussion as regular participant in the ESS “Working Group Business Registers and Statistical Units”, as participant in the ESSnet “Profiling of large and complex multinational enterprise groups” (2009–2013 and as member of the Eurostat task force “Statistical Units” which worked from 2013 to 2015 on the main issues...

  7. P A Jungian Approach to Self-fragmentation of Twentieth Century in Orwell’s Nineteen Eighty Four

    Directory of Open Access Journals (Sweden)

    Mozhdeh Alizadeh Shirazi

    2014-11-01

    Full Text Available The problematic life of modern human has always been a significant issue for many areas of study. In reaction to the absence of romantic values and the unity of the pre-modern world, Human being was afflicted with a sense of inner crises which is referred to as self-fragmentation. Fragmentation is one of the significant features of twentieth century when a mode of anxiety subjugated both art and society. In such an atmosphere many writers of the modern century attempted to reflect in their works of literature, what they had experienced in the real world. Orwell’s Nineteen Eighty Four is one of the popular novels of Modern Era that describes a modern but fragmented society wherein the modern human’s lack of self-integration is perceptible. By representing how the protagonists respond to the voices of their psyches through characterization and dreams, which is also of crucial significance in Jung’s Analytical Psychology, Orwell explores the roots of modern human’s urge for achieving a cohesive sense of self. Accordingly, this study, attempts to illustrate how modern human steps in the path of individuation and to what extent these efforts meet with success, if any. To achieve this goal, some terms and notions of Jungian Criticism such as archetypes and the process of individuation will be borrowed, and a particular focus will be held on dreams occurring in the course of the story. In addition, this paper would like to argue that the dystopian society portrayed in these novels is the offspring of a mere rationalism which prevents human from knowing the opposing forces working within as well as the forces functioning from without.

  8. Role of CYP2E1-mediated metabolism in the acute and vestibular toxicities of nineteen nitriles in the mouse.

    Science.gov (United States)

    Saldaña-Ruíz, Sandra; Soler-Martín, Carla; Llorens, Jordi

    2012-01-25

    Allylnitrile, cis-crotononitrile, and 3,3'-iminodipropionitrile are known to cause vestibular toxicity in rodents, and evidence is available indicating that cis-2-pentenenitrile shares this effect. We evaluated nineteen nitriles for vestibular toxicity in wild type (129S1) and CYP2E1-null mice, including all the above, several neurotoxic nitriles, and structurally similar nitriles. A new acute toxicity test protocol was developed to facilitate evaluation of the vestibular toxicity by a specific behavioral test battery at doses up to sub-lethal levels while using a limited number of animals. A mean number of 8.5±0.3 animals per nitrile, strain and sex was necessary to obtain evidence of vestibular toxicity and optionally an estimation of the lethal dose. For several but not all nitriles, lethal doses significantly increased in CYP2E1-null mice. The protocol revealed the vestibular toxicity of five nitriles, including previously identified ototoxic compounds and one nitrile (trans-crotononitrile) known to have a different profile of neurotoxic effects in the rat. In all five cases, both sexes were affected and no decrease in susceptibility was apparent in CYP2E1-null mice respect to 129S1 mice. Fourteen nitriles caused no vestibular toxicity, including six nitriles tested in CYP2E1-null mice at doses significantly larger than the maximal doses that can be tested in wild type animals. We conclude that only a subset of low molecular weight nitriles is toxic to the vestibular system, that species-dependent differences exist in this vestibular toxicity, and that CYP2E1-mediated metabolism is not involved in this effect of nitriles although it has a role in the acute lethality of some of these compounds. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  9. Five Years of Acute Stroke Unit Care: Comparing ASU and Non-ASU Admissions and Allied Health Involvement

    Directory of Open Access Journals (Sweden)

    Isobel J. Hubbard

    2014-01-01

    Full Text Available Background. Evidence indicates that Stroke Units decrease mortality and morbidity. An Acute Stroke Unit (ASU provides specialised, hyperacute care and thrombolysis. John Hunter Hospital, Australia, admits 500 stroke patients each year and has a 4-bed ASU. Aims. This study investigated hospital admissions over a 5-year period of all strokes patients and of all patients admitted to the 4-bed ASU and the involvement of allied health professionals. Methods. The study retrospectively audited 5-year data from all stroke patients admitted to John Hunter Hospital (n=2525 and from nonstroke patients admitted to the ASU (n=826. The study’s primary outcomes were admission rates, length of stay (days, and allied health involvement. Results. Over 5 years, 47% of stroke patients were admitted to the ASU. More male stroke patients were admitted to the ASU (chi2=5.81; P=0.016. There was a trend over time towards parity between the number of stroke and nonstroke patients admitted to the ASU. When compared to those admitted elsewhere, ASU stroke patients had a longer length of stay (z=−8.233; P=0.0000 and were more likely to receive allied healthcare. Conclusion. This is the first study to report 5 years of ASU admissions. Acute Stroke Units may benefit from a review of the healthcare provided to all stroke patients. The trends over time with respect to the utilisation of the John Hunter Hospitall’s ASU have resulted in a review of the hospitall’s Stroke Unit and allied healthcare.

  10. 5-year operation experience with the 1.8 K refrigeration units of the LHC cryogenic system

    CERN Document Server

    Ferlin, G; Claudet, S; Pezzetti, M

    2015-01-01

    Since 2009, the Large Hadron Collider (LHC) is in operation at CERN. The LHC superconducting magnets distributed over eight sectors of 3.3-km long are cooled at 1.9 K in pressurized superfluid helium. The nominal operating temperature of 1.9 K is produced by eight 1.8-K refrigeration units based on centrifugal cold compressors (3 or 4 stages depending to the vendor) combined with warm volumetric screw compressors with sub-atmospheric suction. After about 5 years of continuous operation, we will present the results concerning the availability for the final user of these refrigeration units and the impact of the design choice on the recovery time after a system trip. We will also present the individual results for each rotating machinery in terms of failure origin and of Mean Time between Failure (MTBF), as well as the consolidations and upgrades applied to these refrigeration units.

  11. Cooling unit for a superconducting power cable. Two years successful operation

    Energy Technology Data Exchange (ETDEWEB)

    Herzog, Friedhelm [Messer Group GmbH, Krefeld (Germany); Kutz, Thomas [Messer Industriegase GmbH, Bad Soden (Germany); Stemmle, Mark [Nexans Deutschland GmbH, Hannover (Germany); Kugel, Torsten [Westnetz GmbH, Essen (Germany)

    2016-07-01

    High temperature super conductors (HTS) can efficiently be cooled with liquid nitrogen down to a temperature of 64 K (-209 C). Lower temperatures are not practical, because nitrogen becomes solid at 63 K (-210 C). To achieve this temperature level the coolant has to be vaporized below atmospheric pressure. Messer has developed a cooling unit with an adequate vacuum subcooler, a liquid nitrogen circulation system, and a storage vessel for cooling an HTS power cable. The cooling unit was delivered in 2013 for the German AmpaCity project of RWE Deutschland AG, Nexans and Karlsruhe Institute of Technology. Within this project RWE and Nexans installed the worldwide longest superconducting power cable in the city of Essen, Germany. The cable is in operation since March 10th, 2014.

  12. George Orwell &"Nineteen Eighty-Four": The Man and the Book. A Conference at the Library of Congress, April 30 and May 1, 1984.

    Science.gov (United States)

    Library of Congress, Washington, DC.

    Proceedings of a conference of international Orwell experts gathered at the Library of Congress are presented in this collection. The collection is divided into four sections, corresponding with the four conference sessions: "What Orwell Really Wrote"; "Orwell: The Man"; "'Nineteen Eighty-Four': The Book"; and…

  13. Building on a Foundation of Strength: Fiscal Year 2012 United States Army Annual Financial Report

    Science.gov (United States)

    2012-01-01

    Command ( WTC ) was created to ensure focused and effective management across all aspects of the WCTP. In FY 2012, the Army dedicated $800 million to...and support staffs coordinating care in warrior transition units (WTUs) and community-based WTUs (CBWTU). With the WTC leading the way, the Army...mass destruction , civil affairs, information operations, counter-explosive hazards, and operational law. TaBle 6. individual Training1 initial military

  14. United States Air Force Statistical Digest, Fiscal Year 1992/1993 Estimate

    Science.gov (United States)

    1993-01-01

    affairs; general science , space and technology; energy; natural resources and environment; agriculture; commerce and housing credit; transportation...Gen S B Croker Director (Test & Evaluation) Mr C G Jones Director (Space & Strategic InitiatiVe Programs) Maj Gen 0 G Hard .: Director ( SCience ...Brig Gen F D Walker 459th Military Airlift Wing Vacant 514th Military Airlift Wing (Associate) Col J D Copenhaver DIRECT REPORTING UNITS AF District of

  15. [Chakrabarty today: 30 years after the United States Supreme Court Resolution].

    Science.gov (United States)

    Bergel, Salvador Darío

    2010-01-01

    The decision of the United States Supreme Court in the Chakrabarty case marked the beginning of a far reaching process, the development of which considerably extended the field of patentabiltiy of humans, their body parts and genetic information. The author believes that a period of three decades is sufficient to draw conclusions. A critical point has been reached from a debatable decision, which had more economic support than legal, which requires serious recapitulation of the scope and the purpose of industrial property rights.

  16. Vintage, the First 40 Years: The Emergence and Persistence of Vintage Style in the United States

    OpenAIRE

    Nancy L. Fischer

    2015-01-01

    This paper historicizes when wearing vintage clothing first became fashionable in the United States. I trace when the trend emerges in the U.S. and explore various ways the press framed secondhand/vintage clothes and anachronistic dressing. I contend that the emergence of vintage occurs as a form of alternative consumption alongside changes that occurred in the U.S. garment industry such as outsourcing and product licensing. These changes led many consumers to seek more authentic consumption ...

  17. Vital signs: births to teens aged 15-17 years--United States, 1991-2012.

    Science.gov (United States)

    Cox, Shanna; Pazol, Karen; Warner, Lee; Romero, Lisa; Spitz, Alison; Gavin, Lorrie; Barfield, Wanda

    2014-04-11

    Teens who give birth at age 15-17 years are at increased risk for adverse medical and social outcomes of teen pregnancy. To examine trends in the rate and proportion of births to teens aged 15-19 years that were to teens aged 15-17 years, CDC analyzed 1991-2012 National Vital Statistics System data. National Survey of Family Growth (NSFG) data from 2006-2010 were used to examine sexual experience, contraceptive use, and receipt of prevention opportunities among female teens aged 15-17 years. During 1991-2012, the rate of births per 1,000 teens declined from 17.9 to 5.4 for teens aged 15 years, 36.9 to 12.9 for those aged 16 years, and 60.6 to 23.7 for those aged 17 years. In 2012, the birth rate per 1,000 teens aged 15-17 years was higher for Hispanics (25.5), non-Hispanic blacks (21.9), and American Indians/Alaska Natives (17.0) compared with non-Hispanic whites (8.4) and Asians/Pacific Islanders (4.1). The rate also varied by state, ranging from 6.2 per 1,000 teens aged 15-17 years in New Hampshire to 29.0 in the District of Columbia. In 2012, there were 86,423 births to teens aged 15-17 years, accounting for 28% of all births to teens aged 15-19 years. This percentage declined from 36% in 1991 to 28% in 2012 (pteens aged 15-17 years received formal sex education on birth control or how to say no to sex, 24% had not spoken with parents about either topic; among sexually experienced female teens, 83% reported no formal sex education before first sex. Among currently sexually active female teens (those who had sex within 3 months of the survey) aged 15-17 years, 58% used clinical birth control services in the past 12 months, and 92% used contraception at last sex; however, only 1% used the most effective reversible contraceptive methods. Births to teens aged 15-17 years have declined but still account for approximately one quarter of births to teens aged 15-19 years. These data highlight opportunities to increase younger teens exposure to interventions that delay

  18. The miraculous year 2010 in United States' gay rights law: Anomaly or tipping point?

    Directory of Open Access Journals (Sweden)

    Arthur S Leonard

    2011-05-01

    Full Text Available

    During 2010 a series of decisions by United States District Court judges appeared to mark a significant breakthrough in the ongoing struggle by sexual minorities in the United States to achieve legal equality through the removal of objectionable laws and policies.  Almost as if a dam had broken, there was a sudden rush of developments on three highly contested fronts: (1 the statutory ban on military service by openly gay individuals, (2 the exclusion from federal recognition for lawfully contracted same-sex marriages, and (3 a popularly enacted California state constitutional amendment taking away same-sex marriage rights that had previously been granted by a state supreme court decision. In each of these cases, the district courts declared the contested policy to be unconstitutional and ordered injunctive relief, placing in doubt the willingness of courts to continue crediting traditional arguments that had been successfully invoked by the government when defending these and similar policies in past cases. In this comment, the author argues that these decisions may work a fundamental change in the analysis of LGBT constitutional claims that portends significant progress towards achieving legal equality for sexual minorities in the United States.

  19. Adolescent Drug Trafficking Trends in the United Kingdom--A 10-Year Retrospective Analysis

    Science.gov (United States)

    Vale, Ellen Louise Eva; Kennedy, Patrick John

    2004-01-01

    This paper reports data from HM Customs and Excise (HMCE) of recorded cases of adolescent drug trafficking through all sea and air points of entry into the UK over a 10-year period (May 1992-May 2002). We report the characteristics of 38 cases of mixed gender and nationality ranging in age between 13 and 18 years who have been apprehended by HMCE…

  20. Waterborne Commerce of the United States, Calendar Year 1985. Part 1. Waterways and Harbors. Atlantic Coast.

    Science.gov (United States)

    1987-05-01

    17041173 23 FEET DEPTH OPPOSITE U. S. SUR*AR14f BASE, PROJ2ECT DEPT41 2S FEET Cro"PPATIVE STATEMENT or T8;fric YEAR TONS PASSENERS YEAR TONS IPAM" GENS ...661 .. .-...........-...-.... 342IASA UC...... - --. -. -- .............. ......... .......... 10 1.19 5422, ETICA 4C46EuP..................4

  1. Cervical cancer screening among women aged 18-30 years - United States, 2000-2010.

    Science.gov (United States)

    2013-01-04

    Screening women for cervical cancer can save lives. However, among young women, cervical cancer is relatively rare, and too-frequent screening can lead to high costs and adverse events associated with overtreatment. Before 2012, cervical cancer screening guidelines of the American College of Obstetricians and Gynecologists (ACOG), American Cancer Society (ACS), and U.S. Preventive Services Task Force (USPSTF) differed on age to start and how often to get screened for cervical cancer. In 2012, however, all three organizations recommended that 1) screening by Papanicolau (Pap) test should not be used for women aged <21 years, regardless of initiation of sexual activity, and 2) a screening interval of 3 years should be maintained for women aged 21-30 years. ACS and ACOG explicitly recommend against yearly screening. To assess trends in Pap testing before the new guidelines were introduced, CDC analyzed 2000-2010 data from the Behavioral Risk Factor Surveillance System (BRFSS) for women aged 18-30 years. CDC found that, among women aged 18-21 years, the percentage reporting never having been screened increased from 26.3% in 2000 to 47.5% in 2010, and the proportion reporting having had a Pap test in the past 12 months decreased from 65.0% to 41.5%. Among those aged 22-30 years, the proportion reporting having had a Pap test within the preceding 12 months decreased from 78.1% to 67.0%. These findings showed that Pap testing practices for young women have been moving toward the latest guidelines. However, the data also showed a concerning trend: among women aged 22-30 years, who should be screened every 3 years, the proportion who reported never having had a Pap test increased from 6.6% to 9.0%. More effort is needed to promote acceptance of the latest evidence-based recommendations so that all women receive the maximal benefits of cervical cancer screening.

  2. The Economic Burden of Vision Loss and Eye Disorders among the United States Population Younger than 40 Years

    Science.gov (United States)

    Wittenborn, John S.; Zhang, Xinzhi; Feagan, Charles W.; Crouse, Wesley L.; Shrestha, Sundar; Kemper, Alex R.; Hoerger, Thomas J.; Saaddine, Jinan B.

    2017-01-01

    Objective To estimate the economic burden of vision loss and eye disorders in the United States population younger than 40 years in 2012. Design Econometric and statistical analysis of survey, commercial claims, and census data. Participants The United States population younger than 40 years in 2012. Methods We categorized costs based on consensus guidelines. We estimated medical costs attributable to diagnosed eye-related disorders, undiagnosed vision loss, and medical vision aids using Medical Expenditure Panel Survey and MarketScan data. The prevalence of vision impairment and blindness were estimated using National Health and Nutrition Examination Survey data. We estimated costs from lost productivity using Survey of Income and Program Participation. We estimated costs of informal care, low vision aids, special education, school screening, government spending, and transfer payments based on published estimates and federal budgets. We estimated quality-adjusted life years (QALYs) lost based on published utility values. Main Outcome Measures Costs and QALYs lost in 2012. Results The economic burden of vision loss and eye disorders among the United States population younger than 40 years was $27.5 billion in 2012 (95% confidence interval, $21.5–$37.2 billion), including $5.9 billion for children and $21.6 billion for adults 18 to 39 years of age. Direct costs were $14.5 billion, including $7.3 billion in medical costs for diagnosed disorders, $4.9 billion in refraction correction, $0.5 billion in medical costs for undiagnosed vision loss, and $1.8 billion in other direct costs. Indirect costs were $13 billion, primarily because of $12.2 billion in productivity losses. In addition, vision loss cost society 215 000 QALYs. Conclusions We found a substantial burden resulting from vision loss and eye disorders in the United States population younger than 40 years, a population excluded from previous studies. Monetizing quality-of-life losses at $50 000 per QALY would

  3. [Vaccination against hepatitis B: 3 years' experience at the Latium Operative Unit].

    Science.gov (United States)

    Perroni, L; Mattioli, R; Ensoli, G; Albertoni, F; Duchini, B; Ungaro, P; Corsi, T

    1989-01-01

    A campaign against hepatitis B was launched in 1985 in Latium Region, Italy, aimed at hospital workers, newborns of HBsAg positive mothers, hemodialysis patients, thalassemics and hemophiliacs. Subsequently, since the beginning of 1987 other at risk categories were included, namely households of HBsAg positive carriers, subjects with accidental exposure to Hepatitis B virus (HBV) (i.e exposure to street syringes), health care personnel working outside the hospital setting such as dentists, private clinics and laboratory workers, etc. A protocol was defined by the Regional Epidemiologic Unit (Osservatorio Epidemiologico Regionale) in order to evaluate the immunogenicity and safety af the two plasma-derived (pd) vaccines registered in Italy, MSD and Pasteur, in field conditions. Subjects belonging to these at risk categories were distributed among 21 hospital based vaccination units, to which the two vaccines were randomly allocated. Subjects were considered eligible for vaccination if they were HBsAg negative and Anti-HBs negative or Anti-HBs positive at low titer i.e. less than 20 milli-International units per milliliter. Subjects with insulin dependent diabetes, chronic liver disease or known hypersensitivity to vaccine components were also excluded. Antibody response was checked at six months since the beginning of the vaccination, i.e. after two doses of the MSD and three doses of Pasteur vaccine and expressed in miU/ml by use of Hollinger formula. Pre-vaccination screening, vaccination and post-vaccination anti-HBs testing were offered free of charge.(ABSTRACT TRUNCATED AT 250 WORDS)

  4. A Study of the Patients Admitted to the Clinical Decision Unit over One Year.

    Science.gov (United States)

    O'Shea, E; Cusack, S; O'Sullivan, I

    2016-06-10

    Clinical decision units (CDUs) are areas within an emergency department (ED) providing care for the patient who may benefit from an extended observation period, usually for a maximum of twenty-four hours. A retrospective patient record audit was performed to determine the characteristics of patients admitted to the Cork University Hospital (CUH) CDU over 12 months. The average length of stay of a patient in the CDU was 29 hours. The most common diagnoses admitted to the CDU were chest pain (9.5%) and headache (7.2%). The research implies that the CDU provided a means for CUH to save approximately €2 million annually.

  5. Putting the 'I' in IHY the United Nations report for the International Heliophysical year 2007

    CERN Document Server

    Thompson, Barbara J

    2009-01-01

    Presents the international aspects and achievements of the 'International Heliophysical Year (IHY) 2007'. This book shows how much astronomy contributes to the basis of knowledge society as today's concept for mastering the future.

  6. Narrative report Seneca Unit Erie National Wildlife Refuge calendar year - 1970

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Erie National Wildlife Refuge outlines Refuge accomplishments during the 1970 calendar year. The report begins by summarizing...

  7. Matagorda Island Unit, Aransas National Wildlife Refuge Annual narrative report: Calendar year 1987

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Matagorda Island National Wildlife Refuge outlines Refuge accomplishments during the 1987 calendar year. The report begins with a...

  8. Matagorda Island Unit, Aransas National Wildlife Refuge Annual narrative report: Calendar year 1988

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Matagorda Island National Wildlife Refuge outlines Refuge accomplishments during the 1988 calendar year. The report begins with a...

  9. Acute stroke unit improves stroke management-four years on from INASC.

    LENUS (Irish Health Repository)

    Shanahan, E

    2015-02-01

    The Irish Heart Foundation carried out the Irish National Audit of Stroke Care (INASC) in 2008. Management practices were significantly poorer than those in the UK Sentinel audits. Since then an acute stroke unit has been established in University Hospital Limerick. A stroke database was established. 12 key indicators of stroke management audited by INASC were identified. Results were compared to those in INASC. 89 stroke patients were admitted. 8 of the 12 key indicators scored significantly better than in INASC. 92.5% had a brain scan within 24hrs (INASC-40%, p = < 0.001). 100% of ischaemic strokes received anti-thrombotics (INASC-85%, p = 0.001). 94% had rehab goals agreed by MDT (22% in INASC p = 0.0000). 55% were treated in stroke unit (2% in INASC, p = 0.0000). MDT input improved with regard to physiotherapy (87% vs 43% in INASC, p = < 0.02) and SALT (74% vs 26%, p = < 0.02). Stroke management has significantly improved from 2008, however some deficiencies remain.

  10. Assessment of Arbovirus Surveillance 13 Years after Introduction of West Nile Virus, United States.

    Science.gov (United States)

    Hadler, James L; Patel, Dhara; Nasci, Roger S; Petersen, Lyle R; Hughes, James M; Bradley, Kristy; Etkind, Paul; Kan, Lilly; Engel, Jeffrey

    2015-07-01

    Before 1999, the United States had no appropriated funding for arboviral surveillance, and many states conducted no such surveillance. After emergence of West Nile virus (WNV), federal funding was distributed to state and selected local health departments to build WNV surveillance systems. The Council of State and Territorial Epidemiologists conducted assessments of surveillance capacity of resulting systems in 2004 and in 2012; the assessment in 2012 was conducted after a 61% decrease in federal funding. In 2004, nearly all states and assessed local health departments had well-developed animal, mosquito, and human surveillance systems to monitor WNV activity and anticipate outbreaks. In 2012, many health departments had decreased mosquito surveillance and laboratory testing capacity and had no systematic disease-based surveillance for other arboviruses. Arboviral surveillance in many states might no longer be sufficient to rapidly detect and provide information needed to fully respond to WNV outbreaks and other arboviral threats (e.g., dengue, chikungunya).

  11. Vintage, the First 40 Years: The Emergence and Persistence of Vintage Style in the United States

    Directory of Open Access Journals (Sweden)

    Nancy L. Fischer

    2015-03-01

    Full Text Available This paper historicizes when wearing vintage clothing first became fashionable in the United States. I trace when the trend emerges in the U.S. and explore various ways the press framed secondhand/vintage clothes and anachronistic dressing. I contend that the emergence of vintage occurs as a form of alternative consumption alongside changes that occurred in the U.S. garment industry such as outsourcing and product licensing. These changes led many consumers to seek more authentic consumption experiences. Consumers with cultural capital found in vintage an alternative market for sourcing fashionable street style. Consumers attribute characteristics to vintage clothing that are typically part of authenticity discourse such as it being of exceptional quality, original, handcrafted, made from natural fibers, and providing continuity with the past. The authenticity of vintage is symbolically deployed in opposition to contemporary mass-produced clothing and standardized retail shopping experiences.

  12. Assessment of Arbovirus Surveillance 13 Years after Introduction of West Nile Virus, United States1

    Science.gov (United States)

    Patel, Dhara; Nasci, Roger S.; Petersen, Lyle R.; Hughes, James M.; Bradley, Kristy; Etkind, Paul; Kan, Lilly; Engel, Jeffrey

    2015-01-01

    Before 1999, the United States had no appropriated funding for arboviral surveillance, and many states conducted no such surveillance. After emergence of West Nile virus (WNV), federal funding was distributed to state and selected local health departments to build WNV surveillance systems. The Council of State and Territorial Epidemiologists conducted assessments of surveillance capacity of resulting systems in 2004 and in 2012; the assessment in 2012 was conducted after a 61% decrease in federal funding. In 2004, nearly all states and assessed local health departments had well-developed animal, mosquito, and human surveillance systems to monitor WNV activity and anticipate outbreaks. In 2012, many health departments had decreased mosquito surveillance and laboratory testing capacity and had no systematic disease-based surveillance for other arboviruses. Arboviral surveillance in many states might no longer be sufficient to rapidly detect and provide information needed to fully respond to WNV outbreaks and other arboviral threats (e.g., dengue, chikungunya). PMID:26079471

  13. United States Air Force Statistical Digest, Fiscal Year 1978. Thirty-Third Edition

    Science.gov (United States)

    1979-05-31

    MEXICO ~ ~o PAR!’ I •.--.UNCLASSIFIED PART I AIR fORCE UNITS AND CAPABILITIES INTRODUCTION...34 1 2!:.- 2 ft6 .IE,...c: .l ali 8𔃻 111.2en ft 80 68 15.3 ~"’ ~ TOTAL lEe 2it3 127.0 !i-e -e 0-21 1 1U75 11077 󈧑.3 2 120󈧗 lUJO ’:!.6 3 11J26 11692...8,293 Arkansa~. 9,1% ~lew Jlamp~hir.. 3,~74 Arizona 16,829 ’I\\’f~".or Jersey. 5,138 Ne’l’ Mexico . 13,976 raliforni a. 53,191 New York. 9,413

  14. Group Counseling with United States Racial Minority Groups: A 25-Year Content Analysis

    Science.gov (United States)

    Stark-Rose, Rose M.; Livingston-Sacin, Tina M.; Merchant, Niloufer; Finley, Amanda C.

    2012-01-01

    A 25-year content analysis was conducted of published group work articles that focused on 5 racial groups (African American, Asian American/Pacific Islander, Latino/a, Native American, and Intercultural group). Articles were included if they described an intervention or conceptual model with 1 of the racial groups. The analysis revealed 15 content…

  15. United States Transportation Command: 10 Years of Excellence, 1987-1997

    Science.gov (United States)

    1997-01-01

    Military Sealift Command-chartered vessel at the port of Mogadishu, Somalia. 18 10 YEARS OF EXCELLENCE 1993 Acting Secretary of Defense Donald J. Atwood ...thanks are extended to James K. Matthews, Ph.D., and Margaret �Peg� Nigra for their help in the preparation of this book. Citations: In addition to

  16. Addressing Diversity in an Early Years Mathematics Unit: A Matter of Design

    Science.gov (United States)

    Burrows, Peter

    2010-01-01

    In this article the manifold aims and theorised benefits of Learning by Design are explored and evaluated through the practices and experiences of an early years mathematics teacher. The article examines and elaborates the ways in which this teacher took up and embraced Learning by Design as both a professional meta-language and as a design…

  17. Swim Test Requirements at Four-Year Universities in the United States.

    Science.gov (United States)

    Ormond, Frank; And Others

    1997-01-01

    Surveys of 331 four-year universities nationwide examined swim test requirements and reasons for administering or not administering swim tests. Responses from 331 returned questionnaires indicated that 5% of the schools had swim test requirements, though 25% had them previously. Lack of a physical education requirement was the most commonly cited…

  18. Identifying Disruptive Technologies Facing the United States in the Next 20 Years

    Science.gov (United States)

    2009-12-11

    believes that anandamine is the chemical ―most likely responsible for flow states.‖23 The article also talks of endorphins and the current theory is that...anandamine is the chemical that helps endorphins move in the brain.24 This technology has been studied for at least 30 years and the prediction on a

  19. Environmental Sustainability Practices in Publicly Supported Two-Year Colleges in the Southern United States

    Science.gov (United States)

    Posey, Michael J.; Webster, Ann H.

    2013-01-01

    In September of 2012, a mixed methods exploratory research study was conducted from among the 270 presidents of public two-year colleges in the 11-state region accredited by the Southern Association of Colleges and Schools Commission on Colleges. The purpose of the study was to examine the environmental sustainability practices used at these…

  20. United States Department of Defense: Agency Financial Report Fiscal Year 2014

    Science.gov (United States)

    2014-01-01

    relationships between the USMC and partner nations. Photo by Mass Communication Specialist Seaman Patrick Dionne U.S. Department of Defense Agency...the year, and the relationship between the budgetary resources and the outlays made against them. In accordance with Federal statutes and...102 Note 23 Funds from Dedicated Collections ............................................................. 103 Note 24 Fiduciary

  1. Quiet Riots: Race and Poverty in the United States. The Kerner Report Twenty Years Later.

    Science.gov (United States)

    Harris, Fred R., Ed.; Wilkins, Roger W., Ed.

    This book grew out of the national conference "The Kerner Commission: Twenty Years Later." The Kerner Commission found in its 1968 Report that America was moving toward two separate and unequal societies, divided along racial lines, and that major efforts to combat poverty, unemployment, and racism were mandated. The essays in this book…

  2. Group Counseling with United States Racial Minority Groups: A 25-Year Content Analysis

    Science.gov (United States)

    Stark-Rose, Rose M.; Livingston-Sacin, Tina M.; Merchant, Niloufer; Finley, Amanda C.

    2012-01-01

    A 25-year content analysis was conducted of published group work articles that focused on 5 racial groups (African American, Asian American/Pacific Islander, Latino/a, Native American, and Intercultural group). Articles were included if they described an intervention or conceptual model with 1 of the racial groups. The analysis revealed 15 content…

  3. Overview of drought and hydrologic conditions in the United States and southern Canada, water years 1986-90

    Science.gov (United States)

    Holmes, Sandra L.

    1992-01-01

    This report describes the drought and hydrologic conditions in the United States and southern Canada during the 1986-90 water years. This drought, which spread from the Eastern United States, where it was referred to as 'the drought of the century,' through the Midwest to the West Coast, brought to mind the Dust Bowl era of the 1930's. However, generally localized floods were numerous, but only one hurricane (Hugo) was of any consequence to the United States, Puerto Rico, and the Virgin Islands during a coincident period of anomalously low hurricane activity. The drought began in early 1984 as an 'agricultural drought,' which is a precipitation deficiency that results in a lack of soil moisture that is detrimental to agricultural production. This condition did not affect streamflow until about March or April 1986. A 'hydrological drought,' which is far more serious and widespread than an agricultural drought, was apparent from the low streamflow conditions that occurred after April 1986. To illustrate the changing nature of the drought, maps and synopses of monthly hydrologic conditions for the water years 1986-90 are presented.

  4. Energy Consumption Evaluation of United States Navy Leed Certified Building For Fiscal Year 2009

    Science.gov (United States)

    2010-01-01

    inclusion in this study was the ability to provide at least one full year of measured post - occupancy energy usage data for the entire LEED project...the Federal Energy Management Program. 4. Fowler, K. M. and Rauch, E. M. (2008). “A Post - Occupancy Evaluation of 12 GSA Buildings”. PNNL-17393...the Cascadia Region: A Post Occupancy Evaluation Report”. January 30, 2006. Cascadia Region Green Building Council. http://cascadiagbc.org

  5. Waterborne Commerce of the United States, Calendar Year 1986. Part 3. Waterways and Harbors, Great Lakes

    Science.gov (United States)

    1988-05-31

    formally was not furnished by the Bureau of Customs beginning with data for the year 1969 . Adjustments are made to the trip counts, if necessary, to more...INtU4DIA OUTBOUND TOTAL, 19 AND LESS - - - - -3 - l Is 10 30 GLADSTONS HARSIR, MICH. IEbJJO OUTBOUND TOTAL, 23 4An LESS - -........ I 2 7 2 1 3 2 B...Oscoda), Mich. ---------- 49, 75 Gladstone Harbor, Mich. ------ 49, 76 Grand Haven Harbor and Grand River, Mi ch. - --------------------------------- 28

  6. The capitation payment unit: 17 years in the General Social Security System in Health

    Directory of Open Access Journals (Sweden)

    Diego A. Restrepo

    2012-02-01

    Full Text Available Objective: to analyze the evolution of the Capitation Payment (UPC for its Spanish name “unidad de pago por capitación” as well as the methodologies and variables for defining it that have existed in the Colombian Social Security System in Health since its implementation between 1995 and 2011. Methodology: An observational, longitudinal descriptive study. The reference population was made up of all the papers reviewed, including books, journal articles, databases, and official presentations containing the key concepts. Results: It was found that the Capitation Payment (UPC is valued as an essential element to maintain the financial balance of the health system. From 1995 to 2011 there were a number of methodologies for defining this payment. They ranged from a definition based only on the financial balance and the availability of resources, to a technical study using statistical tools to annually adjust the value of the UPC. Conclusions: The origin of the UPC can be attributed to the system’s orientation toward a market scheme and to the convergence of three basic theories. The variations in the value of the UPC have always resulted in a similar value year after year; this is why even if the methodology for defining it changed, the proportions will be the same when compared to previous years

  7. Educational Attainment and Mortality in the United States: Effects of Degrees, Years of Schooling, and Certification

    Science.gov (United States)

    Lawrence, Elizabeth M.; Rogers, Richard G.; Zajacova, Anna

    2016-01-01

    Researchers have extensively documented a strong and consistent education gradient for mortality, with more highly educated individuals living longer than those with less education. This study contributes to our understanding of the education-mortality relationship by determining the effects of years of education and degree attainment on mortality, and by including nondegree certification, an important but understudied dimension of educational attainment. We use data from the mortality-linked restricted-use files of the Panel Study of Income Dynamics (PSID) sample (N=9,821) and Cox proportional hazards models to estimate mortality risk among U.S. adults. Results indicate that more advanced degrees and additional years of education are associated with reduced mortality risk in separate models, but when included simultaneously, only degrees remain influential. Among individuals who have earned a high school diploma only, additional years of schooling (beyond 12) and vocational school certification (or similar accreditation) are both independently associated with reduced risks of death. Degrees appear to be most important for increasing longevity; the findings also suggest that any educational experience can be beneficial. Future research in health and mortality should consider including educational measures beyond a single variable for educational attainment. PMID:27482124

  8. Healthcare costs and outcomes of managing β-thalassemia major over 50 years in the United Kingdom.

    Science.gov (United States)

    Weidlich, Diana; Kefalas, Panos; Guest, Julian F

    2016-05-01

    The objective was to estimate the incidence-based costs of treating β-thalassemia major (BTM) to the United Kingdom's National Health Service (NHS) over the first 50 years of a patient's life in terms of healthcare resource use and corresponding costs and the associated health outcomes. This was a modeling study based on information obtained from a systematic review of published literature and clinicians involved in managing BTM in the United Kingdom. A state transition model was constructed depicting the management of BTM over a period of 50 years. The model was used to estimate the incidence-based health economic impact that BTM imposes on the NHS and patients' health status in terms of the number of quality-adjusted life-years (QALYs) over 50 years. The expected probability of survival at 50 years is 0.63. Of patients who survive, 33% are expected to be without any complication and the other 67% are expected to experience at least one complication. Patients' health status over this period was estimated to be a mean of 11.5 discounted QALYs per patient. Total healthcare expenditure attributable to managing BTM was estimated to be £483,454 ($720,201) at 2013/14 prices over 50 years. The cost of managing BTM could be potentially reduced by up to 37% if one in two patients had a bone marrow transplant, with an ensuing improvement in health-related quality of life. This analysis provides the best estimate available of NHS resource use and costs with which to inform policy and budgetary decisions pertaining to this rare disease. © 2016 AABB.

  9. Neonatal sepsis in a rapidly growing, tertiary neonatal intensive care unit: Trends over 18 years.

    Science.gov (United States)

    Heo, Ju Sun; Shin, Seung Han; Jung, Young Hwa; Kim, Ee-Kyung; Choi, Eun Hwa; Kim, Han-Suk; Lee, Hoan Jong; Choi, Jung-Hwan

    2015-10-01

    We investigated changes in the admission patterns of neonatal intensive care units and the epidemiology of neonatal sepsis following the rapid expansion and improvements in neonatal intensive care. Data on the admission of neonates with culture-proven sepsis between 1996 and 2013 (period I, 1996-2005; period II, 2006-2013) were collected retrospectively. The admission of extremely low-birthweight (ELBW) infants increased between periods I and II (11.1 vs 28.7 infants per 1000 live births, P sepsis among all infants and ELBW infants increased (all infants, 5.9 vs 12.7 cases per 1000 live births; ELBW infants, 189.5 vs 290.1 cases per 1000 live births). In ELBW infants, the incidence of sepsis caused by coagulase-negative Staphylococcus (CONS), significantly increased during period II (8.8 vs 25.4%, P = 0.039). On multivariate analysis, central vascular catheters and prolonged hospitalization were independently associated with increased sepsis rate, particularly CONS in ELBW infants. The inborn admission rate for ELBW infants has increased significantly and is accompanied by improved survival and longer hospital stay. The incidence of neonatal sepsis, particularly in ELBW infants, has also increased, and CONS has emerged as a major pathogen. Central vascular catheters and prolonged hospitalization could be independent risk factors for the increased sepsis rate, particularly sepsis due to CONS. © 2015 Japan Pediatric Society.

  10. Fusarium spp infections in a pediatric burn unit: nine years of experience.

    Science.gov (United States)

    Rosanova, María Teresa; Brizuela, Martín; Villasboas, Mabel; Guarracino, Fabian; Alvarez, Veronica; Santos, Patricia; Finquelievich, Jorge

    2016-01-01

    Fusarium spp are ubiquitous fungi recognized as opportunistic agents of human infections, and can produce severe infections in burn patients. The literature on Fusarium spp infections in pediatric burn patients is scarce. To describe the clinical and epidemiological features as well as outcome of Fusarium spp infections in pediatric burn patients. Retrospective, descriptive study of Fusarium spp infections in a specialized intensive care burn unit. In 15 patients Fusarium spp infections were diagnosed. Median age was 48 months. Direct fire injury was observed in ten patients. The median affected burn surface area was 45%. Twelve patients had a full thickness burn. Fourteen patients had a Garces Index ≥3. Fungal infection developed at a median of 11 days after burn injury. Fungi were isolated from burn wound in 14 patients and from the bone in one patient. Amphotericin B was the drug of choice for treatment followed by voriconazole. Median time of treatment completion was 23 days. One patient (7%) died of fungal infection-related causes. In our series Fusarium spp was an uncommon pathogen in severely burnt patients. The burn wound was the most common site of infection and mortality was low. Copyright © 2016 Elsevier Editora Ltda. All rights reserved.

  11. [Ethics consultation unit in nephrology (UCEN): review of 10 years of operation in the Grenoble area].

    Science.gov (United States)

    Maurizi Balzan, Jocelyne; Moreaud, Olivier; Palacin, Pedro; Truche, Anne-Sophie; Zaoui, Philippe

    2013-07-01

    The existence of an ethics consultation unit in nephrology (UCEN) gives to the nephrologist the collegiality required to meet the difficulties of therapeutic choice on a legislative level, particularly in indications of stop dialysis. The discussion conducted, outside the emergency, is guided by a tool for reflexion that details successive steps necessary to the identification of elements required for decision-making. Thanks to complementary skills provided by the participants and training acquired, the UCEN can approach other ethic issues encountered during practice such as contrindication for a kidney transplantation or maintenance of conservative treatment, or performing invasive procedures on patients refusing transfusion. Propositions are not always relevant due to opposition or ambivalence of some patients, their relatives, an external or disagreements between teams or a mismatch between the technical and the patient's condition. These non-conformities decrypted always have an explanation, sometimes they are understood and accepted by the teams, and sometimes they became source of regrets when they extend life in very poor conditions. The UCEN, if it does not solve every single point, remains a place and a time of sharing that face difficult situations, help the nephrologist positioning himself on maintaining treatments that were first to avoid and prevent the realization of unreasonable acts and accept their limits.

  12. Atlas/Data Abstract for the United States and Selected Areas: Fiscal Year 1987

    Science.gov (United States)

    1987-01-01

    CARSON BROADMOOR * PUEBLO 24 COLORADO FISCAL YEAR 1987 (DOLLARS IN THOUSANDS) Navy Other Personvel/bpmditures Total Amy & Air Force DefaenMarine Corps...72,548 0 Broadmoor 1,852 1,574 278 Littleton 51,561 16,796 34,765 Denver 993 779 214 Pueblo 49,250 34,8 14,430 Pueblo 944 171 773 Englewood 44,096... SOCIEDADE 6E CONSTRUCOES H HA 1,7C4 MAINT-REPAIR-ALTER/FAMILY HOUSING 1,764 5, JOAO DE rREITAS CARDOSO 1,093 MAINT-REPAIR-ALTER/11SC.ELLA)4ROUS BLDGS

  13. Waterborne Commerce of the United States, Calendar Year 1985. Part 3. Waterways and Harbors. Great Lakes.

    Science.gov (United States)

    1987-05-01

    IF AIVTA. CO9TROLLI9O 890 PROJECT 0EPTI4S£ 25 FEET 19 ESTRASCE C.SA9SEL5 21.23 PEEl £5 ToE TJASTID 901195 01 FEET 19 TOE 0I£E4 C9A9SEL TO RA8YLA9O...2478 115 1ER TI TNE JPvE0 0414102 L14173, 21 FEET: tjvsJ,; dASIN, 29 PEEl . V,46APAT11E STATEMENTIF 0 14 1 YEAR TONS 3954 TONS .......... 2902...60. HI Stoeport, With. ----------------- 50. 77 ontanagon Harbor, ich.-------- ---------- 49, 76 Sturgeon Hay and Lube Michigan Ship Mango Harbar

  14. Ventilator-Associated Pneumonia and Causative Microorganisms in Intensive Care Unit: A Two Year Retrospective Analysis

    Directory of Open Access Journals (Sweden)

    Onur Palabıyık

    2016-12-01

    Full Text Available Objective: Ventilator-associated pneumonia (VAP is the most common nosocomial infection in the intensive care units (ICUs. It causes prolonged hospital stay and increases mortality. In this study, we aimed to investigate the rate of VAP, causative microorganisms, and their antibiotic susceptibilities in anaesthesiology and reanimation ICU (ARICU. Material and Method: This retrospective study included patients who were admitted to 12-bed ARICU between January 2013 and December 2014. The detection of VAP was done according to Centers for Disease Control and Prevention criteria. The rate of VAP, VAP ratio, and ventilator utilization ratio (VUR were calculated according to guidelines of Turkish National Infection Surveillance Control Group. Endotracheal aspiration samples were collected and cultivated. The identification of the isolates was performed by using VITEK-2 automated system. Antibiotic susceptibilities were determined by the disc diffusion method according to the Clinical and Laboratory Standards Institute criteria. Results: VAP was determined in 16 of 359 patients who required invasive mechanic ventilation for longer than 48 hours and hospitalized in ARICU. VUR was 65%, VAP ratio was 4.5% and the rate of VAP was 3.3 per 1000 ventilator days. Seventeen microorganisms were isolated from endotracheal aspiration samples, including Acinetobacter baumannii (n=6, Pseudomonas aeruginosa (n=4, methicillin-resistant Staphylococcus aureus (n=4, Klebsiella pneumoniae, Enterobacter cloacae and Serratia marcescens. The most sensitive antibiotics for microorganisms are listed as follows; Acinetobacter baumannii: colistin, Pseudomonas aeruginosa: amikacin, carbapenems; Methicillin-resistant Staphylococcus aureus: linezolid, teicoplanin, vancomycin, trimethoprim sulfamethoxazole; Klebsiella and Enterobacteriaceae species: carbapenems, trimethoprim sulfamethoxazole, gentamicin. Conclusion: Intermittent analyses and antibiotic susceptibilities of VAP

  15. Phragmites australis management in the United States: 40 years of methods and outcomes.

    Science.gov (United States)

    Hazelton, Eric L G; Mozdzer, Thomas J; Burdick, David M; Kettenring, Karin M; Whigham, Dennis F

    2014-01-01

    Studies on invasive plant management are often short in duration and limited in the methods tested, and lack an adequate description of plant communities that replace the invader following removal. Here we present a comprehensive review of management studies on a single species, in an effort to elucidate future directions for research in invasive plant management. We reviewed the literature on Phragmites management in North America in an effort to synthesize our understanding of management efforts, identify gaps in knowledge and improve the efficacy of management. Additionally, we assessed recent ecological findings concerning Phragmites mechanisms of invasion and integrated these findings into our recommendations for more effective management. Our overall goal is to examine whether or not current management approaches can be improved and whether they promote reestablishment of native plant communities. We found: (i) little information on community-level recovery of vegetation following removal of Phragmites; and (ii) most management approaches focus on the removal of Phragmites from individual stands or groups of stands over a relatively small area. With a few exceptions, recovery studies did not monitor vegetation for substantial durations, thus limiting adequate evaluation of the recovery trajectory. We also found that none of the recovery studies were conducted in a landscape context, even though it is now well documented that land-use patterns on adjacent habitats influence the structure and function of wetlands, including the expansion of Phragmites. We suggest that Phragmites management needs to shift to watershed-scale efforts in coastal regions, or larger management units inland. In addition, management efforts should focus on restoring native plant communities, rather than simply eradicating Phragmites stands. Wetlands and watersheds should be prioritized to identify ecosystems that would benefit most from Phragmites management and those where the

  16. Gender Trends in Radiation Oncology in the United States: A 30-Year Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Ahmed, Awad A. [Temple University School of Medicine, Philadelphia, Pennsylvania (United States); Egleston, Brian [Department of Biostatistics, Fox Chase Cancer Center, Philadelphia, Pennsylvania (United States); Holliday, Emma [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Eastwick, Gary [Temple University School of Medicine, Philadelphia, Pennsylvania (United States); Takita, Cristiane [Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida (United States); Jagsi, Reshma, E-mail: rjagsi@med.umich.edu [Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan (United States)

    2014-01-01

    Purpose: Although considerable research exists regarding the role of women in the medical profession in the United States, little work has described the participation of women in academic radiation oncology. We examined women's participation in authorship of radiation oncology literature, a visible and influential activity that merits specific attention. Methods and Materials: We examined the gender of first and senior US physician-authors of articles published in the Red Journal in 1980, 1990, 2000, 2004, 2010, and 2012. The significance of trends over time was evaluated using logistic regression. Results were compared with female representation in journals of general medicine and other major medical specialties. Findings were also placed in the context of trends in the representation of women among radiation oncology faculty and residents over the past 3 decades, using Association of American Medical Colleges data. Results: The proportion of women among Red Journal first authors increased from 13.4% in 1980 to 29.7% in 2012, and the proportion among senior authors increased from 3.2% to 22.6%. The proportion of women among radiation oncology full-time faculty increased from 11% to 26.7% from 1980 to 2012. The proportion of women among radiation oncology residents increased from 27.1% to 33.3% from 1980 to 2010. Conclusions: Female first and senior authorship in the Red Journal has increased significantly, as has women's participation among full-time faculty, but women remain underrepresented among radiation oncology residents compared with their representation in the medical student body. Understanding such trends is necessary to develop appropriately targeted interventions to improve gender equity in radiation oncology.

  17. Mental Health Diagnoses 3 Years After Receiving or Being Denied an Abortion in the United States.

    Science.gov (United States)

    Biggs, M Antonia; Neuhaus, John M; Foster, Diana G

    2015-12-01

    We set out to assess the occurrence of new depression and anxiety diagnoses in women 3 years after they sought an abortion. We conducted semiannual telephone interviews of 956 women who sought abortions from 30 US facilities. Adjusted multivariable discrete-time logistic survival models examined whether the study group (women who obtained abortions just under a facility's gestational age limit, who were denied abortions and carried to term, who were denied abortions and did not carry to term, and who received first-trimester abortions) predicted depression or anxiety onset during seven 6-month time intervals. The 3-year cumulative probability of professionally diagnosed depression was 9% to 14%; for anxiety it was 10% to 15%, with no study group differences. Women in the first-trimester group and women denied abortions who did not give birth had greater odds of new self-diagnosed anxiety than did women who obtained abortions just under facility gestational limits. Among women seeking abortions near facility gestational limits, those who obtained abortions were at no greater mental health risk than were women who carried an unwanted pregnancy to term.

  18. A survey of referral patterns to a paediatric dentistry unit over a 2-year period.

    Science.gov (United States)

    Shaw, A J; Nunn, J H; Welbury, R R

    1994-12-01

    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.

  19. Mental health and bullying in the United States among children aged 6 to 17 years.

    Science.gov (United States)

    Benedict, Frances Turcotte; Vivier, Patrick M; Gjelsvik, Annie

    2015-03-01

    This article examines the association between mental health disorders and being identified as a bully among children between the ages of 6 and 17 years. Data from the 2007 National Survey of Children's Health were examined. A total of 63,997 children had data for both parental reported mental health and bullying status. Bivariate analysis and logistic regression was performed to assess the association between mental health status and being identified as a bully with an age-stratified analysis and sub-analysis by type of mental health disorder. In 2007, 15.2% of U.S. children ages 6 to 17 years were identified as bullies by their parent or guardian. Children with a diagnosis of depression, anxiety, or depression had a threefold increased odds of being a bully. The diagnosis of depression is associated with a 3.31 increased odds (95% CI = [2.7, 4.07]) of being identified as a bully. Children with anxiety and attention deficit and hyperactivity disorder (ADHD) had similar odds. The diagnosis of a mental health disorder is strongly associated with being identified as a bully. In particular, depression, anxiety, and ADHD are strongly associated with being identified as a bully. These findings emphasize the importance of providing psychological support to not only victims of bullying but bullies as well. Understanding the risk profile of childhood bullies is essential in gaining a better grasp of this public health problem and in creating useful and appropriate resources and interventions to decrease bullying.

  20. United States Department of Energy, Nevada Operations Office, completion report Operation KLAXON, Fiscal Year 1993

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    The U.S. Department of Energy, Nevada Operations Office (DOE/NV), Completion Report provides a summary of activities conducted at the Nevada Test Site (NTS) between October 1, 1992, and September 30, 1993, associated with Operation KLAXON. (In the past, each annual Completion Report dealt with a series of underground nuclear detonations; however, because no nuclear tests were conducted during FY 1993, this Report summarizes continuing nonnuclear and nuclear test readiness activities at the NTS sponsored by DOE/NV.) The report serves as a reference for those involved with the planning and execution of Operation KLAXON and also serves as a planning guide for future operations. Information in the report covers the logistics and management of activities. Scientific information and data associated with NTS activities are presented in technical documents published by participating agencies. In September 1992, Congress legislated a nine-month moratorium on the testing of nuclear weapons. The bill also provided for a resumption of testing (with no more than five tests per year, or a total of 15 during the next three years) in July 1993, and mandated an end to nuclear testing, entirely, by 1996. President Bush signed the bill into law in October 1992.

  1. UNITED STATES DEPARTMENT OF ENERGY OFFICE OF ENVIRONMENTAL MANAGEMENT TECHNOLOGY DEVELOPMENT REPORT FISCAL YEAR 2010

    Energy Technology Data Exchange (ETDEWEB)

    Bush, S.

    2010-10-22

    The mission of the Department of Energy's (DOE's) Office of Environmental Management (EM) is to clean up the environmental legacy of nuclear weapons research and production during the Cold War. That mission includes cleaning up nuclear waste, contaminated groundwater and soil, nuclear materials, and contaminated facilities covering two million acres of land in thirty-five states. EM's principal program goals include timely completion of tank waste treatment facilities, reduction of the life-cycle costs and acceleration of the cleanup of the Cold War legacy, and reduction of the EM footprint. The mission of the EM Technology Innovation and Development program is to transform science and innovation into practical solutions to achieve the EM mission. During fiscal year 2010 (October 2009-September 2010), EM focused upon accelerating environmental cleanup by expeditiously filling identified gaps in available knowledge and technology in the EM program areas. This report describes some of the approaches and transformational technologies in tank waste processing, groundwater and soil remediation, nuclear materials disposition, and facility deactivation and decommissioning developed during fiscal year 2010 that will enable EM to meet its most pressing program goals.

  2. Environmental Monitoring Report - United States Department of Energy, Oak Ridge Facilities, Calendar Year 1984

    Energy Technology Data Exchange (ETDEWEB)

    Jordan, R.G.

    1999-01-01

    Each year since 1972, a report has been prepared on the environmental monitoring activities for the DOE facilities in oak Ridge, Tennessee, for the previous calendar year. previously, the individual facilities published quarterly and annual progress reports that contained some environmental monitoring data. The environmental monitoring program for 1984 includes sampling and analysis of air, water from surface streams, groundwater, creek sediment, biota, and soil for both radioactive and nonradioactive (including hazardous) materials. Special environmental studies that have been conducted in the Oak Ridge area are included in this report, primarily as abstracts or brief summaries. The annual report for 1984 on environmental monitoring and surveillance of the Oak Ridge community by Oak Ridge Associated Universities (ORAU) is included as an appendix. A brief description of the topography and climate of the Oak Ridge area and a short description of the three DOE facilities are provided below to enhance the reader's understanding of the direction and contents of the environmental monitoring program for Oak Ridge.

  3. Acquired hemophilia A in the United Kingdom: a 2-year national surveillance study by the United Kingdom Haemophilia Centre Doctors' Organisation.

    Science.gov (United States)

    Collins, Peter W; Hirsch, Sybil; Baglin, Trevor P; Dolan, Gerard; Hanley, John; Makris, Michael; Keeling, David M; Liesner, Ri; Brown, Simon A; Hay, Charles R M

    2007-03-01

    Acquired hemophilia A is a severe bleeding disorder caused by an autoantibody to factor VIII. Previous reports have focused on referral center patients and it is unclear whether these findings are generally applicable. To improve understanding of the disease, a 2-year observational study was established to identify and characterize the presenting features and outcome of all patients with acquired hemophilia A in the United Kingdom. This allowed a consecutive cohort of patients, unbiased by referral or reporting practice, to be studied. A total of 172 patients with a median age of 78 years were identified, an incidence of 1.48/million/y. The cohort was significantly older than previously reported series, but bleeding manifestations and underlying diseases were similar. Bleeding was the cause of death in 9% of the cohort and remained a risk until the inhibitor had been eradicated. There was no difference in inhibitor eradication or mortality between patients treated with steroids alone and a combination of steroids and cytotoxic agents. Relapse of the inhibitor was observed in 20% of the patients who had attained first complete remission. The data provide the most complete description of acquired hemophilia A available and are applicable to patients presenting to all centers.

  4. Association of acculturation, nativity, and years living in the United States with biobanking among individuals of Mexican descent.

    Science.gov (United States)

    Lopez, David S; Fernandez, Maria E; Cano, Miguel Angel; Mendez, Claudia; Tsai, Chu-Lin; Wetter, David W; Strom, Sara S

    2014-03-01

    Biobanking is the collection of human biospecimens (tissues, blood, and body fluids) and their associated clinical and outcome data. Hispanics are less likely to provide biologic specimens for biobanking. The purpose of this study was to investigate the association of acculturation, nativity status, and years living in the United States with participation in biobanking among individuals of Mexican descent. Participants were 19,212 adults of Mexican descent enrolled in an ongoing population-based cohort in Houston, TX. Participants were offered the opportunity to provide a blood, urine, or saliva sample for biobanking. Acculturation was assessed with the bidimensional acculturation scale for Hispanics and scores were categorized into "low acculturation," "bicultural," and "high-acculturation." After multivariable adjustment, we found an increased likelihood of participation in biobanking among individuals classified as "bicultural" as compared with "highly acculturated" individuals [OR, 1.58; 95% confidence intervals (CI), 1.10-2.26]. The associations of nativity status and years living in the United States with biobanking were not statistically significant. After stratifying by gender, the associations of acculturation, nativity status, and years living in the United States with biobanking were not statistically significant. Although individuals of Mexican descent who were "bicultural" were more likely to participate in biobanking than individuals who were "highly acculturated," the difference in rates of participation among acculturation categories was small. The high participation rate in biospecimen collection is likely due to extensive community-engaged research efforts. Future studies are warranted to understand individuals' participation in biobanking. Community-engaged research efforts may increase Hispanics' participation in biobanking. Cancer Epidemiol Biomarkers Prev; 23(3); 402-8. ©2014 AACR.

  5. An unusual case 0020 in paternity testing: nineteen autosomal short tandem repeat typing and 12 X-chromosome markers could not clarify the case.

    Science.gov (United States)

    Tabrizi, Arash Alipour; Hejazi, Arya; Hosseini, Marzieh

    2013-12-01

    We introduce a case of disputed parentage with 2 presumptive related fathers, although using multiple genetic systems, neither of the 2 fathers may be excluded. Nineteen autosomal short tandem repeat typing and 12 X-chromosome markers could not clarify the case. We can conclude that forensic autosomic short tandem repeats included in commercial kits are not sufficient to definitively discriminate parent-offspring with related putative fathers in forensic laboratories, and supplementary investigations should be available for selected cases.

  6. Estimated Impacts of Sequestration-Level Funding: United States Department of Defense Fiscal Year 1015 Budget Request

    Science.gov (United States)

    2014-04-01

    3) (7)   Budget Line Items = "CH‐53K (Heavy Lift)" and "CH‐53K RDTE" Amphibious Combat Vehicle ACV ...investments are shown in Figure 4-9. At the PB15 funding level the Marine Corps begins development of the follow-on ACV program to replace the 40-year old...legacy vehicle. At BCA funding, only initial scoping and research efforts could be started. Figure 4-9. ACV Position Units FY 2015 FY 2016 FY

  7. United States Air Force Statistical Digest, Fiscal Year 1959. Fourteenth Edition

    Science.gov (United States)

    1959-09-30

    Chile. .. 19 21 21 20 20 20 21 31 31 29 29 China • 10 11 9 9 9 9 8 8 - - -Columbia 18 19 19 19 19 19 19 19 19 19 18 Costa Rica 4 3 3 - 3 3 3 4 4 4 3...Procured by USAF •••••.•••••••••••.••••• USAF Guided Missile, Guided Aircraft Rocke t , and Target Drone Acc eptanc e e , during FY 1959, by Manufacturer...34.’ ••.••••••••...• USAF Guided Missile, Guided Aircraft Rocket, and Target Drone Procurement Programs by Fiscal Year Funding, FY 1956 t’hr

  8. Vaccination coverage among children in kindergarten - United States, 2013-14 school year.

    Science.gov (United States)

    Seither, Ranee; Masalovich, Svetlana; Knighton, Cynthia L; Mellerson, Jenelle; Singleton, James A; Greby, Stacie M

    2014-10-17

    State and local vaccination requirements for school entry are implemented to maintain high vaccination coverage and protect schoolchildren from vaccine-preventable diseases. Each year, to assess state and national vaccination coverage and exemption levels among kindergartners, CDC analyzes school vaccination data collected by federally funded state, local, and territorial immunization programs. This report describes vaccination coverage in 49 states and the District of Columbia (DC) and vaccination exemption rates in 46 states and DC for children enrolled in kindergarten during the 2013-14 school year. Median vaccination coverage was 94.7% for 2 doses of measles, mumps, and rubella (MMR) vaccine; 95.0% for varying local requirements for diphtheria, tetanus toxoid, and acellular pertussis (DTaP) vaccine; and 93.3% for 2 doses of varicella vaccine among those states with a 2-dose requirement. The median total exemption rate was 1.8%. High exemption levels and suboptimal vaccination coverage leave children vulnerable to vaccine-preventable diseases. Although vaccination coverage among kindergartners for the majority of reporting states was at or near the 95% national Healthy People 2020 targets for 4 doses of DTaP, 2 doses of MMR, and 2 doses of varicella vaccine, low vaccination coverage and high exemption levels can cluster within communities. Immunization programs might have access to school vaccination coverage and exemption rates at a local level for counties, school districts, or schools that can identify areas where children are more vulnerable to vaccine-preventable diseases. Health promotion efforts in these local areas can be used to help parents understand the risks for vaccine-preventable diseases and the protection that vaccinations provide to their children.

  9. Vaccination Coverage Among Children in Kindergarten - United States, 2014-15 School Year.

    Science.gov (United States)

    Seither, Ranee; Calhoun, Kayla; Knighton, Cynthia L; Mellerson, Jenelle; Meador, Seth; Tippins, Ashley; Greby, Stacie M; Dietz, Vance

    2015-08-28

    State and local jurisdictions require children to be vaccinated before starting school to maintain high vaccination coverage and protect schoolchildren from vaccine-preventable diseases. State vaccination requirements, which include school vaccination and exemption laws and health department regulations, permit medical exemptions for students with a medical contraindication to receiving a vaccine or vaccine component and may allow nonmedical exemptions for religious reasons or philosophic beliefs. To monitor state and national vaccination coverage and exemption levels among children attending kindergarten, CDC analyzes school vaccination data collected by federally funded state, local, and territorial immunization programs. This report describes vaccination coverage estimates in 49 states and the District of Columbia (DC) and vaccination exemption estimates in 46 states and DC that reported the number of children with at least one exemption among kindergartners during the 2014-15 school year. Median vaccination coverage* was 94.0% for 2 doses of measles, mumps, and rubella (MMR) vaccine; 94.2% for the local requirements for diphtheria, tetanus, and acellular pertussis vaccine (DTaP); and 93.6% for 2 doses of varicella vaccine among the 39 states and DC with a 2-dose requirement. The median percentage of any exemptions† was 1.7%. Although statewide vaccination coverage among kindergartners was high during the 2014-15 school year, geographic pockets of low vaccination coverage and high exemption levels can place children at risk for vaccine-preventable diseases. Appropriate school vaccination coverage assessments can help immunization programs identify clusters of low coverage and develop partnerships with schools and communities to ensure that children are protected from vaccine-preventable diseases.

  10. College Sports-Related Injuries - United States, 2009-10 Through 2013-14 Academic Years.

    Science.gov (United States)

    Kerr, Zachary Y; Marshall, Stephen W; Dompier, Thomas P; Corlette, Jill; Klossner, David A; Gilchrist, Julie

    2015-12-11

    Sports-related injuries can have a substantial impact on the long-term health of student-athletes. The National Collegiate Athletic Association (NCAA) monitors injuries among college student-athletes at member schools. In academic year 2013-14, a total of 1,113 member schools fielded 19,334 teams with 478,869 participating student-athletes in NCAA championship sports (i.e., sports with NCAA championship competition) (1). External researchers and CDC used information reported to the NCAA Injury Surveillance Program (NCAA-ISP) by a sample of championship sports programs to summarize the estimated national cumulative and annual average numbers of injuries during the 5 academic years from 2009-10 through 2013-14. Analyses were restricted to injuries reported among student-athletes in 25 NCAA championship sports. During this period, 1,053,370 injuries were estimated to have occurred during an estimated 176.7 million athlete-exposures to potential injury (i.e., one athlete's participation in one competition or one practice). Injury incidence varied widely by sport. Among all sports, men's football accounted for the largest average annual estimated number of injuries (47,199) and the highest competition injury rate (39.9 per 1,000 athlete-exposures). Men's wrestling experienced the highest overall injury rate (13.1 per 1,000) and practice injury rate (10.2 per 1,000). Among women's sports, gymnastics had the highest overall injury rate (10.4 per 1,000) and practice injury rate (10.0 per 1,000), although soccer had the highest competition injury rate (17.2 per 1,000). More injuries were estimated to have occurred from practice than from competition for all sports, with the exception of men's ice hockey and baseball. However, injuries incurred during competition were somewhat more severe (e.g., requiring ≥7 days to return to full participation) than those acquired during practice. Multiple strategies are employed by NCAA and others to reduce the number of injuries in

  11. Secular trends in caesarean section rates over 20 years in a regional obstetric unit in Hong Kong.

    Science.gov (United States)

    Chung, W H; Kong, C W; To, W Wk

    2017-08-01

    Although caesarean section rates have been increasing over the years in both public and private sectors in Hong Kong, there has been a paucity of formal surveys on local trends in such rates. This study aimed to examine the trends in caesarean section rates over a 20-year period at a public regional obstetric unit in Hong Kong using the Robson's Ten-group Classification System. All deliveries in a single obstetric unit during a 20-year period (1995-2014) were classified into 10 subgroups according to the Robson's classification. The annual caesarean section rate for each subgroup was calculated and then stratified into 5-year intervals to analyse any significant trends. The caesarean section rates in a total of 86 262 births with complete data were analysed. The overall caesarean section rate increased modestly from 15.4% to 24.6% during the study period. There was an obvious increasing trend for caesarean section in those with previous caesarean section (Robson's category 5), breech presentation at delivery (category 6 and 7), multiple pregnancy (category 8), and preterm labour (category 10). A gradual fall in caesarean section rate from 14.4% to 10.8% was seen in primiparous women with term spontaneous labour (category 1). Statistically significant differences (Psection rate may be associated with clinical management policies that allow women with relative risk factors (such as breech, previous caesarean section, or multiple pregnancy) to opt for caesarean section. This rise was counterbalanced by a decrease in primary caesarean section rate in primiparous women with spontaneous labour. The trend for caesarean section was more in line with patient expectations rather than evidence-based practice.

  12. Perspectives on transgenic, herbicide-resistant crops in the United States almost 20 years after introduction.

    Science.gov (United States)

    Duke, Stephen O

    2015-05-01

    Herbicide-resistant crops have had a profound impact on weed management. Most of the impact has been by glyphosate-resistant maize, cotton, soybean and canola. Significant economic savings, yield increases and more efficacious and simplified weed management have resulted in widespread adoption of the technology. Initially, glyphosate-resistant crops enabled significantly reduced tillage and reduced the environmental impact of weed management. Continuous use of glyphosate with glyphosate-resistant crops over broad areas facilitated the evolution of glyphosate-resistant weeds, which have resulted in increases in the use of tillage and other herbicides with glyphosate, reducing some of the initial environmental benefits of glyphosate-resistant crops. Transgenic crops with resistance to auxinic herbicides, as well as to herbicides that inhibit acetolactate synthase, acetyl-CoA carboxylase and hydroxyphenylpyruvate dioxygenase, stacked with glyphosate and/or glufosinate resistance, will become available in the next few years. These technologies will provide additional weed management options for farmers, but will not have all of the positive effects (reduced cost, simplified weed management, lowered environmental impact and reduced tillage) that glyphosate-resistant crops had initially. In the more distant future, other herbicide-resistant crops (including non-transgenic ones), herbicides with new modes of action and technologies that are currently in their infancy (e.g. bioherbicides, sprayable herbicidal RNAi and/or robotic weeding) may affect the role of transgenic, herbicide-resistant crops in weed management. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  13. Retinopathy of prematurity: results from 10 years in a single neonatal intensive care unit

    Directory of Open Access Journals (Sweden)

    Inês Coutinho

    2017-01-01

    Full Text Available Introduction: Retinopathy of prematurity (ROP is a vasoproliferative disorder of the retina of preterm newborns and is an important and preventable cause of visual impairment in childhood. This study aimed to assess the incidence and main risk factors associated with the development of ROP in the last 10 years at Hospital Prof. Doutor Fernando Fonseca in Lisbon, Portugal.Methods: Observational and retrospective study conducted between 2005 and 2014 at Hospital Prof. Doctor Fernando Fonseca. The study included newborns of gestational age < 32 weeks. We analyzed maternal, prenatal and neonatal factors associated with the development of ROP. Statistical analysis were performed with Statistical Package for Social Sciences (SPSS® software. Univariate and multivariate analyses were performed and a multiple logistic regression model was carried out with a significance level α = 0.05.Results: 527 premature infants with a gestational age < 32 weeks were studied, of which 165 developed ROP. 60 of these patients needed treatment. In the univariate analysis, the risk factors for the development of ROP were maternal infection in pregnancy, low birth weight, low gestational age, low Apgar score at 5 minutes, need for oxygen therapy until the 28th day of life, a high score on the CRIB and SNAPPE2 scales, use of surfactant, respiratory distress syndrome, persistence of patent ductus arteriosus, peri-intraventricular hemorrhage and neonatal sepsis. In the multiple logistic regression analysis, risk factors for ROP were the presence of neonatal sepsis, respiratory distress syndrome, persistence of patent ductus arteriosus and a high score on the neonatal SNAPPE2 scale.Conclusions: We found a ROP incidence rate of 31.3%, with risk factors similar to those observed in other studies.

  14. Surveillance for Silicosis Deaths Among Persons Aged 15-44 Years - United States, 1999-2015.

    Science.gov (United States)

    Mazurek, Jacek M; Wood, John M; Schleiff, Patricia L; Weissman, David N

    2017-07-21

    Silicosis is usually a disease of long latency affecting mostly older workers; therefore, silicosis deaths in young adults (aged 15-44 years) suggests acute or accelerated disease.* To understand the circumstances surrounding silicosis deaths among young persons, CDC analyzed the underlying and contributing causes(†) of death using multiple cause-of-death data (1999-2015) and industry and occupation information abstracted from death certificates (1999-2013). During 1999-2015, among 55 pneumoconiosis deaths of young adults with International Classification of Diseases, Tenth Revision (ICD-10) code J62 (pneumoconiosis due to dust containing silica),(§) 38 (69%) had code J62.8 (pneumoconiosis due to other dust containing silica), and 17 (31%) had code J62.0 (pneumoconiosis due to talc dust) listed on their death certificate. Decedents whose cause of death code was J62.8 most frequently worked in the manufacturing and construction industries and production occupations where silica exposure is known to occur. Among the 17 decedents who had death certificates listing code J62.0 as cause of death, 13 had certificates with an underlying or a contributing cause of death code listed that indicated multiple drug use or drug overdose. In addition, 13 of the 17 death certificates listing code J62.0 as cause of death had information on decedent's industry and occupation; among the 13 decedents, none worked in talc exposure-associated jobs, suggesting that their talc exposure was nonoccupational. Examining detailed information on causes of death (including external causes) and industry and occupation of decedents is essential for identifying silicosis deaths associated with occupational exposures and reducing misclassification of silicosis mortality.

  15. Endobronchial resection with the Nd-YAG laser--two years experience in an Australian unit.

    Science.gov (United States)

    Pierce, R J; Mestitz, H; Simpson, L W; Daniel, F J

    1990-04-01

    In a two year period 44 endobronchial resections using the Neodymium-YAG laser have been performed in 28 patients. The majority of cases had either bronchogenic carcinoma (57%) or metastatic carcinoma (18%) involving the bronchial tree. Adenoid cystic carcinoma, benign tumours, lymphoma, tracheal papillomatosis, Wegener's granulomatosis and benign stricture comprised the other cases. Rigid bronchoscopy and general anaesthesia were used in the majority. Symptomatic improvement of dyspnoea when relief of bronchial obstruction occurred was marked in ten of 17 cases, moderate in four and absent in three. Haemoptysis was markedly improved in two of three cases and obstructive pneumonitis resolved in one of two cases. Significant respiratory function improvement was observed in Raw (most sensitive), FEV11, FVC and TLC. Laser treatment restored the lumen to normal calibre in 52% (including all patients with tracheal lesions), to greater than half normal in 28% and to less than half normal in 20% of cases. Re-expansion of a collapsed lung or lobe occurred in seven of eight patients. In six of these patients laser treatment was the initial therapy resulting in immediate re-expansion and symptomatic relief prior to further therapy. In patients with bronchogenic carcinoma the mean time to retreatment or death was 72 days. For metastatic carcinoma this was 60 days. Two early deaths (3 hours, 36 hours) due to respiratory failure occurred in patients with very severe bilateral bronchial obstruction too advanced for effective clearance. Other complications included laryngeal oedema requiring prolonged intubation (1), bronchospasm (1), atrial fibrillation (1), and acute pulmonary oedema (1). Laser treatment provides effective palliation for bronchial obstruction and haemoptysis in selected proximal endobronchial cancers.

  16. United States transuranium and uranium registries - 25 years of growth, research, and service. Annual report, April 1992--September 1993

    Energy Technology Data Exchange (ETDEWEB)

    Kathren, R.L.; Harwick, L.A.; Toohey, R.E.; Russell, J.J.; Filipy, R.E.; Dietert, S.E.; Hunacek, M.M.; Hall, C.A.

    1994-10-01

    The Registries originated in 1968 as the National Plutonium Registry with the name changed to the United States Transuranium Registry the following year to reflect a broader concern with the heavier actinides as well. Initially, the scientific effort of the USTR was directed towards study of the distribution and dose of plutonium and americium in occupationally exposed persons, and to assessment of the effects of exposure to the transuranium elements on health. This latter role was reassessed during the 1970`s when it was recognized that the biased cohort of the USTR was inappropriate for epidemiologic analysis. In 1978, the administratively separate but parallel United States Uranium Registry was created to carry out similar work among persons exposed to uranium and its decay products. A seven member scientific advisory committee provided guidance and scientific oversight. In 1992, the two Registries were administratively combined and transferred from the purview of a Department of Energy contractor to Washington State University under the provisions of a grant. Scientific results for the first twenty-five years of the Registries are summarized, including the 1985 publication of the analysis of the first whole body donor. Current scientific work in progress is summarized along with administrative activities for the period.

  17. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

    Science.gov (United States)

    Payne, Christopher H; Smith, Christopher R; Newkirk, Laura E; Hicks, Rodney W

    2007-04-01

    Medication errors involving pediatric patients in the postanesthesia care unit may occur as frequently as one in every 20 medication orders and are more likely to cause harm when compared to medication errors in the overall population. Researchers examined six years of records from the MEDMARX database and used consecutive nonprobability sampling and descriptive statistics to compare medication errors in the pediatric data set to those occurring in the total population data set. Nineteen different causes of error involving 28 different products were identified. The results of the study indicate that an organization can focus on causes of errors and products involved in errors to mitigate future error occurrence.

  18. The goodenough-harris drawing test as a measure of intellectual maturity of youths 12-17 years, United States.

    Science.gov (United States)

    Harris, D B; Pinder, G D

    1974-05-01

    This report presents data obtained from a modified version of the Goodenough-Harris Drawing Test administered to a national probability sample of youths 12-17 years of age in the United States in the Health Examination Survey of 1966-70. Information presented here is essentially a continuation of that reported for children ages 6-11 in a previous publication of the Vitul and Health Statistics series. This is the first report on test findings among adolescents and is limited to consideration of age and sex differentials. The Health Examination Survey is a program of the National Center for Health Statistics in which data are collected by direct examination of representative samples of the noninstitutionalized population of the United States. Since 1960 the Survey has been carried out in a series of separate programs (called "cycles") concerned with segments of the total population and focused on certain aspects of the health of that subpopulation. The data presented here were obtained in the third cycle, a survey of the Nation% youths aged 12-17 years. This program was a continuation of the previous cycle in which children 6-11 years old were given basically the same examination and which focused on health factors related to growth and development. Details regarding the surveys can be obtained in comprehensive reports on the children's program and that of the youths. Further information regarding the Cycle III survey design can be found in appendix I. 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.

  19. Maternity Care Practices and Breastfeeding Among Adolescent Mothers Aged 12-19 Years--United States, 2009-2011.

    Science.gov (United States)

    Olaiya, Oluwatosin; Dee, Deborah L; Sharma, Andrea J; Smith, Ruben A

    2016-01-22

    The American Academy of Pediatrics recommends that infants be breastfed exclusively for the first 6 months of life, and that mothers continue breastfeeding for at least 1 year. However, in 2011, only 19.3% of mothers aged ≤20 years in the United States exclusively breastfed their infants at 3 months, compared with 36.4% of women aged 20-29 years and 45.0% of women aged ≥30 years. Hospitals play an essential role in providing care that helps mothers establish and continue breastfeeding. The U.S. Surgeon General and numerous health professional organizations recommend providing care aligned with the Baby-Friendly Hospital Initiative (BFHI), including adherence to the Ten Steps to Successful Breastfeeding (Ten Steps), as well as not providing gift packs containing infant formula. Implementing BFHI-aligned maternity care improves duration of any and exclusive breastfeeding among mothers; however, studies have not examined associations between BFHI-aligned maternity care and breastfeeding outcomes solely among adolescent mothers (for this report, adolescents refers to persons aged 12-19 years). Therefore, CDC analyzed 2009-2011 Pregnancy Risk Assessment Monitoring System (PRAMS) data and determined that among adolescent mothers who initiated breastfeeding, self-reported prevalence of experiencing any of the nine selected BFHI-aligned maternity care practices included in the PRAMS survey ranged from 29.2% to 95.4%. Among the five practices identified to be significantly associated with breastfeeding outcomes in this study, the more practices a mother experienced, the more likely she was to be breastfeeding (any amount or exclusively) at 4 weeks and 8 weeks postpartum. Given the substantial health advantages conferred to mothers and children through breastfeeding, and the particular vulnerability of adolescent mothers to lower breastfeeding rates, it is important for hospitals to provide evidence-based maternity practices related to breastfeeding as part of their

  20. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2017.

    Science.gov (United States)

    Kim, David K; Riley, Laura E; Harriman, Kathleen H; Hunter, Paul; Bridges, Carolyn B

    2017-02-10

    In October 2016, the Advisory Committee on Immunization Practices (ACIP) voted to approve the Recommended Adult Immunization Schedule for Adults Aged 19 Years or Older-United States, 2017. The 2017 adult immunization schedule summarizes ACIP recommendations in two figures, footnotes for the figures, and a table of contraindications and precautions for vaccines recommended for adults. These documents are available at https://www.cdc.gov/vaccines/schedules. The full ACIP recommendations for each vaccine can be found at https://www.cdc.gov/vaccines/hcp/acip-recs/index.html. The 2017 adult immunization schedule was also reviewed and approved by the American College of Physicians (https://www.acponline.org), the American Academy of Family Physicians (https://www.aafp.org), the American College of Obstetricians and Gynecologists (http://www.acog.org), and the American College of Nurse-Midwives (http://www.midwife.org).

  1. A UT/LS ozone climatology of the nineteen seventies deduced from the GASP aircraft measurement program

    Directory of Open Access Journals (Sweden)

    C. Schnadt Poberaj

    2007-03-01

    Full Text Available The knowledge of historical ozone in the upper troposphere/lower stratosphere (UT/LS region is mostly confined to regular measurements from a number of ozonesonde stations. We present ozone measurements of the Global Atmospheric Sampling Program (GASP performed from four commercial and one research aircraft during 1975 to 1979. Using GASP data, a UT/LS ozone climatology of 1975–1979 was built. Seasonality and concentrations of GASP UT ozone in the middle, subtropical and tropical regions of the northern hemisphere (NH are generally in agreement with other published observations, derived from ozonesondes or aircraft campaigns. In regions where both GASP (1970s and MOZAIC (1990s data are available, similar ozone concentrations are found and seasonal cycles agree well confirming the reliability of GASP ozone. GASP provides unique large-scale climatological information on UT/LS ozone above the NH Pacific region. Agreement is found with observations from individual ozonesonde sites and aircraft campaigns carried out over this region. Tropical UT ozone is seen to be lower near the dateline than further east, presumably related to uplift of ozone poor air within convection. Over the west coast of the United States, summer UT ozone is higher than over the adjacent Pacific, probably caused by air pollution over southern California in the 1970s. GASP offers an unprecedented opportunity to link to European, Canadian and U.S. American ozonesonde observations of the 1970s. For the quantitative comparison, an altitude offset was applied to the sonde data to account for the slow response time of the sensors. In the LS, the European and Canadian Brewer-Mast (BM sensors then agree to ±10% with the GASP instruments in all seasons. In the UT, the European BM sondes record similar to slightly less average ozone than GASP, however, with large variability overlaid. Over the eastern United States, systematic positive deviations of the Wallops Island ECC sondes from

  2. Factors Associated with Self-Reported Cervical Cancer Screening Among Women Aged 18 Years and Older in the United States.

    Science.gov (United States)

    Miles-Richardson, Stephanie; Allen, Shari; Claridy, Mechelle D; Booker, Elaine Archie; Gerbi, Gemechu

    2017-02-01

    In 2016, an estimated 4120 women will die as a result of cervical cancer. The objective of this study was to examine the factors associated with cervical cancer screening among women 18 years of age and older in the United States (U.S.). Using the 2012 Behavioral Risk Factor Surveillance System survey, women over the age of 18 in the U.S. were examined to assess factors associated with cervical cancer screening. Analyses were conducted using SAS 9.2. Of the 272,692 study participants, 258,496 (95 %) had obtained cervical cancer screening. After adjusting for demographic and socioeconomic factors, being non-Hispanic White, Hispanic or Latino, Asian, Native Hawaiian or Other Pacific Islander, in the age group 18-44 years and 75 years and above, having less than a high school education and an annual household income of less than a $25,000, having never married, and residing in the West region of the U.S. reduced the likelihood of participation in cervical cancer screening. Also, after adjusting for demographic and socioeconomic factors, being between the ages of 45-74 years of age, having more than a high school education, having a higher income, and residing in the South region of the U.S. increased the likelihood of participation in cervical cancer screening. The results of this study suggest that socio-demographic factors and region of residence are predictors of cervical cancer screening. These findings highlight the need to identify potential prevention strategies to promote cervical cancer screening among at-risk populations and groups.

  3. Obesity and motor skills among 4 to 6-year-old children in the United States: nationally-representative surveys.

    Science.gov (United States)

    Castetbon, Katia; Andreyeva, Tatiana

    2012-03-15

    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.

  4. 2016 one-year seismic hazard forecast for the Central and Eastern United States from induced and natural earthquakes

    Science.gov (United States)

    Petersen, Mark D.; Mueller, Charles S.; Moschetti, Morgan P.; Hoover, Susan M.; Llenos, Andrea L.; Ellsworth, William L.; Michael, Andrew J.; Rubinstein, Justin L.; McGarr, Arthur F.; Rukstales, Kenneth S.

    2016-03-28

    The U.S. Geological Survey (USGS) has produced a 1-year seismic hazard forecast for 2016 for the Central and Eastern United States (CEUS) that includes contributions from both induced and natural earthquakes. The model assumes that earthquake rates calculated from several different time windows will remain relatively stationary and can be used to forecast earthquake hazard and damage intensity for the year 2016. This assessment is the first step in developing an operational earthquake forecast for the CEUS, and the analysis could be revised with updated seismicity and model parameters. Consensus input models consider alternative earthquake catalog durations, smoothing parameters, maximum magnitudes, and ground motion estimates, and represent uncertainties in earthquake occurrence and diversity of opinion in the science community. Ground shaking seismic hazard for 1-percent probability of exceedance in 1 year reaches 0.6 g (as a fraction of standard gravity [g]) in northern Oklahoma and southern Kansas, and about 0.2 g in the Raton Basin of Colorado and New Mexico, in central Arkansas, and in north-central Texas near Dallas. Near some areas of active induced earthquakes, hazard is higher than in the 2014 USGS National Seismic Hazard Model (NHSM) by more than a factor of 3; the 2014 NHSM did not consider induced earthquakes. In some areas, previously observed induced earthquakes have stopped, so the seismic hazard reverts back to the 2014 NSHM. Increased seismic activity, whether defined as induced or natural, produces high hazard. Conversion of ground shaking to seismic intensity indicates that some places in Oklahoma, Kansas, Colorado, New Mexico, Texas, and Arkansas may experience damage if the induced seismicity continues unabated. The chance of having Modified Mercalli Intensity (MMI) VI or greater (damaging earthquake shaking) is 5–12 percent per year in north-central Oklahoma and southern Kansas, similar to the chance of damage caused by natural earthquakes

  5. Obesity and motor skills among 4 to 6-year-old children in the united states: nationally-representative surveys

    Directory of Open Access Journals (Sweden)

    Castetbon Katia

    2012-03-01

    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.

  6. Cardiotocography interpretation skills and the association with size of maternity unit, years of obstetric work experience and healthcare professional background: a national cross-sectional study.

    Science.gov (United States)

    Thellesen, Line; Sorensen, Jette L; Hedegaard, Morten; Rosthoej, Susanne; Colov, Nina P; Andersen, Kristine S; Bergholt, Thomas

    2017-09-01

    We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. A national cross-sectional study in the setting of a CTG teaching intervention involving all 24 maternity units in Denmark. Participants were midwives (n = 1260) and specialists (n = 269) and residents (n = 142) in obstetrics and gynecology who attended a 1-day CTG course and answered a 30-item multiple-choice question test. Associations between mean test score and work conditions were analyzed using multivariable robust regression, in which the three variables were mutually adjusted. Participants from units with > 3000 deliveries/year scored higher on the test than participants from units with 4000 deliveries/year: mean difference 0.5, p = 0.006). Participants with 15 years of experience (15-20 years of experience: mean difference - 0.6, p = 0.007; > 20 years experience: mean difference - 0.9, p skills and decision-making measured by a written assessment were positively associated with working in large maternity units and having skills in small units and among experienced staff but could also reflect different levels of motivation, test familiarity and learning culture. Whether the findings are transferable to the clinical setting was not examined. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

  7. Quality of rivers of the United States, 1975 water year; based on the National Stream Quality Accounting Network (NASQAN)

    Science.gov (United States)

    Briggs, John C.; Ficke, John F.

    1977-01-01

    The National Stream Quality Accounting Network (NASQAN) was established by the U.S. Geological Survey to provide a nationally uniform basis for continuously assessing the quality of U.S. rivers. Stations generally are at the downstream end of hydrologic accounting units in order to measure the quantity and quality of water flowing from the units. The 1975 water year was the first year of operation of the network that represents essentially all of the accounting units and thereby describes the water- quality of the entire country. Data are available on a large number of water-quality constituents measured at 345 stations during the 1975 water year. Temperature data (usually continuous or daily measurements) from NASQAN stations were fitted to a first order harmonic equation and the parameters for the harmonic function are reported for each station. Mean temperatures generally range from 5°-10°C in the North to more than 20°C along the southern border of the continental United States and in Hawaii and Puerto Rico; means were less than 10°C at 63 stations and greater than 25°C at only 7 stations. Amplitudes of the temperature curves are greatest (greater than 12°C) for the streams at midlatitudes and in the Great and Central Plains, and they are smallest for the subtropical and cold-climate streams. Considering chemical and biological characteristics of U.S. streams as described by NASQAN data, water quality is best (by many standards) in the Northeast, Southeast, and Northwest. Waters there generally are low in dissolved solids and major and minor chemical constituents, generally are soft (except in Florida), and carry relatively small amounts of sediment. These conditions mainly reflect the geology of the regions and the relatively large amounts of precipitation. However, many of these waters show the effects of pollution and carry moderate or high levels of major nutrients and have correspondingly high populations of attached and floating plants. High counts

  8. Serratia marcescens in a neonatal intensive care unit: two long-term multiclone outbreaks in a 10-year observational study.

    Science.gov (United States)

    Casolari, Chiara; Pecorari, Monica; Della Casa, Elisa; Cattani, Silvia; Venturelli, Claudia; Fabio, Giuliana; Tagliazucchi, Sara; Serpini, Giulia Fregni; Migaldi, Mario; Marchegiano, Patrizia; Rumpianesi, Fabio; Ferrari, Fabrizio

    2013-10-01

    We investigated two consecutive Serratia marcescens (S. marcescens) outbreaks which occurred in a neonatal intensive care unit (NICU) of a tertiary level hospital in North Italy in a period of 10 years (January 2003-December 2012). Risk factors associated with S. marcescens acquisition were evaluated by a retrospective case-control study. A total of 21,011 clinical samples was examined: S. marcescens occurred in 127 neonates: 43 developed infection and 3 died. Seven clusters were recorded due to 12 unrelated clones which persisted for years in the ward, although no environmental source was found. The main epidemic clone A sustaining the first cluster in 2003 reappeared in 2010 as an extended spectrum ?-lactamase (ESBL)-producing strain and supporting the second epidemic. Birth weight, gestational age, use of invasive devices and length of stay in the ward were significantly related to S. marcescens acquisition. The opening of a new ward for non-intensive care-requiring neonates, strict adherence to alcoholic hand disinfection, the timely identification and isolation of infected and colonized neonates assisted in containing the epidemics. Genotyping was effective in tracing the evolution and dynamics of the clones demonstrating their long-term persistence in the ward.

  9. One year of microbiological surveillance in Intensive Care Unit of San Biagio Hospital in Domodossola (VB ASL 14

    Directory of Open Access Journals (Sweden)

    Cinzia Rossi

    2008-09-01

    Full Text Available Microbiological surveillance in Intensive Care Unit (ICU is essential not only for empirical antimicrobial therapy, but also for epidemiological suggestion. We describe one year observation (2006 of microbiological samples, especially bronchial samples, in a polivalent ICU in San Biagio Hospital (Domodossola ASL 14 Piemonte where systematic culture of sputum (surveillance cultures was routinely performed. During this period, 208 bronchial samples were collected and cultured.Among these, 56 (27% resulted positive for bacteria. Gram positive were isolated in 31% of cases (the most frequent being Staphylococcus aureus, whereas Gram negative in the remaining 69% (especially Pseudomonas aeruginosa and Escherichia coli. The antibiotic resistance to oxacillin was found in 50% of staphylococcal strains. Pseudomonas was susceptible to aminoglycosides, carbapenems and cefepime; all strains were ß lactamase producer. The tabular of dose defining day for the same year demonstrates that penicillin with β lactamase inhibitor is the most employed in our ICU (DDD 36%. This paper confirmed that systematic culture is important to get informations for epidemiology, antimicrobial strategies and control of multidrug resistant clusters.

  10. Early HIV treatment in the United States prevented nearly 13,500 infections per year during 1996-2009.

    Science.gov (United States)

    Goldman, Dana P; Juday, Timothy; Seekins, Daniel; Linthicum, Mark T; Romley, John A

    2014-03-01

    In recent years, guidelines for HIV treatment have recommended initiation of combination antiretroviral therapy (cART) earlier in the course of the disease than was previously the case. These recommendations stem in part from growing evidence that treatment reduces the risk of sexual transmission. We used an epidemiological model of disease transmission and progression to assess HIV prevention through early treatment-that is, initiation of cART when CD4 white blood cell counts are in excess of 350 cells per cubic millimeter. (CD4 cells are involved in the immune system's defense against tumors and infection; the number of CD4 cells in a cubic millimeter of blood is a standard measure of immune response to antiretroviral therapy.) We estimated that the actual timing of treatment initiation in the United States prevented 188,000 HIV cases in the period 1996-2009. "Very early" treatment (at CD4 counts greater than 500) accounted for four-fifths of the prevented cases. For all of the prevented cases, the losses in life expectancy that were avoided were worth $128 billion, assuming that a life-year has a value of $150,000. These findings underscore the cost-effectiveness of early HIV treatment.

  11. The Nineteen Ancient Poems' time awareness of life%对《古诗十九首》中时间生命意识的解读

    Institute of Scientific and Technical Information of China (English)

    李阿芳

    2012-01-01

    《古诗十九首》以浅语道出远意,对时间生命意识的深刻体认与率真表达,是整个建安时期“人的自觉”、“文的自觉”的前奏,并因此而具有撼人心魄的力量。时间生命意识在古诗十九首中的体现,展开为及时有为与不达的苦闷、政治幻灭之后转而及时行乐、相思怀人之作的率意表达等几个方面。%The language of Nineteen ancient poems is simple, but at the same time it has far-reaching senses of the expression. Human consciousness and Literature consciousness is the symbol of Jianan literature.The Nineteen Ancient Poems' time awareness of life begins the prelude of Jianan literature, and therefore has a shocking and touching power.Sense of time and life.embodied in the poetry showed in three aspects.They are timely and promising try but defeat, political disillusionment after the turn and time is swift, frankly expression of love poems.

  12. Assessing the Quality of Persian Translation of Orwell's Nineteen Eighty-four Based on House's Model: Overt-covert Translation Distinction

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    Hossein Heidani TABRIZI

    2014-12-01

    Full Text Available This study aimed to assess the quality of Persian translation of Orwell's (1949 Nineteen Eighty-Four by Balooch (2004 based on House's (1997 model of translation quality assessment. To do so, about 10 percent of the source text was randomly selected. The profile of the source text register was produced and the genre was realized. The source text profile was compared to the translation text profile. The result of this comparison was dimensional mismatches and overt errors. The dimensional mismatches were categorized based on different dimensions of register. The overt errors which were based on denotative mismatches and target system errors were categorized into omissions, additions, substitutions, and breaches of the target language system. Then, the frequencies of occurrences of subcategories of overt errors along with their percentages were calculated. The dimensional mismatches and a large number of major overt errors including omissions and substitutions indicated that the translation was not in accordance with the House's view stating that literary works needed to be translated overtly. Mismatches on different levels of register showed that the cultural filter was applied in translation and the second-level functional equivalence required for overt translation was not reached. Therefore, the Persian translation of Nineteen Eighty-Four did not fulfill the criteria to be an overt translation.

  13. 《一九八四》的女性主义批评%A feminist criticism on Nineteen Eighty Four

    Institute of Scientific and Technical Information of China (English)

    赵攀

    2012-01-01

    英国现代作家乔治·奥威尔的代表作《一九八四》被公认为是一部"反乌托邦"小说,其意义重大,影响深远。然而细观其文中女性人物的艺术形象却不免苍白和单薄,因为奥威尔强加给了她们传统家庭妇女的身份特征。试图从马克思主义女性主义和精神分析女性主义两个方面来阐述《一九八四》中体现出来的"性别等级"和女性的"他者"地位。%Modern British writer George Orwell's masterpiece Nineteen Eighty Four is recognized as a "dystopian novel" by critics,which has a significant and far-reaching effect.But if you examine female characters carefully you will find them artistically pale and thin because Orwell imposes the traditional woman identity on them.This novel is undoubtedly harmful from the feminist perspective.Therefore,in the Nineteen Eighty Four,"sexual rank" and women's "otherness" status will be illustrated from the perspective of Marxist feminism and psychoanalytic feminism.

  14. Psychological Health of First-Year Health Professional Students in a Medical University in the United Arab Emirates

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    Kadayam G Gomathi

    2012-05-01

    Full Text Available Objectives: The aim of this study was to assess the psychological health of first-year health professional students and to study sources of student stress. Methods: All first-year students (N = 125 of the Gulf Medical University (GMU in Ajman, United Arab Emirates (UAE, were invited to participate in a voluntary, anonymous, self-administered, questionnaire-based survey in January 2011. Psychological health was assessed using the 12-item General Health Questionnaire. A 24-item questionnaire, with items related to academic, psychosocial and health domains was used to identify sources of stress. Pearson’s chi-squared test and the Mann-Whitney U-test were used for testing the association between psychological morbidity and sources of stress. Results: A total of 112 students (89.6% completed the survey and the overall prevalence of psychological morbidity was found to be 33.6%. The main academic-related sources of stress were ‘frequency of exams’, ‘academic workload’, and ‘time management’. Major psychosocial stressors were ‘worries regarding future’, ‘high parental expectations’, ‘anxiety’, and ‘dealing with members of the opposite sex’. Health-related issues were ‘irregular eating habits’, ‘lack of exercise’, and ‘sleep-related problems’. Psychological morbidity was not significantly associated with any of the demographic factors studied. However, total stress scores and academics-related domain scores were significantly associated with psychological morbidity. Conclusion: Psychological morbidity was seen in one in three first-year students attending GMU. While worries regarding the future and parental expectations were sources of stress for many students, psychological morbidity was found to be significantly associated with only the total stress and the academic-related domain scores.

  15. Ten years maintaining MACAO-VLTI units in operation in the Very Large Telescope at Paranal Observatory

    Science.gov (United States)

    Salgado, F.; Hudepohl, G.

    2016-07-01

    More than 10 years have already passed since the first Multiple Application Curvature Adaptive Optics (MACAO) facilities got the first light in UT2 the 18th of April, 2003, in the Very Large Telescope (VLT) at Paranal Observatory. The achievable image sharpness of a ground-based telescope is normally limited by the effect of atmospheric turbulence. However, with Adaptive Optics (AO) techniques, this major drawback can be overcome so that the telescope produces images that are as sharp as theoretically possible, i.e., as if they were taken from space. [1] The intention of this document is summarize in few pages some highlights related with the activities needed to keep MACAO units in operation. Some statistics of problems based in Action Remedy tool is included, showing how through these years the number of problems has been reduced, even when there are still some unsolved ones. Some lessons have been learned and there are others one to learn. Corrective and predictive maintenance performed are shown too like the current measurements, transfer functions measurements, thermography pictures, health checks measuring interaction matrix and flat vectors to detect dead APDs or short circuits in the DM, etc. Some forced interventions are included as well like the removal of the cabinets from Coude rooms to avoid that acoustic noise and vibrations perturb the operations, the deformable mirrors reached by cooling leaks and a mirror that got rusty are shown too. Well knowledge of the system, good interaction between different disciplines groups to perform corrective and preventive maintenance seems to be key aspects of keeping it under control and operative during all these years leading to this good result.

  16. 2017 One‐year seismic‐hazard forecast for the central and eastern United States from induced and natural earthquakes

    Science.gov (United States)

    Petersen, Mark D.; Mueller, Charles; Moschetti, Morgan P.; Hoover, Susan M.; Shumway, Allison; McNamara, Daniel E.; Williams, Robert; Llenos, Andrea L.; Ellsworth, William L; Rubinstein, Justin L.; McGarr, Arthur F.; Rukstales, Kenneth S.

    2017-01-01

    We produce a one‐year 2017 seismic‐hazard forecast for the central and eastern United States from induced and natural earthquakes that updates the 2016 one‐year forecast; this map is intended to provide information to the public and to facilitate the development of induced seismicity forecasting models, methods, and data. The 2017 hazard model applies the same methodology and input logic tree as the 2016 forecast, but with an updated earthquake catalog. We also evaluate the 2016 seismic‐hazard forecast to improve future assessments. The 2016 forecast indicated high seismic hazard (greater than 1% probability of potentially damaging ground shaking in one year) in five focus areas: Oklahoma–Kansas, the Raton basin (Colorado/New Mexico border), north Texas, north Arkansas, and the New Madrid Seismic Zone. During 2016, several damaging induced earthquakes occurred in Oklahoma within the highest hazard region of the 2016 forecast; all of the 21 moment magnitude (M) ≥4 and 3 M≥5 earthquakes occurred within the highest hazard area in the 2016 forecast. Outside the Oklahoma–Kansas focus area, two earthquakes with M≥4 occurred near Trinidad, Colorado (in the Raton basin focus area), but no earthquakes with M≥2.7 were observed in the north Texas or north Arkansas focus areas. Several observations of damaging ground‐shaking levels were also recorded in the highest hazard region of Oklahoma. The 2017 forecasted seismic rates are lower in regions of induced activity due to lower rates of earthquakes in 2016 compared with 2015, which may be related to decreased wastewater injection caused by regulatory actions or by a decrease in unconventional oil and gas production. Nevertheless, the 2017 forecasted hazard is still significantly elevated in Oklahoma compared to the hazard calculated from seismicity before 2009.

  17. 2017 one-year seismic hazard forecast for the central and eastern United States from induced and natural earthquakes

    Science.gov (United States)

    Petersen, Mark D.; Mueller, Charles; Moschetti, Morgan P.; Hoover, Susan M.; Shumway, Allison; McNamara, Daniel E.; Williams, Robert A.; Llenos, Andrea L.; Ellsworth, William L.; Michael, Andrew J.; Rubinstein, Justin L.; McGarr, Arthur F.; Rukstales, Kenneth S.

    2017-01-01

    We produce the 2017 one-year seismic hazard forecast for the central and eastern United States from induced and natural earthquakes that updates the 2016 one-year forecast; this map is intended to provide information to the public and to facilitate the development of induced seismicity forecasting models, methods, and data. The 2017 hazard model applies the same methodology and input logic tree as the 2016 forecast, but with an updated earthquake catalog. We also evaluate the 2016 seismic hazard forecast to improve future assessments. The 2016 forecast indicated high seismic hazard (greater than 1% probability of potentially damaging ground shaking in one-year) in five focus areas: Oklahoma-Kansas, the Raton Basin (Colorado/New Mexico border), north Texas, north Arkansas, and the New Madrid Seismic Zone. During 2016, several damaging induced earthquakes occurred in Oklahoma within the highest hazard region of the 2016 forecast; all of the 21 magnitude (M) ≥ 4 and three M ≥ 5 earthquakes occurred within the highest hazard area in the 2016 forecast. Outside the Oklahoma-Kansas focus area two earthquakes with M ≥ 4 occurred near Trinidad, Colorado (in the Raton Basin focus area), but no earthquakes with M ≥ 2.7 were observed in the north Texas or north Arkansas focus areas. Several observations of damaging ground shaking levels were also recorded in the highest hazard region of Oklahoma. The 2017 forecasted seismic rates are lower in regions of induced activity due to lower rates of earthquakes in 2016 compared to 2015, which may be related to decreased wastewater injection, caused by regulatory actions or by a decrease in unconventional oil and gas production. Nevertheless, the 2017 forecasted hazard is still significantly elevated in Oklahoma compared to the hazard calculated from seismicity before 2009.

  18. A UT/LS ozone climatology of the nineteen seventies deduced from the GASP aircraft measurement program

    Directory of Open Access Journals (Sweden)

    C. Schnadt Poberaj

    2007-11-01

    Full Text Available We present ozone measurements of the Global Atmospheric Sampling Program (GASP performed from four commercial and one research aircraft in the late 1970s. The GASP quality assurance and control program was reviewed, and an ozone climatology of the upper troposphere and lower stratosphere (UT/LS of the years 1975–1979 was built. The data set was estimated to have an overall uncertainty of 9% or 3 ppb whichever is greater for the first two years and 4% or 3 ppb for the remaining years, i.e. after implementation of silicone rubber membranes in the pumps. Two cases of nearly coincident flights of two GASP airliners along the same flight route, and the comparison with independent observations from the literature, including ozonesondes and aircraft campaigns, indicate that the ozone measurements are of high quality. The UT/LS climatology of the GASP data set is in general agreement with that derived from MOZAIC in the 1990s in regions covered by both programmes. GASP provides unique large-scale climatological information on UT/LS ozone above the northern hemisphere Pacific region, which is not covered by MOZAIC. There, the GASP climatology confirms several characteristic features derived from individual research aircraft campaigns and from ozone soundings. In particular, summertime ozone in the UT over the midlatitude eastern Pacific Ocean was significantly lower in the 1970s than over the American continent. The generally lower ozone concentrations in the tropics near the dateline as compared to farther east are indicative of convective uplifting of ozone poor air from the marine boundary layer.

  19. A UT/LS ozone climatology of the nineteen seventies deduced from the GASP aircraft measurement program

    Science.gov (United States)

    Schnadt Poberaj, C.; Staehelin, J.; Brunner, D.; Thouret, V.; Mohnen, V.

    2007-11-01

    We present ozone measurements of the Global Atmospheric Sampling Program (GASP) performed from four commercial and one research aircraft in the late 1970s. The GASP quality assurance and control program was reviewed, and an ozone climatology of the upper troposphere and lower stratosphere (UT/LS) of the years 1975-1979 was built. The data set was estimated to have an overall uncertainty of 9% or 3 ppb whichever is greater for the first two years and 4% or 3 ppb for the remaining years, i.e. after implementation of silicone rubber membranes in the pumps. Two cases of nearly coincident flights of two GASP airliners along the same flight route, and the comparison with independent observations from the literature, including ozonesondes and aircraft campaigns, indicate that the ozone measurements are of high quality. The UT/LS climatology of the GASP data set is in general agreement with that derived from MOZAIC in the 1990s in regions covered by both programmes. GASP provides unique large-scale climatological information on UT/LS ozone above the northern hemisphere Pacific region, which is not covered by MOZAIC. There, the GASP climatology confirms several characteristic features derived from individual research aircraft campaigns and from ozone soundings. In particular, summertime ozone in the UT over the midlatitude eastern Pacific Ocean was significantly lower in the 1970s than over the American continent. The generally lower ozone concentrations in the tropics near the dateline as compared to farther east are indicative of convective uplifting of ozone poor air from the marine boundary layer.

  20. A MODEL TO EVALUATE 100-YEAR ENERGY-MIX SCENARIOS TO FACILITATE DEEP DECARBONIZATION IN THE SOUTHEASTERN UNITED STATES

    Energy Technology Data Exchange (ETDEWEB)

    Adkisson, Mary A [ORNL; Qualls, A L [ORNL

    2016-08-01

    The Southeast United States consumes approximately one billion megawatt-hours of electricity annually; roughly two-thirds from carbon dioxide (CO2) emitting sources. The balance is produced by non-CO2 emitting sources: nuclear power, hydroelectric power, and other renewables. Approximately 40% of the total CO2 emissions come from the electric grid. The CO2 emitting sources, coal, natural gas, and petroleum, produce approximately 372 million metric tons of CO2 annually. The rest is divided between the transportation sector (36%), the industrial sector (20%), the residential sector (3%), and the commercial sector (2%). An Energy Mix Modeling Analysis (EMMA) tool was developed to evaluate 100-year energy mix strategies to reduce CO2 emissions in the southeast. Current energy sector data was gathered and used to establish a 2016 reference baseline. The spreadsheet-based calculation runs 100-year scenarios based on current nuclear plant expiration dates, assumed electrical demand changes from the grid, assumed renewable power increases and efficiency gains, and assumed rates of reducing coal generation and deployment of new nuclear reactors. Within the model, natural gas electrical generation is calculated to meet any demand not met by other sources. Thus, natural gas is viewed as a transitional energy source that produces less CO2 than coal until non-CO2 emitting sources can be brought online. The annual production of CO2 and spent nuclear fuel and the natural gas consumed are calculated and summed. A progression of eight preliminary scenarios show that nuclear power can substantially reduce or eliminate demand for natural gas within 100 years if it is added at a rate of only 1000 MWe per year. Any increases in renewable energy or efficiency gains can offset the need for nuclear power. However, using nuclear power to reduce CO2 will result in significantly more spent fuel. More efficient advanced reactors can only marginally reduce the amount of spent fuel generated in

  1. 8 CFR 319.4 - Persons continuously employed for 5 years by United States organizations engaged in disseminating...

    Science.gov (United States)

    2010-01-01

    ... by United States organizations engaged in disseminating information. 319.4 Section 319.4 Aliens and... States organizations engaged in disseminating information. To be eligible for naturalization under... United States, and favorably disposed toward the good order and happiness of the United States; and (h...

  2. Nineteen cases of persistent pruritic nodules and contact allergy to aluminium after injection of commonly used aluminium-adsorbed vaccines.

    Science.gov (United States)

    Bergfors, Elisabet; Björkelund, Cecilia; Trollfors, Birger

    2005-11-01

    Rare cases of persistent pruritic nodules, sometimes associated with aluminium (Al) allergy, have been reported after the use of several Al adsorbed vaccines. During vaccine trials in the 1990s a high incidence of pruritic nodules (645 cases/76,000 recipients), in 77% associated with Al allergy, was observed after the administration of diphtheria-tetanus / acellular pertussis (DT/aP) vaccines from a single producer. In the present report 19 children with pruritic nodules after vaccination with Al hydroxide-adsorbed DTaP/polio+Hib (Infanrix, Pentavac) are described. The children had intensely itching nodules at the injection site, often aggravated during upper respiratory tract infections, and local skin alterations. So far, the symptoms have persisted for up to 7 years. The median time between vaccination and onset of symptoms was 1 month. 16 children were epicutaneously tested for Al, all with positive reactions indicating delayed hypersensitivity to Al. The condition is not commonly known but is important to recognise, as the child and the family may suffer considerably. Future vaccinations with Al-adsorbed vaccines may cause aggravation of the symptoms and the Al allergy. Al-containing skin products, such as antiperspirants, may cause contact dermatitis. Nodules may be mistaken for tumours. Even though the incidence of itching nodules and Al allergy after administration of Infanrix, Pentavac and other Al-adsorbed vaccines is probably low, research to replace Al adjuvants seems appropriate. We conclude that intensely itching subcutaneous nodules, lasting for many years, and hypersensitivity to aluminium may occur after DTaP/polio+Hib vaccination of infants.

  3. Use of Curricular and Extracurricular Assessments to Predict Performance on the United States Medical Licensing Examination (USMLE) Step 1: A Multi-Year Study

    Science.gov (United States)

    Gandy, Robyn A.; Herial, Nabeel A.; Khuder, Sadik A.; Metting, Patricia J.

    2008-01-01

    This paper studies student performance predictions based on the United States Medical Licensure Exam (USMLE) Step 1. Subjects were second-year medical students from academic years of 2002 through 2006 (n = 711). Three measures of basic science knowledge (two curricular and one extracurricular) were evaluated as predictors of USMLE Step 1 scores.…

  4. Monosyllabic Mandarin Tone Productions by 3-Year-Olds Growing up in Taiwan and in the United States: Interjudge Reliability and Perceptual Results

    Science.gov (United States)

    Wong, Puisan

    2012-01-01

    Purpose: The author compared monosyllabic Mandarin lexical tones produced by 3-year-old Mandarin-speaking children growing up in Taiwan and in the United States. Method: Following the procedures in Wong, Schwartz, and Jenkins (2005), the author collected monosyllabic tone productions from 3-year-old Mandarin-speaking children in Taiwan and…

  5. Factors driving the development of healthcare waste management in the United Kingdom over the past 60 years.

    Science.gov (United States)

    Townend, William K; Cheeseman, Christopher; Edgar, Jen; Tudor, Terry

    2009-06-01

    Since the creation of the National Health Service (NHS) in the United Kingdom in 1948 there have been significant changes in the way waste materials produced by healthcare facilities have been managed due to a number of environmental, legal and social drivers. This paper reviews the key changes in legislation and healthcare waste management that have occurred in the UK between 1948 and the present time. It investigates reasons for the changes and how the problems associated with healthcare wastes have been addressed. The reaction of the public to offensive disposal practices taking place locally required political action by the UK government and subsequently by the European legislature. The relatively new UK industry of hazardous healthcare waste management has developed rapidly over the past 25 years in response to significant changes in healthcare practices. The growth in knowledge and appreciation of environmental issues has also been fundamental to the development of this industry. Legislation emanating from Europe is now responsible for driving change to UK healthcare waste management. This paper examines the drivers that have caused the healthcare waste management to move forward in the 60 years since the NHS was formed. It demonstrates that the situation has moved from a position where there was no overall strategy to the current situation where there is a strong regulatory framework but still no national strategy. The reasons for this situation are examined and based upon the experience gained; suggestions are made for the benefit of countries with systems for healthcare waste management still in the early stages of development or without any provisions at all.

  6. Candidemia in intensive care unit patients: A one year study from a tertiary care center in South India

    Directory of Open Access Journals (Sweden)

    S Giri

    2013-01-01

    Full Text Available Background: The occurrence of candidemia is on a rise worldwide. Non-albicans Candida species have emerged as major causes of candidemia in many countries. Added to it is the problem of antifungal resistance in Candida isolates. Objectives: To find out the prevalence of candidemia in our intensive care unit (ICU setup along with the antifungal susceptibility pattern of Candida isolates and various risk factors associated with candidemia. Materials and Methods: All Candida isolates from blood stream infections of ICU patients were included in the 1 year study period (November 2008-October 2009. The isolates were speciated using various phenotypic tests. Antifungal susceptibility testing was done by disk diffusion methods according to Clinical and Laboratory Standards Institute guidelines and also using CANDIFAST. Various risk factors associated with the development of candidemia were looked into. Results: A total of 39 Candida isolates were isolated during the study period of 1 year (prevalence of 0.65%. Candida tropicalis (74.35% was the most common isolate followed by Candida albicans, Candida parapsilosis, Candida krusei and Candida glabrata. All the 39 Candida isolates (100% were sensitive to amphotericin B while 12 isolates (30.8% were resistant to fluconazole. The risk factors commonly associated with candidemia patients were long term antibiotic therapy (64.1%, use of central venous catheters (56.4%, urinary catheters (53.9%, steroid therapy (35.9% and diabetes mellitus (33.3%. Conclusion: Candidemia is emerging as a significant problem in hospitalized patients, especially in ICU setups. Non-albicans Candida species are the major cause of candidemia as found in our study and few other studies in India. Multicentric studies involving many hospitals are required to know the true prevalence of candidemia and the status of antifungal drug resistance among Candida isolates in our country.

  7. A 1300 Year Sub-Decadally Resolved Hydrologic Record from the Coastal Southwestern United States (Crystal Lake, CA)

    Science.gov (United States)

    Palermo, J. A.; Kirby, M. E.

    2015-12-01

    This study presents a 1300 year sub-decadally resolved record of hydrologic variability from coastal southwestern United States (Crystal Lake, CA). Crystal Lake is a small (0.02 km2), alpine landslide dammed lake in the Angeles National Forest of the San Gabriel Mountains. The hydrologically closed lake is the only permanent, freshwater lake in the range; its catchment is small (0.77 km2). In May 2014, lake depth measured 5.5 m, however the spillover point in the southeastern end of the lake indicates a max depth of ~50 m. Two Livingston piston cores were taken in May 2014, 15 m apart in the lake's depocenter. Magnetic susceptibility, LOI 550 °C and 950 °C, and grain size were measured at 1 cm contiguous intervals; C:N ratios and C and N isotopic analyses were measured every 2 cm. In addition, representative allochthonous and autochthonous vegetation were collected within the drainage basin for δ13Corg values. An age model was generated using Bacon v2.2, based on 11 AMS 14C dates of discrete organic matter (i.e. charcoal or wood). Age control for the past 200 years is based on correlation to Rothenberg et al. (2010) core ages. Initial results suggest a history of event sedimentation (large storms) superimposed on multi-decadal to centennial hydrologic changes (wet vs. dry periods) such as the Little Ice Age and the Medieval Climate Anomaly. Additionally, the Crystal Lake record is compared to preexisting regional records to further explore the record's spatial coherence. Mechanisms driving these hydrologic shifts are explored.

  8. Ten years after the United Nations General Assembly Special Session (UNGASS): assessing drug problems, policies and reform proposals.

    Science.gov (United States)

    Reuter, Peter

    2009-04-01

    In 1998 the United Nations General Assembly Special Session resolved that governments would reduce drug production and consumption greatly within 10 years. With that period now elapsed, there is an interest in reviewing how successful this was and considering how drug policy could be improved. The demand for drugs in the world has stabilized mainly as a result of the interaction of epidemic forces, culture and economic development. Supply has become more concentrated and the menu of drugs has changed surprisingly slowly. Drug policy is shifting to a more explicitly tolerant configuration in Europe and a few other countries, but retains its ferocity in most of the world. The most prominent innovations under discussion have limited potential effects (heroin maintenance), have as yet been unproductive of policy interventions ('addiction is a brain disease') or have no political appeal (legalization). The option with the most scope is increased effort at diverting arrested drug users out of criminal justice systems. No prevention, treatment or enforcement strategies have demonstrated an ability to substantially affect the extent of drug use and addiction. The best that government interventions can do is to reduce the damaging consequences of drug use and drug control. More attention should be given to reductions in the intensity of drug enforcement, which has many unintended adverse consequences and yields few of the claimed gains.

  9. Surveillance of Pseudomonas aeruginosa-isolates in a neonatal intensive care unit over a one year-period.

    Science.gov (United States)

    Zabel, Lutz Thomas; Heeg, Peter; Goelz, Rangmar

    2004-07-01

    Outbreaks of gram-negative bacteria such as Pseudomonas aeruginosa in neonatal intensive care units (NICU) can be life-threatening to pre-term infants, which are highly susceptible to serious infections with bacteria. Forty-two ventilated neonates in the NICU of the University Children's Hospital of Tuebingen were found to be colonized (n = 40) or infected (n = 2) with P. aeruginosa within a sampling period of one year. To investigate the colonization patterns and identify potential outbreak sources, epidemiological investigations, environmental surveillance and typing by serotyping and pulsed-field gel electrophoresis of the recovered isolates were performed. The investigation demonstrated a genetically related cluster of P. aeruginosa isolates during the surveillance period in 39 neonates and a second cluster at the end of the period in two neonates. A third strain representing a genetically distinct group was found in only one patient. Environmental investigations demonstrated the presence of P. aeruginosa in the ventilation equipment of 22 patients: binasal prongs (n = 22), water reservoir (n = 9), and heater (n = 1). In one case, P. aeruginosa was found in breast milk. Other environmental investigations revealed no P. aeruginosa. Although no evidence for a unique source was found, a series of intervention steps were initiated by the NICU personnel, medical microbiologists and infection control experts. The intervention steps included reinforced training of health care staff and a change from chemical to thermal disinfection of binasal prongs. Implementation of these measurements successfully stopped the recurrent occurrence of P. aeruginosa colonization.

  10. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2017.

    Science.gov (United States)

    Robinson, Candice L; Romero, José R; Kempe, Allison; Pellegrini, Cynthia

    2017-02-10

    In October 2016, the Advisory Committee on Immunization Practices (ACIP) approved the Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger-United States, 2017. The 2017 child and adolescent immunization schedule summarizes ACIP recommendations, including several changes from the 2016 immunization schedules, in three figures, and footnotes for the figures. These documents can be found on the CDC immunization schedule website (https://www.cdc.gov/vaccines/schedules/index.html). These immunization schedules are approved by ACIP (https://www.cdc.gov/vaccines/acip/index.html), the American Academy of Pediatrics (https://www.aap.org), the American Academy of Family Physicians (https://www.aafp.org), and the American College of Obstetricians and Gynecologists (http://www.acog.org). Health care providers are advised to use the figures and the combined footnotes together. The full ACIP recommendations for each vaccine, including contraindications and precautions, can be found at https://www.cdc.gov/vaccines/hcp/acip-recs/index.html. Providers should be aware that changes in recommendations for specific vaccines can occur between annual updates to the childhood/adolescent immunization schedules. If errors or omissions are discovered within the child and adolescent schedule, CDC posts revised versions on the CDC immunization schedule website.

  11. Abortion, substance abuse and mental health in early adulthood: Thirteen-year longitudinal evidence from the United States.

    Science.gov (United States)

    Sullins, Donald Paul

    2016-01-01

    To examine the links between pregnancy outcomes (birth, abortion, or involuntary pregnancy loss) and mental health outcomes for US women during the transition into adulthood to determine the extent of increased risk, if any, associated with exposure to induced abortion. Panel data on pregnancy history and mental health history for a nationally representative cohort of 8005 women at (average) ages 15, 22, and 28 years from the National Longitudinal Study of Adolescent to Adult Health were examined for risk of depression, anxiety, suicidal ideation, alcohol abuse, drug abuse, cannabis abuse, and nicotine dependence by pregnancy outcome (birth, abortion, and involuntary pregnancy loss). Risk ratios were estimated for time-dynamic outcomes from population-averaged longitudinal logistic and Poisson regression models. After extensive adjustment for confounding, other pregnancy outcomes, and sociodemographic differences, abortion was consistently associated with increased risk of mental health disorder. Overall risk was elevated 45% (risk ratio, 1.45; 95% confidence interval, 1.30-1.62; p abortion. Evidence from the United States confirms previous findings from Norway and New Zealand that, unlike other pregnancy outcomes, abortion is consistently associated with a moderate increase in risk of mental health disorders during late adolescence and early adulthood.

  12. Cocaine-related admissions to an intensive care unit: a five-year study of incidence and outcomes.

    LENUS (Irish Health Repository)

    Galvin, S

    2010-02-01

    Cocaine misuse is increasing and it is evidently considered a relatively safe drug of abuse in Ireland. To address this perception, we reviewed the database of an 18-bed Dublin intensive care unit, covering all admissions from 2003 to 2007. We identified cocaine-related cases, measuring hospital mortality and long-term survival in early 2009. Cocaine-related admissions increased from around one annually in 2003-05 to 10 in 2007. Their median (IQR [range]) age was 25 (21-35 [17-47]) years and 78% were male. The median (IQR [range]) APACHE II score was 16 (11-27 [5-36]) and length of intensive care stay was 5 (3-9 [1-16]) days. Ten patients died during their hospital stay. A further five had died by the time of follow-up, a median of 24 months later. One was untraceable. Cocaine toxicity necessitating intensive care is increasingly common in Dublin. Hospital mortality in this series was 52%. These findings may help to inform public attitudes to cocaine.

  13. Evolution over thirty years of the profile of inpatients with reactive arthritis in a tertiary rheumatology unit.

    Science.gov (United States)

    Brinster, Anne; Guillot, Xavier; Prati, Clément; Wendling, Daniel

    2016-09-03

    Reactive arthritis (ReA) is sterile arthritis occurring after extra articular bacterial infection. The aim of this study was to analyze, over 30 years, clinical, biological and imaging characteristics as well as therapeutic management of new cases of ReA, comparing two periods. retrospective monocentric study, data of all the patients followed in our unit between January 1st 1984 and April 2014 with the diagnosis or ReA were analyzed (clinical and biological features, management and outcome), and compared between two periods: from January 1984 to December 1993, and from January 2004 to December 2013. Sixty two patients fulfilling international diagnosis criteria were analyzed. There was no significant difference between the two periods in number of new cases, clinical presentation, biological data or outcome. Changes in therapeutic management were obvious with occurrence of anti TNF in the recent period. Reactive arthritis is still a current rheumatologic problem in a developed country, with a need of early and tailored rheumatologic management. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  14. Children born after unplanned pregnancies and cognitive development at 3 years: social differentials in the United Kingdom Millennium Cohort.

    Science.gov (United States)

    de La Rochebrochard, Elise; Joshi, Heather

    2013-09-15

    Children born after an unplanned pregnancy have poorer developmental scores. This could arise from less favorable parenting but also could reflect confounding from the socioeconomic circumstances. In a large representative sample in the United Kingdom, the Millennium Cohort Study (2001-2005), cognitive delay at 3 years was explored with the Bracken Assessment. Its association with unplanned pregnancy was studied in logistic models controlling for demographic and socioeconomic characteristics of the family, the child's characteristics, and parenting behavior. Stratification by the mother's educational level (grouped into 3 categories) was explored. Of 12,182 children included in the analysis, 41% were born after a pregnancy reported by the mother to have been a "surprise." Such unplanned pregnancies were associated in univariate analysis with more cognitive delay. Among mothers with a low or middle level of education, this association vanished when socioeconomic circumstances were controlled. Among mothers with a high level of education, the risk of cognitive delay remained significantly and unexplainedly raised after unplanned pregnancies, despite controlling for socioeconomic characteristics and parental behavior. In conclusion, for socially disadvantaged children, having resulted from an unplanned pregnancy does not seem to increase their already disproportionate risk of cognitive delay. Births after unplanned conceptions are mainly a symptom rather than a source of disadvantage.

  15. Anticoagulation Strategies in Venovenous Hemodialysis in Critically Ill Patients: A Five-Year Evaluation in a Surgical Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Christoph Sponholz

    2014-01-01

    Full Text Available Renal failure is a common complication among critically ill patients. Timing, dosage, and mode of renal replacement (RRT are under debate, but also anticoagulation strategies and vascular access interfere with dialysis success. We present a retrospective, five-year evaluation of patients requiring RRT on a multidisciplinary 50-bed surgical intensive care unit of a university hospital with special regard to anticoagulation strategies and vascular access. Anticoagulation was preferably performed with unfractionated heparin or regional citrate application (RAC. Bleeding and suspected HIT-II were most common causes for RAC. In CVVHD mode filter life span was significantly longer under RAC compared to heparin or other anticoagulation strategies (P=0.001. Femoral vascular access was associated with reduced filter life span (P=0.012, especially under heparin anticoagulation (P=0.015. Patients on RAC had higher rates of metabolic alkalosis (P=0.001, required more transfusions (P=0.045, and showed higher illness severity measured by SOFA scores (P=0.001. RRT with unfractionated heparin represented the most common anticoagulation strategy in this study population. However, patients with bleeding risk and severe organ dysfunction were more likely placed on RAC. Citrate provided longer filter life spans regardless of vascular access site. Attention has to be paid to metabolic disturbances.

  16. Contamination of burn wounds by Achromobacter Xylosoxidans followed by severe infection: 10-year analysis of a burn unit population

    Science.gov (United States)

    Schulz, A.; Perbix, W.; Fuchs, P.C.; Seyhan, H.; Schiefer, J.L.

    2016-01-01

    Summary Gram-negative infections predominate in burn surgery. Until recently, Achromobacter species were described as sepsis-causing bacteria in immunocompromised patients only. Severe infections associated with Achromobacter species in burn patients have been rarely reported. We retrospectively analyzed all burn patients in our database, who were treated at the Intensive Care Burn Unit (ICBU) of the Cologne Merheim Burn Centre from January 2006 to December 2015, focusing on contamination and infection by Achromobacter species.We identified 20 patients with burns contaminated by Achromobacter species within the 10-year study period. Four of these patients showed signs of infection concomitant with detection of Achromobacter species. Despite receiving complex antibiotic therapy based on antibiogram and resistogram typing, 3 of these patients, who had extensive burns, developed severe sepsis. Two patients ultimately died of multiple organ failure. In 1 case, Achromobacter xylosoxidans was the only isolate detected from the swabs and blood samples taken during the last stage of sepsis. Achromobacter xylosoxidans contamination of wounds of severely burned immunocompromised patients can lead to systemic lethal infection. Close monitoring of burn wounds for contamination by Achromobacter xylosoxidans is essential, and appropriate therapy must be administered as soon as possible. PMID:28149253

  17. Nosocomial infection characteristics in a burn intensive care unit: analysis of an eleven-year active surveillance.

    Science.gov (United States)

    Öncül, Oral; Öksüz, Sinan; Acar, Ali; Ülkür, Ersin; Turhan, Vedat; Uygur, Fatih; Ulçay, Asım; Erdem, Hakan; Özyurt, Mustafa; Görenek, Levent

    2014-08-01

    The objective of this study was to describe nosocomial infection (NI) rates, risk factors, etiologic agents, antibiotic susceptibility, invasive device utilization and invasive device associated infection rates in a burn intensive care unit (ICU) in Turkey. Prospective surveillance of nosocomial infections was performed according to Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) criteria between 2001 and 2012. The data was analyzed retrospectively. During the study period 658 burn patients were admitted to our burn ICU. 469 cases acquired 602 NI for an overall NI rate of 23.1 per 1000 patient days. 109 of all the cases (16.5%) died. Pseudomonas aeruginosa (241), Acinetobacter baumannii (186) and Staphylococcus aureus (69) were the most common identified bacteria in 547 strains. Total burn surface area, full thickness burn, older age, presence of inhalation injury were determined to be the significant risk factors for acquisition of NI. Determining the NI profile at a certain burn ICU can lead the medical staff apply the appropriate treatment regimen and limit the drug resistance. Eleven years surveillance report presented here provides a recent data about the risk factors of NI in a Turkish burn ICU. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

  18. 76 FR 32409 - Medicare Program; Five-Year Review of Work Relative Value Units Under the Physician Fee Schedule

    Science.gov (United States)

    2011-06-06

    ... Medicine and Rehabilitation AATS American Association for Thoracic Surgery ACC American College of... ICU Intensive care unit IDTF Independent diagnostic testing facility IWPUT Intra-service work per...

  19. Waste Area Group 10, Operable Unit 10-08, Remedial Investigation/Feasibility Study Annual Status Report for Fiscal Year 2006

    Energy Technology Data Exchange (ETDEWEB)

    R. P. Wells

    2007-05-09

    This report provides a status of the progress made in Fiscal Year 2006 on tasks identified in the Waste Area Group 10, Operable Unit 10-08, Remedial Investigation/Feasibility Study Work Plan. Major accomplishments include: (1) groundwater sampling and review of the groundwater monitoring data, (2) installation of a Sitewide groundwater-level monitoring network, (3) update of the Groundwater Monitoring and Field Sampling Plan of Operable Unit 10-08, (4) re-evaluation of the risk at Site TSF-08, (5) progress on the Operable Unit 10-08 Sitewide Groundwater Model.

  20. Forty Years of the United Nations General Assembly Resolution 3379 (XXX on Zionism and Racism: the Brazilian Vote as an instance of United States - Brazil Relations

    Directory of Open Access Journals (Sweden)

    NORMA BREDA DOS SANTOS

    2015-12-01

    Full Text Available Abstract In 1975, Brazil voted in favor of the United Nations General Assembly resolution 3379 (XXX, equating Zionism with a form of racism. Focusing on the decision-making process of president Ernesto Geisel's (1974-1979 foreign policy, "responsible pragmatism", this article discusses how the ultimate decision to vote in favor of resolution was taken taking into account mainly US-Brazil relationship.

  1. Undocumented College Students in the United States: In-State Tuition Not Enough to Ensure Four-Year Degree Completion

    Science.gov (United States)

    Conger, Dylan; Chellman, Colin C.

    2013-01-01

    Using restricted-access data from one of the largest urban public university systems in the United States--where many undocumented students are eligible for in-state tuition--we review the literature on undocumented college students in the United States and provide a comparison of the performance of undocumented students to that of U.S. citizens…

  2. Hand disinfection in a neonatal intensive care unit: continuous electronic monitoring over a one-year period

    Directory of Open Access Journals (Sweden)

    Helder Onno K

    2012-10-01

    Full Text Available Abstract Background Good hand hygiene compliance is essential to prevent nosocomial infections in healthcare settings. Direct observation of hand hygiene compliance is the gold standard but is time consuming. An electronic dispenser with built-in wireless recording equipment allows continuous monitoring of its usage. The purpose of this study was to monitor the use of alcohol-based hand rub dispensers with a built-in electronic counter in a neonatal intensive care unit (NICU setting and to determine compliance with hand hygiene protocols by direct observation. Methods A one-year observational study was conducted at a 27 bed level III NICU at a university hospital. All healthcare workers employed at the NICU participated in the study. The use of bedside dispensers was continuously monitored and compliance with hand hygiene was determined by random direct observations. Results A total of 258,436 hand disinfection events were recorded; i.e. a median (interquartile range of 697 (559–840 per day. The median (interquartile range number of hand disinfection events performed per healthcare worker during the day, evening, and night shifts was 13.5 (10.8 - 16.7, 19.8 (16.3 - 24.1, and 16.6 (14.2 - 19.3, respectively. In 65.8% of the 1,168 observations of patient contacts requiring hand hygiene, healthcare workers fully complied with the protocol. Conclusions We conclude that the electronic devices provide useful information on frequency, time, and location of its use, and also reveal trends in hand disinfection events over time. Direct observations offer essential data on compliance with the hand hygiene protocol. In future research, data generated by the electronic devices can be supplementary used to evaluate the effectiveness of hand hygiene promotion campaigns.

  3. Abortion, substance abuse and mental health in early adulthood: Thirteen-year longitudinal evidence from the United States

    Science.gov (United States)

    Sullins, Donald Paul

    2016-01-01

    Objective: To examine the links between pregnancy outcomes (birth, abortion, or involuntary pregnancy loss) and mental health outcomes for US women during the transition into adulthood to determine the extent of increased risk, if any, associated with exposure to induced abortion. Method: Panel data on pregnancy history and mental health history for a nationally representative cohort of 8005 women at (average) ages 15, 22, and 28 years from the National Longitudinal Study of Adolescent to Adult Health were examined for risk of depression, anxiety, suicidal ideation, alcohol abuse, drug abuse, cannabis abuse, and nicotine dependence by pregnancy outcome (birth, abortion, and involuntary pregnancy loss). Risk ratios were estimated for time-dynamic outcomes from population-averaged longitudinal logistic and Poisson regression models. Results: After extensive adjustment for confounding, other pregnancy outcomes, and sociodemographic differences, abortion was consistently associated with increased risk of mental health disorder. Overall risk was elevated 45% (risk ratio, 1.45; 95% confidence interval, 1.30–1.62; p mental health disorder with pregnancy loss was mixed, but also elevated 24% (risk ratio, 1.24; 95% confidence interval, 1.13–1.37; p mental disorders. One-eleventh (8.7%; 95% confidence interval, 6.0–11.3) of the prevalence of mental disorders examined over the period were attributable to abortion. Conclusion: Evidence from the United States confirms previous findings from Norway and New Zealand that, unlike other pregnancy outcomes, abortion is consistently associated with a moderate increase in risk of mental health disorders during late adolescence and early adulthood.

  4. Abortion, substance abuse and mental health in early adulthood: Thirteen-year longitudinal evidence from the United States

    Directory of Open Access Journals (Sweden)

    Donald Paul Sullins

    2016-09-01

    Full Text Available Objective: To examine the links between pregnancy outcomes (birth, abortion, or involuntary pregnancy loss and mental health outcomes for US women during the transition into adulthood to determine the extent of increased risk, if any, associated with exposure to induced abortion. Method: Panel data on pregnancy history and mental health history for a nationally representative cohort of 8005 women at (average ages 15, 22, and 28 years from the National Longitudinal Study of Adolescent to Adult Health were examined for risk of depression, anxiety, suicidal ideation, alcohol abuse, drug abuse, cannabis abuse, and nicotine dependence by pregnancy outcome (birth, abortion, and involuntary pregnancy loss. Risk ratios were estimated for time-dynamic outcomes from population-averaged longitudinal logistic and Poisson regression models. Results: After extensive adjustment for confounding, other pregnancy outcomes, and sociodemographic differences, abortion was consistently associated with increased risk of mental health disorder. Overall risk was elevated 45% (risk ratio, 1.45; 95% confidence interval, 1.30–1.62; p < 0.0001. Risk of mental health disorder with pregnancy loss was mixed, but also elevated 24% (risk ratio, 1.24; 95% confidence interval, 1.13–1.37; p < 0.0001 overall. Birth was weakly associated with reduced mental disorders. One-eleventh (8.7%; 95% confidence interval, 6.0–11.3 of the prevalence of mental disorders examined over the period were attributable to abortion. Conclusion: Evidence from the United States confirms previous findings from Norway and New Zealand that, unlike other pregnancy outcomes, abortion is consistently associated with a moderate increase in risk of mental health disorders during late adolescence and early adulthood.

  5. Incidence of eating disorder beheviors in child and adolescent´s mental health unit H.G. Cuidad Real year 2008

    Directory of Open Access Journals (Sweden)

    Ricardo Tejeda Serrano

    2009-09-01

    Full Text Available The Children´s Mental Health Unit is the ambulatory reference device for the evaluation and treatment of mental disorders in children (0-18 years. One role of nursing is to collect and analyze epidemiological data on the unit. Within the social upheavals that have aroused more interest in the recent past are the eating disorders (ED, which often pose a challenge in the care capacity of the devices of Mental Health that may be overwhelmed, not only the greater number of patients in recent years, but above all for the welfare needs of these patients.

  6. Progress Report: Integrated Ecological Studies at Lisbon Bottom Unit, Big Muddy Fish and Wildlife Refuge, Fiscal Year 1999

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The U.S. Geological Survey has been carrying out integrated ecological studies at the Lisbon Bottom Unit of the Big Muddy Fish and Wildlife Refuge since 1996. This...

  7. Dental Health Services Research Unit celebrates 30 years: Report of conference to mark the 30th anniversary of the Dental Health Services Research Unit (DHSRU) at Dundee, held on 1st December 2008.

    Science.gov (United States)

    Eaton, Kenneth A; Pitts, Nigel B

    2009-04-01

    Over the years, several members of the staff of the Dental Health Services Research Unit (DHSRU) at Dundee have published papers in Primary Dental Care. Furthermore, its Director, Professor Nigel Pitts, together with Drs Jan Clarkson and Gail Topping have co-edited a number of the Faculty of General Dental Practice (UK)'s standards manuals and contributed to others. It had been suggested to the Unit by several parties that, having been in funded existence for some 30 years, it would be appropriate to mark this anniversary with a conference to explore 'Dental Health Services Research: After 30 years, what was the impact, what have we learned and where are we going?' So, following a range of consultations, the conference was convened at the West Park Conference Centre in Dundee with a mixed audience representing both dental research and dental practice.

  8. Summing Up 70 Years of the United Nations: Differences on Whether the UN Security Council Has Legislative Powers

    Directory of Open Access Journals (Sweden)

    Elena Genyushkina

    2016-11-01

    Full Text Available For 70 years the United Nations has not fully clarified what kind of decision constitutes a resolution made by its Security Council (UNSC under Chapter VII of the UN Charter. When is a resolution legitimate and when does it extend beyond the UNSC’s mandate? Can a resolution be mandatory as well as supplementary, or can it change the norms of international law, which operate outside the UN. The vast majority of resolutions are intended to solve a specific situation that threatens international peace and security. Russian and foreign scholars refer to the same documents and decisions of international judicial bodies, but interpret them differently. In this article the author analyzes arguments about the existence of the UNSC’s legislative powers, using a comparative analysis formulated for this purpose. Obligations arising from article 25 of the Charter apply only to UNSC decisions adopted for implementing or controlling existing norms of international law and not newly formulated norms. Article 103 is intended for obligations under the UNCharter, and not for acts made pursuant to basic documents. The Charter does not allow the UNSC to make decisions that require acts and at the same time add or modify international law. The UNSC can create subsidiary bodies that extend the scope of discussions related to threats to peace and security, but cannot change the limits of the use of enforcement measures under articles 41 and 42. The Counter-Terrorism Committee, created by Resolution 1373 (2001, supports UN members’ sovereign efforts to prevent terrorism and the 1540 Committee helps members prevent the trafficking of nuclear material and the use of nuclear, chemical or biological weapons. There is no evidence of any customary rule of international law based on UNSC decisions. The author refutes the claim that Resolutions 1373 (2001 and 1540 (2004 support the universal agreement associated with the Counter-Terrorism Committee or the 1540 Committee

  9. Why Not Start with Quarks? Teachers Investigate a Learning Unit on the Subatomic Structure of Matter with 12-Year-Olds

    Science.gov (United States)

    Wiener, Gerfried J.; Schmeling, Sascha M.; Hopf, Martin

    2017-01-01

    This paper describes the second in a series of studies exploring the acceptance of the subatomic structure of matter by 12-year-olds. The studies focus on a novel learning unit introducing an atomic model from electrons down to quarks, which is aimed to be used at an early stage in the physics curriculum. Three features are fundamental to the…

  10. Beyond Smoking Prevalence: Exploring the Variability of Associations between Neighborhood Exposures across Two Nested Spatial Units and Two-Year Smoking Trajectory among Young Adults.

    Science.gov (United States)

    Ghenadenik, Adrian E; Frohlich, Katherine L; Gauvin, Lise

    2016-01-06

    Young adults have the highest prevalence of smoking amongst all age groups. Significant uptake occurs after high school age. Although neighborhood exposures have been found to be associated with smoking behavior, research on neighborhood exposures and the smoking trajectories among young adults, and on the role of geographic scale in shaping findings, is scarce. We examined associations between neighborhood exposures across two nested, increasingly large spatial units and smoking trajectory over two years among young adults living in Montreal, Canada. A sample of 2093 participants aged 18-25 years from the Interdisciplinary Study of Inequalities in Smoking (ISIS) was surveyed. The dependent variable was self-reported smoking trajectory over the course of two years. Residential addresses, data on presence of tobacco retail outlets, and the presence of smoking accommodation facilities were coded and linked to spatial units. Three-level multinomial models were used to examine associations. The likelihood of being a smoker for 2+ years was significantly greater among those living in larger spatial unit neighborhoods that had a greater presence of smoking accommodation. This association was not statistically significant at the smaller spatial units. Our findings highlight the importance of studying young adults' smoking trajectories in addition to static smoking outcomes, and point to the relevance of considering spatial scale in studies of neighborhoods and smoking.

  11. Emergency Contraceptive Pills: A 10-Year Follow-up Survey of Use and Experiences at College Health Centers in the Mid-Atlantic United States

    Science.gov (United States)

    Miller, Laura McKeller; Sawyer, Robin G.

    2006-01-01

    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,…

  12. Development of innovative teaching materials: clinical pharmacology problem-solving (CPPS) units: comparison with patient-oriented problem-solving units and problem-based learning--a 10-year review.

    Science.gov (United States)

    Lathers, Claire M; Smith, Cedric M

    2002-05-01

    The First Teaching Clinic in Clinical Pharmacology, sponsored by the American College of Clinical Pharmacology in September 1992, was designed for the preparation and development of new clinical pharmacology problem-solving (CPPS) units. CPPS units are case histories that illustrate pertinent principles in clinical pharmacology. Each unit consists of the following sections: introduction, learning objectives, pretest, four clinical pharmacology scenarios, posttest, answers to pre- and posttest questions, and selected references. The clinical pharmacology content of the CPPS units place greater emphasis on clinical information, drug selection, and risk/benefit analyses, and thus they complement the basic pharmacology presented in the patient-oriented problem-solving (POPS) units. In general, the CPPS units are intended for use by students more advanced in clinical pharmacology than first- and second-year medical students. The CPPS unit "Clinical Pharmacology of Antiepileptic Drug Use: Clinical Pearls about the Perils of Patty" was developed for use by third- and fourth-year medical students doing rotations in neurology or clinical pharmacology; advanced pharmacy students; residents in neurology, pediatrics, internal medicine, and family practice; fellows in clinical pharmacology, and those taking the board examination in clinical pharmacology. The CPPS unit titled "Geriatric Clinical Psychopharmacology" was written for third- and fourth-year medical students; residents in psychiatry, family practice, and internal medicine;fellows in clinical pharmacology; and those studying for boards in clinical pharmacology. The CPPS unit "Anisocoria and Glaucoma" was written for more advanced students of clinical pharmacology. The CPPS unit titled "Antiepileptic Drugs" was intended for second-year medical students. The second teaching clinic was held in November 1993 and focused on the development and editing of the CPPS units and their evaluations by faculty and students from

  13. Review of Online Programming Characteristics and Pricing at Private Not-for-Profit Two Year Colleges in the United States

    Science.gov (United States)

    Ahlstrom, Christopher

    2016-01-01

    Online programming has expanded greatly within higher education and much attention has been spent on public two year colleges (more commonly known as community colleges) and both private and public four year institutions. This research seeks to expand understanding of the small market of private not-for-profit two year colleges within the United…

  14. Seven Years of Permanent Running of MELFI-1 on Board the ISS and Utilisation of the Three MELFI Units Refrigeration Pool

    Science.gov (United States)

    Chegancas, Jean; Stephan, Hubertus; Jimenez, Jesus; Campana, Sharon; Hutchison, Susan

    2013-01-01

    The pool of three Minus Eighty Laboratory freezer for ISS (MELFI) units continues providing the scientific community with robust and permanent freezer and refrigeration capabilities for life science experiments on the International Space Station (ISS). Launched in 2006, the first unit will complete, by summer 2013, seven years of continuous operations without intervention on the internal Nitrogen gas cycle, while all necessary hardware and operations were initially planned for preventive maintenance every two years. This unit has demonstrated outstanding performance on orbit and proved the technical decisions made during the development program. Current utilization of MELFI units in the ISS is taking full benefit of the initial specifications, which allows for wide adaptations to cope with the mission scenario imposed by the life extension in orbit. The two other MELFI units, launched respectively in 2008 and 2009, are supporting the first unit providing additional conditioned volume necessary for the science on board, and also for preparing thermal mass used to protect the samples on their way down to earth. The MELFI pool is outfitted with all supporting hardware to allow for extended operation on orbit including preventive and corrective maintenance. The internal components were designed to allow for easy on board maintenance. Spare equipment was installed in the MELFI rack on ISS and specific maintenance means were developed which required crew training before the cold gas cycle could be accessed. The paper will present first how the design choices made for the initial missions are identifying features necessary for extended duration missions, and will then give highlights on the utilization of the MELFI refrigeration pool during the recent years in ISS.

  15. Effect of antibiotic use on antimicrobial antibiotic resistance and late-onset neonatal infections over 25 years in an Australian tertiary neonatal unit.

    Science.gov (United States)

    Carr, David; Barnes, Elizabeth Helen; Gordon, Adrienne; Isaacs, David

    2017-05-01

    Antibiotic resistance is a worldwide problem. We describe 25 years of responsible antibiotic use in a tertiary neonatal unit. Data on neonatal infections and antibiotic use were collected prospectively from 1990 to 2014 at a single tertiary Sydney neonatal intensive care unit attached to a maternity unit. There are approximately 5500 deliveries and 900 nursery admissions per year. The mean annual rate of late-onset sepsis was 1.64 episodes per 100 admissions. The mean number of late-onset sepsis episodes per admission to the neonatal unit decreased by 4.0% per year (95% CI 2.6% to 5.4%; pantibiotics were stopped after 48-72 hours. Antibiotic use decreased with time. The proportion of colonising methicillin-resistant Staphylococcus aureus isolates decreased by 7.4% per year (95% CI 0.2% to 14.1%; p=0.043). The proportion of colonising Gram-negative bacilli isolates resistant to either third-generation cephalosporins or gentamicin increased by 2.9% per year (95% CI 1.0% to 4.9%; p=0.0035). Most were cephalosporin-resistant; gentamicin resistance was rare. An average of one baby per year died from late-onset sepsis, the rate not varying significantly over time. The mortality from episodes of late-onset sepsis was 25 of 332 (7.5%). Stopping antibiotics after 2-3 days if neonatal systemic cultures are negative is safe. However, it does not prevent the emergence of cephalosporin-resistant Gram-negative organisms. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  16. 19例犬细小病毒病的诊疗报告%The Diagnosis and Treatment of Nineteen Cases of Canine Parvovirus Disease

    Institute of Scientific and Technical Information of China (English)

    李博岩; 陆曼

    2015-01-01

    Nineteen cases of enteritis type canine parvovirus disease in an animal hospital were diagnosed based on the analysis of the treatment protocol and experience. Among the cases, two of them were mixed infection with parasite, four of them were mixed infection with coronavirus, and other 13 cases were simple infection of parvovirus. The sufficient and prompt employment of antiviral drugs combining with anti-inflammation, fluid infusion and correcting the unbalance between acid and alkali were effective treatment measures for canine parvovirus disease.%对某动物医院确诊的19例犬细小病毒病患犬的治疗方法和经验进行汇总、归纳和分析,发现19例均为肠炎型。其中,与寄生虫混合感染的有2例,与冠状病毒感染的有4例,其余13例为单纯犬细小病毒感染。对于细小病毒病患犬要尽早、足量使用抗病毒药物治疗,并配合采取消炎、补液、纠正酸碱失衡等措施是保证疗效的关键。

  17. Fiscal Year 2009 Annual Report for Operable Unit 3-14, Tank Farm Soil and INTEC Groundwater

    Energy Technology Data Exchange (ETDEWEB)

    Forsythe, Howard S.

    2010-04-10

    This annual report summarizes maintenance, monitoring, and inspection activities performed to implement the selected remedy for Waste Area Group 3, Operable Unit 3-14, Tank Farm soil and groundwater at the Idaho Nuclear Technology and Engineering Center located within the Idaho National Laboratory Site. Results from monitoring perched water and groundwater at the Idaho Nuclear Technology and Engineering Center are also presented.

  18. Molecular characterization of DHA-1-producing Klebsiella pneumoniae isolates collected during a 4-year period in an intensive care unit.

    Science.gov (United States)

    Compain, Fabrice; Decré, Dominique; Fulgencio, Jean-Pierre; Berraho, Sfia; Arlet, Guillaume; Verdet, Charlotte

    2014-10-01

    Seventeen Klebsiella pneumoniae isolates producing DHA-1 β-lactamase were collected in an intensive care unit between 2006 and 2010. Molecular analysis revealed the predominance of ST48 and ST1263 clones of K. pneumoniae and the spread of DHA-1-encoding plasmids belonging to incompatibility group IncL/M or IncHI2.

  19. Five-year survival of 3-unit fiber-reinforced composite fixed partial dentures in the posterior area.

    NARCIS (Netherlands)

    Heumen, C.C.M. van; Tanner, J.; Dijken, J.W.V. van; Pikaar, R.; Lassila, L.V.; Creugers, N.H.J.; Vallittu, P.K.; Kreulen, C.M.

    2010-01-01

    OBJECTIVES: The purpose of this clinical study was to evaluate the long-term outcome of three-unit posterior fixed partial dentures (FPDs) made of fiber-reinforced resin composite (FRC), and to identify design factors influencing the survival rate. METHODS: 77 patients (52 females, 25 males) receive

  20. Cardiorespiratory Fitness Levels among U.S. Youth Aged 12-15 Years: United States, 1999-2004 and 2012

    Science.gov (United States)

    ... aerobic work and power on a rope-braked cycle ergometer by direct measurement. Appl Physiol Nutr Metab 31(4):392–7. 2006. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 311( ...

  1. An assessment of the human health impact of seven leading foodborne pathogens in the United States using disability adjusted life years.

    Science.gov (United States)

    Scallan, E; Hoekstra, R M; Mahon, B E; Jones, T F; Griffin, P M

    2015-10-01

    We explored the overall impact of foodborne disease caused by seven leading foodborne pathogens in the United States using the disability adjusted life year (DALY). We defined health states for each pathogen (acute illness and sequelae) and estimated the average annual incidence of each health state using data from public health surveillance and previously published estimates from studies in the United States, Canada and Europe. These pathogens caused about 112 000 DALYs annually due to foodborne illnesses acquired in the United States. Non-typhoidal Salmonella (32 900) and Toxoplasma (32 700) caused the most DALYs, followed by Campylobacter (22 500), norovirus (9900), Listeria monocytogenes (8800), Clostridium perfringens (4000), and Escherichia coli O157 (1200). These estimates can be used to prioritize food safety interventions. Future estimates of the burden of foodborne disease in DALYs would be improved by addressing important data gaps and by the development and validation of US-specific disability weights for foodborne diseases.

  2. Hand disinfection in a neonatal intensive care unit: continuous electronic monitoring over a one-year period

    OpenAIRE

    Helder Onno K; van Goudoever Johannes B; Hop Wim C J; Brug Johannes; Kornelisse René F

    2012-01-01

    Abstract Background Good hand hygiene compliance is essential to prevent nosocomial infections in healthcare settings. Direct observation of hand hygiene compliance is the gold standard but is time consuming. An electronic dispenser with built-in wireless recording equipment allows continuous monitoring of its usage. The purpose of this study was to monitor the use of alcohol-based hand rub dispensers with a built-in electronic counter in a neonatal intensive care unit (NICU) setting and to d...

  3. Clinical prospective evaluation of zirconia-based three-unit posterior fixed dental prostheses: Up-to ten-year results.

    Science.gov (United States)

    Ioannidis, Alexis; Bindl, Andreas

    2016-04-01

    Only a few studies exist, which assess the clinical long-term behavior of all-ceramic FDPs in the posterior region. The aim of the present prospective clinical study was to evaluate the clinical performance of posterior three-unit FDPs manufactured from Y-TZP after a service period up to 10 years. 55 patients received 59 three-unit FDPs in the posterior region of the maxilla or mandible. Abutment teeth were prepared and full-arch impressions were taken. Definitive casts were fabricated and optically scanned. Frameworks were fabricated with computer-aided design (CAD) and manufacturing (CAM) technology. Y-TZP frameworks were veneered and adhesively luted to the abutment teeth. Baseline and follow-up examinations (service time: ≥ 48 months) were recorded by applying modified United States Public Health Services (USPHS) rating criteria. Cumulative survival rate was analyzed with Kaplan-Meier. Percentage of biological and technical complication was calculated. Fifty-three patients with 57 FDPs attended the last follow-up visit and a mean observation period of the remaining was 6.3 ± 1.9 years was calculated. Biological complications occurred in 17.5%, technical complications in 28% of the FDPs. The 10-year cumulative survival rate amounted 85.0%. Three FDPs failed to survive, two due to a root fracture of the abutment tooth and one due to secondary caries. Three-unit FDPs made from Y-TZP, veneered with ceramic offer a treatment option with a high rate of chipping. However, the manufacturing processes nowadays are modified in order to avoid this complication. The results of the present investigation suggest that three-unit Y-TZP posterior FDPs may are a possible treatment option. However, a high rate of chipping can be expected. Copyright © 2016. Published by Elsevier Ltd.

  4. Implementing a Context-Based Environmental Science Unit in the Middle Years: Teaching and Learning at the Creek

    Science.gov (United States)

    King, Donna; Ginns, Ian

    2015-01-01

    Engaging middle school students in science continues to be a challenge in Australian schools. One initiative that has been tried in the senior years but is a more recent development in the middle years is the context-based approach. In this ethnographic study, we researched the teaching and learning transactions that occurred in one ninth grade…

  5. Implementing a Context-Based Environmental Science Unit in the Middle Years: Teaching and Learning at the Creek

    Science.gov (United States)

    King, Donna; Ginns, Ian

    2015-01-01

    Engaging middle school students in science continues to be a challenge in Australian schools. One initiative that has been tried in the senior years but is a more recent development in the middle years is the context-based approach. In this ethnographic study, we researched the teaching and learning transactions that occurred in one ninth grade…

  6. The United States twenty-year experience with bombing incidents: implications for terrorism preparedness and medical response.

    Science.gov (United States)

    Kapur, G Bobby; Hutson, H Range; Davis, Mark A; Rice, Phillip L

    2005-12-01

    Terrorist bombings remain a significant threat in the United States. However, minimal longitudinal data exists regarding the medical and public health impact because of bombings. We conducted a retrospective analysis of the number of incidents, injuries, and deaths because of explosive, incendiary, premature, and attempted bombings from January 1983 to December 2002. Morbidity and mortality by motives, target locations, and materials used were evaluated. In the United States, 36,110 bombing incidents, 5,931 injuries, and 699 deaths were reported. There were 21,237 (58.8%) explosive bombings, 6,185 (17.1%) incendiary bombings, 1,107 (3.1%) premature bombings, and 7,581 (21.0%) attempted bombings. For explosive bombings with known motives, 72.9% of injuries and 73.8% of deaths were because of homicide. For incendiary bombings with known motives, 68.2% of injuries were because of extortion and revenge, and 53.5% of deaths were due to homicide. Private residences accounted for 29.0% of incidents, 31.5% of injuries, and 55.5% of deaths. Government installations accounted for 4.4% of incidents but were the site of 12.7% of injuries and 25.5% of deaths. In bombings with known materials, nitrate-based fertilizers accounted for 36.2% of injuries and 30.4% of deaths, and smokeless powder and black powder accounted for 33.2% of injuries and 27.1% of deaths. Illegal bombings and related injuries commonly occur in the United States. Because of the easy availability of bombing materials, government agencies and healthcare providers should prepare for potential mass-casualty bombings.

  7. The 3-Year Course of Multiple Substance Use Disorders in the United States: A National Longitudinal Study.

    Science.gov (United States)

    McCabe, Sean Esteban; West, Brady T

    2017-05-01

    To examine the 3-year course of multiple co-occurring substance use disorders (SUDs) based on longitudinal survey data from a large, nationally representative sample. National estimates of the prevalence of DSM-IV SUDs were derived by analyzing data from structured, face-to-face diagnostic interviews as part of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), which collected data from a large, nationally representative sample of noninstitutionalized US adults at 2 waves (2001-2002 and 2004-2005; N = 34,653). US adults with multiple past-year SUDs at Wave 1 were substantially more likely than those with an individual past-year SUD or no SUD at Wave 1 to report at least 1 past-year SUD at Wave 2 (66.3% vs 46.0% vs 6.9%, respectively). There were several sociodemographic characteristics and psychiatric disorders (ie, male, younger age, never married, sexual minority identity, nicotine dependence, mood disorder, and personality disorder) associated with increased odds of developing multiple SUDs and having 3-year persistence of multiple SUDs. The majority of adults with multiple past-year SUDs had a lifetime personality disorder and did not utilize substance abuse treatment or other help-seeking. Multiple SUDs are associated with a more persistent 3-year course of disease over time relative to individual SUDs. Despite a more severe 3-year course and higher rates of comorbidity with other psychiatric disorders, the majority of US adults with multiple SUDs do not utilize substance abuse treatment or other help-seeking. Clinical assessments and the substance abuse literature tend to focus on drug-specific individual SUDs rather than considering the more complex multiple SUDs, which can be more challenging to treat.

  8. Five-year interim report of the United States-Mexico Transboundary Aquifer Assessment Program: 2007--2012

    Science.gov (United States)

    Alley, William M.

    2013-01-01

    Transboundary aquifers are an essential, and in many cases, singular source of water for United States – Mexico border communities, particularly in arid regions. Declining water levels, deteriorating water quality, and increasing use of groundwater resources by municipal, industrial, and agricultural water users on both sides of the international border have raised concerns about the long-term availability of this supply. Water quantity and quality are determining and limiting factors that ultimately control agriculture, future economic development, population growth, human health, and ecological conditions along the border. Knowledge about the extent, depletion rates, and quality of transboundary aquifers, however, is limited and, in some areas, completely absent. The U.S. – Mexico Transboundary Aquifer Assessment Act (Public Law 109-448), referred to in this report as “the Act,” was signed into law by the President of the United States on December 22, 2006, to conduct binational scientific research to systematically assess priority transboundary aquifers and to address water information needs of border communities. The Act authorizes the Secretary of the Interior, through the U.S. Geological Survey (USGS), to collaborate with the States of Arizona, New Mexico, and Texas through their Water Resources Research Institutes (WRRIs) and with the International Boundary and Water Commission (IBWC), stakeholders, and Mexican counterparts to provide new information and a scientific foundation for State and local officials to address pressing water-resource challenges along the U.S. – Mexico border.

  9. Microbial evaluation of dental units waterlines at the department of operative dentistry, Tehran university of medical sciences in the year 2006

    Directory of Open Access Journals (Sweden)

    Memarian M.

    2008-10-01

    Full Text Available "nBackground and Aim: According to infection possibility in high risk patients, assessment of microbial contamination in water sources utilized at medico-dental units has become a recent concern. The purpose of this study was to evaluate the microbial contamination in dental units waterlines at the department of operative dentistry, Tehran university of medical sciences in the year 2006. "nMaterials and Methods: In this cross-sectional study, six dental units in the department of operative dentistry were selected to assess microbial contamination in water sources. Samples were taken on Saturdays (the first working day in a week and in the midweek, 64 and 16 hours respectively after turning the units off. Moreover, for investigating the effect of flushing, sampling was done at 30, 60, 90 and 120 seconds after flushing and were taken from three parts of each unit including air/water syringe, turbine handpiece and also cup filler water. Samples were transported in closed sterile containers to microbiology laboratory of the school pharmacy. Data were analyzed by Kruskal-Wallis and Dunn tests with p<0.05 as the level of significance. "nResults: E.coli was isolated from contaminated samples. Contamination decreased by flushing. In midweek after 90 seconds flushing, water contamination disappeared. On Saturdays 2 minutes flushing decreased contamination to lower that 200 cfu/ml (the rate recommended by ADA. Samples taken from turbine handpieces showed significantly higher contamination rate compared to air/water syringe and cup filler water (p<0.001. "nConclusion: According to the results of this study, dental units waterlines showed bacterial contamination which was eliminated after 120 seconds of flushing.

  10. [Two years of legal practice of euthanasia in Belgium: comparison with the Netherlands. First evaluation in a palliative care unit].

    Science.gov (United States)

    Englert, M; Hanson, B; Lossignol, D

    2005-01-01

    The Belgian law relative to euthanasia prescribes that a physician performing an euthanasia has to complete a registration document and to send it within 4 days to the federal commission for control and evaluation of euthanasia. The 259 first documents are described in the report of the commission referred to Parliament on September 17, 2004. The present paper analyses this report and compares its most important data with those published in the Netherlands: apart from the total number of euthanasia's, much smaller in Belgium, and apart from aspects which are specifically related to the Belgian law, the statistical data are very similar in both countries. The difference in the number of registration documents written in French and in Flemish is analyzed and discussed. A first evaluation of the application of the law in a supportive and palliative care unit is reported.

  11. 5 CFR 2641.202 - Two-year restriction on any former employee's representations to United States concerning...

    Science.gov (United States)

    2010-01-01

    ... official responsibility. 2641.202 Section 2641.202 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS POST-EMPLOYMENT CONFLICT OF INTEREST RESTRICTIONS Prohibitions § 2641.202 Two-year... official responsibility for any matter by virtue of such temporary duties. Specifically, an employee...

  12. 25 YEARS EXPERIENCES OF CHINA MADE SMALL HYDROELECTRIC UNITS WITH USA MADE DIGITAL TECHNOLOGY INSTALLED IN USA AND CENTRAL AMERICA

    Institute of Scientific and Technical Information of China (English)

    DR.ALEXANDERA

    2005-01-01

    Twenty-five years ago America's small hydroelectric power generations were reactivated by private, municipal, and local governments to utilize the renewable energy from the small hydro sties available 10,000 existing dams, small rivers and/or streams, and energy recovery facilities at many water transmission and delivery systems.

  13. Digging Up: A Five-Year Journey to Instructional-Design Stability in a Postsecondary Distance Education Unit

    Science.gov (United States)

    Epp, Jordan; McKee, Jeanette

    2015-01-01

    This report of practice describes a five-year process to establish and implement quality standards for a substantial portfolio of distance delivered courses at the Centre for Continuing and Distance Education, University of Saskatchewan. The report describes an analysis of the issues and the solutions found that led to our current curriculum…

  14. 26 CFR 1.6013-7 - Joint return for year in which nonresident alien becomes resident of the United States.

    Science.gov (United States)

    2010-04-01

    .... (a) Election for special treatment—(1) In general. Two individuals who are husband and wife at the... sections 6012, 6013, 6072, and 6091 of the code for all of that taxable year. A husband and wife may not... section. (3) Time and manner of making an election. A husband and wife shall make the election under...

  15. Percentage of Children Aged 5--17 Years Ever Receiving a Diagnosis of Learning Disability, United States, 2007--2009

    Science.gov (United States)

    ... 5--17 Years Ever Receiving a Diagnosis of Learning Disability,* by Race/Ethnicity † and Family Income Group § --- National ... professional ever told you that [child] had a learning disability?" † White and black children are non-Hispanic children ...

  16. Digging Up: A Five-Year Journey to Instructional-Design Stability in a Postsecondary Distance Education Unit

    Science.gov (United States)

    Epp, Jordan; McKee, Jeanette

    2015-01-01

    This report of practice describes a five-year process to establish and implement quality standards for a substantial portfolio of distance delivered courses at the Centre for Continuing and Distance Education, University of Saskatchewan. The report describes an analysis of the issues and the solutions found that led to our current curriculum…

  17. Developments in Instruction in Selected Four Year College Reading Improvement Programs Throughout the United States, 1950-1974.

    Science.gov (United States)

    Howard, Virginia Pearl Hymes

    The purpose of this study was to examine the organization, program format and duration of college reading improvement instructional programs (CRIPs) in selected four-year American colleges and universities from 1950-1974, and to gather information which is vital to effective curricula and planning for higher education in the area of reading…

  18. Post-Closure Inspection Report for Corrective Action Unit 426: Cactus Spring Waste Trenches Tonopah Test Range, Nevada Calendar Year 2000

    Energy Technology Data Exchange (ETDEWEB)

    K. B. Campbell

    2001-06-01

    Post-closure monitoring requirements for the Cactus Spring Waste Trenches (Corrective Action Unit [CAW 426]) (Figure 1) are described in Closure Report for corrective Action Unit 426, Cactus Spring Waste Trenches. Tonopah Test Range, Nevada, report number DOE/NV--226. The Closure Report (CR) was submitted to the Nevada Division of Environmental Protection (NDEP) on August 14, 1998. Permeability results of soils adjacent to the engineered cover and a request for closure of CAU 404 were transmitted to the NDEP on April 29, 1999. The CR (containing the Post-Closure Monitoring Plan) was approved by the NDEP on May 13, 1999. Post-closure monitoring at CAU 426 consists of the following: (1) Site inspections done twice a year to evaluate the condition of the unit; (2) Verification that the site is secure; (3) Notice of any subsidence or deficiencies that may compromise the integrity of the unit; (4) Remedy of any deficiencies within 90 days of discovery; and (5) Preparation and submittal of an annual report. Site inspections were conducted on June 19, 2000, and November 21, 2000. All inspections were made after NDEP approval of the CR, and were conducted in accordance with the Post-Closure Monitoring Plan in the NDEP-approved CR. This report includes copies of the inspection checklists, photographs, recommendations, and conclusions. The Post-Closure Inspection Checklists are found in Attachment A, a copy of the field notes is found in Attachment B, and copies of the inspection photographs are found in Attachment C.

  19. Safety profile of dalfampridine extended release in multiple sclerosis: 5-year postmarketing experience in the United States

    Directory of Open Access Journals (Sweden)

    Jara M

    2015-12-01

    Full Text Available Michele Jara, Thomas Aquilina, Peter Aupperle, Adrian L Rabinowicz Acorda Therapeutics, Inc., Ardsley, NY, USA Background: Dalfampridine extended release tablets (dalfampridine-ER; prolonged-, modified, or sustained-release fampridine outside the US, 10 mg twice daily, was approved by the US Food and Drug Administration (FDA in January 2010 to improve walking in people with multiple sclerosis, as determined by an increase in walking speed. Objective: To provide a descriptive analysis of reported adverse events (AEs for commercially available dalfampridine-ER from March 2010 through March 31, 2015. Methods: Five-year postmarketing data for dalfampridine-ER were available from the exposure of approximately 107,000 patients in the US (103,700 patient-years. Commonly reported AEs (≥2% of all reported AEs and serious AEs were determined. The incidence of reported seizures was determined and the events were further investigated. Results: Among the 107,000 patients exposed to dalfampridine-ER (70% female; mean age 52.1, the most common AEs were dizziness (3.7%, insomnia (3.2%, balance disorder (3%, fall (2.4%, headache (2.4%, nausea (2.1%, and urinary tract infection (2%. Other common AEs were drug ineffectiveness (5.8%, gait disturbance (4.6%, and inappropriate dosing (3.1%. Serious AEs included rare anaphylactic reactions (five cases and drug hypersensitivity reactions (eight cases. A total of 657 seizure cases were reported (6.3/1,000 patient-years; of these, 324 were medically confirmed (3.1/1,000 patient-years. Incidence of reported seizures was stable over time. Duration of treatment prior to a seizure ranged from a single dose to >4 years; 12% of the seizures occurred within a week of starting treatment. Conclusion: The 5-year US postmarketing safety data of dalfampridine-ER is consistent with the safety profile observed in clinical trials. Incidence of reported seizures remained stable over time. Since commercial availability in March 2010, a

  20. Abortion, substance abuse and mental health in early adulthood: Thirteen-year longitudinal evidence from the United States

    OpenAIRE

    Donald Paul Sullins

    2016-01-01

    Objective: To examine the links between pregnancy outcomes (birth, abortion, or involuntary pregnancy loss) and mental health outcomes for US women during the transition into adulthood to determine the extent of increased risk, if any, associated with exposure to induced abortion. Method: Panel data on pregnancy history and mental health history for a nationally representative cohort of 8005 women at (average) ages 15, 22, and 28 years from the National Longitudinal Study of Adolescent to Adu...

  1. Comparison of reasons of admission of young, age 18-30 years old in Intensive Care Unit to young adult, age 31-40 years old due to road accident

    Directory of Open Access Journals (Sweden)

    Vaios Douloudis

    2010-10-01

    Full Text Available During recent years, it has been noticed a remarkable increase in frequency of admission of young individuals in Intensive Care Units (ICU due to road accidents. The aim of the present study was to compare the reasons of admission of young individuals 18-30 years old to young adults 31-40 years old in ICU due to road accident. Method and material: The sample studied consisted of individuals 18-40 years old that were hospitalized in ICU due to road accident. Data were collected by the completion of a specially designed clinical protocol for the needs of the research. For the analysis of data the statistical package SPSS 13 was used and the x2 method. Results: 81,2% of the sample-studied were men and 18,8% women. Regarding nationality, 80,1 % were Greek and 19,9% foreigner. 34,6% of the participants were unemployed, 21,2% were working in private sector, 20,1% were free-lancers and 16,2% students. 46,3% of individuals were admitted in ICU after transfer of another hospital. In 69,7% of the participants age 18-30 years old and 74,5% of 31-40 years old road took place accident at night and 77,3% 18-30 years old and 77,0% of 31-40 years old road accident took place on the way to entertainment. The statistical analysis of data showed that : road accidents were the main reason for admission in ICU of young individuals of age 18-30 years old with statistically significant difference compared to those 31-40 years old, p<0,001. Brain injuries as well as admission of motorcycle drivers were more frequent in individuals of age 18-30 years old with statistically significant difference compared to those 31-40 years old, p=0,018 and p=0,041, respectively. On the contrary, admission of car-drivers and those who had consumed alcohol were more frequent in individuals of age 31-40 years old with statistically significant difference compared to group 18-30 years old, p=0,041 and , p<0,001, respectively. Conclusions: More often admitted in ICU motorcycle drivers of

  2. Transferable skills of incoming medical students and their development over the first academic year: The United Arab Emirates experience.

    Science.gov (United States)

    McLean, Michelle; Shaban, Sami; Murdoch-Eaton, Deborah

    2011-01-01

    Increasingly, it is being recognised in higher and medical education that learners should be adequately prepared for the unpredictable nature of professional practice. Several generic or transferable skills or capabilities (e.g., communication, information handling) that will enable graduates to function in an ever-changing professional world have been identified. Using a validated inventory comprising six categories of transferable skills, three cohorts of incoming male and female medical students at a Gulf university documented their level of practice and confidence for 31 skills. The exercise was repeated a year later. New medical students identified computer and organisational skills and the ability to manage their learning as strengths, but scores for technical and numeracy, information handling and presentation and communication skills suggested that learners generally required guidance. A year later, despite considerable self-reported information handling and communication skills development, learners generally did not consider themselves self-sufficient. A significant gender difference emerged, with incoming males reporting less experience and confidence in many skills. This gap was reduced but did not disappear over the first academic year. An audit such as this may be useful for identifying individual skills levels as well as providing insight into shortcomings in the academic programme in terms of opportunities for transferable skills development.

  3. Case Based Metabolic Unit (CBMU: A Model for Better Understanding of Metabolic Pathways in the Second Year Extended Modular Program Medical Students

    Directory of Open Access Journals (Sweden)

    Sanaa Eissa

    2016-12-01

    Full Text Available We designed a case based metabolic unit (CBMU which is a  hybrid learning model using case based learning and interactive lectures for 2nd year EMP medical students (n:113 who firstly attended blood module (Classical model in learning metabolism and then locomotor module (CBMU. At the end of both modules, they were evaluated through MCQ exams and the results of both exams were compared. The Majority of students (97-100% opined that case based metabolic unit learning model was interesting, motivating, and better than the classical model in understanding metabolic pathways and making learning stick. 99% of them demanded the application of this learning model in future biochemistry courses. Improvement in student’s exam scores ensures that they grasped the knowledge by this model. In conclusion, CBMU is a useful learning tool for metabolic pathways using human cases to aid in connecting theory to practice which is positively reflected on student’s academic performance.

  4. [Hepatitis C patients' record in the Sentinel Units for viral Hepatitis in Argentina 2007- 2014. Distribution by year of birth].

    Science.gov (United States)

    Vladimirsky, Sara Noemí; Munné, Maria Silvina; Otegui, Lucio Oscar; Altabert, Nancy Roxana; Soto, Sonia Soledad; Brajterman, Leonardo; González, Jorge Enrique

    2015-06-01

    Recommendations for Hepatitis C screening based on risk factorsfor transmission proved to be ineffcient. Accordingly, the CDC recommended to screen all American individuals born between 1945-1965, based on data from population prevalence of infection. The effectiveness of implementing these recommendations in other contexts and/or populations can be estimated, in principle, knowing the age distribution of infected individuals. There is no data on population prevalence in our country. Yet we can know the age distribution of cases of Hepatitis C who accessed the health system. The aim of this paper is to analyze the distribution by birth cohort ofcases registered as "Hepatitis C" in the Sentinel Units for Viral Hepatitis in the 2007-2014 period. This will contribute to the identification, if any, ofa cohort in which case the recommendation of screening could be addressed, based on risk factors inherent to our country and our epidemiological reality. The age distribution of our cases was wider and younger than those of the population supporting the recommendation of the CDC and this suggests -beyond the difference in the populations being compared- is due to a range of risk factors and age at different infection between USA and Argentina. Thus, based on these results, the recommendation of the Argentine Consensus for Hepatitis C in 2013 to screen all individuals once in life is supported.

  5. Solid Waste Management Units And Areas Of Concern Annual Long-Term Monitoring & Maintenance Report For Calendar Year 2016.

    Energy Technology Data Exchange (ETDEWEB)

    Dotson, Patrick Wells [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Little, Bonnie Colleen [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-02-01

    Long-term controls were maintained at 21 Solid Waste Management Units (SWMUs) and Areas of Concern (AOCs) in accordance with the requirements of the “Long-Term Monitoring and Maintenance Plan for SWMUs and AOCs Granted Corrective Action Complete with Controls” in Attachment M of the Resource Conservation and Recovery Act Facility Operating Permit, which took effect February 26, 2015. Maintenance and controls at these SWMUs and AOCs are described and documented in this report. Conditions requiring maintenance or repair activities were not identified for any of the inspected SWMUs or AOCs. Based upon the inspections performed and site conditions observed, the administrative and physical institutional controls in place at the SWMUs and AOCs are effectively providing continued protection of human health and the environment. This report does not present monitoring and maintenance activities for SWMU 76, the Mixed Waste Landfill; those activities adhere to the approved MWL LTMM Plan, Section 4.8.1 requiring a separate annual report which will be submitted to the NMED by June 30, 2017.

  6. Exchange Transfusion in the Treatment of Neonatal Septic Shock: A Ten-Year Experience in a Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Lorenza Pugni

    2016-05-01

    Full Text Available Septic shock, occurring in about 1% of neonates hospitalized in neonatal intensive care unit (NICU, is a major cause of death in the neonatal period. In the 1980s and 90s, exchange transfusion (ET was reported by some authors to be effective in the treatment of neonatal sepsis and septic shock. The main aim of this retrospective study was to compare the mortality rate of neonates with septic shock treated only with standard care therapy (ScT group with the mortality rate of those treated with ScT and ET (ET group. All neonates with septic shock admitted to our NICU from 2005 to 2015 were included in the study. Overall, 101/9030 (1.1% neonates had septic shock. Fifty neonates out of 101 (49.5% received one or more ETs. The mortality rate was 36% in the ET group and 51% in the ScT group (p = 0.16. At multivariate logistic regression analysis, controlling for potentially confounding factors significantly associated with death (gestational age, serum lactate, inotropic drugs, oligoanuria, ET showed a marked protective effect (Odds Ratio 0.21, 95% Confidence Interval: 0.06–0.71; p = 0.01. The lack of observed adverse events should encourage the use of this procedure in the treatment of neonates with septic shock.

  7. ANNUAL REPORT FOR THE FINAL GROUNDWATER REMEDIATION, TEST AREA NORTH, OPERABLE UNIT 1-07B, FISCAL YEAR 2009

    Energy Technology Data Exchange (ETDEWEB)

    FORSYTHE, HOWARD S

    2010-04-14

    This Annual Report presents the data and evaluates the progress of the three-component remedy implemented for remediation of groundwater contamination at Test Area North, Operable Unit 1-07B, at the Idaho National Laboratory Site. Overall, each component is achieving progress toward the goal of total plume remediation. In situ bioremediation operations in the hot spot continue to operate as planned. Progress toward the remedy objectives is being made, as evidenced by continued reduction in the amount of accessible residual source and decreases in downgradient contaminant flux, with the exception of TAN-28. The injection strategy is maintaining effective anaerobic reductive dechlorination conditions, as evidenced by complete degradation of trichloroethene and ethene production in the biologically active wells. In the medial zone, the New Pump and Treat Facility operated in standby mode. Trichloroethene concentrations in the medial zone wells are significantly lower than the historically defined concentration range of 1,000 to 20,000 μg/L. The trichloroethene concentrations in TAN-33, TAN-36, and TAN-44 continue to be below 200 μg/L. Monitoring in the distal zone wells outside and downgradient of the plume boundary demonstrate that some plume expansion has occurred, but less than the amount allowed in the Record of Decision Amendment. Additional data need to be collected for wells in the monitored natural attenuation part of the plume to confirm that the monitored natural attenuation part of the remedy is proceeding as predicted in the modeling.

  8. One year work experience in a municipal Intensive Therapy Unit. Experiencia de un año de trabajo en una Unidad de Terapia Intensiva Municipal

    Directory of Open Access Journals (Sweden)

    Luis Orlando Iturralde González

    2006-04-01

    Full Text Available Background: The Municipal Intensive Care Units were created in the year 2004, to better the urgency attention in the primary health level. Objective: To characterize the functioning of a Municipal Intensive Care Unit. Method: A descriptive, prospective study that included 348 patients that were received in the unit during the year 2004. The following variables were analized: patients evolution, distribution by diseases, and evolution of the diseases. Results and Conclusions: The number of remissions to the hospital dropped; 183 patients weresent to their homes, 165 were remitted to the Provincial Hospital of Cienfuegos and three of them died in the unit. The angina pectoris was the first cause of admission, followed by cardiac arritmias and cerebrovascular disease.
    Fundamento: Las Unidades de Terapia Intensiva Municipales (UTIM fueron creadas en el año 2004, para mejorar la atención a la urgencia y la emergencia en el nivel primario de salud. Objetivo: Caracterizar el funcionamiento de una Unidad de Terapia Intensiva Municipal. Método: Estudio prospectivo, descriptivo, que incluyó 348 pacientes que ingresaron en la unidad durante el año 2004. Se analizaron las siguientes variables: edad, sexo, distribución por enfermedades, evolución de los pacientes, estadía en la unidad, entre otras. Resultados y Conclusiones: Disminuyó el número de remisiones al Hospital Provincial; 183 pacientes fueron egresados a su hogar (más del 50, 0 % del total, 165 remitidos al Hospital Provincial de Cienfuegos y 3 fallecieron en la unidad. La angina de pecho fue la primera causa de ingreso, seguida de las arritmias cardiacas y la enfermedad cerebrovascular.

  9. Waterborne Commerce of the United States, Calendar Year 1980. Part 4. Waterways and Harbors, Pacific Coast, Alaska and Hawaii.

    Science.gov (United States)

    1982-09-01

    FEET THENCE 25 FEET IN NORTH CHANNEL OF BROOKLYN BASIN tHAINTAINED tB FEET). COMPARATIVE STATBMENT OF TRAFFIC ADO TIONAL TRAFFIC ADOITIONAL TRAFFIC...HAWAII SECTIOIN 0CLUD6DI PONT OF WILD, CONYROLLIIO DOMNI $4.9 FEET. PROJI12? 06PYAO as FEET. COMPARATIVE BAYEMB04Y or TRAFFIC YEAR 7B0"s PASSEN04666...DISTRICT 65 OYe GAMBLE WARSOR. MASs, SECTION INCLUDEDI ENTNANCE CMANNEL AND PONT SAMILI MASON: COITROLLONSPT?" 26,0 ’ma’ AT ILL ; PROJECT DEPT! 2a filt At

  10. School Start Times for Middle School and High School Students - United States, 2011-12 School Year.

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    Wheaton, Anne G; Ferro, Gabrielle A; Croft, Janet B

    2015-08-07

    Adolescents who do not get enough sleep are more likely to be overweight; not engage in daily physical activity; suffer from depressive symptoms; engage in unhealthy risk behaviors such as drinking, smoking tobacco, and using illicit drugs; and perform poorly in school. However, insufficient sleep is common among high school students, with less than one third of U.S. high school students sleeping at least 8 hours on school nights. In a policy statement published in 2014, the American Academy of Pediatrics (AAP) urged middle and high schools to modify start times as a means to enable students to get adequate sleep and improve their health, safety, academic performance, and quality of life. AAP recommended that "middle and high schools should aim for a starting time of no earlier than 8:30 a.m.". To assess state-specific distributions of public middle and high school start times and establish a pre-recommendation baseline, CDC and the U.S. Department of Education analyzed data from the 2011-12 Schools and Staffing Survey (SASS). Among an estimated 39,700 public middle, high, and combined schools* in the United States, the average start time was 8:03 a.m. Overall, only 17.7% of these public schools started school at 8:30 a.m. or later. The percentage of schools with 8:30 a.m. or later start times varied greatly by state, ranging from 0% in Hawaii, Mississippi, and Wyoming to more than three quarters of schools in Alaska (76.8%) and North Dakota (78.5%). A school system start time policy of 8:30 a.m. or later provides teenage students the opportunity to achieve the 8.5-9.5 hours of sleep recommended by AAP and the 8-10 hours recommended by the National Sleep Foundation.

  11. Comparison of Metal-Ceramic and All-Ceramic Three-Unit Posterior Fixed Dental Prostheses: A 3-Year Randomized Clinical Trial.

    Science.gov (United States)

    Nicolaisen, Maj H; Bahrami, Golnosh; Schropp, Lars; Isidor, Flemming

    2016-01-01

    The aim of this randomized clinical study was to compare the 3-year clinical outcome of metal-ceramic fixed dental prostheses (MC-FDPs) and zirconia all-ceramic fixed dental prostheses (AC-FDPs) replacing a posterior tooth. A sample of 34 patients with a missing posterior tooth were randomly chosen to receive either a MC-FDP (n = 17) or an AC-FDP (n = 17). The FDPs were evaluated at baseline and yearly until 3 years after cementation. They were assessed using the California Dental Association assessment system. Periodontal parameters were measured at the abutment teeth, and the contralateral teeth served as control. The statistical unit was the FDP/patient. The survival rates for MC-FDPs and AC-FDPs were 100%. The success rate was 76% and 71% for MC-FDPs and AC-FDPs, respectively. Three technical complications were observed in the MC-FDP group and five in the AC-FDP group, all chipping fractures of the ceramic veneer. Furthermore, one biologic complication in the MC-FDP group (an apical lesion) was observed. No framework fractures occurred. All patients had optimal oral hygiene and showed no bleeding on periodontal probing at any of the recalls. Only minor changes in the periodontal parameters were observed during the 3 years of observation. Three-unit posterior MC-FDPs and AC-FDPs showed similar high survival rates and acceptable success rates after 3 years of function, and ceramic veneer chipping fracture was the most frequent complication for both types of restorations.

  12. Antimicrobial consumption, costs and resistance patterns: a two year prospective study in a Romanian intensive care unit.

    Science.gov (United States)

    Axente, Carmen; Licker, Monica; Moldovan, Roxana; Hogea, Elena; Muntean, Delia; Horhat, Florin; Bedreag, Ovidiu; Sandesc, Dorel; Papurica, Marius; Dugaesescu, Dorina; Voicu, Mirela; Baditoiu, Luminita

    2017-05-22

    Due to the vulnerable nature of its patients, the wide use of invasive devices and broad-spectrum antimicrobials used, the intensive care unit (ICU) is often called the epicentre of infections. In the present study, we quantified the burden of hospital acquired pathology in a Romanian university hospital ICU, represented by antimicrobial agents consumption, costs and local resistance patterns, in order to identify multimodal interventional strategies. Between 1(st) January 2012 and 31(st) December 2013, a prospective study was conducted in the largest ICU of Western Romania. The study group was divided into four sub-samples: patients who only received prophylactic antibiotherapy, those with community-acquired infections, patients who developed hospital acquired infections and patients with community acquired infections complicated by hospital-acquired infections. The statistical analysis was performed using the EpiInfo version 3.5.4 and SPSS version 20. A total of 1596 subjects were enrolled in the study and the recorded consumption of antimicrobial agents was 1172.40 DDD/ 1000 patient-days. The presence of hospital acquired infections doubled the length of stay (6.70 days for patients with community-acquired infections versus 16.06/14.08 days for those with hospital-acquired infections), the number of antimicrobial treatment days (5.47 in sub-sample II versus 11.18/12.13 in sub-samples III/IV) and they increased by 4 times compared to uninfected patients. The perioperative prophylactic antibiotic treatment had an average length duration of 2.78 while the empirical antimicrobial therapy was 3.96 days in sample II and 4.75/4.85 days for the patients with hospital-acquired infections. The incidence density of resistant strains was 8.27/1000 patient-days for methicilin resistant Staphylococcus aureus, 7.88 for extended spectrum β-lactamase producing Klebsiella pneumoniae and 4.68/1000 patient-days for multidrug resistant Acinetobacter baumannii. Some of the most

  13. Social context and sexual intercourse among first-year students at selective colleges and universities in the United States.

    Science.gov (United States)

    Uecker, Jeremy E

    2015-07-01

    Most examinations of sexual behavior ignore social context. Using panel data from the National Longitudinal Study of Freshmen, a panel study of 3924 students at 28 selective colleges and universities, I examine how institutional and peer-group characteristics influence the incidence of sexual intercourse among students during their freshman year. Students who enter college as virgins are more likely to have sexual intercourse on campuses where women comprise a higher proportion of the campus population and on campuses that are more academically rigorous. Students who had sex prior to college are less likely to have sex in college when campuses are more residential. Moreover, having friends who value religion and partying affects the likelihood that a student will have sex irrespective of their prior virginity status. These findings highlight the importance of social context for sexual behavior among college students and in the general population. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Years of potential life lost before age 65, by race, Hispanic origin, and sex--United States, 1986-1988.

    Science.gov (United States)

    Desenclos, J C; Hahn, R A

    1992-11-20

    A substantial proportion of mortality among young persons is preventable. National vital statistics were used to establish a baseline for the surveillance of rates of years of potential life lost before age 65 (YPLL origin, and sex. U.S. racial and ethnic populations differed widely in YPLL < 65. Among males, the rate (per 1,000 population < 65 years) of YPLL < 65 was highest for non-Hispanic blacks (140.0), followed by American Indians/Alaskan Natives (100.9), Hispanics (74.3), non-Hispanic whites (68.3), and Asians/Pacific Islanders (38.2). Among females, the rate was highest for non-Hispanic blacks (73.7), followed by American Indians/Alaskan Natives (52.0), non-Hispanic whites (35.7), Hispanics (32.9), and Asians/Pacific Islanders (23.2). For non-Hispanic blacks, the high rate of YPLL < 65 was due to increased rates for all causes of death considered, particularly homicide. The high rate for American Indians/Alaskan Natives was due principally to deaths from four causes: unintentional injuries, cirrhosis, suicide, and diabetes. Asians/Pacific Islanders had low rates for most causes of death. In setting health-care priorities and prevention strategies to reduce the large racial-ethnic gap in early deaths, it is essential to recognize the differences in causes of premature mortality among sex, racial, and ethnic populations. Periodic reassessment of YPLL < 65 among these groups provides a simple, timely, and representative means of conducting surveillance to measure the impact of intervention strategies on a national basis.

  15. Time from accident to admission to a burn intensive care unit: how long does it actually take? A 25-year retrospective data analysis from a german burn center.

    Science.gov (United States)

    Schiefer, J L; Alischahi, A; Perbix, W; Grigutsch, D; Graeff, I; Zinser, M; Demir, E; Fuchs, P C; Schulz, A

    2016-03-31

    Severe burn injuries often require specialized treatment at a burn center. It is known that prompt admission to an intensive care unit is essential for achieving good outcome. Nevertheless, very little is known about the duration of time before a patient is admitted to a specialized center after a burn injury in Germany, and whether the situation has improved over time. We retrospectively analyzed time from burn injury to admission to the burn intensive care unit in the Cologne-Merheim Medical Center - one of Germany's specialized burn centers - over the last 25 years. Moreover, we analyzed the data based on differences according to time of injury and day of the week, as well as severity of the burn injury. There was no weekend effect with regard to transfer time; instead transfer time was particularly short on a Monday or on Sundays. Furthermore, patients with severe burn injuries of 40-89% total body surface area (TBSA) showed the least differences in transfer time. Interestingly, the youngest and the oldest patients arrived at the burn intensive care unit (BICU) the fastest. This study should help elucidate published knowledge regarding transfer time from the scene of the accident to admission to a BICU in Germany.

  16. Risky use of alcohol, drugs and cigarettes in a psychosis unit: a 1 1/2 year follow-up of stability and changes after initial screening

    Directory of Open Access Journals (Sweden)

    Öjehagen Agneta

    2007-07-01

    Full Text Available Abstract Background Co-morbidity with substance use disorders negatively influences overall functioning in patients with psychosis. However, frequencies and courses of risky use of alcohol, drugs and cigarettes are rarely investigated in patients at psychosis units. The purpose of this study is to describe the use of alcohol, drugs and cigarettes in patients at a psychosis unit over a 1 1/2 year period after them having taken part in a screening investigation including a feed-back of the results to personnel. Relationships with sex and age are also described. Methods The patients' use of the substances was examined at baseline and at follow-up using three self-reporting instruments: Alcohol Use Disorders Identification Test (AUDIT, Drug Use Disorders Identification Test (DUDIT and Fagerstrom Test for Nicotine Dependence (FTND. Results One hundred and eighty-six patients out of 238 at baseline (78 percent took part in the follow-up. Total AUDIT score decreased in women. Older men more often developed a risky alcohol use. Older women tended to reduce their risky drug habits. On a group level the habits mostly were stable, but 11 percent changed their alcohol habits and 15 percent changed their smoking habits from risky to no/low risky use, or vice versa. Nine percent changed their drug habits, predominantly from risky to no/low risky use. Conclusion A more active approach towards alcohol, drug and smoking habits in psychosis units would probably be beneficial.

  17. Implementing the United Kingdom Government's 10-Year Teenage Pregnancy Strategy for England (1999-2010): Applicable Lessons for Other Countries.

    Science.gov (United States)

    Hadley, Alison; Chandra-Mouli, Venkatraman; Ingham, Roger

    2016-07-01

    Teenage pregnancy is an issue of inequality affecting the health, well-being, and life chances of young women, young men, and their children. Consequently, high levels of teenage pregnancy are of concern to an increasing number of developing and developed countries. The UK Labour Government's Teenage Pregnancy Strategy for England was one of the very few examples of a nationally led, locally implemented evidence-based strategy, resourced over a long duration, with an associated reduction of 51% in the under-18 conception rate. This article seeks to identify the lessons applicable to other countries. The article focuses on the prevention program. Drawing on the detailed documentation of the 10-year strategy, it analyzes the factors that helped and hindered implementation against the World Health Organization (WHO) ExpandNet Framework. The Framework strives to improve the planning and management of the process of scaling-up of successful pilot programs with a focus on sexual and reproductive health, making it particularly suited for an analysis of England's teenage pregnancy strategy. The development and implementation of the strategy matches the Framework's key attributes for successful planning and scaling up of sexual and reproductive health programs. It also matched the attributes identified by the Centre for Global Development for scaled up approaches to complex public health issues. Although the strategy was implemented in a high-income country, analysis against the WHO-ExpandNet Framework identifies many lessons which are transferable to low- and medium-income countries seeking to address high teenage pregnancy rates. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  18. Trends in allergy prevalence among children aged 0-17 years by asthma status, United States, 2001-2013.

    Science.gov (United States)

    Akinbami, Lara J; Simon, Alan E; Schoendorf, Kenneth C

    2016-01-01

    Children with asthma and allergies--particularly food and/or multiple allergies-are at risk for adverse asthma outcomes. This analysis describes allergy prevalence trends among US children by asthma status. We analyzed 2001-2013 National Health Interview Survey data for children aged 0-17 years. We estimated trends for reported respiratory, food, and skin allergy and the percentage of children with one, two, or all three allergy types by asthma status. We estimated unadjusted trends, and among children with asthma, adjusted associations between demographic characteristics and allergy. Prevalence of any allergy increased by 0.3 percentage points annually among children without asthma but not among children with asthma. However, underlying patterns changed among children with asthma: food and skin allergy prevalence increased as did the percentage with all three allergy types. Among children with asthma, risk was higher among younger and non-Hispanic black children for reported skin allergy, among non-Hispanic white children for reported respiratory allergy, and among non-poor children for food and respiratory allergies. Prevalence of having one allergy type decreased by 0.50 percentage points annually, while the percent with all three types increased 0.2 percentage points annually. Non-poor and non-Hispanic white children with asthma were more likely to have multiple allergy types. While overall allergy prevalence among children with asthma remained stable, patterns in reported allergy type and number suggested a greater proportion may be at risk of adverse asthma outcomes associated with allergy: food allergy increased as did the percentage with all three allergy types.

  19. Retrospective analysis of burn injuries caused by hot milk in 159 pediatric patients: 14 years of experience in a burn unit.

    Science.gov (United States)

    Yontar, Yalcin; Esmaoglu, Aliye; Coruh, Atilla

    2014-07-01

    The aim of this study was to investigate the hot milk burns among the pediatric patients and to compare our experiences with similar studies in the literature. A 14-year retrospective study was conducted on 159 pediatric patients with hot milk burn who hospitalized at the Burn Unit of Erciyes University Medical Faculty. There were 81 male and 78 female patients with a male to female ratio of 1.03:1. The mean age of the patients was 2.7±1.6 years. The initial injury was immersion in 59.7% of the patients and spillage in 40.3%. The mean burned body surface area of the patients was 18.6±10.8%. Twenty-two percent of the patients had moderate, and 78% had major burn trauma. Forty-nine percent of the patients received burn wound debridement and reconstruction with auto-skin grafts. Our burn unit's mortality rate was 1.5% among 542 pediatric patients with hot water, and 5.6% among 159 pediatric patients with hot milk burn during the same period, respectively. Hot milk burns should be considered as separately from other hot liquid burns which do not contain fat such as water, tea, and coffee. Physical and chemical properties of milk because of its high content of fat give rise to more tissue destruction, increased morbidity and mortality.

  20. Impact of a National Controlled Donation After Circulatory Death (DCD) Program on Organ Donation in the United Kingdom: A 10-Year Study.

    Science.gov (United States)

    Hodgson, R; Young, A L; Attia, M A; Lodge, J P A

    2017-05-28

    Organ transplantation is the most successful treatment for some forms of organ failure, yet a lack of organs means many die on the waiting list. In the United Kingdom, the Organ Donation Taskforce was set up to identify barriers to organ donation and in 2008 released its first report (Organ Donation Taskforce Report; ODTR). This study assesses the success since the ODTR and examines the impact of the United Kingdom's controlled donation after circulatory death (DCD) program and the controversies surrounding it. There were 12 864 intended donation after brain death (DBD) or DCD donors from April 2004 to March 2014. When the 5 years preceding the ODTR was compared to the 5 years following, intended DCD donors increased 292% (1187 to 4652), and intended DBD donors increased 11% (3327 to 3698). Organs retrieved per intended DBD donor remained static (3.30 to 3.26), whereas there was a decrease in DCD (1.54 to 0.99) due to a large rise in donors who did not proceed to donation (325 to 2464). The majority of DCD donors who proceeded did so within 30 min from time of withdrawal. Our study suggests further work on converting eligible referrals to organ donation and exploring methods of converting DCD to DBD donors. © 2017 The American Society of Transplantation and the American Society of Transplant Surgeons.

  1. Educational and Community Outreach Efforts by the United States Polar Rock Repository during the International Polar Year

    Science.gov (United States)

    Grunow, A.; Codispoti, J. E.

    2010-12-01

    The US Polar Rock Repository (USPRR) houses more than 19,000 rock samples from polar regions and these samples are made available to the scientific, educational and museum community. The USPRR has been active in promoting polar earth science to educational and community groups. During the past year, outreach efforts reached over 12,000 people. The USPRR outreach involve tours of the facility, school presentations, online laboratory exercises, working with the Columbus Metro Parks, teaching at summer camps, teaching special geology field assignments at the middle school level, as well as offering an ‘Antarctic Rock Box’ that contains representative samples of the three types of rocks, minerals, fossils, and books and activities about geology and Antarctica. The rock box activities have been designed and reviewed by educators and scientists to use as an educational supplement to the Earth Science course of study. The activities have been designed around the Academic Content Standards: k-12 Science manual published by the Ohio Department of Education to ensure that the activities and topics are focused on those mandated by the state of Ohio. The USPRR website has a Virtual Web Antarctic Expedition with many activities for Middle to High School age students. The students learn about how to plan a field season, safety techniques, how to make a remote field camp, identify what equipment is needed, learn about the different transportation choices, weather issues, understanding GPS, etc. Educational and community networks have been built in part, by directly contacting individuals at an institution and partnering with them on educational outreach. The institutions have been very interested in doing this because it brings scientists to the classroom and to the public. This type of outreach has also served as an opening for children to consider possible career choices in science that they may not have considered before. In many of the presentations, a female geologist

  2. Unemployment in the United States after traumatic brain injury for working-age individuals: prevalence and associated factors 2 years postinjury.

    Science.gov (United States)

    Cuthbert, Jeffrey P; Harrison-Felix, Cynthia; Corrigan, John D; Bell, Jeneita M; Haarbauer-Krupa, Juliet K; Miller, A Cate

    2015-01-01

    To estimate the prevalence of unemployment and part-time employment in the United States for working-age individuals completing rehabilitation for a primary diagnosis of traumatic brain injury (TBI) between 2001 and 2010. Secondary data analysis. Acute inpatient rehabilitation facilities. Patients aged 16 to 60 years at injury who completed inpatient rehabilitation for TBI between 2001 and 2010. Unemployment; Part-time employment. The prevalence of unemployment for persons in the selected cohort was 60.4% at 2-year postinjury. Prevalence of unemployment at 2-year postinjury was significantly associated with the majority of categories of age group, race, gender, marital status, primary inpatient rehabilitation payment source, education, preinjury vocational status, length of stay, and Disability Rating Scale. The direction of association for the majority of these variables complement previous research in this area, with only Hispanic ethnicity and the FIM Cognitive subscale demonstrating disparate findings. For those employed at 2-year postinjury, the prevalence of part-time employment was 35.0%. The model of prevalence for part-time employment at 2-year postinjury was less robust, with significant relationships with some categorical components of age group, gender, marital status, primary payment source, preinjury vocational status, and Disability Rating Scale. The prevalence of unemployment for patients completing inpatient rehabilitation for TBI was substantial (60.4%). The majority of factors found to associate with 2 years' unemployment were complementary of previously published research; however, these were often smaller in magnitude than previous reports. The prevalence of part-time employment was also an issue for this cohort and included 35.0% of all employed individuals. In regard to the determination of factors associated with part-time employment, additional analyses that include more fine-grained factors associated with employment, including physical

  3. [Acute ethylene glycol poisoning among patients of Nofer Institute of Occupational Medicine in Łódź, Toxicology Unit, hospitalized in the years 2000-2009].

    Science.gov (United States)

    Czyewska, Sylwia; Winnicka, Renata; Rzepecki, Jacek; Kołaciński, Zbigniew; Politański, Piotr; Sawicka, Joanna; Krakowiak, Anna

    2013-01-01

    Acute poisonings with ethylene glycol pose real challenge in the clinical toxicology. The main objective of this study is an analysis of clinical features and identification of prognostic factors in poisoning with ethylene glycol of patients hospitalized in the Toxicology Unit in the years 2000-2009. The medical records of the patients were identified and separated. In the years 2000-2009, 102 patients were hospitalized due to ethylene glycol poisoning, what accounted for 0.38% of total admissions to the unit (26.801 hospitalized people). The mean age of patients amounted 48.05 +/- 12.55 years, the history positive for chronic alcohol abuse was present in 63 (61.76%) cases. Mean values of ethylene glycol concentration were as: in serum 173.14 mg/dl, in urine 6576.46 mg/l. Patients condition on admission varied, with 63 (61.76%) cases described as the severe state. The most frequently noted pathologies were consciousness disturbances and tachycardia. 14 patients died within the analysed group and 63 (61.76%) developed single or multiorgan complications in the course of disease. The most commonly encountered complication were: acute renal failure, anaemia, pneumonia and central nervous system damage. Such parameters as: BE and HCO3 measured on admission should be considered as the prognostic factors, determining the course of the disease and the outcomes of treatment. Poor prognosis may be associated with such clinical features on admission, as: respiratory and circulatory disturbances and cerebral sequelae. The importance of acute poisoning of ethylene glycol is determined both by high frequency of immediate life threatening conditions and by the risk of complications leading to permanent organs damage.

  4. United States national prevalence of electrocardiographic abnormalities in black and white middle-age (45- to 64-Year) and older (≥65-Year) adults (from the Reasons for Geographic and Racial Differences in Stroke Study).

    Science.gov (United States)

    Prineas, Ronald J; Le, Anh; Soliman, Elsayed Z; Zhang, Zhu-Ming; Howard, Virginia J; Ostchega, Yechiam; Howard, George

    2012-04-15

    A United States national sample of 20,962 participants (57% women, 44% blacks) from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study provided general population estimates for electrocardiographic (ECG) abnormalities among black and white men and women. The participants were recruited from 2003 to 2007 by random selection from a commercially available nationwide list, with oversampling of blacks and those from the stroke belt, with a cooperation rate of 49%. The measurement of risk factors and 12-lead electrocardiograms (centrally coded using Minnesota code criteria) showed 28% had ≥1 major ECG abnormality. The prevalence of abnormalities was greater (≥35%) for those ≥65 years old, with no differences between blacks and whites. However, among men <65 years, blacks had more major abnormalities than whites, most notably for atrial fibrillation, major Q waves, and left ventricular hypertrophy. Men generally had more ECG abnormalities than women. The most common ECG abnormalities were T-wave abnormalities. The average heart rate-corrected QT interval was longer in women than in men, similar in whites and blacks, and increased with age. However, the average heart rate was greater in women than in men and in blacks than in whites and decreased with age. The prevalence of ECG abnormalities was related to the presence of hypertension, diabetes, blood pressure, and age. In conclusion, black men and women in the United States have a significantly greater prevalence of ECG abnormalities than white men and women at age 45 to 64 years; however, these proportions, although larger, tended to equalize or reverse after age 65. Copyright © 2012 Elsevier Inc. All rights reserved.

  5. Usefulness of multiplex PCR methods and respiratory viruses’ distribution in children below 15 years old according to age, seasons and clinical units in France: A 3 years retrospective study

    Science.gov (United States)

    Collin, Gilles; Ichou, Houria; Charpentier, Charlotte; Bendhafer, Samia; Dumitrescu, Madalina; Allal, Lahcene; Cojocaru, Bogdan; Desfrère, Luc; Descamps, Diane; Mandelbrot, Laurent; Houhou-Fidouh, Nadhira

    2017-01-01

    Background To date, only influenza and RSV testing are recommended for respiratory viruses’ detection in paediatric units. In this study, we described, according to seasons, ages and clinical units, the results obtained in children (<15 years old) by multiplex-PCR (mPCR) tests allowing a quick and wide range detection of all respiratory viruses. These results were also compared with RSV specific detection. Methods All nasopharyngeal mPCR and RSV tests requested by clinicians in our French teaching hospitals group between 2011 and 2014 were retrospectively included. All repeated samples for the same children in the same month were discarded. Results Of the 381 mPCR tests (344 children) performed, 51.4% were positive. Positivity and viral co-infection rates were higher in the 6–36 months old strata (81% and 25%, p<0.0001 and p = 0.04, respectively). Viral distribution showed strong variations across ages. During specific influenza epidemic periods, only 1/39 (2.5%) mPCR tests were positive for influenza and 19/39 (48.7%) for other viruses. During specific RSV epidemic periods, only 8/46 (17.4%) mPCR tests were positive for RSV and 14/46 (30.4%) for other viruses. 477/1529 (31.2%) of RSV immunochromatography-tests were positive. Among the negatives immunochromatography-test also explored by mPCR, 28/62 (31%) were positive for other respiratory viruses. Conclusion This study provides a wide description of respiratory viruses’ distribution among children in hospital settings using mPCR over 3 years. It emphasizes the number of undiagnosed respiratory viruses according to the current diagnosis practice in France and gives a better picture of respiratory viruses identified in hospital settings by mPCR all over the year in France. PMID:28235002

  6. Usefulness of multiplex PCR methods and respiratory viruses' distribution in children below 15 years old according to age, seasons and clinical units in France: A 3 years retrospective study.

    Science.gov (United States)

    Visseaux, Benoit; Collin, Gilles; Ichou, Houria; Charpentier, Charlotte; Bendhafer, Samia; Dumitrescu, Madalina; Allal, Lahcene; Cojocaru, Bogdan; Desfrère, Luc; Descamps, Diane; Mandelbrot, Laurent; Houhou-Fidouh, Nadhira

    2017-01-01

    To date, only influenza and RSV testing are recommended for respiratory viruses' detection in paediatric units. In this study, we described, according to seasons, ages and clinical units, the results obtained in children (<15 years old) by multiplex-PCR (mPCR) tests allowing a quick and wide range detection of all respiratory viruses. These results were also compared with RSV specific detection. All nasopharyngeal mPCR and RSV tests requested by clinicians in our French teaching hospitals group between 2011 and 2014 were retrospectively included. All repeated samples for the same children in the same month were discarded. Of the 381 mPCR tests (344 children) performed, 51.4% were positive. Positivity and viral co-infection rates were higher in the 6-36 months old strata (81% and 25%, p<0.0001 and p = 0.04, respectively). Viral distribution showed strong variations across ages. During specific influenza epidemic periods, only 1/39 (2.5%) mPCR tests were positive for influenza and 19/39 (48.7%) for other viruses. During specific RSV epidemic periods, only 8/46 (17.4%) mPCR tests were positive for RSV and 14/46 (30.4%) for other viruses. 477/1529 (31.2%) of RSV immunochromatography-tests were positive. Among the negatives immunochromatography-test also explored by mPCR, 28/62 (31%) were positive for other respiratory viruses. This study provides a wide description of respiratory viruses' distribution among children in hospital settings using mPCR over 3 years. It emphasizes the number of undiagnosed respiratory viruses according to the current diagnosis practice in France and gives a better picture of respiratory viruses identified in hospital settings by mPCR all over the year in France.

  7. A randomized controlled clinical trial of 3-unit posterior zirconia-ceramic fixed dental prostheses (FDP) with layered or pressed veneering ceramics: 3-year results.

    Science.gov (United States)

    Naenni, Nadja; Bindl, Andreas; Sax, Caroline; Hämmerle, Christoph; Sailer, Irena

    2015-11-01

    The aim of the present pilot study was to test whether or not posterior zirconia-ceramic fixed dental prostheses (FDPs) with pressed veneering ceramic exhibit less chipping than FDPs with layered veneering ceramics. Forty patients (13 female, 27 male; mean age 54 years (range 26.1-80.7 years) in need of one maxillary or mandibular three-unit FDP in the second premolar or molar region were recruited and treated at two separate centers at the University of Zurich according to the same study protocol. The frameworks were made out of zirconia using a CAD/CAM system (Cerec Sirona, Bensheim, Germany). The patients were randomly assigned to either the test group (zirconia frameworks veneered with pressed ceramic; IPS e.max ZirPress, Ivoclar Vivadent AG, Schaan, Liechtenstein; n=20) or the control group (layered veneering ceramic; IPS e.max Ceram, Ivoclar Vivadent AG, Schaan, Liechtenstein; n=20). All FDPs were adhesively cemented and evaluated at baseline (i.e., cementation), at 6 months and at 1 and 3 years of clinical service. The survival of the reconstruction was recorded. The technical outcome was assessed using modified United States Public Health Services (USPHS) criteria. The biologic parameters analyzed at abutment teeth and analogous non-restored teeth included probing pocket depth (PPD), plaque control record (PCR), bleeding on probing (BOP), and tooth vitality (CO2). Data was descriptively analyzed and survival was calculated using Kaplan-Meier statistics. 36 patients (25 female, 11 male; mean age 52.3 years) with 18 test and 18 control FDPs were examined after a mean follow-up of 36 months (95% CI: 32.6-39.1 months). Comparison of groups was done by Crosstabulation showing even distribution of the respective restored teeth amidst the groups. Survival rate was 100% for both test and control FDPs. Chipping of the veneering ceramic tended to occur more frequently in test (n=8; 40%) than in control (n=4; 20%) FDPs, albeit not significantly (p=0.3). No further

  8. Post-Closure Inspection Report for Corrective Action Unit 426: Cactus Spring Waste Trenches Tonopah Test Range, Nevada Calendar Year 2001

    Energy Technology Data Exchange (ETDEWEB)

    K. B. Campbell

    2002-02-01

    Post-closure monitoring requirements for the Cactus Spring Waste Trenches (Corrective Action Unit [CAU] 426) (Figure 1) are described in Closure Report for Corrective Action Unit 426, Cactus Spring Waste Trenches, Tonopah Test Range. Nevada, report number DOE/NV--226, August 1998. The Closure Report (CR) was submitted to the Nevada Division of Environmental Protection (NDEP) on August 14, 1998. Permeability results of soils adjacent to the engineered cover and a request for closure of CAU 404 were transmitted to the NDEP on April 29, 1999. The CR (containing the Post-Closure Monitoring Plan) was approved by the NDEP on May 13, 1999. As stated in Section 5.0 of the NDEP-approved CRY Post-Closure Monitoring Plan, site monitoring at CAU 426 consists of the following: (1) Visual site inspections done twice a year to evaluate the condition of the cover and plant development. (2) Verification that the site is secure and condition of the fence and posted warning signs. (3) Notice of any subsidence, erosion, unauthorized excavation, etc., deficiencies that may compromise the integrity of the unit. (4) Remedy of any deficiencies within 90 days of discovery. (5) Preparation and submittal of an annual report. Site inspections were conducted on May 16, 2001, and November 6, 2001. All inspections were made after NDEP approval of the CR, and were conducted in accordance with the Post-Closure Monitoring Plan in the NDEP-approved CR. This report includes copies of the inspection checklists, photographs, recommendations, and conclusions. The Post-Closure Inspection Checklists are found in Attachment A, a copy of the field notes is found in Attachment B, and copies of the inspection photographs are found in Attachment C.

  9. [175 years of the National Library of Medicine, of the United States of America: a scientific and cultural treasure worthy of admiration].

    Science.gov (United States)

    Cabello C, Felipe

    2011-09-01

    The National Library of Medicine (NLM) of the United States of America, celebrates in 2011 its 175th anniversary. This Library, the largest biomedical library in the world, has a proud and rich history serving the health community and the public, especially since its transfer to the National Institutes of Health in Bethesda, Maryland, in 1968. It holds 17 million publications in 150 languages, and has an important collection of ancient and modern historical books as well as original publications of Vesalius and other founders of biomedicine. Its modern document collections illustrate the progress of medical sciences. These collections include laboratory notes from many scientists whose work forms the foundations of contemporary life sciences. The Library also provides several services for health research and for the public, including databases and services such as MedLine and BLAST. The NLM constantly strives to fulfill the information needs of its customers, whether scientists or the public at large. For example, as the Hispanic population of the Unites States has increased in recent years, the NLM has made larger and larger amounts of data available in Spanish to fulfill the health information needs of this population. NLM programs train professionals in library science and biomedical informatics and link biomedical libraries of 18 academic centers throughout the United States. The NLM funds competitive grants for training at the Library, organizing short instruction courses about library science and informatics, and writing books on health related matters including the history of medicine and public health. The NLM is managed and maintained by an outstanding and farsighted group of professionals and dedicated support staff. Their focus on serving and reaching both the biomedical community and the public at large has been crucial to its development into a world icon of biomedical sciences, information technology and the humanities.

  10. Surveillance plan for the early detection of H5N1 highly pathogenic avian influenza virus in migratory birds in the United States: surveillance year 2009

    Science.gov (United States)

    Brand, Christopher J.

    2009-01-01

    Executive Summary: This Surveillance Plan (Plan) describes plans for conducting surveillance of wild birds in the United States and its Territories and Freely-Associated States to provide for early detection of the introduction of the H5N1 Highly Pathogenic Avian Influenza (HPAI) subtype of the influenza A virus by migratory birds during the 2009 surveillance year, spanning the period of April 1, 2009 - March 31, 2010. The Plan represents a continuation of surveillance efforts begun in 2006 under the Interagency Strategic Plan for the Early Detection of H5N1 Highly Pathogenic Avian Influenza in Wild Migratory Birds (U.S. Department of Agriculture and U.S. Department of the Interior, 2006). The Plan sets forth sampling plans by: region, target species or species groups to be sampled, locations of sampling, sample sizes, and sampling approaches and methods. This Plan will be reviewed annually and modified as appropriate for subsequent surveillance years based on evaluation of information from previous years of surveillance, changing patterns and threats of H5N1 HPAI, and changes in funding availability for avian influenza surveillance. Specific sampling strategies will be developed accordingly within each of six regions, defined here as Alaska, Hawaiian/Pacific Islands, Lower Pacific Flyway (Washington, Oregon, California, Idaho, Nevada, Arizona), Central Flyway, Mississippi Flyway, and Atlantic Flyway.

  11. Tobacco counseling experience prior to starting medical school, tobacco treatment self-efficacy and knowledge among first-year medical students in the United States.

    Science.gov (United States)

    Xiao, Rui S; Hayes, Rashelle B; Waring, Molly E; Geller, Alan C; Churchill, Linda C; Okuyemi, Kolawole S; Adams, Michael; Huggett, Kathryn N; Ockene, Judith K

    2015-04-01

    To explore students' tobacco dependence counseling experiences prior to medical school and their associations with tobacco counseling self-efficacy, and familiarity with and perceived effectiveness of tobacco dependence treatment among first-year medical students in the United States. In 2010, 1266 first-year medical students from 10 US medical schools completed a survey reporting their clinical experiences with specific tobacco counseling skills (e.g., 5As) prior to medical school. The survey also included questions on tobacco counseling self-efficacy, perceived physician impact on smokers, and familiarity and effectiveness of tobacco-related treatments. Half (50.4%) reported some tobacco counseling experiences prior to medical school (i.e. at least one 5A). Students with prior counseling experiences were more likely to have higher tobacco counseling self-efficacy, and greater familiarity with medication treatment, nicotine replacement treatment, and behavioral counseling for smoking cessation, compared to those with no prior experiences. Perceived physician impact on patient smoking outcomes did not differ by prior tobacco counseling experiences. Many first-year medical students may already be primed to learn tobacco dependence counseling skills. Enhancing early exposure to learning these skills in medical school is likely to be beneficial to the skillset of our future physicians. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Surveillance plan for the early detection of H5N1 highly pathogenic avian influenza virus in migratory birds in the United States: surveillance year 2009

    Science.gov (United States)

    Brand, Christopher J.

    2009-01-01

    Executive Summary: This Surveillance Plan (Plan) describes plans for conducting surveillance of wild birds in the United States and its Territories and Freely-Associated States to provide for early detection of the introduction of the H5N1 Highly Pathogenic Avian Influenza (HPAI) subtype of the influenza A virus by migratory birds during the 2009 surveillance year, spanning the period of April 1, 2009 - March 31, 2010. The Plan represents a continuation of surveillance efforts begun in 2006 under the Interagency Strategic Plan for the Early Detection of H5N1 Highly Pathogenic Avian Influenza in Wild Migratory Birds (U.S. Department of Agriculture and U.S. Department of the Interior, 2006). The Plan sets forth sampling plans by: region, target species or species groups to be sampled, locations of sampling, sample sizes, and sampling approaches and methods. This Plan will be reviewed annually and modified as appropriate for subsequent surveillance years based on evaluation of information from previous years of surveillance, changing patterns and threats of H5N1 HPAI, and changes in funding availability for avian influenza surveillance. Specific sampling strategies will be developed accordingly within each of six regions, defined here as Alaska, Hawaiian/Pacific Islands, Lower Pacific Flyway (Washington, Oregon, California, Idaho, Nevada, Arizona), Central Flyway, Mississippi Flyway, and Atlantic Flyway.

  13. Driving Under the Influence of Alcohol, Marijuana, and Alcohol and Marijuana Combined Among Persons Aged 16-25 Years - United States, 2002-2014.

    Science.gov (United States)

    Azofeifa, Alejandro; Mattson, Margaret E; Lyerla, Rob

    2015-12-11

    Motor vehicle accidents are the leading cause of death among youths and young adults aged 16-25 years in the United States (1). The prevalence of drinking and driving among high school students aged 16-19 years has declined by 54%, from 22.3% in 1991 to 10.3% in 2011 (2). However, the prevalence of weekend nighttime driving under the influence of marijuana (based on biochemical assays) among drivers aged ≥16 years has increased by 48%, from 8.6% in 2007 to 12.6% in 2013-2014 (3). Use of marijuana alone and in combination with alcohol has been shown to impair driving abilities (4-9). This report provides the most recent self-reported national estimates of driving under the influence of alcohol, marijuana, and alcohol and marijuana combined among persons aged 16-25 years, using data from the Substance Abuse and Mental Health Services Administration (SAMHSA) National Survey on Drug Use and Health (NSDUH) from 2002-2014. Prevalence data on driving under the influence of both substances were examined for two age groups (16-20 years and 21-25 years) and by sex and race/ethnicity. During 2002-2014, the prevalence of driving under the influence of alcohol alone significantly declined by 59% among persons aged 16-20 years (from 16.2% in 2002 to 6.6% in 2014; pinfluence of alcohol and marijuana combined significantly declined by 39%, from 2.3% in 2002 to 1.4% in 2014 (pinfluence of marijuana alone declined 18%, from 3.8% in 2002 to 3.1% in 2014 (p = 0.05) only among persons aged 16-20 years. Effective public safety interventions,* such as minimum legal drinking age laws, prohibition of driving with any alcohol level >0 for persons aged influence of alcohol in this population. These or similar interventions might be useful to prevent driving under the influence of other substances, such as marijuana alone or combined with other substances.

  14. A dynamic level IV multimedia environmental model: application to the fate of polychlorinated biphenyls in the United Kingdom over a 60-year period.

    Science.gov (United States)

    Sweetman, Andrew J; Cousins, Ian T; Seth, Rajesh; Jones, Kevin C; Mackay, Donald

    2002-05-01

    A dynamic or level IV multimedia model is described and illustrated by application to the fate of three polychlorinated biphenyl (PCB) congeners in the United Kingdom over a 60-year period from their introduction into commerce until the present. Models of this type are shown to be valuable for elucidating the time response of environmental systems to increasing, decreasing, or pulse inputs. The suggestion is made that in addition to the outputs of time-dependent concentrations (which can be compared with monitoring data for validation purposes), it is useful to examine masses, fugacities, and fugacity ratios between media? The relative importance of processes is best evaluated by compiling cumulative intermedia fluxes and quantities lost by reaction and advection and examining the corresponding process rate constants or their reciprocals, the characteristic times. The suggestion is made that uncertainty and sensitivity analyses are desirable, but it must be appreciated that relative sensitivities of input parameters may change during the simulation period, so a single sensitivity analysis conducted at one point in time can be misleading. The use of the model for forecasting future trends in concentration is illustrated. Given the uncertainties in emission and advective inflow rates, the simulation of PCB fate in the United Kingdom is regarded as showing time trends that are in satisfactory agreement with monitoring data.

  15. Unit6 reading 22-year-old computer programmer murdered——体验互动式阅读案例

    Institute of Scientific and Technical Information of China (English)

    赵冠华

    2015-01-01

    【案例背景】阅读教学是英语教学的重要组成部分,在初中英语教学中,阅读课也一直很受重视。可尽管教师与学生付出了很多努力,阅读教学的效果却不如人意,这种"高耗低效"的结果极大地困扰着教师。本人尝试在Unit6 reading 22-year-old computer programmer murdered中尝试运用了体验互动式阅读方式,收到了良好的教学效果【案例分析】

  16. A five-year analysis of MODIS NDVI and NDWI for grassland drought assessment over the central Great Plains of the United States

    Science.gov (United States)

    Gu, Y.; Brown, J.F.; Verdin, J.P.; Wardlow, B.

    2007-01-01

    A five-year (2001-2005) history of moderate resolution imaging spectroradiometer (MODIS) normalized difference vegetation index (NDVI) and normalized difference water index (NDWI) data was analyzed for grassland drought assessment within the central United States, specifically for the Flint Hills of Kansas and Oklahoma. Initial results show strong relationships among NDVI, NDWI, and drought conditions. During the summer over the Tallgrass Prairie National Preserve, the average NDVI and NDWI were consistently lower (NDVI 0.6 and NDWI>0.4). NDWI values exhibited a quicker response to drought conditions than NDVI. Analysis revealed that combining information from visible, near infrared, and short wave infrared channels improved sensitivity to drought severity. The proposed normalized difference drought index (NDDI) had a stronger response to summer drought conditions than a simple difference between NDVI and NDWI, and is therefore a more sensitive indicator of drought in grasslands than NDVI alone. Copyright 2007 by the American Geophysical Union.

  17. Benchmark study on glyphosate-resistant crop systems in the United States. Economics of herbicide resistance management practices in a 5 year field-scale study.

    Science.gov (United States)

    Edwards, C Blake; Jordan, David L; Owen, Michael Dk; Dixon, Philip M; Young, Bryan G; Wilson, Robert G; Weller, Steven C; Shaw, David R

    2014-12-01

    Since the introduction of glyphosate-resistant (GR) crops, growers have often relied on glyphosate-only weed control programs. As a result, multiple weeds have evolved resistance to glyphosate. A 5 year study including 156 growers from Illinois, Iowa, Indiana, Nebraska, North Carolina and Mississippi in the United States was conducted to compare crop yields and net returns between grower standard weed management programs (SPs) and programs containing best management practices (BMPs) recommended by university weed scientists. The BMPs were designed to prevent or mitigate/manage evolved herbicide resistance. Weed management costs were greater for the BMP approach in most situations, but crop yields often increased sufficiently for net returns similar to those of the less expensive SPs. This response was similar across all years, geographical regions, states, crops and tillage systems. Herbicide use strategies that include a diversity of herbicide mechanisms of action will increase the long-term sustainability of glyphosate-based weed management strategies. Growers can adopt herbicide resistance BMPs with confidence that net returns will not be negatively affected in the short term and contribute to resistance management in the long term. © 2014 Society of Chemical Industry.

  18. Reduced Disparities in Birth Rates Among Teens Aged 15-19 Years - United States, 2006-2007 and 2013-2014.

    Science.gov (United States)

    Romero, Lisa; Pazol, Karen; Warner, Lee; Cox, Shanna; Kroelinger, Charlan; Besera, Ghenet; Brittain, Anna; Fuller, Taleria R; Koumans, Emilia; Barfield, Wanda

    2016-04-29

    Teen childbearing can have negative health, economic, and social consequences for mothers and their children (1) and costs the United States approximately $9.4 billion annually (2). During 1991-2014, the birth rate among teens aged 15-19 years in the United States declined 61%, from 61.8 to 24.2 births per 1,000, the lowest rate ever recorded (3). Nonetheless, in 2014, the teen birth rate remained approximately twice as high for Hispanic and non-Hispanic black (black) teens compared with non-Hispanic white (white) teens (3), and geographic and socioeconomic disparities remain (3,4), irrespective of race/ethnicity. Social determinants associated with teen childbearing (e.g., low parental educational attainment and limited opportunities for education and employment) are more common in communities with higher proportions of racial and ethnic minorities (4), contributing to the challenge of further reducing disparities in teen births. To examine trends in births for teens aged 15-19 years by race/ethnicity and geography, CDC analyzed National Vital Statistics System (NVSS) data at the national (2006-2014), state (2006-2007 and 2013-2014), and county (2013-2014) levels. To describe socioeconomic indicators previously associated with teen births, CDC analyzed data from the American Community Survey (ACS) (2010-2014). Nationally, from 2006 to 2014, the teen birth rate declined 41% overall with the largest decline occurring among Hispanics (51%), followed by blacks (44%), and whites (35%). The birth rate ratio for Hispanic teens and black teens compared with white teens declined from 2.9 to 2.2 and from 2.3 to 2.0, respectively. From 2006-2007 to 2013-2014, significant declines in teen birth rates and birth rate ratios were noted nationally and in many states. At the county level, teen birth rates for 2013-2014 ranged from 3.1 to 119.0 per 1,000 females aged 15-19 years; ACS data indicated unemployment was higher, and education attainment and family income were lower in

  19. Portable suction unit failure in a rural EMS system.

    Science.gov (United States)

    Risavi, Brian L; Sabotchick, K J; Heile, Christopher J

    2013-08-01

    Portable suction units used by EMS personnel are utilized infrequently and often are powered by batteries. Lack of use and inspection often results in failure of the device when it is needed. The purpose of this study was to examine the incidence of portable suction unit failure in a rural EMS system and to identify the reasons for failures. A convenience sample was obtained through both random inspections by the staff of a regional EMS council and data from twice monthly checks reported by respective EMS agencies following a standard protocol for each unit. A standard protocol was used, including checking the vacuum level on each suction unit and inspecting the tubing, canister, and battery. Each inspector assessed whether the unit was capable of achieving 300 mmHg of suction within four seconds. Also, the unit was inspected for any signs of misalignment or dry rot of the gasket, kinking of suction hose, damage to the suction canister, weak/dead battery, or defective pump. Findings were recorded. Over a two-year period, 9,631 suction unit inspections were completed. There were 233 failures (2.4%) noted. The majority (126, 54.1%) were due to battery failure. Seventy-three units failed due to other reasons (not recorded, switch failure, battery not seated). Ten inspections failed due to incorrect assembly. Nineteen inspections failed due to defects with the suction canister. Five inspections failed due to kinked/disconnected suction tubing. Only a relatively small percentage of inspections of suction units revealed failures (4.6% Advanced Life Support, 8.6% Basic Life Support) using the above-stated criteria. However, given the importance of airway management and potential complications associated with airway compromise, including aspiration pneumonia, hypoxia, and hemodynamic instability, this is of concern relative to the morbidity and mortality that could be related to airway failure. Due to the relative infrequency of use and the nature of portable suction units

  20. A 13-year follow-up of patients with breast cancer presenting to a District General Hospital breast unit in southeast England.

    Science.gov (United States)

    Robinson, David; Bell, Janine; Møller, Henrik; Salman, Asad

    2006-04-01

    The purpose of this clinical cohort study was to examine long-term survival in groups of screen-detected and symptomatic breast cancer patients attending a specialist breast unit, and to determine the factors affecting this survival. A total of 3239 breast cancer cases (1252 screen-detected and 1987 symptomatic) diagnosed between 1989 and 2002 were followed up until the end of 2002, and breast cancer-specific survival was examined in the screened and symptomatic groups, in relation to patient age, tumour size, nodal status and histological grade. Long-term survival in this clinical cohort was high. Relative survival values in the symptomatic group were similar to population-based estimates for southeast England derived from data held at the Thames Cancer Registry, whilst survival values in the screening group were 11-12 percentage points higher at 4 years after diagnosis and onwards. Ten-year relative survival estimates were 88% in the screening group and 77% in symptomatic cases. In groups of comparable age, the difference in breast cancer-specific survival at 10 years was 19 percentage points. Survival was significantly related to tumour characteristics (size, nodal status and grade), but not to morphological tumour type or deprivation score of the subject. After adjustment for other factors, the difference in survival between the two groups was much attenuated and became statistically non-significant. The higher survival seen in the screening group can be almost entirely accounted for in terms of the detection of early stage and lower grade tumours which screening provides.

  1. Association of hyponatremia with in-hospital outcomes in infective endocarditis: A 5-year review from an Indian Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Saraschandra Vallabhajosyula

    2016-01-01

    Full Text Available Hyponatremia is commonly noted with cardiovascular disorders, but its role in infective endocarditis (IE is limited to being a marker of increased morbidity in IE patients with intravenous drug use. This was a 5-year retrospective review from an Indian Intensive Care Unit (ICU. Patients >18 years with IE and available serum sodium levels were included in the study. Pediatric and pregnant patients were excluded from the study. Hyponatremia was defined as admission sodium <135 mmol/L. Detailed data were abstracted from the medical records. Primary outcomes were need for invasive mechanical ventilation, ICU length of stay, and in-hospital mortality. Secondary outcomes included development of acute kidney injury, acute decompensated heart failure (ADHF, acute respiratory distress syndrome, stroke, and severe sepsis in the ICU. Two-tailed P < 0.05 was considered statistically significant. Between January 2010 and December 2014, 96 patients with IE were admitted to the ICU with 85 (88.5% (median age 46 [34.5-55] years, 51 [60.0%] males meeting our inclusion criteria. The comorbidities, echocardiographic, and microbiological characteristics were comparable between patients with hyponatremia (56; 65.9% and eunatremia (29; 34.1%. Median sodium in the hyponatremic cohort was 131 mmol/L (127.25-133 compared to the eunatremic cohort 137 mmol/L (135-139 (P < 0.001. The primary outcomes were not different between the two groups. Hyponatremia was associated more commonly with ADHF (12 [21.4%] vs. 0; P = 0.007 during the ICU stay. Hyponatremia is commonly seen in IE patients and is not associated with worse hospital outcomes. ADHF was seen more commonly in the hyponatremic patients in comparison to those with eunatremia.

  2. Estimation of 10-Year Risk of Coronary Heart Disease in Nepalese Patients with Type 2 Diabetes: Framingham Versus United Kingdom Prospective Diabetes Study.

    Science.gov (United States)

    Pokharel, Daya Ram; Khadka, Dipendra; Sigdel, Manoj; Yadav, Naval Kishor; Sapkota, Lokendra Bahadur; Kafle, Ramchandra; Nepal, Sarthak; Sapkota, Ravindra Mohan; Choudhary, Niraj

    2015-08-01

    Predicting future coronary heart disease (CHD) risk with the help of a validated risk prediction function helps clinicians identify diabetic patients at high risk and provide them with appropriate preventive medicine. The aim of this study is to estimate and compare 10-year CHD risks of Nepalese diabetic patients using two most common risk prediction functions: The Framingham risk equation and United Kingdom Prospective Diabetes Study (UKPDS) risk engine that are yet to be validated for Nepalese population. We conducted a hospital-based, cross-sectional study on 524 patients with type 2 diabetes. Baseline and biochemical variables of individual patients were recorded and CHD risks were estimated by the Framingham and UKPDS risk prediction functions. Estimated risks were categorized as low, medium, and high. The estimated CHD risks were compared using kappa statistics, Pearson's bivariate correlation, Bland-Altman plots, and multiple regression analysis. The mean 10-year CHD risks estimated by the Framingham and UKPDS risk functions were 17.7 ± 12.1 and 16.8 ± 15 (bias: 0.88, P > 0.05), respectively, and were always higher in males and older age groups (P < 0.001). The two risk functions showed moderate convergent validity in predicting CHD risks, but differed in stratifying them and explaining the patients' risk profile. The Framingham equation predicted higher risk for patients usually below 70 years and showed better association with their current risk profile than the UKPDS risk engine. Based on the predicted risk, Nepalese diabetic patients, particularly those associated with increased numbers of risk factors, bear higher risk of future CHDs. Since this study is a cross-sectional one and uses externally validated risk functions, Nepalese clinicians should use them with caution, and preferably in combination with other guidelines, while making important medical decisions in preventive therapy of CHD.

  3. [Pediatric tracheostomy: a ten-year analysis in the Intensive Care Unit of Sancti Spiritus “José Martí” Pediatric Teaching Hospital].

    Science.gov (United States)

    Salcedo, Caridad; Martínez, Mirtha; Reyes, Ernestina

    2014-05-05

    There has been a significant change in the role of pediatric tracheostomy over the last twenty years. Obstruction of the upper airway caused by infectious agents is no longer the leading cause of tracheostomy in children. Structural anomalies of the upper airway as well as the need for prolonged ventilator assistance have become the most frequent indication for pediatric tracheostomy. The purpose of this paper is to assess the incidence, indications, complications, and role in mortality of tracheostomy in our pediatric population. A retrospective descriptive study of pediatric patients who underwent tracheostomy was conducted between 1999 and 2008 in the Pediatric Intensive Care Unit of the José Martí de Sancti Spiritus Pediatric Teaching Hospital in Cuba. Tracheostomy was performed in 14 patients during the period of the study (0.5% of admitted patients). Nine of them (64.2%) were younger than one year. The most frequent indication for the procedure was the need for prolonged mechanical ventilation in patients with neurologic disorders in 10 patients (71.42%). Upper airway malformations and acute infections were infrequent indications for tracheostomy. The most frequent complications were infectious in 10 patients (71.4%) and obstruction in four patients (28.5%). The following germs were found: Pseudomona aeruginosa in six patients (60%), Staphylococcus aureus in three patients (30%), and Enterobacter cloacae in three patients (30%). Furthermore, four patients were successfully decannulated (28.5%), five patients died (35.7%) but only in one (7.14%), death could be attributed to tracheostomy. The need for prolonged mechanical ventilation in patients with neurologic disorders was the main indication for tracheostomy in our pediatric population; most of these children were younger than one year. The procedure had little impact in overall mortality in this group of patients.

  4. Estimation of 10-year risk of coronary heart disease in nepalese patients with type 2 diabetes: Framingham versus United Kingdom prospective diabetes study

    Directory of Open Access Journals (Sweden)

    Daya Ram Pokharel

    2015-01-01

    Full Text Available Background: Predicting future coronary heart disease (CHD risk with the help of a validated risk prediction function helps clinicians identify diabetic patients at high risk and provide them with appropriate preventive medicine. Aim: The aim of this study is to estimate and compare 10-year CHD risks of Nepalese diabetic patients using two most common risk prediction functions: The Framingham risk equation and United Kingdom Prospective Diabetes Study (UKPDS risk engine that are yet to be validated for Nepalese population. Patients and Methods: We conducted a hospital-based, cross-sectional study on 524 patients with type 2 diabetes. Baseline and biochemical variables of individual patients were recorded and CHD risks were estimated by the Framingham and UKPDS risk prediction functions. Estimated risks were categorized as low, medium, and high. The estimated CHD risks were compared using kappa statistics, Pearson′s bivariate correlation, Bland-Altman plots, and multiple regression analysis. Results: The mean 10-year CHD risks estimated by the Framingham and UKPDS risk functions were 17.7 ± 12.1 and 16.8 ± 15 (bias: 0.88, P > 0.05, respectively, and were always higher in males and older age groups (P < 0.001. The two risk functions showed moderate convergent validity in predicting CHD risks, but differed in stratifying them and explaining the patients′ risk profile. The Framingham equation predicted higher risk for patients usually below 70 years and showed better association with their current risk profile than the UKPDS risk engine. Conclusions: Based on the predicted risk, Nepalese diabetic patients, particularly those associated with increased numbers of risk factors, bear higher risk of future CHDs. Since this study is a cross-sectional one and uses externally validated risk functions, Nepalese clinicians should use them with caution, and preferably in combination with other guidelines, while making important medical decisions in

  5. A Year of Infection in the Intensive Care Unit: Prospective Whole Genome Sequencing of Bacterial Clinical Isolates Reveals Cryptic Transmissions and Novel Microbiota.

    Science.gov (United States)

    Roach, David J; Burton, Joshua N; Lee, Choli; Stackhouse, Bethany; Butler-Wu, Susan M; Cookson, Brad T; Shendure, Jay; Salipante, Stephen J

    2015-07-01

    Bacterial whole genome sequencing holds promise as a disruptive technology in clinical microbiology, but it has not yet been applied systematically or comprehensively within a clinical context. Here, over the course of one year, we performed prospective collection and whole genome sequencing of nearly all bacterial isolates obtained from a tertiary care hospital's intensive care units (ICUs). This unbiased collection of 1,229 bacterial genomes from 391 patients enables detailed exploration of several features of clinical pathogens. A sizable fraction of isolates identified as clinically relevant corresponded to previously undescribed species: 12% of isolates assigned a species-level classification by conventional methods actually qualified as distinct, novel genomospecies on the basis of genomic similarity. Pan-genome analysis of the most frequently encountered pathogens in the collection revealed substantial variation in pan-genome size (1,420 to 20,432 genes) and the rate of gene discovery (1 to 152 genes per isolate sequenced). Surprisingly, although potential nosocomial transmission of actively surveilled pathogens was rare, 8.7% of isolates belonged to genomically related clonal lineages that were present among multiple patients, usually with overlapping hospital admissions, and were associated with clinically significant infection in 62% of patients from which they were recovered. Multi-patient clonal lineages were particularly evident in the neonatal care unit, where seven separate Staphylococcus epidermidis clonal lineages were identified, including one lineage associated with bacteremia in 5/9 neonates. Our study highlights key differences in the information made available by conventional microbiological practices versus whole genome sequencing, and motivates the further integration of microbial genome sequencing into routine clinical care.

  6. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada, for Fiscal Year 2014

    Energy Technology Data Exchange (ETDEWEB)

    Silvas, Alissa J. [Nevada Field Office, Las Vegas, NV (United States)

    2015-01-01

    This report serves as the combined annual report for post-closure activities for several Corrective Action Units (CAUs). The locations of the sites are shown in Figure 1. This report covers fiscal year 2014 (October 2013–September 2014). The post-closure requirements for these sites are described in Resource Conservation and Recovery Act Permit Number NEV HW0101 and summarized in each CAU-specific section in Section 1.0 of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report. Site inspections are conducted semiannually at CAUs 90 and 91 and quarterly at CAUs 92, 110, 111, and 112. Additional inspections are conducted at CAU 92 if precipitation occurs in excess of 0.50 inches (in.) in a 24-hour period and at CAU 111 if precipitation occurs in excess of 1.0 in. in a 24-hour period. Inspections include an evaluation of the condition of the units, including covers, fences, signs, gates, and locks. In addition to visual inspections, soil moisture monitoring, vegetation evaluations, and subsidence surveys are conducted at CAU 110. At CAU 111, soil moisture monitoring, vegetation evaluations, subsidence surveys, direct radiation monitoring, air monitoring, radon flux monitoring, and groundwater monitoring are conducted. The results of the vegetation surveys and an analysis of the soil moisture monitoring data at CAU 110 are presented in this report. Results of additional monitoring at CAU 111 are documented annually in the Nevada National Security Site Waste Management Monitoring Report Area 3 and Area 5 Radioactive Waste Management Sites and in the Nevada National Security Site Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site, which will be prepared in approximately June 2015. All required inspections, maintenance, and monitoring were conducted in accordance with the post-closure requirements of the permit. It is recommended to continue

  7. Burden of acute gastroenteritis among children younger than 5 years of age – a survey among parents in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Howidi Mohammad

    2012-06-01

    Full Text Available Abstract Background Despite its high incidence among children under the age of five, little is known about the burden of pediatric gastroenteritis outside the medical setting. The objective of this study was to describe the burden of acute gastroenteritis among children residing in the United Arab Emirates, including those not receiving medical care. Methods A quantitative cross-sectional survey of 500 parents of children under 5 years of age who had suffered from acute gastroenteritis the preceding three months was conducted in the cities of Abu Dhabi and Al Ain. Data collected included respondent characteristics, disease symptoms, medical care sought, and parental expenditures and work loss. Data were analyzed using parametric and non-parametric statistical methods. Results Vomiting and diarrhea episodes lasted on average between 3 and 4 days. Overall, 87% of parents sought medical care for their children; 10% of these cases required hospitalization with an average length of stay of 2.6 days. When medical care was sought, the average parental cost per gastroenteritis episode was US$64, 4.5 times higher than with home care only (US$14. Nearly 60% of this difference was attributable to co-payments and medication use: 69% of children used oral rehydration solution, 68% antiemetics, 65% antibiotics and 64% antidiarrheals. Overall, 38 parents missed work per 100 gastroenteritis episodes for an average of 1.4 days. Conclusions Given its high incidence, pediatric gastroenteritis has an important financial and productivity impact on parents in the United Arab Emirates. To reduce this impact, efforts should be made both to prevent acute gastroenteritis and to optimize its treatment.

  8. Confidentiality Issues and Use of Sexually Transmitted Disease Services Among Sexually Experienced Persons Aged 15-25 Years - United States, 2013-2015.

    Science.gov (United States)

    Leichliter, Jami S; Copen, Casey; Dittus, Patricia J

    2017-03-10

    National-level data are limited regarding confidentiality-related issues and the use of sexually transmitted disease (STD) services for adolescents and young adults. Changes in the U.S. health care system have permitted dependent children to remain on a parent's health insurance plan until the child's 26th birthday and required coverage of certain preventive services, including some STD services, without cost sharing for most plans (1,2). Although these provisions likely facilitate access to the health care system, adolescents and young adults might not seek care or might delay seeking care for certain services because of concerns about confidentiality, including fears that their parents might find out (3,4). Therefore, it is important to examine STD services and confidentiality-related issues among persons aged 15-25 years in the United States. CDC analyzed data from the 2013-2015 National Survey of Family Growth and found that 12.7% of sexually experienced youths (adolescents aged 15-17 years and those young adults aged 18-25 years who were on a parent's insurance plan) would not seek sexual and reproductive health care because of concerns that their parents might find out. Particularly concerned were persons aged 15-17 years (22.6%). Females with confidentiality concerns regarding seeking sexual and reproductive health care reported a lower prevalence of receipt of chlamydia screening (17.1%) than did females who did not cite such concerns (38.7%). More adolescents aged 15-17 years who spent time alone with a health care provider (without a parent in the room) reported receipt of a sexual risk assessment (71.1%) and, among females, chlamydia testing (34.0%), than did those who did not spend time alone (36.6% and 14.9%, respectively). The results indicated that confidentiality-related issues were associated with less reported use of some STD services, especially for younger persons and females. Spending time alone with a provider (i.e., without a parent present

  9. "Home" or Away? The Higher Education Choices of Expatriate Children in the United Arab Emirates

    Science.gov (United States)

    Wilkins, Stephen

    2013-01-01

    The purpose of the research upon which this article is based was to identify the factors that influence the higher education choices of expatriate children. The study involved a self-completed written questionnaire and structured face-to-face interviews with nineteen students at four international schools in the United Arab Emirates (UAE). The…

  10. Detector Unit

    CERN Multimedia

    1960-01-01

    Original detector unit of the Instituut voor Kernfysisch Onderzoek (IKO) BOL project. This detector unit shows that silicon detectors for nuclear physics particle detection were already developed and in use in the 1960's in Amsterdam. Also the idea of putting 'strips' onto the silicon for high spatial resolution of a particle's impact on the detector were implemented in the BOL project which used 64 of these detector units. The IKO BOL project with its silicon particle detectors was designed, built and operated from 1965 to roughly 1977. Detector Unit of the BOL project: These detectors, notably the ‘checkerboard detector’, were developed during the years 1964-1968 in Amsterdam, The Netherlands, by the Natuurkundig Laboratorium of the N.V. Philips Gloeilampen Fabrieken. This was done in close collaboration with the Instituut voor Kernfysisch Onderzoek (IKO) where the read-out electronics for their use in the BOL Project was developed and produced.

  11. Chlorhexidine bathing for the prevention of colonization and infection with multidrug-resistant microorganisms in a hematopoietic stem cell transplantation unit over a 9-year period

    Science.gov (United States)

    Mendes, Elisa Teixeira; Ranzani, Otavio T.; Marchi, Ana Paula; da Silva, Mariama Tomaz; Filho, José Ulysses Amigo; Alves, Tânia; Guimarães, Thais; Levin, Anna S.; Costa, Silvia Figueiredo

    2016-01-01

    Abstract Health care associated infections (HAIs) are currently among the major challenges to the care of hematopoietic stem cell transplantation (HSCT) patients. The objective of the present study was to evaluate the impact of 2% chlorhexidine (CHG) bathing on the incidence of colonization and infection with vancomycin-resistant Enterococcus (VRE), multidrug-resistant (MDR) gram-negative pathogens, and to evaluate their CHG minimum inhibitory concentration (MIC) after the intervention. A quasi-experimental study with duration of 9 years was conducted. VRE colonization and infection, HAI rates, and MDR gram-negative infection were evaluated by interrupted time series analysis. The antibacterial susceptibility profile and mechanism of resistance to CHG were analyzed in both periods by the agar dilution method in the presence or absence of the efflux pump inhibitor carbonyl cyanide-m-chlorophenyl hydrazone (CCCP) and presence of efflux pumps (qacA/E, qacA, qacE, cepA, AdeA, AdeB, and AdeC) by polymerase chain reaction (PCR). The VRE colonization and infection rates were significantly reduced in the postintervention period (P = 0.001). However, gram-negative MDR rates in the unit increased in the last years of the study. The CHG MICs for VRE increased during the period of exposure to the antiseptic. A higher MIC at baseline period was observed in MDR gram-negative strains. The emergence of a monoclonal Pseudomonas aeruginosa clone was observed in the second period. Concluding, CHG bathing was efficient regarding VRE colonization and infection, whereas no similar results were found with MDR gram-negative bacteria. PMID:27861350

  12. [A study of epilepsy according to the age at onset and monitored for 3 years in a regional reference paediatric neurology unit].

    Science.gov (United States)

    Ochoa-Gómez, Laura; López-Pisón, Javier; Lapresta Moros, Carlos; Fuertes Rodrigo, Cristina; Fernando Martínez, Ruth; Samper-Villagrasa, Pilar; Monge-Galindo, Lorena; Peña-Segura, José Luis; García-Jiménez, María Concepción

    2017-01-01

    A study of epilepsy, according to the age at onset of the crisis and its causes, monitored by a Paediatric Neurology Unit over a period of three years. Historical cohorts study was conducted by reviewing the Paediatric Neurology medical records data base of epileptic children followed-up from 1 January 2008 to 31 December 2010. A total of 4,595 children were attended during the study period. The diagnosis of epilepsy was established in 605 (13.17%): 277 (45.79%) symptomatic, 156 (25.79%) idiopathic, and 172 (28.43%) with cryptogenic epilepsy. Absence epilepsy and benign childhood epilepsy with centro-temporal spikes are the idiopathic epileptic syndromes most prevalent, and the most prevalent symptomatic epilepsies are prenatal encephalopathies. More than one-quarter (26.12%) of epilepsies began in the first year of life, and 67.72% were symptomatic. Refractory epilepsy was observed in 25.29%, 42.46% with cognitive impairment, 26.45% with motor involvement, and 9.92% with an autism spectrum disorder, being more frequent at an earlier age of onset. The absence of a universally accepted classification of epileptic syndromes makes tasks like this difficult, starting with the terminology. A useful classification would be aetiological, with two groups: a large group with established aetiology, or very likely genetic syndromes, and another with no established cause. The age of onset of epilepsy in each aetiological group helps in the prognosis, which is worsened by refractoriness and associated neurodevelopmental disorders, and are generally worse at an earlier onset and in certain aetiologies. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. POST CLOSURE INSPECTION AND MONITORING REPORT FOR CORRECTIVE ACTION UNIT 417: CENTRAL NEVADA TEST AREA - SURFACE, HOT CREEK VALLEY, NEVADA, FOR CALENDAR YEAR 2004

    Energy Technology Data Exchange (ETDEWEB)

    BECHTEL NEVADA; NNSA NEVADA SITE OFFICE

    2005-04-01

    This post-closure inspection and monitoring report has been prepared according to the stipulations laid out in the Closure Report (CR) for Corrective Action Unit (CAU) 417, Central Nevada Test Area (CNTA)--Surface (U.S. Department of Energy, National Nuclear Security Administration Nevada Operations Office [NNSA/NV], 2001), and the Federal Facility Agreement and Consent Order (FFACO, 1996). This report provides an analysis and summary of site inspections, subsidence surveys, meteorological information, and soil moisture monitoring data for CAU 417, which is located in Hot Creek Valley, Nye County, Nevada. This report covers Calendar Year 2004. Inspections at CAU 417 are conducted quarterly to document the physical condition of the UC-1, UC-3, and UC-4 soil covers, monuments, signs, fencing, and use restricted areas. The physical condition of fencing, monuments, and signs is noted, and any unusual conditions that could impact the integrity of the covers are reported. The objective of the soil moisture monitoring program is to monitor the stability of soil moisture conditions within the upper 1.2 meters (m) (4 feet [ft]) of the UC-1 Central Mud Pit (CMP) cover and detect changes that may be indicative of moisture movement exceeding the cover design performance expectations.

  14. Predictors of mortality of patients with acute respiratory failure secondary to chronic obstructive pulmonary disease admitted to an intensive care unit: A one year study

    Directory of Open Access Journals (Sweden)

    Banga Amit

    2004-11-01

    Full Text Available Abstract Background Patients with acute exacerbation of chronic obstructive pulmonary disease (COPD commonly require hospitalization and admission to intensive care unit (ICU. It is useful to identify patients at the time of admission who are likely to have poor outcome. This study was carried out to define the predictors of mortality in patients with acute exacerbation of COPD and to device a scoring system using the baseline physiological variables for prognosticating these patients. Methods Eighty-two patients with acute respiratory failure secondary to COPD admitted to medical ICU over a one-year period were included. Clinical and demographic profile at the time of admission to ICU including APACHE II score and Glasgow coma scale were recorded at the time of admission to ICU. In addition, acid base disorders, renal functions, liver functions and serum albumin, were recorded at the time of presentation. Primary outcome measure was hospital mortality. Results Invasive ventilation was required in 69 patients (84.1%. Fifty-two patients survived to hospital discharge (63.4%. APACHE II score at the time of admission to ICU {odds ratio (95 % CI: 1.32 (1.138–1.532; p Conclusion APACHE II score at admission and SA levels with in 24 hrs after admission are independent predictors of mortality for patients with COPD admitted to ICU. The equation derived from these two parameters is useful for predicting outcome of these patients.

  15. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada, for Fiscal Year 2014

    Energy Technology Data Exchange (ETDEWEB)

    Silvas, Alissa J. [NSTec

    2015-01-14

    This report serves as the combined annual report for post-closure activities for the following closed Corrective Action Units (CAUs): • CAU 90, Area 2 Bitcutter Containment • CAU 91, Area 3 U-3fi Injection Well • CAU 92, Area 6 Decon Pond Facility • CAU 110, Area 3 WMD U-3ax/bl Crater • CAU 111, Area 5 WMD Retired Mixed Waste Pits • CAU 112, Area 23 Hazardous Waste Trenches This report covers fiscal year 2014 (October 2013–September 2014). The post-closure requirements for these sites are described in Resource Conservation and Recovery Act Permit Number NEV HW0101 and summarized in each CAU-specific section in Section 1.0 of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report. Site inspections are conducted semiannually at CAUs 90 and 91 and quarterly at CAUs 92, 110, 111, and 112. Additional inspections are conducted at CAU 92 if precipitation occurs in excess of 0.50 inches (in.) in a 24-hour period and at CAU 111 if precipitation occurs in excess of 1.0 in. in a 24-hour period. Inspections include an evaluation of the condition of the units, including covers, fences, signs, gates, and locks. In addition to visual inspections, soil moisture monitoring, vegetation evaluations, and subsidence surveys are conducted at CAU 110. At CAU 111, soil moisture monitoring, vegetation evaluations, subsidence surveys, direct radiation monitoring, air monitoring, radon flux monitoring, and groundwater monitoring are conducted. The results of the vegetation surveys and an analysis of the soil moisture monitoring data at CAU 110 are presented in this report. Results of additional monitoring at CAU 111 are documented annually in the Nevada National Security Site Waste Management Monitoring Report Area 3 and Area 5 Radioactive Waste Management Sites and in the Nevada National Security Site Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

  16. Water-Quality Data for Selected National Park Units within the Southern Colorado Plateau Network, Arizona, Utah, Colorado, and New Mexico, Water Years 2005 and 2006

    Science.gov (United States)

    Macy, Jamie P.; Monroe, Stephen A.

    2006-01-01

    The National Park Service initiated a Level 1 Water-Quality Inventory program to provide water-quality data to park managers so informed natural resource management decisions could be made. Level 1 water-quality data were collected by the U.S. Geological Survey Arizona Water Science Center at 57 sites in 13 National Park units located in the Southern Colorado Plateau Inventory and Monitoring network in water years 2005 and 2006. These data describe the current water-quality at selected sites within the park units and provide information for monitoring future trends. Water samples were collected three times at each type of site including wells, springs, seeps, tinajas, rivers, a lake, and an irrigation ditch. Field measurements were taken at each site and they included pH, specific conductance, temperature, barometric pressure, dissolved oxygen, alkalinity, turbidity, and discharge rates where applicable. Water samples collected were sent to the U.S. Geological Survey National Water Quality Laboratory and analyzed for major ions, trace elements, and nutrients. The National Water Quality Laboratory also analyzed selected samples for mercury and petroleum hydrocarbons. Additional samples at selected sites were collected and analyzed for cyanide, radiochemistry, and suspended sediment by U.S. Geological Survey contract labs. Fecal-indicator bacteria (Escherichia coli) were sampled for at selected sites as another indicator of water quality. Quality control for this study was achieved through proper training of field personnel, use of standard U.S. Geological Survey field and laboratory protocols, collection of sample blanks and replicates, and a thorough review of the water-quality analyses. Measured field pH ranged from 6.0 to 8.8, within normal range for springs and rivers, at most sites. Concentrations of dissolved solids ranged from 48 to 8,680 mg/L and the majority of samples had concentrations of dissolved solids below 900 mg/L. Trace-element concentrations at

  17. Unit root modeling for trending stock market series

    Directory of Open Access Journals (Sweden)

    Afees A. Salisu

    2016-06-01

    Full Text Available In this paper, we examine how the unit root for stock market series should be modeled. We employ the Narayan and Liu (2015 trend GARCH-based unit root and its variants in order to more carefully capture the inherent statistical behavior of the series. We utilize daily, weekly and monthly data covering nineteen countries across the regions of America, Asia and Europe. We find that the nature of data frequency matters for unit root testing when dealing with stock market data. Our evidence also suggests that stock market data is better modeled in the presence of structural breaks, conditional heteroscedasticity and time trend.

  18. Annual Summary Report Calendar Year 2000 for the 100-HR-3, 100-KR-4, and 100-NR-2 Operable Units and Pump-and-Treat Operations

    Energy Technology Data Exchange (ETDEWEB)

    G. B. Mitchem

    2001-08-22

    This annual progress and performance evaluation report discusses the groundwater remedial actions in the 100 Area, including the interim actions at the 100-HR-3 and 100-KR-4 Operable Units, and also discusses the expedited response action in the 100-NR-2 operable unit.

  19. The unit analyze five-year incidence of legal infectious diseases%某部5年法定传染病发病情况分析

    Institute of Scientific and Technical Information of China (English)

    郝晓艳; 苗凤英

    2011-01-01

    了解某部传染病谱及传染病的发病特点、流行规律,预测流行趋势,为制定有效的预防策略和攀提供依据.利用该部所属单位的传染病上报资料信息,使用Excel进行统计分析.5年内该部报告传染病3917例(包括食物中毒31例).其中,甲类传染病无报告;乙类传染病共报告3413例,占报告发病数的97.13%;丙类273例,占6.97%;其它非法定传染病200例;食物中毒31例.该部传染病疫情发生有明显的季节性,年初和年末发病数较少,8月份有1个发病高峰,7~9月份发病数最多,为1191例,占所有发病数的30.41%.血源及性传播传染病在以传播途径划分的各类传染病中居首位,高达35.69%;病毒性肝炎共报告发病1432例,居报告传染病第一位,占全部传染病报告发病教的36.56%.该部传染病疫情不容乐观,要重点加强对病毒性肝炎、肺结核和细菌性痢疾的监控力度,加强新兵检疫和平时的教育管理,并且针对不同传染病的发病特点和高发原因,采取预防接种、消毒、防护等综合措施.%To investigate the secular trend of epidemic disease and to provide scitentific evidence for prevention disease. Collected the date of disease for an unit, the results were anatlyzed with Excel. Total of infectious disease 3917 cases (including food poisoning 31 cases) were reported in five years. And there were zero type A,3413 type B and 273 type C.occupies the report morbidity number 87.13%~6.97%.Other illegal decide the infectious disease 200 cases; Food poisoning 31 cases. This infectious disease epidemic situation occurs has the obvious seasonal characteristic, the disease number reduce at the beginning of the year and the end of the yea, in August has one morbidity peak, There were 1191 cases infectious disease at July to September, the proportion accounted for 30.41% .the bloodborrne and sexually transmitted diseases were 35.69%, viral hepatitis were reported 1432 cases, the

  20. Routine Multimodal Antiemesis Including Low-Dose Perphenazine in an Ambulatory Surgery Unit of a University Hospital: A 10-Year History

    Directory of Open Access Journals (Sweden)

    Brian A. Williams

    2007-01-01

    Full Text Available For 10 years, we have used intravenous and oral perphenazine as part of a multimodal antiemetic prophylaxis care plan for at least 10,000 outpatients. We have never encountered an adverse event, to our knowledge, when the intravenous dose was less than or equal to 2 mg, or when the single preoperative oral dose did not exceed 8 mg (with no repeated dosing. As a single-dose component of multimodal antiemetic prophylaxis therapy, we believe that this track record of anecdotal safety in adults who meet certain criteria (age 14–70, no less than 45 kg, no history of extrapyramidal reactions or of Parkinson disease, and no Class III antidysrhythmic coadministered for coexisting disease constitutes a sufficient patient safety basis for formal prospective study. We believe that future perphenazine studies should include routine coadministration with prospectively established multimodal antiemetics (i.e., dexamethasone and a 5-HT3 antagonist. In settings where droperidol is still routinely used and deemed acceptable by local scientific ethics committees, we believe that oral perphenazine 8 mg should be compared head to head with droperidol 0.625–1.25 mg in patients receiving coadministered dexamethasone and 5-HT3 antagonists in order to determine differences in synergistic efficacy, if any. Similar trials should be performed, individually evaluating cyclizine, transdermal scopolamine, and aprepitant in combination with coadministered dexamethasone and a 5-HT3 antagonist. Such studies should also quantify efficacy in preventing nausea and vomiting after discharge home, and also quantify the extent to which the prophylaxis plans reduce postanesthesia care unit (PACU requirements (i.e., increase PACU bypass, reduce the need for any nursing interventions for postoperative nausea and/or vomiting (PONV, and influence the extent to which any variable costs of postoperative nursing care are reduced.

  1. State-specific prevalence of current cigarette smoking and smokeless tobacco use among adults aged ≥18 years - United States, 2011-2013.

    Science.gov (United States)

    Nguyen, Kimberly; Marshall, LaTisha; Hu, Sean; Neff, Linda

    2015-05-22

    Cigarette smoking and the use of smokeless tobacco both cause substantial morbidity and premature mortality. The concurrent use of these products might increase dependence and the risk for tobacco-related disease and death. State-specific estimates of prevalence and relative percent change in current cigarette smoking, smokeless tobacco use, and concurrent cigarette smoking and smokeless tobacco use among U.S. adults during 2011-2013, developed using data from the Behavioral Risk Factor Surveillance System (BRFSS), indicate statistically significant (pcigarette smoking prevalence overall and in 26 states. During the same period, use of smokeless tobacco significantly increased in four states: Louisiana, Montana, South Carolina, and West Virginia; significant declines were observed in two states: Ohio and Tennessee. In addition, the use of smokeless tobacco among cigarette smokers (concurrent use) significantly increased in five states (Delaware, Idaho, Nevada, New Mexico, and West Virginia). Although annual decreases in overall cigarette smoking among adults in the United States have occurred in recent years, there is much variability in prevalence of cigarette smoking, smokeless tobacco, and concurrent use across states. In 2013, the prevalence ranged from 10.3% (Utah) to 27.3% (West Virginia) for cigarette smoking; 1.5% (District of Columbia and Massachusetts) to 9.4% (West Virginia) for smokeless tobacco; and 3.1% (Vermont) to 13.5% (Idaho) for concurrent use. These findings highlight the importance of sustained comprehensive state tobacco-control programs funded at CDC-recommended levels, which can accelerate progress toward reducing tobacco-related disease and deaths by promoting evidence-based population-level interventions. These interventions include increasing the price of tobacco products, implementing comprehensive smoke-free laws, restricting tobacco advertising and promotion, controlling access to tobacco products, and promoting cessation assistance

  2. Early Diagnosis and Intervention for Hearing Loss in Newborns Discharged from Intensive Care Units: a Four-year Follow-up Study in North of Iran

    Directory of Open Access Journals (Sweden)

    Sima Tajik

    2016-08-01

    Full Text Available Background Hearing loss is the most common congenital disorder the incidence of which is further increased in the presence of risk factors for hearing loss among newborns admitted to the neonatal intensive care unit (NICU. The aim of this study was early diagnosis and intervention for hearing loss in newborns discharged from NICU. Materials and Methods This prospective cohort study was conducted on 3,362 newborns discharged from the NICU in several hospitals in Babol, Iran. Each newborn was evaluated through the transient evoked otoacoustic emission (T EOAE test. In the absence of any result, retests including TEOAE and diagnostic auditory brainstem response (ABR were conducted. In case of hearing loss, intervention programs including hearing aids fitting and cochlear implant were considered for infants. Each newborn infant was follow-up for four years. The infant’s age was also calculated during the hearing loss diagnosis and the intervention program. Results Sensorineural hearing loss (SNHL was diagnosed in 35 (1.04% of the infants at an average age of 105.65 + 96.72 days. Most of hearing loss diagnosis (51.43% was before the age of 3 months. Hearing aids were fitted for 25 infants (80.64% with a mean age of 9.61 + 7.64 months. Cochlear implants were done for two (8% children. At the end of the follow up, all of the children except one case (3.22% were able to use verbal communication. Conclusion Hearing screening of the high risk NICU graduate babies has reduced the age of hearing loss diagnosis to 3 months. The presence of severe to profound hearing loss in this population highlights the importance of early diagnosis and intervention.

  3. The Increasing Challenge of Multidrug-Resistant Gram-Negative Bacilli: Results of a 5-Year Active Surveillance Program in a Neonatal Intensive Care Unit.

    Science.gov (United States)

    Giuffrè, Mario; Geraci, Daniela M; Bonura, Celestino; Saporito, Laura; Graziano, Giorgio; Insinga, Vincenzo; Aleo, Aurora; Vecchio, Davide; Mammina, Caterina

    2016-03-01

    Colonization and infection by multidrug-resistant gram-negative bacilli (MDR GNB) in neonatal intensive care units (NICUs) are increasingly reported.We conducted a 5-year prospective cohort surveillance study in a tertiary NICU of the hospital "Paolo Giaccone," Palermo, Italy. Our objectives were to describe incidence and trends of MDR GNB colonization and the characteristics of the most prevalent organisms and to identify the risk factors for colonization. Demographic, clinical, and microbiological data were prospectively collected. Active surveillance cultures (ASCs) were obtained weekly. Clusters of colonization by extended spectrum β-lactamase (ESBL) producing Escherichia coli and Klebsiella pneumoniae were analyzed by conventional and molecular epidemiological tools.During the study period, 1152 infants were enrolled in the study. Prevalences of colonization by MDR GNB, ESBL-producing GNB and multiple species/genera averaged, respectively, 28.8%, 11.7%, and 3.7%. Prevalence and incidence density of colonization by MDR GNB and ESBL-producing GNB showed an upward trend through the surveillance period. Rates of ESBL-producing E coli and K pneumoniae colonization showed wide fluctuations peaking over the last 2 years. The only independent variables associated with colonization by MDR GNB and ESBL-producing organisms and multiple colonization were, respectively, the days of NICU stay (odds ratio [OR] 1.041), the days of exposure to ampicillin-sulbactam (OR 1.040), and the days of formula feeding (OR 1.031). Most clusters of E coli and K pneumoniae colonization were associated with different lineages. Ten out of 12 clusters had an outborn infant as their index case.Our study confirms that MDR GNB are an increasing challenge to NICUs. The universal once-a-week approach allowed us to understand the epidemiology of MDR GNB, to timely detect new clones and institute contact precautions, and to assess risk factors. Collection of these data can be an important tool to

  4. Movement Assessment Battery for Children - second edition: Cross-cultural comparison between 11–15 year old children from the Czech Republic and the United Kingdom

    Directory of Open Access Journals (Sweden)

    Rudolf Psotta

    2012-09-01

    Full Text Available BACKGROUND: With the exception of specific clinical methods, no widely used diagnostic tool for motor development assessment of children exists in the Czech Republic. The Movement Assessment Battery for Children – second edition (MABC-2 seems to be one the most developed instruments for children's motor coordination assessment. However, to use it in the Czech population of children in educational and psychological practice including physical education, the cross-validity of the test battery needs to be examined. OBJECTIVE: The aim of the study was to make a comparative analysis of performance in motor tasks of the MABC-2 measured in a Czech sample of 11–15 year old children and the United Kingdom (UK normative sample from which the norms of the MABC-2 were established. METHODS: The Czech sample of 11–15 year old children (total n = 589; 310 boys, 279 girls formed from a random selection of schools from all the geographical regions of the Czech Republic and all size categories of municipalities, was tested by the MABC-2. The results were compared to the performance of the UK normative sample of the same age (n = 344 reported in the MABC-2 Examiner's Manual by Henderson et al. (2007. For this comparative analysis, the effects size coefficient (d and the z-test were used. RESULTS: From three manual dexterity tests of the MABC-2, mean performance of the Czech sample in the Drawing trail test was shown to be significantly higher than the mean performance of the UK sample in all the age groups of both genders (d = 0.68–1.32; p CONCLUSIONS: The study revealed that the MABC-2 is valid only for assessment of gross motor coordination in Czech children, but not for assessment of manual dexterity and balance. Before the use of this test battery for Czech children for both practical and research purposes, an adjustment of the norms is needed for the Drawing trail test, Two-board balance test and Zig-zag hopping test.

  5. A multicenter, observational study of lanreotide depot/autogel (LAN) in patients with acromegaly in the United States: 2-year experience from the SODA registry.

    Science.gov (United States)

    Salvatori, Roberto; Gordon, Murray B; Woodmansee, Whitney W; Ioachimescu, Adriana G; Carver, Don W; Mirakhur, Beloo; Cox, David; Molitch, Mark E

    2017-07-24

    This analysis evaluates the 2-year effectiveness and safety of lanreotide depot/autogel (LAN), as well as treatment convenience and acromegaly symptom relief, from the Somatuline(®) Depot for Acromegaly (SODA) registry, a post-marketing, open-label, observational, multicenter, United States registry study. Patients with acromegaly treated with LAN were eligible for enrollment. Demographics, LAN dose, extended dosing interval (EDI) (interval of injections ≥42 days), insulin-like growth factor 1 (IGF-1), growth hormone (GH), glycated hemoglobin, adverse events (AEs), injection convenience, and symptom data were collected. As of September 29, 2014, 241 patients were enrolled in SODA. IGF-1 levels below age- and gender-adjusted upper normal limit (ULN) were achieved in 71.2% at month (M) 12 and 74.4% at M24; GH ≤2.5 µg/L in 83.3% at M12 and 80.0% at M24; GH <1.0 µg/L in 61.7% at M12 and 61.4% at M24. Both IGF-1 < ULN and GH ≤2.5 µg/L were achieved in 65.0% at M12 and 54.8% at M24; both IGF-1 < ULN and GH < 1.0 µg/L were achieved in 51.7 and 42.9% at M12 and M24, respectively. EDI regimen was 5.0% at baseline and 12.0% at M24. At M24, acromegaly symptoms appeared stable or improved. The most common AE was arthralgia (25.7%). Among 106 serious AEs reported by 42 patients, 10 were deemed related to therapy in 9 patients. At M24, 73.1% of patients rated LAN as convenient. SODA indicates 2-year biochemical control with majority of patients achieving both IGF-1 < ULN and GH ≤2.5 µg/L. LAN was generally well tolerated with no new or unexpected safety signals reported during the observation period. clinicaltrials.gov Clinical Trial Identifier: NCT00686348.

  6. Nineteen Ancient Poems:Variation of Literatiˊs Life Tragedy Consciousness%《古诗十九首》:士人生命悲剧意识的变奏曲

    Institute of Scientific and Technical Information of China (English)

    覃素安

    2015-01-01

    Nineteen Ancient Poems is a collection in which the literati showed their tragic fate towards the end of the Eastern Han Dynasty. The writers of Nineteen Ancient Poems were suffering from life tragedy consciousness and going through life desolation,while they were actively seeking the way of dispelling the harassment of life tragedy conscious-ness. They pursued the material desire to dispel their sorrow for manˊs s short yet bitter life in anticipation of returning the spiritual home to dispel wondering. Their awaking of self-consciousness showed in Nineteen Ancient Poems is clearer than the predecessorsˊ,and their focus shifted from the society to their own internality. To despair to the politics is the catalyst of the awaking of self-consciousness. The study on the literatiˊs effort to break through their tragic fate is further study on the tragic view of the life since 1980s and gives own understanding.%《古诗十九首》是东汉末年士人的集体悲歌。文人在深受生命悲凉感侵蚀之时,努力突围生命悲剧意识的困扰,如追求物欲享乐以消解生命苦短,企望回归精神家园来对抗漂泊之悲。相比较于之前诗人自我意识的模糊,它清晰地体现了士人个体自我意识的觉醒。对政治的绝望是士人个体自我意识觉醒的催化剂。研究《古诗十九首》士人突围生命悲剧意识的困扰及其意义,意在深化上个世纪80年代以来诗歌生命悲剧意识主题的探讨。

  7. 乔治·奥威尔《一九八四》在中国的研究综述及展望%Researches and Prospects of George Orwell' Nineteen Eighty-Four in China

    Institute of Scientific and Technical Information of China (English)

    李静; 许卉艳

    2011-01-01

    本文通过梳理国内学者对20世纪英国作家乔治·奥威尔的代表作《一九八四》的研究探讨,进一步阐述了奥威尔的写作风格、语言特点以及主要思想,并提出了研究空白及设想。%This paper reviews Chinese scholars' researches on Nineteen Eighty-Four by the 20th century British writer George Orwell. And then it further elaborates on Orwell's writing style, language features and the main idea, and proposes research gaps and ideas in the end.

  8. Evaluation of a seven-year air quality simulation using the Weather Research and Forecasting (WRF)/Community Multiscale Air Quality (CMAQ) models in the eastern United States.

    Science.gov (United States)

    Zhang, Hongliang; Chen, Gang; Hu, Jianlin; Chen, Shu-Hua; Wiedinmyer, Christine; Kleeman, Michael; Ying, Qi

    2014-03-01

    The performance of the Weather Research and Forecasting (WRF)/Community Multi-scale Air Quality (CMAQ) system in the eastern United States is analyzed based on results from a seven-year modeling study with a 4-km spatial resolution. For 2-m temperature, the monthly averaged mean bias (MB) and gross error (GE) values are generally within the recommended performance criteria, although temperature is over-predicted with MB values up to 2K. Water vapor at 2-m is well-predicted but significant biases (>2 g kg(-1)) were observed in wintertime. Predictions for wind speed are satisfactory but biased towards over-prediction with 0

  9. Post-Closure Inspection and Monitoring Report for Corrective Action Unit 417: Central Nevada Test Area Surface, Hot Creek Valley, Nevada, for Calendar Year 2007

    Energy Technology Data Exchange (ETDEWEB)

    None

    2008-09-01

    This report presents data collected during the annual post-closure site inspection conducted at the Central Nevada Test Area Surface Corrective Action Unit (CAU) 417 in May 2007. The annual post-closure site inspection included inspections of the UC-1, UC-3, and UC-4 sites in accordance with the Post-Closure Monitoring Plan provided in the CAU 417 Closure Report (NNSA/NV 2001). The annual inspection conducted at the UC-1 Central Mud Pit (CMP) indicated the site and soil cover were in good condition. No new cracks or fractures were observed in the soil cover during the annual inspection. A crack on the west portion of the cover was observed during the last quarterly inspection in December 2006. This crack was filled with bentonite as part of the maintenance activities conducted in February 2007 and will be monitored during subsequent annual inspections. The vegetation on the soil cover was adequate but showing signs of the area's ongoing drought. No issues were identified with the CMP fence, gate, or subsidence monuments. New DOE Office of Legacy Management signs with updated emergency phone numbers were installed as part of this annual inspection, no issues were identified with the warning signs and monuments at the other two UC-1 locations. The annual subsidence survey was conducted at UC-1 CMP and UC-4 Mud Pit C as part of the maintenance activities conducted in February 2007. The results of the subsidence surveys indicate that the covers are performing as expected, and no unusual subsidence was observed. A vegetation survey of the UC-1 CMP cover and adjacent areas was conducted as part of the annual inspection in May 2007. The vegetation survey indicated that revegetation continues to be successful, although stressed due to the area's prevailing drought conditions. The vegetation should continue to be monitored to document any changes in the plant community and to identify conditions that could potentially require remedial action to maintain a viable

  10. Concussion Characteristics in High School Football by Helmet Age/Recondition Status, Manufacturer, and Model: 2008-2009 Through 2012-2013 Academic Years in the United States.

    Science.gov (United States)

    Collins, Christy L; McKenzie, Lara B; Ferketich, Amy K; Andridge, Rebecca; Xiang, Huiyun; Comstock, R Dawn

    2016-06-01

    Football helmets used by high school athletes in the United States should meet the National Operating Committee on Standards for Athletic Equipment performance standards. Despite differences in interior padding and exterior shells, all football helmets should provide comparable protection against concussions. Yet, debate continues on whether differences in the rates or severity of concussions exist based on helmet age/recondition status, manufacturer, or model. To investigate whether high school football concussion characteristics varied by helmet age/recondition status, manufacturer, and model. Descriptive epidemiological study. High school football concussion and helmet data were collected from academic years 2008-2009 through 2012-2013 as part of the National High School Sports-Related Injury Surveillance Study. The certified athletic trainers of participating schools submitted athlete-exposure (AE) and injury information weekly. Participating schools reported 2900 football concussions during 3,528,790 AEs for an overall rate of 8.2 concussions per 10,000 AEs. Concussion rates significantly increased from 2008-2009 through 2012-2013 overall (P = .006) as well as in competition (P = .027) and practice (P = .023). Characteristics of concussed football players (ie, mean number of symptoms, specific concussion symptoms, symptom resolution time, and time until return to play) were similar among players wearing new helmets when compared with reconditioned helmets. Fewer players wearing an old/not reconditioned helmet had concussion symptoms resolve within 1 day compared with players wearing a new helmet. Despite differences in the manufacturers and models of helmets worn by all high school football players compared with players who sustained a concussion, the mean number of concussion symptoms, specific concussion symptoms, symptom resolution time, and time until return to play were similar for concussions sustained by football players wearing the most common helmet

  11. Ten-Year Trends in Fiber and Whole Grain Intakes and Food Sources for the United States Population: National Health and Nutrition Examination Survey 2001–2010

    Directory of Open Access Journals (Sweden)

    Carla R. McGill

    2015-02-01

    Full Text Available Current U.S. dietary guidance includes recommendations to increase intakes of both dietary fiber and whole grain (WG. This study examines fiber and WG intakes, food sources and trends from 2001 to 2010 based on National Health and Nutrition Examination Survey (NHANES data for children/adolescents (n = 14,973 and adults (n = 24,809. Mean fiber intake for children/adolescents was 13.2 (±0.1 g/day. Mean fiber intake for adults 19–50 years (y was 16.1 (±0.2 g/day and for adults 51+ was 16.1 (±0.2 g/day. There were significant increases in fiber intake from 2001–2010 for children/adolescents and for adults 51+ y. Mean WG intake for children/adolescents was 0.52 (±0.01 oz eq/day. Mean WG intake for adults 19–50 y was 0.61 (±0.02 oz eq/day and for adults 51+ 0.86 (±0.02 oz eq/day. There were no significant changes in WG intake for any age group from 2001–2010. The main food groups contributing to dietary fiber intake for children/adolescents were vegetables (16.6%, grain mixtures (16.3%, other foods (15.8% and fruits (11.3%. For adults 19+ y, the main sources of dietary fiber were vegetables (22.6%, other foods (14.3%, grain mixtures (12.0% and fruits (11.1%. Major WG sources for children/adolescents included ready-to-eat cereals (RTEC (31%, yeast breads/rolls (21% and crackers and salty grain snacks (21%. The main sources of WG for adults 19+ were yeast breads/rolls (27%, RTEC (23% and pastas/cooked cereals/rice (21%. Recommending cereals, breads and grain mixtures with higher contents of both dietary fiber and WG, along with consumer education, could increase intakes among the United States (U.S. population.

  12. Toward a World of Peace: People Create Alternatives. Proceedings of the International Conference on Conflict Resolution and Peace Studies in the United Nations Year of Peace, 1986 (1st, Suva, Fiji, August 1986).

    Science.gov (United States)

    Maas, Jeanette P., Ed.; Stewart, Robert A. C., Ed.

    This book is a review of the 1986 United Nations International Year of Peace conducted at an international conference in Fiji. The theme of the conference was "People Create Alternatives," and the issues of conflict resolution and avoiding global destruction were addressed. Specific topics discussed were: (1) "Theories and…

  13. Surveillance for Health Care Access and Health Services Use, Adults Aged 18-64 Years - Behavioral Risk Factor Surveillance System, United States, 2014.

    Science.gov (United States)

    Okoro, Catherine A; Zhao, Guixiang; Fox, Jared B; Eke, Paul I; Greenlund, Kurt J; Town, Machell

    2017-02-24

    As a result of the 2010 Patient Protection and Affordable Care Act, millions of U.S. adults attained health insurance coverage. However, millions of adults remain uninsured or underinsured. Compared with adults without barriers to health care, adults who lack health insurance coverage, have coverage gaps, or skip or delay care because of limited personal finances might face increased risk for poor physical and mental health and premature mortality. 2014. The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based, landline- and cellular-telephone survey of noninstitutionalized adults aged ≥18 years residing in the United States. Data are collected from states, the District of Columbia, and participating U.S. territories on health risk behaviors, chronic health conditions, health care access, and use of clinical preventive services (CPS). An optional Health Care Access module was included in the 2014 BRFSS. This report summarizes 2014 BRFSS data from all 50 states and the District of Columbia on health care access and use of selected CPS recommended by the U.S. Preventive Services Task Force or the Advisory Committee on Immunization Practices among working-aged adults (aged 18-64 years), by state, state Medicaid expansion status, expanded geographic region, and federal poverty level (FPL). This report also provides analysis of primary type of health insurance coverage at the time of interview, continuity of health insurance coverage during the preceding 12 months, and other health care access measures (i.e., unmet health care need because of cost, unmet prescription need because of cost, medical debt [medical bills being paid off over time], number of health care visits during the preceding year, and satisfaction with received health care) from 43 states that included questions from the optional BRFSS Health Care Access module. In 2014, health insurance coverage and other health care access measures varied substantially by state, state

  14. ENERGY STAR Unit Reports

    Data.gov (United States)

    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...

  15. Nonfilter and filter cigarette consumption and the incidence of lung cancer by histological type in Japan and the United States: analysis of 30-year data from population-based cancer registries.

    Science.gov (United States)

    Ito, Hidemi; Matsuo, Keitaro; Tanaka, Hideo; Koestler, Devin C; Ombao, Hernando; Fulton, John; Shibata, Akiko; Fujita, Manabu; Sugiyama, Hiromi; Soda, Midori; Sobue, Tomotaka; Mor, Vincent

    2011-04-15

    Shifts in the histologic type of lung cancer accompanying changes in lung cancer incidence have been observed in Japan and the United States. We examined the association between the shift in tobacco design from nonfilter to filter cigarettes with changes in the incidence of adenocarcinoma (AD) and squamous cell carcinoma (SQ) of the lung. We compiled population-based incidence data from the Surveillance, Epidemiology and End Results in the United States (1973-2005) and from selected Japanese cancer registries (1975-2003). Trends in age-standardized rates of lung cancer incidence by histologic type were characterized using joinpoint analyses. A multiple regression framework was used to examine the relationship between tobacco use and incidence by histologic type. We observed that AD has replaced SQ as the most frequent histologic type in males and females in both Japan and the United States. Filter cigarette consumption was positively associated with the incidence of AD, with time lags of 25 and 15 years in Japan and the United States, respectively ( beta(2)(AD)): 1.946 × 10(-3) , p consumption was positively associated with the incidence of SQ, with time lags of 30 and 20 years in Japan and the United States, respectively (beta (SQ)(2) ): 0.464 × 10(-3) , p = 0.006 and 0.364 × 10(-3) , p = 0.008). In conclusion, the shift from nonfilter to filter cigarettes appears to have merely altered the most frequent type of lung cancer, from SQ to AD.

  16. POST CLOSURE INSPECTION AND MONITORING REPORT FOR CORRECTIVE ACTION UNIT 417: CENTRAL NEVADA TEST AREA - SURFACE, HOT CREEK VALLEY, NEVADA; FOR CALENDAR YEAR 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-04-01

    Corrective Action Unit (CAU) 417, Central Nevada Test Area - Surface, is located in Hot Creek Valley in northern Nye County, Nevada, and consists of three areas commonly referred to as UC-1, UC-3, and UC-4. CAU 417 consists of 34 Corrective Action Sites (CASs) which were closed in 2000 (U. S. Department of Energy, National Nuclear Security Administration Nevada Operations Office, 2001). Three CASs at UC-1 were closed in place with administrative controls. At CAS 58-09-01, Central Mud Pit (CMP), a vegetated soil cover was constructed over the mud pit. At the remaining two sites CAS 58-09-02, Mud Pit and 58-09-05, Mud Pits (3), aboveground monuments and warning signs were installed to mark the CAS boundaries. Three CASs at UC-3 were closed in place with administrative controls. Aboveground monuments and warning signs were installed to mark the site boundaries at CAS 58-09-06, Mud Pits (5), CAS 58-25-01, Spill and CAS 58-10-01, Shaker Pad Area. Two CASs that consist of five sites at UC-4 were closed in place with administrative controls. At CAS 58-09-03, Mud Pits 9, an engineered soil cover was constructed over Mud Pit C. At the remaining three sites in CAS 58-09-03 and at CAS 58-10-05, Shaker Pad Area, aboveground monuments and warning signs were installed to mark the site boundaries. The remaining 26 CASs at CAU 417 were either clean-closed or closed by taking no further action. Quarterly post-closure inspections are performed at the CASs that were closed in place at UC-I, UC-3, and UC-4. During calendar year 2005, site inspections were performed on March 15, June 16, September 22, and December 7. The inspections conducted at the UC-1 CMP documented that the site was in good condition and continued to show integrity of the cover unit. No new cracks or fractures were observed until the December inspection. A crack on the west portion of the cover showed evidence of lateral expansion; however, it is not at an actionable level. The crack will be sealed by filling with

  17. 25 years of economic research on non-timber forest products in the United States: History, trends, status, and future priorities

    Science.gov (United States)

    Non-timber forest products (NTFPs) are one of many economic benefits that forests provide to society, and understanding their value helps us understand the total economic value of forests. In the early 1990s, economic research on NTFPs in the United States increased, in the Pacific Northwest and oth...

  18. Matching "The Carnival of the Animals" to Drawings with Children 6-9 Years Old in England, Japan, Korea, Spain, and the United States.

    Science.gov (United States)

    Moore, Randall; Cutler, Joan E.; Mito, Hiromichi; Auh, Myung-Sook; Brotons, Melissa

    1999-01-01

    Investigates how accurately children, ages 6-9 from England, Japan, Korea, Spain, and the United States, could match eight animal drawings to excerpts from the well-known concert music, "The Carnival of the Animals" by Charles Camille Saint-Saens. Indicates a mean correct response of 40% without instruction. Discusses two extension…

  19. A Seven-Year Survey of Management of Coagulase-Negative Staphylococcal Sepsis in the Neonatal Intensive Care Unit : Vancomycin May Not Be Necessary as Empiric Therapy

    NARCIS (Netherlands)

    Hemels, Marieke A. C.; van den Hoogen, Agnes; Verboon-Maciolek, Malgorzata A.; Fleer, Andre; Krediet, Tannette G.

    2011-01-01

    Background: The typical empiric therapy for coagulase-negative staphylococcal (CONS) sepsis includes vancomycin. In our neonatal intensive care unit, we have consistently avoided the use of vancomycin to treat CONS sepsis, except for specific cases, and have used instead cefazolin as empiric agent.

  20. Annual Demographic Report: Hiring and Retention of Minorities, Women, and Persons with Disabilities in the United States Intelligence Community Fiscal Year 2015

    Science.gov (United States)

    2016-01-01

    program seeks to expand and improve the teaching and learning of strategically important world languages not widely taught in the United States...America strong. This includes, but is not limited to, race, culture , heritage, gender, age, religion, language skills, differing abilities, sexual...has received favorable reviews from the U.S. language learning community as a high-quality program with the potential to significantly increase

  1. A Formative Evaluation of Me Now, Unit I, Digestion and Circulation, Life Sciences for the Educable Mentally Handicapped Intermediate Grades (11-13 years).

    Science.gov (United States)

    Robinson, James T.; Tolman, Richard R.

    In order to evaluate Unit I (Digestion and Circulation) of the Me Now series of Life Sciences for the Educable Mentally Handicapped, 139 students in an experimental group (mean IQ 72.04; mean CA 144.9 months) and 154 control subjects (mean IQ 70.2; mean CA 148.3 months) were pre- and post-tested following instruction in the Me Now series…

  2. Results of the 2008-2009 International Pressure Ulcer Prevalence Survey and a 3-year, acute care, unit-specific analysis.

    Science.gov (United States)

    VanGilder, Catherine; Amlung, Stephanie; Harrison, Patrick; Meyer, Stephanie

    2009-11-01

    The National Quality Forum has identified a pressure ulcer as a hospital-acquired condition (HAC) that is high-cost and high-volume and may be preventable with implementation of evidence-based guidelines. The Center for Medicare and Medicaid Services no longer reimburses acute care facilities for the ancillary cost of facility-acquired (FA) ulcers. Benchmarking patient safety indicators, such as FA, may help facilities reduce pressure ulcer rates. The purpose of this observational, cross-sectional cohort study was to report the International Pressure Ulcer Prevalence Survey (IPUP) in the United States in 2008 and 2009. In addition, previously collected data (2006/2007) were used to evaluate and report general and unit-specific prevalence rates in acute care facilities. The overall prevalence and FA pressure ulcer rates were 13.5% and 6% (2008, N = 90,398) and 12.3 and 5% (2009, N = 92,408), respectively. In 2008 and 2009, overall prevalence rates were highest in long-term acute care (22%). FA rates were highest in adult intensive care units (ICUs) and ranged from 9.2% (general cardiac care unit [CCU]) to 12.1% (medical ICU) in 2008 and from 8.8% (general CCU) to 10.3% (surgical ICU) in 2009. In 2009, 3.3% of ICU patients developed severe FA ulcers (Stage III, Stage IV, eschar/unable to stage, or deep tissue injury). In 2009, approximately 10% (n = 1,631) of all ulcers were described as device-related. The most common anatomic locations for device-related ulcers were the ear (20%) and sacral/coccyx region (17%). Both the overall and FA pressure ulcer prevalence rates were lower in 2008 and 2009 than in 2006 and 2007. Results indicate that, although overall prevalence trends are encouraging, there is a stark contrast from the desired state, especially in adult ICUs.

  3. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada for fiscal year 2013 (October 2012 - September 2013)

    Energy Technology Data Exchange (ETDEWEB)

    None,

    2014-01-31

    This report serves as the combined annual report for post-closure activities for the following closed Corrective Action Units (CAUs): CAU 90, Area 2 Bitcutter Containment; CAU 91, Area 3 U-3fi Injection Well; CAU 92, Area 6 Decon Pond Facility; CAU 110, Area 3 WMD U-3ax/bl Crater; CAU 111, Area 5 WMD Retired Mixed Waste Pits; and, CAU 112, Area 23 Hazardous Waste Trenches.

  4. An Exploration of the Rhetorical Effects of Tautology in The Nineteen Ancient Poems%《古诗十九首》的重言修辞效果探究

    Institute of Scientific and Technical Information of China (English)

    宋洁; 王腊娟

    2015-01-01

    Form and content interrelate with each other .The appropriate from can arouse the readers ' Emotional resonance .The Nineteen Ancient Poems is a good example of the rhetorical device tautology which appears 31 times in it.Firstly, tautology and other rhetorical devices make up an artistic form .Then tautology is effective and significant in creating the artistic state , the wanderer image and and the rhythm of poems .%形式与内容互相作用. 恰当的形式可以唤起读者情感,引起共鸣. 形式上,重言修辞在《古诗十九首》中高达31次,且堪称典范. 首先重言修辞格与其他修辞格共同作用构成其艺术形式,其次重言修辞格在其艺术境界的创造方面有重大作用,最后重言修辞格对游子形象的塑造和诗歌的节律具有重要影响.

  5. Technical evaluation report on the Third 10-year Interval Inservice Inspection Program Plan: Florida Power and Light Company, Turkey Point Nuclear Power Plant, Units 3 and 4 (Docket Numbers 50-250 and 50-251)

    Energy Technology Data Exchange (ETDEWEB)

    Brown, B.W.; Feige, E.J.; Galbraith, S.G.; Porter, A.M.

    1995-02-01

    This report presents the results of the evaluation of the Turkey Point Nuclear Power Plant, Units 3 and 4, Third 10-Year Interval Inservice Inspection Program Plan, Revision 0, submitted September 9, 1993, including the requests for relief from the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, Section XI, requirements that the licensee has determined to be impractical. The Turkey Point Nuclear Power Plant, Units 3 and 4, Third 10-Year Interval Inservice Inspection Program Plan is evaluated in Section 2 of this report. The inservice inspection (ISI) program plan is evaluated for (a) compliance with the appropriate edition/addenda of Section XI, (b) acceptability of the examination sample, (c) correctness of the application of system or component examination exclusion criteria, and (d) compliance with ISI-related commitments identified during previous Nuclear Regulatory Commission (NRC) reviews. The requests for relief are evaluated in Section 3 of this report.

  6. Two-year persistence and compliance with osteoporosis therapies among postmenopausal women in a commercially insured population in the United States.

    Science.gov (United States)

    Durden, Emily; Pinto, Lionel; Lopez-Gonzalez, Lorena; Juneau, Paul; Barron, Richard

    2017-12-01

    This retrospective, observational study assessed 2-year persistence and compliance by treatment, route of administration, and dosing frequency in postmenopausal women initiating a new osteoporosis therapy. Two-year persistence and compliance rates were higher in women receiving injectables compared with oral agents. This study extends previous studies limited to 1-year follow-up by examining persistence with osteoporosis therapies over a 2-year period and compares short- and long-term trends in persistence and compliance among postmenopausal women with commercial or Medicare supplemental insurance in the USA. This retrospective, observational cohort study enrolled women ≥50 years newly initiating osteoporosis therapy between January 1 and December 31, 2012 (i.e., the index date), with continuous enrollment ≥14 months before and ≥24 months after their index date. Persistence (continuous therapy without a >60-day gap) and compliance with the index therapy were evaluated at 2 years of follow-up. Multivariable logistic regression was used to compare the odds of persistence and compliance across treatment and dosing regimens. This study included 43,543 patients with mean (standard deviation) age 65 (10) years. At 2 years of follow-up, persistence and compliance were higher for patients treated with injectable agents (ranging from 34 to 41%, excluding an every-3-month injection) than those treated with oral agents (ranging from 20 to 31%). Additionally, patients initiating oral bisphosphonates (except risedronate once daily), raloxifene (daily), or zoledronic acid (annually) had significantly lower odds of persistence compared with denosumab (every 6 months). Patients initiating injectable therapies had greater persistence and compliance at 2 years than those initiating oral therapies. Patients initiating an every-6-month injection had significantly higher persistence compared with those initiating more frequently dosed (e.g., daily and weekly) oral or

  7. A cross-cultural examination of the mediating role of family support and parental advice quality on the relationship between family communication patterns and first-year college student adjustment in the United States and Belgium

    OpenAIRE

    Dorrance Hall, Elizabeth; McNallie, Jenna; Custers, Kathleen; Timmermans, Elisabeth; Wilson, Steven R; Van den Bulck, Jan

    2016-01-01

    This study examines how college students’ family communication environments influence their adjustment during the first year of college in two distinct cultures: Belgium (n = 513) and the United States (n = 431). Three structural equation models were tested to determine the mediating effects of (a) perceived family support, (b) quality of academic advice from parents, and (c) quality of social advice from parents on associations between family communication patterns (FCPs) and student adju...

  8. The Statistical Analysis of Stock Market of Second Board of the United States for the Recent Years%对近几年美国创业资本市场的统计分析

    Institute of Scientific and Technical Information of China (English)

    胡海峰

    2004-01-01

    The second board stock market of the United States is now the largest and most developed one in theworld after 50-year development. It provides American technical innovation enterprises with necessarycapital and management supports, plays a very important role in promoting high-tech industries. Thepaper tries to statistically analyse the characteristics of the second board market and the effects andimpacts on macro-economy.

  9. [Risk factors for impaired development in children attended at family health units at the end of the first year of life: socio-demographic aspects and maternal mental health].

    Science.gov (United States)

    Ribeiro, Débora Gerardo; Perosa, Gimol Benzaquen; Padovani, Flávia Helena Pereira

    2014-01-01

    The scope of this article is to evaluate risk and protection factors for the development of 1-year-olds assisted at family health care units. It is a cross-sectional study involving 65 children of approximately 1 year of age and their mothers attended at two family health care units. The development was assessed using a developmental screening test (Denver II). The mothers filled out the SRQ-20 questionnaire to identify common mental disorder (CMD) indicators. After data collection, descriptive and inferential statistical analysis was performed. Global development was at risk in 43.1% of the children evaluated, and the most affected areas were language and fine motor development; 44.6% of mothers had results indicative of CMD when the child was 1 year of age. In bivariate analysis, reported depression, smoking, infections in pregnancy, CMD after birth and working outside the home were significantly associated with the children's development. After full statistical analysis, CMD was revealed as being a risk factor, and working away from home as being a protection factor. In order to increase the chances of success of programs targeted for children at health care units and avoiding the risk of impaired development, it is important to focus on two aspects: children's stimulation and maternal mental health.

  10. The U.S. Geological Survey’s nonindigenous aquatic species database: over thirty years of tracking introduced aquatic species in the United States (and counting)

    Science.gov (United States)

    Fuller, Pamela L.; Neilson, Matthew E.

    2015-01-01

    The U.S. Geological Survey’s Nonindigenous Aquatic Species (NAS) Database has tracked introductions of freshwater aquatic organisms in the United States for the past four decades. A website provides access to occurrence reports, distribution maps, and fact sheets for more than 1,000 species. The site also includes an on-line reporting system and an alert system for new occurrences. We provide an historical overview of the database, a description of its current capabilities and functionality, and a basic characterization of the data contained within the database.

  11. Attributes for NHDPlus Catchments (Version 1.1) for the Conterminous United States: 30-Year Average Annual Maximum Temperature, 1971-2000

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set represents the 30-year (1971-2000) average annual maximum temperature in Celsius multiplied by 100 compiled for every catchment of NHDPlus for the...

  12. Attributes for NHDPlus Catchments (Version 1.1) for the Conterminous United States: 30-Year Average Annual Minimum Temperature, 1971-2000

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set represents the 30-year (1971-2000) average annual minimum temperature in Celsius multiplied by 100 compiled for every catchment of NHDPlus for the...

  13. Attributes for MRB_E2RF1 Catchments by Major River Basins in the Conterminous United States: 30-Year Average Daily Minimum Temperature, 1971-2000

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This tabular data set represents thecatchment-average for the 30-year (1971-2000) average daily minimum temperature in Celsius multiplied by 100 compiled for every...

  14. Attributes for MRB_E2RF1 Catchments by Major River Basins in the Conterminous United States: 30-Year Average Annual Precipitation, 1971-2000

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This tabular data set represents the 30-year (1971-2000) average annual precipitation in millimeters multiplied by 100 compiled for every MRB_E2RF1 catchment of...

  15. Attributes for NHDPlus Catchments (Version 1.1) for the Conterminous United States: 30-Year Average Annual Precipitation, 1971-2000

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set represents the 30-year (1971-2000) average annual precipitation in millimeters multiplied by 100 compiled for every catchment of NHDPlus for the...

  16. Sexual Activity and Function in the Year After an Acute Myocardial Infarction Among Younger Women and Men in the United States and Spain.

    Science.gov (United States)

    Lindau, Stacy Tessler; Abramsohn, Emily; Bueno, Hector; D'Onofrio, Gail; Lichtman, Judith H; Lorenze, Nancy P; Sanghani, Rupa Mehta; Spatz, Erica S; Spertus, John A; Strait, Kelly M; Wroblewski, Kristen; Zhou, Shengfan; Krumholz, Harlan M

    2016-10-01

    Most younger adults who experience an acute myocardial infarction (AMI) are sexually active before the AMI, but little is known about sexual activity or sexual function after the event. To describe patterns of sexual activity and function and identify indicators of the probability of loss of sexual activity in the year after AMI. Data from the prospective, multicenter, longitudinal Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients study (conducted from August 21, 2008, to January 5, 2012) were assessed at baseline, 1 month, and 1 year. Participants were from US (n = 103) and Spanish (n = 24) hospitals and completed baseline and all follow-up interviews. Data analysis for the present study was conducted from October 15, 2014, to June 6, 2016. Characteristics associated with loss of sexual activity were assessed using multinomial logistic regression analyses. Loss of sexual activity after AMI. Of the 2802 patients included in the analysis, 1889 were women (67.4%); median (25th-75th percentile) age was 49 (44-52) years (range, 18-55 years). At all time points, 637 (40.4%) of women and 437 (54.9%) of men were sexually active. Among people who were active at baseline, men were more likely than women to have resumed sexual activity by 1 month (448 [63.9%] vs 661 [54.5%]; P year (662 [94.4%] vs 1107 [91.3%]; P = .01) after AMI. Among people who were sexually active before and after AMI, women were less likely than men to report no sexual function problems in the year after the event (466 [40.3%] vs 382 [54.8%]; P year after the AMI. At 1 year, the most prevalent sexual problems were lack of interest (487 [39.6%]) and trouble lubricating (273 [22.3%]) among women and erectile difficulties (156 [21.7%]) and lack of interest (137 [18.8%]) among men. Those who had not communicated with a physician about sex in the first month after AMI were more likely to delay resuming sex (adjusted odds ratio [AOR], 1.51; 95% CI, 1.11-2.05; P = .008

  17. Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

    Science.gov (United States)

    GUERCIO, G.; AUGELLO, G.; LICARI, L.; DAFNOMILI, A.; RASPANTI, C.; BAGARELLA, N.; FALCO, N.; ROTOLO, G.; FONTANA, T.; PORRELLO, C.; GULOTTA, G.

    2016-01-01

    Acute appendicitis is common in an Emergency Surgery Unit. Although the laparoscopic approach is a method accepted for its treatment, no strong data are available for determining how many procedures must an experienced surgeon carry out for obtaining all the advantages of this technique and if this approach can become the gold standard in the activity of a general emergency unit with senior surgeons variously skilled on the basic laparoscopy. 142 patients that underwent appendectomy (90 laparoscopic, 52 conventional) for acute appendicitis were enrolled in this institutional retrospective cohort study. The surgeons were classified with a descriptor-based grading and divided in two groups regarding the skill. The only relevant result of our study was the significant reduction of conversion rate in case of laparoscopic approach. No strong differences were found concerning the duration of the procedure and the hospital stay between the two groups. The rate of complications were very low in both groups. In conclusion, the experienced surgeons can easily perform a laparoscopic approach independently from the specific skill in this approach. PMID:27938536

  18. [Frequency and determinants of inter-hospital transfers in the Local Health Unit of Frosinone, Italy in the years 1997-2005].

    Science.gov (United States)

    Tersigni, Ivan; Federico, B; Capelli, G

    2008-01-01

    Community and rural hospitals rely to a greater extent on transferring acute patients to other settings which can provide the required definitive care. Using data on all hospital discharges of patients from the 11 acute care hospitals of the Frosinone Local Health Unit (7 of which were publicly run, and 4 were run by privates) over the period 1997-2005, a study was carried out to assess the frequency, time-trend and determinants of transfers. Between 1997 and 2005, 8,009 patients (1.3%) were transferred to acute care hospitals, while 2,499 (0.4%) were transferred to long-term and rehabilitation hospitals. The proportion of patients transferred to acute care hospitals increased over time, while that of patients transferred to long-term services was stable. Men, the elderly, those admitted in intensive care units and those with orthopaedic injuries, burns, traumas, drug abuse, mental illnesses, neurological and cardiovascular diseases were more likely to be transferred. Adjusting for other risk factors, the hospital of Ceccano had a higher frequency of transfers (8.7%) compared to the other hospitals, while privately administered hospitals showed a much lower percentage of inter-hospital transfers.

  19. Uptake of a new meningitis vaccination programme amongst first-year undergraduate students in the United Kingdom: A cross-sectional study.

    Science.gov (United States)

    Blagden, Sarah; Seddon, Daniel; Hungerford, Daniel; Stanistreet, Debbi

    2017-01-01

    In 2015 meningococcal group W was declared endemic in the UK, with the meningococcal ACWY vaccination (MenACWY) subsequently introduced amongst adolescents and first-year university students. This study aimed to determine MenACWY uptake amongst students and to evaluate how this was influenced by demographics and via the Health Belief Model (HBM). This was a cross-sectional study conducted at a British university amongst first-year undergraduate students aged 18-25 years. Data collection was via an electronic questionnaire encompassing demographics, the HBM and vaccination status. Univariable analysis of the associations between demographics, health beliefs and vaccination was performed, followed by multiple logistic regression. 401 participants were included in analysis. Vaccine uptake was 68.1%. Variables independently associated with vaccination upon multiple regression were age, gap-year, perceived effectiveness of the vaccine and knowledge about risk of meningitis. Compared to 18 year-olds, the odds of vaccination were reduced for 19 year-olds (aOR = 0.087, 95% CI = 0.010-0.729), 20 year-olds (aOR = 0.019, 95% CI = 0.002-0.161) and 21-25 year-olds (aOR = 0.003, 95% CI = year (aOR = 2.939, 95% CI = 1.329-6.501), higher perceived vaccine effectiveness (aOR = 3.555, 95% CI = 1.787-7.073) and knowledge about meningitis risk (aOR = 2.481, 95% CI = 1.165-5.287) were independently associated with increased uptake. MenACWY uptake amongst students in this study and in other sources is above the national coverage for all adolescents (35.3%), indicating that this vaccination programme may be increasing health inequalities. Older students are less likely to become vaccinated due to differing vaccination policy in this age-group. In future, strategies that focus on specific student cohorts and that highlight vaccine effectiveness and the risk of meningitis should be considered. National evaluation of this vaccination programme is recommended to clarify its impact on health

  20. SAPHO syndrome: 20-year follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Davies, A.M. [Department of Radiology, Royal Orthopaedic Hospital, Birmingham (United Kingdom)]|[MRI Centre, Birmingham (United Kingdom); Marino, A.J.; Grimer, R.J. [Department of Orthopaedic Oncology, Royal Orthopaedic Hospital, Birmingham (United Kingdom); Evans, N. [Department of Radiology, Royal Orthopaedic Hospital, Birmingham (United Kingdom); Deshmukh, N.; Mangham, D.C. [Department of Pathology, Royal Orthopaedic Hospital, Birmingham (United Kingdom)

    1999-03-01

    Considerable attention has been paid in the past 10 years to the radiological spectrum of disease entities belonging to the SAPHO syndrome. We report an unusual case presenting with an extra-axial (femoral) lesion, prior to description of this syndrome, which was radiologically and histologically mistaken for a parosteal osteosarcoma. Nineteen years later, a further lesion developed in the scapula together with the typical sternoclavicular manifestations, at which stage the correct diagnosis of SAPHO syndrome was established. (orig.) With 6 figs., 18 refs.

  1. Estimating the thermodynamic properties of phosphate minerals at high and low temperature from the sum of constituent units

    Energy Technology Data Exchange (ETDEWEB)

    La Iglesia, A.

    2009-07-01

    Using the polyhedral units model of Hazen and employing a method of least-squares, the contribution of nineteen constituent units to the free energy and fifteen units to the enthalpy, at 298 K and 1 bar of pressure, have been calculated for mineral phosphates. The contribution of these constituent units to the free energy at higher temperatures has also been calculated. From these data we can estimate the thermodynamic properties of phosphates by summing the contribution of the distinct units, with more accuracy than the methods published up until now. (Author) 36 refs.

  2. An Epidemiological Study on the Incidence of Accidents Among under 5 Years of Age Referred to Emergency Hospital Units in Hamadan Province

    Directory of Open Access Journals (Sweden)

    Salman Khazaei

    2016-09-01

    Full Text Available Background and objectives : Accidents and injuries are the leading causes of avoidable illness and death in most of the countries in the world. For health policymakers, it is essential to have knowledge about the occurrence of accidents. The aim of this study was to evaluate the incidence of accidents in children under 5 years of age referring to emergency departments in Hamadan province. Material and Methods: This is a retrospective study that all under 5 years of age patients referred to hospitals in Hamadan province were enrolled in the study during 2009 to 2014. Data were extracted from injury register software and by using descriptive and analytic statistics, data were analyzed with STATA software version 12 at the level of error less        than 5%. Results: A total of 7409 under 5 years of age patients were registered during this period. 70.4% were male and 38.97% of them were under 1 year old. Home accidents included 45.07% of the accidents. Car accidents (27.89%, hit (22.16% and fall (16.79% were the most occurred accidents in both sexes. Conclusion: Due to the high incidence of accidents at home and roads, necessary precautions should be taken in this regard

  3. National Trends in the Adoption of Laparoscopic Cholecystectomy over 7 Years in the United States and Impact of Laparoscopic Approaches Stratified by Age

    Directory of Open Access Journals (Sweden)

    Anahita Dua

    2014-01-01

    Full Text Available Introduction. The aim of this study was to characterize national trends in adoption of laparoscopic cholecystectomy and determine differences in outcome based on type of surgery and patient age. Methods. Retrospective cross-sectional study of patients undergoing cholecystectomy. Trends in open versus laparoscopic cholecystectomy by age group and year were analyzed. Differences in outcomes including in-hospital mortality, complications, discharge disposition, length of stay (LOS, and cost are examined. Results. Between 1999 and 2006, 358,091 patients underwent cholecystectomy. In 1999, patients aged ≥80 years had the lowest rates of laparoscopic cholecystectomy, followed by those aged 65–79, 64–50, and 49–18 years (59.7%, 65.3%, 73.2%, and 83.5%, resp., P<0.05. Laparoscopic cholecystectomy was associated with improved clinical and economic outcomes across all age groups. Over the study period, there was a gradual increase in laparoscopic cholecystectomy performed among all age groups during each year, though elderly patients continued to lag significantly behind their younger counterparts in rates of laparoscopic cholecystectomy. Conclusion. This is the largest study to report trends in adoption of laparoscopic cholecystectomy in the US in patients stratified by age. Elderly patients are more likely to undergo open cholecystectomy. Laparoscopic cholecystectomy is associated with improved clinical outcomes.

  4. National Trends in the Adoption of Laparoscopic Cholecystectomy over 7 Years in the United States and Impact of Laparoscopic Approaches Stratified by Age

    Science.gov (United States)

    Aziz, Abdul; Desai, Sapan S.; McMaster, Jason

    2014-01-01

    Introduction. The aim of this study was to characterize national trends in adoption of laparoscopic cholecystectomy and determine differences in outcome based on type of surgery and patient age. Methods. Retrospective cross-sectional study of patients undergoing cholecystectomy. Trends in open versus laparoscopic cholecystectomy by age group and year were analyzed. Differences in outcomes including in-hospital mortality, complications, discharge disposition, length of stay (LOS), and cost are examined. Results. Between 1999 and 2006, 358,091 patients underwent cholecystectomy. In 1999, patients aged ≥80 years had the lowest rates of laparoscopic cholecystectomy, followed by those aged 65–79, 64–50, and 49–18 years (59.7%, 65.3%, 73.2%, and 83.5%, resp., P < 0.05). Laparoscopic cholecystectomy was associated with improved clinical and economic outcomes across all age groups. Over the study period, there was a gradual increase in laparoscopic cholecystectomy performed among all age groups during each year, though elderly patients continued to lag significantly behind their younger counterparts in rates of laparoscopic cholecystectomy. Conclusion. This is the largest study to report trends in adoption of laparoscopic cholecystectomy in the US in patients stratified by age. Elderly patients are more likely to undergo open cholecystectomy. Laparoscopic cholecystectomy is associated with improved clinical outcomes. PMID:24790759

  5. Nonfatal and Fatal Self-Harm Injuries among Children Aged 10-14 Years--United States and Oregon, 2001-2003

    Science.gov (United States)

    Vajani, Madhavi; Annest, Joseph L.; Crosby, Alex E.; Alexander, Janice D.; Millet, Lisa M.

    2007-01-01

    Fatal and nonfatal injuries due to suicidal behavior among younger adolescents are of growing concern for many communities. We examined the incidence and patterns of these injuries among persons aged 10-14 years using three databases, two national and a third from Oregon. Suffocation and firearm gunshot were the leading external causes of suicide;…

  6. A comparison of the prevalence of the metabolic syndrome in the United States (US) and Korea in young adults aged 20 to 39 years

    Science.gov (United States)

    This study estimated and compared the prevalence of the Metabolic Syndrome and its individual components in young adults (ages 20-39 years) in the US and Korea using 2003-2004 US and 2005 Korean National Health and Nutrition Examination Survey data. The mean body mass index and rate of metabolic abn...

  7. Vital signs: trends in use of long-acting reversible contraception among teens aged 15-19 years seeking contraceptive services—United States, 2005-2013.

    Science.gov (United States)

    Romero, Lisa; Pazol, Karen; Warner, Lee; Gavin, Lorrie; Moskosky, Susan; Besera, Ghenet; Loyola Briceno, Ana Carolina; Jatlaoui, Tara; Barfield, Wanda

    2015-04-10

    Nationally, the use of long-acting reversible contraception (LARC), specifically intrauterine devices (IUDs) and implants, by teens remains low, despite their effectiveness, safety, and ease of use. To examine patterns in use of LARC among females aged 15-19 years seeking contraceptive services, CDC and the U.S. Department of Health and Human Services' Office of Population Affairs analyzed 2005-2013 data from the Title X National Family Planning Program. Title X serves approximately 1 million teens each year and provides family planning and related preventive health services for low-income persons. Use of LARC among teens seeking contraceptive services at Title X service sites increased from 0.4% in 2005 to 7.1% in 2013 (p-value for trend contraceptive services in 2013, 17,349 (2.8%) used IUDs, and 26,347 (4.3%) used implants. Use of LARC was higher among teens aged 18-19 years (7.6%) versus 15-17 years (6.5%) (pcontraception at Title X service sites have increased use of these methods. Health centers that provide quality contraceptive services can facilitate use of LARC among teens seeking contraception. Strategies to address provider barriers to offering LARC include: 1) educating providers that LARC is safe for teens; 2) training providers on LARC insertion and a client-centered counseling approach that includes discussing the most effective contraceptive methods first; and 3) providing contraception at reduced or no cost to the client.

  8. Attributes for MRB_E2RF1 Catchments by Major River Basins in the Conterminous United States: 30-Year Average Annual Precipitation, 1971-2000

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This tabular data set represents the 30-year (1971-2000) catchment-average total annual precipitation in millimeters multiplied by 100 compiled for every MRB_E2RF1...

  9. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada: For Calendar Year 2016, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro, Las Vegas, NV (United States)

    2017-03-01

    This report covers the reporting period calendar year 2016 and the fourth quarter of 2015 (October 2015 through December 2016). This change to the reporting periods (i.e., fiscal to calendar) is to gain efficiencies during report development and to better align with other environmental report schedules.

  10. Remodeling of U2-U6 snRNA helix I during pre-mRNA splicing by Prp16 and the NineTeen Complex protein Cwc2.

    Science.gov (United States)

    Hogg, Rebecca; de Almeida, Rogerio Alves; Ruckshanthi, Jayalath P D; O'Keefe, Raymond T

    2014-07-01

    Removal of intron regions from pre-messenger RNA (pre-mRNA) requires spliceosome assembly with pre-mRNA, then subsequent spliceosome remodeling to allow activation for the two steps of intron removal. Spliceosome remodeling is carried out through the action of DExD/H-box ATPases that modulate RNA-RNA and protein-RNA interactions. The ATPase Prp16 remodels the spliceosome between the first and second steps of splicing by catalyzing release of first step factors Yju2 and Cwc25 as well as destabilizing U2-U6 snRNA helix I. How Prp16 destabilizes U2-U6 helix I is not clear. We show that the NineTeen Complex (NTC) protein Cwc2 displays genetic interactions with the U6 ACAGAGA, the U6 internal stem loop (ISL) and the U2-U6 helix I, all RNA elements that form the spliceosome active site. We find that one function of Cwc2 is to stabilize U2-U6 snRNA helix I during splicing. Cwc2 also functionally cooperates with the NTC protein Isy1/NTC30. Mutation in Cwc2 can suppress the cold sensitive phenotype of the prp16-302 mutation indicating a functional link between Cwc2 and Prp16. Specifically the prp16-302 mutation in Prp16 stabilizes Cwc2 interactions with U6 snRNA and destabilizes Cwc2 interactions with pre-mRNA, indicating antagonistic functions of Cwc2 and Prp16. We propose that Cwc2 is a target for Prp16-mediated spliceosome remodeling during pre-mRNA splicing. © The Author(s) 2014. Published by Oxford University Press on behalf of Nucleic Acids Research.

  11. Does Loss of Spasticity Matter? A 10-Year Follow-up after Selective Dorsal Rhizotomy in Cerebral Palsy

    Science.gov (United States)

    Tedroff, Kristina; Lowing, Kristina; Jacobson, Dan N. O.; Astrom, Eva

    2011-01-01

    Aim: The aim of this study was to evaluate the long-term effects of selective dorsal rhizotomy (SDR) in children with cerebral palsy (CP). Method: Nineteen children (four females, 15 males; mean age 4y 7mo, SD 1y 7mo) with bilateral spastic CP, were prospectively assessed at baseline and 18 months, 3 years, and 10 years after SDR. Assessments…

  12. Modeling The Economic Burden Of Adult Vaccine-Preventable Diseases In The United States.

    Science.gov (United States)

    Ozawa, Sachiko; Portnoy, Allison; Getaneh, Hiwote; Clark, Samantha; Knoll, Maria; Bishai, David; Yang, H Keri; Patwardhan, Pallavi D

    2016-11-01

    Vaccines save thousands of lives in the United States every year, but many adults remain unvaccinated. Low rates of vaccine uptake lead to costs to individuals and society in terms of deaths and disabilities, which are avoidable, and they create economic losses from doctor visits, hospitalizations, and lost income. To identify the magnitude of this problem, we calculated the current economic burden that is attributable to vaccine-preventable diseases among US adults. We estimated the total remaining economic burden at approximately $9 billion (plausibility range: $4.7-$15.2 billion) in a single year, 2015, from vaccine-preventable diseases related to ten vaccines recommended for adults ages nineteen and older. Unvaccinated individuals are responsible for almost 80 percent, or $7.1 billion, of the financial burden. These results not only indicate the potential economic benefit of increasing adult immunization uptake but also highlight the value of vaccines. Policies should focus on minimizing the negative externalities or spillover effects from the choice not to be vaccinated, while preserving patient autonomy.

  13. The prevalence of perioperative visual loss in the United States: a 10-year study from 1996 to 2005 of spinal, orthopedic, cardiac, and general surgery.

    Science.gov (United States)

    Shen, Yang; Drum, Melinda; Roth, Steven

    2009-11-01

    Perioperative visual loss (POVL) accompanying nonocular surgery is a rare and potentially devastating complication but its frequency in commonly performed inpatient surgery is not well defined. We used the Nationwide Inpatient Sample to estimate the rate of POVL in the United States among the eight most common nonocular surgeries. More than 5.6 million patients in the Nationwide Inpatient Sample who underwent principal procedures of knee arthroplasty, cholecystectomy, hip/femur surgical treatment, spinal fusion, appendectomy, colorectal resection, laminectomy without fusion, coronary artery bypass grafting, and cardiac valve procedures from 1996 to 2005 were included. Rates of POVL, defined as any discharge with an International Classification of Diseases, Ninth Revision, Clinical Modification code of ischemic optic neuropathy (ION), cortical blindness (CB), or retinal vascular occlusion (RVO), were estimated. Potential risk factors were assessed by univariate and multivariable analyses. Cardiac and spinal fusion surgery had the highest rates of POVL. The national estimate in cardiac surgery was 8.64/10,000 and 3.09/10,000 in spinal fusion. By contrast, POVL after appendectomy was 0.12/10,000. Those undergoing cardiac surgery, spinal fusion, and orthopedic surgery had a significantly increased risk of developing ION, RVO, or CB. Patients younger than 18 yr had the highest risk for POVL, because of higher risk for CB, whereas those older than 50 yr were at greater risk of developing ION and RVO. Other significant positive predictors for some diagnoses of POVL were male gender, Charlson comorbidity index, anemia, and blood transfusion. There was no increased risk associated with hospital surgical volume. During the 10 yr from 1996 to 2005, there was an overall decrease in POVL in the procedures we studied. The results confirm the clinical suspicion that the risk of POVL is higher in cardiac and spine fusion surgery and show for the first time a higher risk of this

  14. End-of-life attitudes in the Intensive Care Unit (ICU) amongst final year medical students at International Medical University, Malaysia

    OpenAIRE

    Sangeetha Poovaneswaran; Anuradha Poovaneswaran; hiruselvi Subramaniam

    2014-01-01

    With recent medical advances and the availability of newer sophisticated technologies, critically ill patients tend to survive longer.1 Thus, decisions to forgo life-sustaining medical treatment generate challenging issues that all doctors must face. The aim of this pilot study was to assess attitudes towards end-of-life care in ICU which included futile therapy (withholding and withdrawing therapy) among final year medical students who had received the same degr...

  15. Operational accidents and radiation exposure experience within the United States Atomic Energy Commission, 1943--1975. [AEC health and safety during first 32 years

    Energy Technology Data Exchange (ETDEWEB)

    1975-01-01

    The occupational injury and fatality experience during 32 years of the development of the atomic energy industry under the direction of the Atomic Energy Commission (AEC) and its predecessor, the Manhattan Engineering District, is reviewed. Data are included on the cause of all accidents, including fires and transportation accidents, and the cost of AEC property damage. Fatalities of AEC and contractor personnel from all causes during the 32-year period totaled 321, of which 184 occurred in construction; 121 in AEC operations such as production, research, and services; and 16 in Government functions. There were 19,225 lost-time injuries attributable to all accidental causes, or a 32-year frequency rate of 2.75 based on the number of injuries per million man-hours. There were six deaths attributable to nuclear causes, thee of which were due to blast and flying missiles and three caused by whole-body radiation exposure. Forty-one workers were involved in lost-time radiation accidents, of whom 26 showed clinical manifestations attributable to radiation, resulting in permanent partial-disability of three workers and the loss of a digit by four workers, while the others did not develop evidence of radiation injury. (CH)

  16. Commercialization scenarios of polymer electrolyte membrane fuel cell applications for stationary power generation in the United States by the year 2015

    Energy Technology Data Exchange (ETDEWEB)

    Millett, Stephen; Mahadevan, Kathya [Battelle Memorial Institute, 505 King Avenue, Columbus, OH 43201 (United States)

    2005-10-04

    Battelle is identifying the most likely markets and economic impacts of stationary polymer electrolyte membrane (PEM) fuel cells in the range of 1-250kW in the U.S. by the year 2015. For this task, Battelle is using the Interactive Future Simulations (IFS(TM)), an analytical modeling and forecasting tool that uses expert judgment, trend analysis, and cross-impact analysis methods to generate most likely future conditions for PEM fuel cell applications, market acceptance, commercial viability, and economic impacts. The cross-impact model contains 28 descriptors including commercial and technological advances in both polymer electrolyte membrane (PEM) fuel cells and fossil fuel technologies, sources of hydrogen, investments, public policy, environmental regulation, value to consumers, commercialization leadership, modes of generation, and the reliability and prices of grid electricity. One likely scenario to the year 2015 is that the PEM fuel cells will be limited to commercial and industrial customers in the range of 50-200kW with a market size less than US$ 5 billion a year. (author)

  17. Surveillance of tedizolid activity and resistance: In vitro susceptibility of Gram-positive pathogens collected over 5 years from the United States and Europe.

    Science.gov (United States)

    Bensaci, Mekki; Sahm, Daniel

    2017-02-01

    In vitro activity of tedizolid and comparators against 11,231 Gram-positive clinical isolates from the United States (84 centers) and Europe (115 centers) were summarized as part of the Surveillance of Tedizolid Activity and Resistance program between 2009 and 2013. Susceptibility testing was performed according to Clinical Laboratory and Standards Institute (CLSI) guidelines. Minimum inhibitory concentration (MIC) interpretations were based on CLSI and European Committee on Antimicrobial Susceptibility Testing criteria. Tedizolid inhibited 99.7% of all isolates at MIC ≤0.5 mg/L; activity was similar regardless of methicillin or vancomycin resistance phenotypes of Staphylococcus aureus and enterococci, respectively. Tedizolid MIC >1 mg/L was reported for 3 S. aureus, 4 coagulase-negative staphylococci, and 2 enterococcal isolates; all streptococci were inhibited at MIC ≤0.5 mg/L. Tedizolid was ≥4-fold more potent than linezolid against all groups, including resistant phenotypes. Tedizolid had potent/stable activity against a large, contemporary collection of Gram-positive clinical isolates, with low rates of resistance.

  18. Change in meticillin-resistant Staphylococcus aureus clones at a tertiary care hospital in the United Arab Emirates over a 5-year period.

    Science.gov (United States)

    Sonnevend, Ágnes; Blair, Iain; Alkaabi, Mohammed; Jumaa, Pauline; Al Haj, Mohammed; Ghazawi, Akela; Akawi, Nadia; Jouhar, Fatima Saeed; Hamadeh, Mohammad Baraa; Pál, Tibor

    2012-02-01

    Meticillin-resistant Staphylococcus aureus (MRSA) strains isolated in Tawam Hospital, a tertiary care hospital in the United Arab Emirates, were examined in order to understand the reasons for a doubling of its incidence between 2003 and 2008 while maintaining the same infection control measures. All consecutive non-duplicate clinically relevant MRSA isolates recovered between January and December 2003 and between May and October 2008 were studied. The antibiotic susceptibility, pulsed field gel electrophoresis, toxin gene, staphylococcal cassette chromosome mec (SCCmec), spa, agr and multilocus sequence types of the strains were tested. In 2003, typical healthcare-associated (HA-MRSA) genotypes (ST239-MRSA-III, ST22-MRSA-IV and ST5-MRSA-II) represented the majority (61.5%) of the isolates. By 2008 this pattern had changed and clonal types considered as community-associated (CA) MRSA comprised 73.1% of the strains with ST80-MRSA-IV, ST5-MRSA-IV and ST1-MRSA with non-typable SCCmec types being the most frequent. However, further epidemiological investigations showed that only one-third of the CA-MRSA infections were actually acquired in the community, indicating that CA-MRSA clones have entered and spread within the hospital. The emergence of CA-MRSA clones with subsequent entry to and spread within the hospital has contributed to the increasing incidence of MRSA observed in Tawam Hospital and probably also in other hospitals in the UAE.

  19. RIFLE classification and mortality in obstetric patients admitted to the intensive care unit with acute kidney injury: a 3-year prospective study.

    Science.gov (United States)

    Kamal, Ebtesam M; Behery, Manal M El; Sayed, Gamal Abbas El; Abdulatif, Howaida K

    2014-10-01

    This study is to assess the correlation of risk, injury, failure, loss, and end-stage renal failure (RIFLE) classification with hospital mortality in intensive care unit (ICU) obstetric patients and to evaluate the relation of acute kidney injury (AKI) to other risk factors. The 4 stages of RIFLE (nonacute renal failure, risk, injury, and failure) were scored from 0 to 3 points, respectively. The prognostic performance of the RIFLE score was compared to the general ICU models. AKI occurred in 30 (5.88%) of patients admitted to ICU. The main causes of AKI were hemolysis, elevated liver enzymes, and low platelet syndrome 13 (43%), pregnancy-related hypertension 9 (30%), puerperal sepsis 3 (10%), abruption placentae 2 (6.6%), disseminated intravascular coagulopathy 2 (6.6%), and anesthetic complications 1 (3.3%). According to the RIFLE criteria, patients were classified into Risk (3.3%), Injury (16.6%), Failure (33.3%), and Loss (46.6%). Maternal mortality from total ICU admission occurred in 51 (10%) cases, of these 16 (31.3%) cases were due to AKI. Independent risk factors associated with mortality were hyperbilirubinemia, low levels of HCO3, and RIFLE. Receiver-operator characteristic curves for ICU patients according to RIFLE score showed area under the curve = 0.824. The RIFLE classification system could predict the risk of mortality from AKI in obstetric ICU patients and mortality was positively associated with high RIFLE classes. © The Author(s) 2014.

  20. Multi-year ground-based observations of aerosol-cloud interactions in the Mid-Atlantic of the United States

    Science.gov (United States)

    Li, Siwei; Joseph, Everette; Min, Qilong; Yin, Bangsheng

    2017-02-01

    The U.S. Mid-Atlantic region experiences a wide variability of aerosol loading and frequent episodes of elevated anthropogenic aerosol loading associated with urban pollution conditions during summer months. In this study, multi-year ground-based observations (2006 to 2010) of aerosol and cloud properties from passive, active and in situ measurements at an atmospheric measurement field station in the Baltimore-Washington corridor operated by Howard University were analyzed to examine aerosol indirect effect on single-layer warm clouds including cloud optical depth (COD), liquid water path (LWP), cloud droplet effective radius (Re) and cloud droplet number concentration (Nd) in this region. A greater occurrence of polluted episodes and cloud cases with smaller Re (polluted year summers (2006, 2007 and 2008) than the clean year summers (2009 and 2010). The measurements of aerosol particulate matter with aerodynamic diameter≤2.5 μm (PM2.5) were used to represent the aerosol loading under cloudy conditions. Significant negative relationships between cloud droplet Re and PM2.5 were observed. Cloud cases were separated into clean and polluted groups based on the value of PM2.5. The cloud droplet Re was found proportional to LWP under clean conditions but weakly dependent on LWP under polluted conditions. The Nd was proportional to LWP under polluted condition but weakly dependent on LWP under clean conditions. Moreover, the effects of increasing fine aerosol particles on modifying cloud microphysical properties were found more significant under large LWP than small LWP in this region.

  1. Imported and intensive care unit-born Acinetobacter baumannii clonal complexes: one-year prospective cohort study in intensive care patients.

    Science.gov (United States)

    Martins, Natacha; Martins, Ianick Souto; de Freitas, Wania Vasconcelos; de Matos, Juliana Arruda; Girão, Valeria Brígido de Carvalho; Coelho-Souza, Talita; Maralhães, Ana Cristina de Gouveia; Cacci, Luciana Camila; de Figueiredo, Miriam Perez; Dias, Rubens Clayton Silva; Costa-Lourenço, Ana Paula Ramalho; Ferreira, Adriana Lúcia Pires; Dalla-Costa, Libera; Nouér, Simone Aranha; Santoro-Lopes, Guilherme; Riley, Lee W; Moreira, Beatriz Meurer

    2013-06-01

    The main objective of this study was to assess the frequency and possible sources of colonization and infection by Acinetobacter in the intensive care unit (ICU) of a university hospital in Rio de Janeiro, Brazil, and characterize the isolates for relatedness to internationally and locally disseminated lineages. Patients consecutively admitted to the ICU from April 2007 to April 2008 were screened for colonization and infection. Species were identified by rpoB sequencing. The presence of acquired and intrinsic carbapenemase genes was assessed by polymerase chain reaction (PCR). Strains were typed by random amplification of polymorphic DNA (RAPD)-PCR, pulsed-field gel electrophoresis, and multilocus sequence typing (MLST) using the schemes hosted at the University of Oxford (UO) and Institut Pasteur (IP). Of 234 patients, 98 (42%) had at least one specimen positive for the Acinetobacter isolate, and 24 (10%) had infection. A total of 22 (92%) infections were caused by Acinetobacter baumannii and one each (4%) by Acinetobacter nosocomialis and Acinetobacter berezinae. A. baumannii isolates from 60 patients belonged to RAPD types that corresponded to MLST clonal complexes (CCs) 109/1 (UO/IP scheme, known as International Clone I), CC 110/110 (UO/IP), CC 113/79 (UO/IP), and CC 104/15 (UO/IP). Most CCs were carbapenem resistant and carried the bla(OXA-23)-like gene. Strains were introduced by patients transferred from other wards of the same hospital (11 patients, 18%) or acquired from cross-transmission within the ICU (49 patients, 82%). A. nosocomialis lineage sequence type 260 colonized 10% of the whole study population. A. baumannii have become established in this hospital as a part of a global epidemic of successful clones. Once introduced into the hospital, such clones have become entrenched among patients in the ICU.

  2. Mycobacterial interspersed repetitive unit typing and mutational profile for multidrug-resistant and extensively drug-resistant tuberculosis surveillance in Portugal: a 3-year period overview.

    Science.gov (United States)

    Silva, Carla; Perdigão, João; Jordão, Luísa; Portugal, Isabel

    2014-12-01

    Multidrug tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) cases constitute a serious health problem in Portugal, of which the majority of isolates belong to the Lisboa family and the Q1 cluster, highly related to the Lisboa family. Here we sought to investigate the molecular basis of resistant TB as well as to determine the prevalence of specific drug resistance mutations and their association with MDR-TB and/or XDR-TB. In total, 74 Mycobacterium tuberculosis clinical isolates collected in Lisbon Health Region were genotyped by 24-loci mycobacterial interspersed repetitive units-variable number of tandem repeats (MIRU-VNTR), and the mutational profile associated with first- and second-line drug resistance was studied. Seven new mutations were found, whilst the remaining 28 mutations had been previously associated with drug resistance. None of the mutations was specifically associated with MDR-TB. The mutational patterns observed among isolates belonging to Lisboa3 and Q1 clusters were also observed in isolates with unique MIRU-VNTR patterns but closely related to these strains. Such data suggest that the genotyping technique employed discriminates isolates with the same mutational profile. To establish the most adequate genotyping technique, the discriminatory power of three different MIRU-VNTR sets was analysed. The 15-loci MIRU-VNTR set showed adequate discriminatory power, comparable with the 24-loci set, allowing clustering of 60% and 86% of the MDR-TB and XDR-TB isolates, respectively, the majority of which belonged to the Lisboa3 and Q1 clusters. From an epidemiological standpoint, this study suggests combined mutational and genotyping analysis as a valuable tool for drug resistance surveillance.

  3. A 15-year overview of increasing tramadol utilisation and associated mortality and the impact of tramadol classification in the United Kingdom.

    Science.gov (United States)

    Chen, Teng-Chou; Chen, Li-Chia; Knaggs, Roger David

    2017-09-24

    This study aimed to develop hypotheses to explain the increasing tramadol utilisation, evaluate the impact of tramadol classification, and explore the trend between tramadol utilisation and related deaths in the United Kingdom. This cross-sectional study used individual patient data, the Clinical Practice Research Datalink from 1993 to 2015, to calculate monthly defined daily dose (DDD)/1000 registrants, monthly prevalence and incidence of tramadol users, annual supply days, and mean daily dose of tramadol. Aggregated-level national statistics and reimbursement data from 2004 to 2015 were also used to quantify annual and monthly tramadol DDD/1000 inhabitants and rate of tramadol-related deaths in England and Wales. Interrupted time-series analysis was used to evaluate the impact of tramadol classification in June 2014. Prevalence of tramadol users increased from 23 to 97.6/10 000 registrants from 2000 to 2015. Both annual dose and annual supply days of existing tramadol users were higher than new users. Level and trend of monthly utilisation (β2 : -12.9, β3 : -1.6) and prevalence of tramadol users (β2 : -6.4, β3 : -0.37) significantly reduced after classification. Both annual tramadol utilisation and rate of tramadol-related deaths increased before tramadol classification and decreased thereafter. Increasing tramadol utilisation was influenced by the increase in prevalence and incidence of tramadol users, mean daily dose, and day of supply. Prevalence of tramadol users, tramadol utilisation, and reported deaths declined after tramadol classification. Future studies need to evaluate the influencing factors to ensure the safety of long-term tramadol use. Copyright © 2017 John Wiley & Sons, Ltd.

  4. Dynamic downscaling of 22-year CFS winter seasonal hindcasts with the UCLA-ETA regional climate model over the United States

    Science.gov (United States)

    De Sales, Fernando; Xue, Yongkang

    2013-07-01

    This study evaluates the UCLA-ETA regional model's dynamic downscaling ability to improve the National Center for Environmental Prediction Climate Forecast System (NCEP CFS), winter season predictions over the contiguous United States (US). Spatial distributions and temporal variations of seasonal and monthly precipitation are the main focus. A multi-member ensemble means of 22 winters from 1982 through 2004 are included in the study. CFS over-predicts the precipitation in eastern and western US by as much as 45 and 90 % on average compared to observations, respectively. Dynamic downscaling improves the precipitation hindcasts across the domain, except in the southern States, by substantially reducing the excessive precipitation produced by the CFS. Average precipitation root-mean-square error for CFS and UCLA-ETA are 1.5 and 0.9 mm day-1, respectively. In addition, downscaling improves the simulation of spatial distribution of snow water equivalent and land surface heat fluxes. Despite these large improvements, the UCLA-ETA's ability to improve the inter-annual and intra-seasonal precipitation variability is not clear, probably because of the imposed CFS' lateral boundary conditions. Preliminary analysis of the cause for the large precipitation differences between the models reveals that the CFS appears to underestimate the moisture flux convergence despite producing excessive precipitation amounts. Additionally, the comparison of modeled monthly surface sensible and latent heat fluxes with Global Land Data Assimilation System land data set shows that the CFS incorrectly partitioned most of surface energy into evaporation, unlike the UCLA-ETA. These findings suggest that the downscaling improvements are mostly due to a better representation of land-surface processes by the UCLA-ETA. Sensitivity tests also reveal that higher-resolution topography only played a secondary role in the dynamic downscaling improvement.

  5. Post-Closure Inspection and Monitoring Report for Corrective Action Unit 417: Central Nevada Test Area Surface, Hot Creek Valley, Nevada For Calendar Year 2006

    Energy Technology Data Exchange (ETDEWEB)

    None

    2007-06-01

    Corrective Action Unit (CAU) 417, Central Nevada Test Area - Surface, is located in Hot Creek Valley in northern Nye County, Nevada, and consists of three areas commonly referred to as UC-1, UC-3, and UC-4. CAU 417 consists of 34 Corrective Action Sites (CASs) which were closed in 2000 (U.S. Department of Energy, National Nuclear Security Administration Nevada Operations Office, 2001). Three CASs at UC-1 were closed in place with administrative controls. At CAS 58-09-01, Central Mud Pit (CMP), a vegetated soil cover was constructed over the mud pit. At the remaining two sites, CAS 58-09-02, Mud Pit, and CAS 58-09-05, Mud Pits (3), aboveground monuments and warning signs were installed to mark the CAS boundaries. Three CASs at UC-3 were closed in place with administrative controls. Aboveground monuments and warning signs were installed to mark the site boundaries at CAS 58-09-06, Mud Pits (5), CAS 58-25-01, Spill, and CAS 58-10-01, Shaker Pad Area. Two CASs that consist of five sites at UC-4 were closed in place with administrative controls. At CAS 58-09-03, Mud Pits (5), an engineered soil cover was constructed over Mud Pit C. At the remaining three sites in CAS 58-09-03 and at CAS 58-10-05, Shaker Pad Area, aboveground monuments and warning signs were installed to mark the site boundaries. The remaining 26 CASs at CAU 417 were either clean-closed or closed by taking no further action.

  6. Changes in Intake of Fruits and Vegetables and Weight Change in United States Men and Women Followed for Up to 24 Years: Analysis from Three Prospective Cohort Studies.

    Science.gov (United States)

    Bertoia, Monica L; Mukamal, Kenneth J; Cahill, Leah E; Hou, Tao; Ludwig, David S; Mozaffarian, Dariush; Willett, Walter C; Hu, Frank B; Rimm, Eric B

    2015-09-01

    Current dietary guidelines recommend eating a variety of fruits and vegetables. However, based on nutrient composition, some particular fruits and vegetables may be more or less beneficial for maintaining or achieving a healthy weight. We hypothesized that greater consumption of fruits and vegetables with a higher fiber content or lower glycemic load would be more strongly associated with a healthy weight. We examined the association between change in intake of specific fruits and vegetables and change in weight in three large, prospective cohorts of 133,468 United States men and women. From 1986 to 2010, these associations were examined within multiple 4-y time intervals, adjusting for simultaneous changes in other lifestyle factors, including other aspects of diet, smoking status, and physical activity. Results were combined using a random effects meta-analysis. Increased intake of fruits was inversely associated with 4-y weight change: total fruits -0.53 lb per daily serving (95% CI -0.61, -0.44), berries -1.11 lb (95% CI -1.45, -0.78), and apples/pears -1.24 lb (95% CI -1.62, -0.86). Increased intake of several vegetables was also inversely associated with weight change: total vegetables -0.25 lb per daily serving (95% CI -0.35, -0.14), tofu/soy -2.47 lb (95% CI, -3.09 to -1.85 lb) and cauliflower -1.37 lb (95% CI -2.27, -0.47). On the other hand, increased intake of starchy vegetables, including corn, peas, and potatoes, was associated with weight gain. Vegetables having both higher fiber and lower glycemic load were more strongly inversely associated with weight change compared with lower-fiber, higher-glycemic-load vegetables (p fruits and non-starchy vegetables is inversely associated with weight change, with important differences by type suggesting that other characteristics of these foods influence the magnitude of their association with weight change.

  7. VIRUS-W: commissioning and first-year results of a new integral field unit spectrograph dedicated to the study of spiral galaxy bulges

    Science.gov (United States)

    Fabricius, Maximilian H.; Grupp, Frank; Bender, Ralf; Drory, Niv; Arns, Jim; Barnes, Stuart; Gössl, Claus; Snigula, Jan; Hill, Gary J.; Hopp, Ulrich; Lang-Bardl, Florian; MacQueen, Phillip J.; Saglia, Roberto; Wullstein, Philipp

    2012-09-01

    In November and December 2010 we successfully commissioned a new optical fibre-based Integral Field Unit (IFU) spectrograph at the 2.7m Harlan J. Smith Telescope of the McDonald Observatory in Texas. Regular science observations commenced in spring 2011. The instrument achieves a spectral resolution of λ/Δλ = 8700 with a spectral coverage of 4850Å - 5480Å and a spectacular throughput of 37% including the telescope optics. The design is related to the VIRUS-P instrument that was developed for the HETDEX experiment, but was modified significantly in order to achieve the large spectral resolution that is needed to recover the dynamical properties of disk galaxies. In addition to the high resolution mode, VIRUS-W offers a stellar population mode with a resolution of λ/Δλ = 3300 and a spectral coverage of 4340Å - 6040Å. The IFU is comprised out of 267 150 μm-core optical fibers with a fill factor of 1/3. With a beam of f/3.65, the core diameter translates to 3.2" on sky and a large field of view of 105" x 55" that is ideally suited to study the bulge regions of local spiral galaxies. The large throughput is due to a design that operates close to the numerical aperture of the fibers, a large 200mm aperture refractive camera with no central obscuration, highly efficient volume phase holographic gratings, and a high-QE CCD. We will discuss the design, the performance and briefly present an example for the very up-to-date science that is possible with such instruments at 2m class telescopes.

  8. Implementing the United Kingdom's ten-year teenage pregnancy strategy for England (1999-2010): How was this done and what did it achieve?

    Science.gov (United States)

    Hadley, Alison; Ingham, Roger; Chandra-Mouli, Venkatraman

    2016-11-22

    In 1999, the UK Labour Government launched a 10-year Teenage Pregnancy Strategy for England to address the country's historically high rates and reduce social exclusion. The goal was to halve the under-18 conception rate. This study explores how the strategy was designed and implemented, and the features that contributed to its success. This study was informed by examination of the detailed documentation of the strategy, published throughout its 10-year implementation. The strategy involved a comprehensive programme of action across four themes: joined up action at national and local level; better prevention through improved sex and relationships education and access to effective contraception; a communications campaign to reach young people and parents; and coordinated support for young parents (The support programme for young parents was an important contribution to the strategy. In the short term by helping young parents prevent further unplanned pregnancies and, in the long term, by breaking intergenerational cycles of disadvantage and lowering the risk of teenage pregnancy.). It was implemented through national, regional and local structures with dedicated funding for the 10-year duration. The under-18 conception rate reduced steadily over the strategy's lifespan. The 2014 under-18 conception rate was 51% lower than the 1998 baseline and there have been significant reductions in areas of high deprivation. One leading social commentator described the strategy as 'The success story of our time' (Toynbee, The drop in teenage pregnancies is the success story of our time, 2013). As rates of teenage pregnancy are influenced by a web of inter-connected factors, the strategy was necessarily multi-faceted in its approach. As such, it is not possible to identify causative pathways or estimate the relative contributions of each constituent part. However, we conclude that six key features contributed to the success: creating an opportunity for action; developing an

  9. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada For Fiscal Year 2012 (October 2011–September 2012)

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2013-01-17

    This report serves as the combined annual report for post-closure activities for the following closed Corrective Action Units (CAUs): · CAU 90, Area 2 Bitcutter Containment · CAU 91, Area 3 U-3fi Injection Well · CAU 92, Area 6 Decon Pond Facility · CAU 110, Area 3 WMD U-3ax/bl Crater · CAU 111, Area 5 WMD Retired Mixed Waste Pits · CAU 112, Area 23 Hazardous Waste Trenches This report covers fiscal year 2012 (October 2011–September 2012).

  10. QuickStats: Birth Rates Among Teens Aged 15-19 Years, by Race/Hispanic Ethnicity* - National Vital Statistics System, United States,(†) 2007 and 2015(§).

    Science.gov (United States)

    2016-08-19

    From 2007 to 2015, the birth rate for female teens aged 15-19 years declined 46%, from 41.5 to 22.3 births per 1,000, the lowest rate ever recorded for this population in the United States. In 2015, rates declined to record lows for all racial/ethnic populations, with declines ranging from 41% for non-Hispanic white teens to 54% for Hispanic teens. Despite the declines, teen birth rates by race/Hispanic ethnicity continued to reflect wide disparities, with rates ranging from 6.9 per 1,000 for Asian or Pacific Islander teens to 34.9 for Hispanic teens in 2015.

  11. Road traffic incidents in Uganda: a systematic review of a five-year trend

    Science.gov (United States)

    Balikuddembe, Joseph Kimuli; Ardalan, Ali; Khorasani-Zavareh, Davoud; Nejati, Amir; Munanura, Kasiima Stephen

    2017-01-01

    Abstract: Background: Over the years, Uganda has been one of the low and middle-income countries bearing the heaviest burden of road traffic incidents (RTI). Since the proclamation of the United Nations Decade of Action for Road Safety 2011 – 2020, a number of measures have been taken to reduce the burden. However, they ought to be premised on existing evidence-based research; therefore, the present review ventures to report the most recent five-year trend of RTI in Uganda. Methods: Based on Preferred Reporting Items for Systematic Reviews and Meta-Data Analysis (PRISMA) guidelines, a systematic review was employed. Using a thematic analysis, the articles were grouped into: trauma etiology, trauma care, mortality, cost, trauma registry and communication, intervention and treatment for final analysis. Results: Of the nineteen articles that were identified to be relevant to the study, the etiology of RTI was inevitably observed to be an important cause of injuries in Uganda. The risk factors cut across: the crash type, injury physiology, cause, victims, setting, age, economic status, and gender. All studies that were reviewed have advanced varying recommendations aimed at responding to the trend of RTIs in Uganda, of which some are in tandem with the five pillars of the United Nations Decade of Action for Road Safety 2011 – 2020. Conclusions: Peripheral measures of the burden of RTIs in Uganda were undertaken within a five-year timeframe (2011-2015) of implementing the United Nations Decade of Action for Road Safety. The measures however, ought to be scaled-up on robust evidence based research available from all the concerned stakeholders beyond Kampala or central region to other parts of Uganda. PMID:28039687

  12. Changes in Intake of Fruits and Vegetables and Weight Change in United States Men and Women Followed for Up to 24 Years: Analysis from Three Prospective Cohort Studies.

    Directory of Open Access Journals (Sweden)

    Monica L Bertoia

    2015-09-01

    Full Text Available Current dietary guidelines recommend eating a variety of fruits and vegetables. However, based on nutrient composition, some particular fruits and vegetables may be more or less beneficial for maintaining or achieving a healthy weight. We hypothesized that greater consumption of fruits and vegetables with a higher fiber content or lower glycemic load would be more strongly associated with a healthy weight.We examined the association between change in intake of specific fruits and vegetables and change in weight in three large, prospective cohorts of 133,468 United States men and women. From 1986 to 2010, these associations were examined within multiple 4-y time intervals, adjusting for simultaneous changes in other lifestyle factors, including other aspects of diet, smoking status, and physical activity. Results were combined using a random effects meta-analysis. Increased intake of fruits was inversely associated with 4-y weight change: total fruits -0.53 lb per daily serving (95% CI -0.61, -0.44, berries -1.11 lb (95% CI -1.45, -0.78, and apples/pears -1.24 lb (95% CI -1.62, -0.86. Increased intake of several vegetables was also inversely associated with weight change: total vegetables -0.25 lb per daily serving (95% CI -0.35, -0.14, tofu/soy -2.47 lb (95% CI, -3.09 to -1.85 lb and cauliflower -1.37 lb (95% CI -2.27, -0.47. On the other hand, increased intake of starchy vegetables, including corn, peas, and potatoes, was associated with weight gain. Vegetables having both higher fiber and lower glycemic load were more strongly inversely associated with weight change compared with lower-fiber, higher-glycemic-load vegetables (p < 0.0001. Despite the measurement of key confounders in our analyses, the potential for residual confounding cannot be ruled out, and although our food frequency questionnaire specified portion size, the assessment of diet using any method will have measurement error.Increased consumption of fruits and non

  13. Mortality and potential years of life lost attributable to alcohol consumption by race and sex in the United States in 2005.

    Directory of Open Access Journals (Sweden)

    Kevin D Shield

    Full Text Available BACKGROUND: Alcohol has been linked to health disparities between races in the US; however, race-specific alcohol-attributable mortality has never been estimated. The objective of this article is to estimate premature mortality attributable to alcohol in the US in 2005, differentiated by race, age and sex for people 15 to 64 years of age. METHODS AND FINDINGS: Mortality attributable to alcohol was estimated based on alcohol-attributable fractions using indicators of exposure from the National Epidemiologic Survey on Alcohol and Related Conditions and risk relations from the Comparative Risk Assessment study. Consumption data were corrected for undercoverage (the observed underreporting of alcohol consumption when using survey as compared to sales data using adult per capita consumption from WHO databases. Mortality data by cause of death were obtained from the US Department of Health and Human Services. For people 15 to 64 years of age in the US in 2005, alcohol was responsible for 55,974 deaths (46,461 for men; 9,513 for women representing 9.0% of all deaths, and 1,288,700 PYLL (1,087,280 for men; 201,420 for women representing 10.7% of all PYLL. Per 100,000 people, this represents 29 deaths (29 for White; 40 for Black; 82 for Native Americans; 6 for Asian/Pacific Islander and 670 PYLL (673 for White; 808 for Black; 1,808 for Native American; 158 for Asian/Pacific Islander. Sensitivity analyses showed a lower but still substantial burden without adjusting for undercoverage. CONCLUSIONS: The burden of mortality attributable to alcohol in the US is unequal among people of different races and between men and women. Racial differences in alcohol consumption and the resulting harms explain in part the observed disparities in the premature mortality burden between races, suggesting the need for interventions for specific subgroups of the population such as Native Americans.

  14. Morphometric and Productive Characterization of Nineteen Genotypes from the Colombian Coffea Collection / Caracterización Morfométrica y Productiva de Diecinueve Genotipos de la Colección Colombiana del Género Coffea

    Directory of Open Access Journals (Sweden)

    Jhon Wilson Mejía Montoya

    2013-12-01

    Full Text Available Nineteen genotypes of the Colombian Coffee (Coffeaarabica L. Collection were characterized through features related to productivity, crown architecture and light interception. The results revealed significant differences among genotypes. Branches and leaves were found to be dominantly plagiophyl. Leaf area (LA and Leaf area index (LAI made accession CU1812 (which correspondsto variety Castillo® stand out for its photosynthetically activeradiation (PAR interception and coffee bean production. Likewise, a PAR based cluster analysis allowed dividing the genotypes in three groups. Because of their higher yield, the most outstanding genotypes were Caturra, CU-1812 and Harrar R2. This factor showed correlation with PAR absorption. The current results are useful for future works in coffee breeding programs. / Se caracterizaron 19 genotipos de la Colección Colombiana de Café (Coffea arabica L.; para ello se estudiaron aspectos relacionados con la arquitectura del dosel, la interceptación de la radiación y la producción. Los resultados mostraron diferencias significativas entre los genotipos, predominando en las ramas la distribución plagiofila; una disposición similar se observóen las hojas. El área foliar (AF y el índice de área foliar (IAF,contribuyeron a que la introducción CU1812, componente de la variedad Castillo®, se destacara por presentar los mayores valores de interceptación de radiación fotosintéticamente activa (RFA y producción de café cereza. Así mismo, el análisis de agrupamiento con base en la RFA, permitió ordenar los genotipos en tres grupos,destacándose Caturra, CU-1812 y Harrar R2 por su mayorrendimiento, factor que mostró correlación con la RFA captadapor el dosel. Los resultados obtenidos en esta investigación son de utilidad en futuros trabajos de mejoramiento genético en café.

  15. 论《古诗十九首》中的异文与模件化套语%Analysis of the Variants and Modular Formulae of the Nineteen Ancient Poems

    Institute of Scientific and Technical Information of China (English)

    胡旭; 刘美惠

    2014-01-01

    Poems are always thought by readers that they can fully express the writer’s characteristics and in-ner world.Especially in the history of Chinese classical literary criticism,“Understanding human beings and re-flecting on society”is an important category.Also,“Finding poet’s mind through the poems”became a way by which those who live in the era far away from writers tried to approach the original circumstances.However,the connections between the writers and the texts have never been considered carefully.The Nineteen Ancient Poems and other pre-Tang Dynasty poems have so many variants and formulae that researchers are forced to reconsider the ancient theory of poems---“poetry can be watched”.%诗歌通常被认为是高度表达作者个性与内心世界的一种艺术形式,尤其在中国古代的文学评论传统中,“知人论世”成为基本的评判准则。与之类似的,“赋诗以观志”,即通过诗反观或推测作者的情感、品格与境遇,也反映了远离当时创作环境之人试图接近诗歌“初始”面貌的努力。然而,诗与人之间联系的相关度与可靠性并未得到深入的考量。在以《古诗十九首》为代表的一系列先唐古诗(包括乐府)中,一方面,为数众多的异文将使后世“一字千金”的评价显得暧昧可疑;另一方面,频繁且几乎以固定模式出现的某些套语迫使读者不得不重新思考从文本回溯到创作者或时代背景的努力能否达到。因此,“诗可以观”的古老理论面临着双重考验。

  16. Comprehensive evaluation of multi-year real-time air quality forecasting using an online-coupled meteorology-chemistry model over southeastern United States

    Science.gov (United States)

    Zhang, Yang; Hong, Chaopeng; Yahya, Khairunnisa; Li, Qi; Zhang, Qiang; He, Kebin

    2016-08-01

    An online-coupled meteorology-chemistry model, WRF/Chem-MADRID, has been deployed for real time air quality forecast (RT-AQF) in southeastern U.S. since 2009. A comprehensive evaluation of multi-year RT-AQF shows overall good performance for temperature and relative humidity at 2-m (T2, RH2), downward surface shortwave radiation (SWDOWN) and longwave radiation (LWDOWN), and cloud fraction (CF), ozone (O3) and fine particles (PM2.5) at surface, tropospheric ozone residuals (TOR) in O3 seasons (May-September), and column NO2 in winters (December-February). Moderate-to-large biases exist in wind speed at 10-m (WS10), precipitation (Precip), cloud optical depth (COT), ammonium (NH4+), sulfate (SO42-), and nitrate (NO3-) from the IMPROVE and SEARCH networks, organic carbon (OC) at IMPROVE, and elemental carbon (EC) and OC at SEARCH, aerosol optical depth (AOD) and column carbon monoxide (CO), sulfur dioxide (SO2), and formaldehyde (HCHO) in both O3 and winter seasons, column nitrogen dioxide (NO2) in O3 seasons, and TOR in winters. These biases indicate uncertainties in the boundary layer and cloud process treatments (e.g., surface roughness, microphysics cumulus parameterization), emissions (e.g., O3 and PM precursors, biogenic, mobile, and wildfire emissions), upper boundary conditions for all major gases and PM2.5 species, and chemistry and aerosol treatments (e.g., winter photochemistry, aerosol thermodynamics). The model shows overall good skills in reproducing the observed multi-year trends and inter-seasonal variability in meteorological and radiative variables such as T2, WS10, Precip, SWDOWN, and LWDOWN, and relatively well in reproducing the observed trends in surface O3 and PM2.5, but relatively poor in reproducing the observed column abundances of CO, NO2, SO2, HCHO, TOR, and AOD. The sensitivity simulations using satellite-constrained boundary conditions for O3 and CO show substantial improvement for both spatial distribution and domain-mean performance

  17. Update of the USGS 2016 One-year Seismic Hazard Forecast for the Central and Eastern United States From Induced and Natural Earthquakes

    Science.gov (United States)

    Petersen, M. D.; Mueller, C. S.; Moschetti, M. P.; Hoover, S. M.; Llenos, A. L.; Ellsworth, W. L.; Michael, A. J.; Rubinstein, J. L.; McGarr, A.; Rukstales, K. S.

    2016-12-01

    The U.S. Geological Survey released a 2016 one-year forecast for seismic hazard in the central and eastern U.S., which included the influence from both induced and natural earthquakes. This forecast was primarily based on 2015 declustered seismicity rates but also included longer-term rates, 10- and 20- km smoothing distances, earthquakes between Mw 4.7 and maximum magnitudes of 6.0 or 7.1, and 9 alternative ground motion models. Results indicate that areas in Oklahoma, Kansas, Colorado, New Mexico, Arkansas, Texas, and the New Madrid Seismic Zone have a significant chance for damaging ground shaking levels in 2016 (greater than 1% chance of exceeding 0.12 PGA and MMI VI). We evaluate this one-year forecast by considering the earthquakes and ground shaking levels that occurred during the first half of 2016 (earthquakes not included in the forecast). During this period the full catalog records hundreds of events with M ≥ 3.0, but the declustered catalog eliminates most of these dependent earthquakes and results in much lower numbers of earthquakes. The declustered catalog based on USGS COMCAT indicates a M 5.1 earthquake occurred in the zone of highest hazard on the map. Two additional earthquakes of M ≥ 4.0 occurred in Oklahoma, and about 82 earthquakes of M ≥ 3.0 occurred with 77 in Oklahoma and Kansas, 4 in Raton Basin Colorado/New Mexico, and 1 near Cogdell Texas. In addition, 72 earthquakes occurred outside the zones of induced seismicity with more than half in New Madrid and eastern Tennessee. The catalog rates in the first half of 2016 and the corresponding seismic hazard were generally lower than in 2015. For example, the zones for Irving, Venus, and Fashing, Texas; Sun City, Kansas; and north-central Arkansas did not experience any earthquakes with M≥ 2.7 during this period. The full catalog rates were lower by about 30% in Raton Basin and the Oklahoma-Kansas zones but the declustered catalog rates did not drop as much. This decrease in earthquake

  18. Mobility Status as a Predictor of Obesity, Physical Activity, and Screen Time Use among Children Aged 5-11 Years in the United States.

    Science.gov (United States)

    Wilson, Patrick B; Haegele, Justin A; Zhu, Xihe

    2016-09-01

    To examine physical activity participation, screen time habits, and the prevalence of overweight/obesity among children in the general population with mobility limitations and those enrolled in special education services. An observational, cross-sectional analysis of the 2011-2014 National Health and Nutrition Examination Survey, a representative sample of the US population. Mobility limitations, special education services utilization, proxy-reported physical activity and screen time, and overweight/obesity status were assessed in children aged 5-11 years. Boys with mobility limitations were less likely to meet physical activity guidelines (≥60 minutes daily) compared with those with no limitations (58.1% vs 74.4%, adjusted F = 4.61, P = .04). In a logistic regression model, boys with mobility limitations had significantly lower odds (0.42, 95% CI 0.20-0.86) of meeting physical activity guidelines. The prevalence of children meeting screen time recommendations (≤2 hours daily) among those receiving special education services (42.4%) was lower than children not receiving services (53.2%; adjusted F = 8.87, P obesity were found. Clear differences were present in physical activity between boys with and without mobility limitations. Furthermore, children receiving special education services demonstrated a lower likelihood of meeting screen time recommendations. Children with disabilities may benefit from targeted interventions aimed at increasing physical activity while decreasing screen time. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Joint China-United States Report for Year 1 Insulation Materials and Systems Project Area Clean Energy Research Center Building Energy Efficiency (CERC-BEE)

    Energy Technology Data Exchange (ETDEWEB)

    Stovall, Therese K [ORNL; Biswas, Kaushik [ORNL; Song, Bo [China Academy of Building Research; Zhang, Sisi [China Academy of Building Research

    2012-08-01

    In November of 2009, the presidents of China and the U.S. announced the establishment of the Clean Energy Research Center (CERC). This broad research effort is co-funded by both countries and involves a large number of research centers and universities in both countries. One part of this program is focused on improving the energy efficiency of buildings. One portion of the CERC-BEE was focused on building insulation systems. The research objective of this effort was to Identify and investigate candidate high performance fire resistant building insulation technologies that meet the goal of building code compliance for exterior wall applications in green buildings in multiple climate zones. A Joint Work Plan was established between researchers at the China Academy of Building Research and Oak Ridge National Laboratory. Efforts in the first year under this plan focused on information gathering. The objective of this research program is to reduce building energy use in China via improved building insulation technology. In cold regions in China, residents often use inefficient heating systems to provide a minimal comfort level within inefficient buildings. In warmer regions, air conditioning has not been commonly used. As living standards rise, energy consumption in these regions will increase dramatically unless significant improvements are made in building energy performance. Previous efforts that defined the current state of the built environment in China and in the U.S. will be used in this research. In countries around the world, building improvements have typically followed the implementation of more stringent building codes. There have been several changes in building codes in both the U.S. and China within the last few years. New U.S. building codes have increased the amount of wall insulation required in new buildings. New government statements from multiple agencies in China have recently changed the requirements for buildings in terms of energy efficiency and

  20. Recent U.S. Geological Survey Studies in the Tintina Gold Province, Alaska, United States, and Yukon, Canada-Results of a 5-Year Project

    Science.gov (United States)

    Gough, Larry P.; Day, Warren C.

    2010-01-01

    This report presents summary papers of work conducted between 2002 and 2007 under a 5-year project effort funded by the U.S. Geological Survey Mineral Resources Program, formerly entitled 'Tintina Metallogenic Province: Integrated Studies on Geologic Framework, Mineral Resources, and Environmental Signatures.' As the project progressed, the informal title changed from 'Tintina Metallogenic Province' project to 'Tintina Gold Province' project, the latter being more closely aligned with the terminology used by the mineral industry. As Goldfarb and others explain in the first chapter of this report, the Tintina Gold Province is a convenient term used by the mineral exploration community for a 'region of very varied geology, gold deposit types, and resource potential'. The Tintina Gold Province encompasses roughly 150,000 square kilometers, bounded by the Kaltag-Tintina fault system on the north and the Farewell-Denali fault system on the south. It extends westward in a broad arc, some 200 km wide, from northernmost British Columbia, through the Yukon, through southeastern and central Alaska, to southwestern Alaska. The climate is subarctic and, in Alaska, includes major physiographic delineations and ecoregions such as the Yukon-Tanana Upland, Tanana-Kuskokwim Lowlands, Yukon River Lowlands, and the Kuskokwim Mountains. Although the Tintina Gold Province is historically important for some of the very first placer and lode gold discoveries in northern North America, it has recently seen resurgence in mineral exploration, development, and mining activity. This resurgence is due to both new discoveries (for example, Pogo and Donlin Creek) and to the application of modern extraction methods to previously known, but economically restrictive, low-grade, bulk-tonnage gold resources (for example, Fort Knox, Clear Creek, and Scheelite Dome). In addition, the Tintina Gold Province hosts numerous other mineral deposit types, possessing both high and low sulfide content, which

  1. Atmospheric measurements of CDDs, CDFs and coplanar PCBs in rural and remote locations of the United States in the year 2001 from the National Dioxin Air Monitoring Network (NDAMN)

    Energy Technology Data Exchange (ETDEWEB)

    Cleverly, D. [National Center for Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency (United States); Winters, D. [Office of Prevention, Pesticides and Toxic Substances, U.S. Environmental Protection Agency, WA, DC (United States); Ferrario, J.; Dupuy, A.; Byrne, C. [Environmental Chemistry Lab., U.S. Environmental Protection Agency, Stennis Space Center, MS (United States); Riggs, K.; Hartford, P.; Joseph, D.; Wisbith, T. [Battelle Memorial Inst., Columbus, OH (United States)

    2004-09-15

    The U.S. EPA has established a National Dioxin Air Monitoring Network (NDAMN) to address three primary objectives: (1) to determine the atmospheric levels and occurrences of dioxin-like compounds in rural and agricultural areas where livestock, poultry and animal feed crops are grown; (2) to provide measurements of atmospheric levels of dioxin-like compounds in remote areas of the U.S.; and (3) to provide information regarding the long-range and transboundary transport of dioxin-like compounds in air over the United States. Figure 1 shows the locations of NDAMN sites. Previously EPA has reported on the preliminary results of monitoring at 9 rural locations from June1998 through December 19991, and calendar year 2000. The year 1999 measurement at the 9 rural stations indicated an annual mean TEQ{sub DF}-WHO{sub 98} air concentration of about 11.3 fg m{sup -3}. In the year 2000, the mean of 18 rural stations and 8 remote areas were 14.6 fg m{sup -3} and 2.0 fg m{sup -3}, respectively. Since this reporting, NDAMN has been extended to include additional stations. We are reporting the air monitoring results of NDAMN for calendar year 2001 at both rural and remote sites in the U.S. The rural sites are indicated as circles and remote sites are indicted as squares on Figure 1.

  2. 东西方视野下的古诗十九首研究--以木斋、宇文所安的研究为例%Research on “The Nineteen Old Poems” in the Eastern and Western Perspective:The Case Studies of MU Zhai and Stephen Owen

    Institute of Scientific and Technical Information of China (English)

    彭文良

    2014-01-01

    木斋所著《古诗十九首与建安诗歌研究》提出十九首可能产生的时间为建安时期,主要的作者则为曹植,观点新奇,论证严谨。美国学者宇文所安的新著《中国早期古典诗歌的生成》从迥然不同的角度,得出与木斋相近的结论。这两部著作从东西方不同的知识背景、文化视野下观照古诗十九首,为古诗十九首的研究提供新了的视角和方法。%The Research on The Nineteen Old Poems and Jian’ an Poetry made by MU Zhai argues that:The Nineteen Old Poems are probably created by Cao Zhi in Jian’ an Period.This study is from a novel perspective, and provides a rigorous agreement.American scholar Stephen Owen, in his new book The Making of Early Chinese Classical Poetry , discussed it from a different perspective and came to a similar conclusion with Mu Zhai.These two works treated The Nineteen Old Poems from different language back-ground and cultural horizons between the East and the West.This provides a new way to study The Nine-teen Old Poems.

  3. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada: For Fiscal Year 2015 (October 2014–September 2015), Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro, Las Vegas, NV (United States)

    2016-03-01

    This report serves as the combined annual report for post-closure activities for the following closed corrective action units (CAUs); CAU 90, Area 2 Bitcutter Containment; CAU 91, Area 3 U-3fi Injection Well; CAU 92, Area 6 Decon Pond Facility; CAU 110, Area 3 WMD U-3ax/bl Crater; CAU 111, Area 5 WMD Retired Mixed Waste Pits; and CAU 112, Area 23 Hazardous Waste Trenches This report covers fiscal year 2015 (October 2014 through September 2015). The post-closure requirements for these sites are described in Resource Conservation and Recovery Act Permit Number NEV HW0101 and are summarized in each CAU-specific section in Section 1.0 of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report.

  4. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada: For Fiscal Year 2015 (October 2014–September 2015), Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro, Las Vegas, NV (United States)

    2016-03-01

    This report serves as the combined annual report for post-closure activities for the following closed corrective action units (CAUs); CAU 90, Area 2 Bitcutter Containment; CAU 91, Area 3 U-3fi Injection Well; CAU 92, Area 6 Decon Pond Facility; CAU 110, Area 3 WMD U-3ax/bl Crater; CAU 111, Area 5 WMD Retired Mixed Waste Pits; and CAU 112, Area 23 Hazardous Waste Trenches. This report covers fiscal year 2015 (October 2014 through September 2015). The post-closure requirements for these sites are described in Resource Conservation and Recovery Act Permit Number NEV HW0101 and are summarized in each CAU-specific section in Section 1.0 of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report.

  5. Neurodevelopmental sequelae in premature newborns with extremely low weight and with very low weight at two years of age who left the Neonatal Intensive Care Unit of the Hospital Nacional Edgardo Rebagliati Martins 2009-2014

    Directory of Open Access Journals (Sweden)

    Carmen Fernández Sierra

    2017-02-01

    Full Text Available Objective: The purpose of this study is to describe the neurodevelopmental sequelae in premature newborns with extremely low weight and with very low weight at two years of age who left the Neonatal Intensive Care Unit of the Hospital Nacional Edgardo Rebagliati Martins. Materials and methods: A descriptive, retrospective, cross-sectional study in a population of 190 premature newborns with extremely low weight and with very low weight born from January 2009 to June 2014 who left the Neonatal Intensive Care Unit and took part in the follow-up program. The psychomotor development, sensorineural hearing loss, retinopathy of prematurity, presence of cerebral palsy and convulsive syndrome were assessed. Results: The average weight at birth was 1,180.53 ± 212.40 grams with a gestational age of 29.86 ± 2.33 weeks, and 51.58% of the newborns were male. Forty-two point six three percent (42.63% of the premature newborns with very low weight showed retardation of psychomotor development; 25.26%, retinopathy; 13.68%, sensorineural hearing loss; 3.68%, cerebral palsy; and 3.68%, convulsive syndrome. Fifty-two point two seven percent (52.27% of the premature newborns with extremely low weight showed retardation of psychomotor development; 50%, retinopathy; 15.91%, sensorineural hearing loss; and 2.27%, convulsive syndrome. Conclusions: Retardation of psychomotor development and retinopathy were the most important complications shown by premature newborns with extremely low weight and with very low weight at two years of age.

  6. Generating Units

    Data.gov (United States)

    Department of Homeland Security — Generating Units are any combination of physically connected generators, reactors, boilers, combustion turbines, and other prime movers operated together to produce...

  7. UNIT, TIBET.

    Science.gov (United States)

    Louisiana Arts and Science Center, Baton Rouge.

    THE UNIT OF STUDY DESCRIBED IN THIS BOOKLET DEALS WITH THE GEOGRAPHY AND HISTORY OF TIBET. THE UNIT COVERS SOME OF THE GENERAL FEATURES OF THE COUNTRY AND THEIR EFFECT UPON THE LIVES OF THE TIBETAN PEOPLE. DISCUSSION QUESTIONS ARE INSERTED TO STIMULATE THOUGHT. THE RELIGION OF TIBET IS DISCUSSED IN RELATION TO ITS INFLUENCE ON THE ART AND CULTURE…

  8. Post-Closure Monitoring Report for Corrective Action Unit 98, Frenchman Flat, Underground Test Area, Nevada National Security Site, Nevada for Calendar Year 2016 (January 2016–December 2016), Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Farnham, Irene [Navarro, Las Vegas, NV (United States)

    2017-06-01

    Corrective Action Unit (CAU) 98: Frenchman Flat on the Nevada National Security Site was the location of 10 underground nuclear tests. CAU 98 underwent a series of investigations and actions in accordance with the Federal Facility Agreement and Consent Order to assess contamination of groundwater by radionuclides from the tests. A Closure Report completed that process in 2016 and called for long-term monitoring, use restrictions (URs), and institutional controls to protect the public and environment from potential exposure to contaminated groundwater. Three types of monitoring are performed for CAU 98: water quality, water level, and institutional control. These are evaluated to determine whether the UR boundaries remain protective of human health and the environment, and to ensure that the regulatory boundary objectives are being met. Additionally, monitoring data are used to evaluate consistency with the groundwater flow and contaminant transport models because the contaminant boundaries (CBs) calculated with the models are the primary basis of the UR boundaries. In summary, the monitoring results from 2016 indicate the regulatory controls on the closure of CAU 98 remain effective in protection of human health and the environment. Recommendations resulting from this first year of monitoring activities include formally incorporating wells UE-5 PW-1, UE-5 PW-2, and UE-5 PW-3 into the groundwater-level monitoring network given their strategic location in the basin; and early development of a basis for trigger levels for the groundwater-level monitoring given the observed trends. Additionally, it is recommended to improve the Real Estate/Operations Permit process for capturing information important for evaluating the impact of activities on groundwater resources, and to shift the reporting requirement for this annual report from the second quarter of the federal fiscal year (end of March) to the second quarter of the calendar year (end of June).

  9. A centralised, automated dental hospital water quality and biofilm management system using neutral Ecasol maintains dental unit waterline output at better than potable quality: a 2-year longitudinal study.

    LENUS (Irish Health Repository)

    O'Donnell, M J

    2009-10-01

    Most studies addressing biofilm formation in dental chair unit waterlines (DUWLs) have focused on a range of individual dental chair units (DCUs) and no studies on a centralised approach in a large number of DCUs have been reported to date.

  10. Three-unit posterior zirconia-ceramic fixed dental prostheses (FDPs) veneered with layered and milled (CAD-on) veneering ceramics: 1-year follow-up of a randomized controlled clinical trial.

    Science.gov (United States)

    Grohmann, Philipp; Bindl, Andreas; Hämmerle, Christoph; Mehl, Albert; Sailer, Irena

    2015-01-01

    The aim of this multicenter randomized controlled clinical trial was to test posterior zirconia-ceramic fixed dental prostheses (FDPs) veneered with a computer-aided design/computer- assisted manufacture (CAD/CAM) lithium disilicate veneering ceramic (CAD-on) and manually layered zirconia veneering ceramic with respect to survival of the FDPs, and technical and biologic outcomes. Sixty patients in need of one posterior three-unit FDP were included. The zirconia frameworks were produced with a CAD/CAM system (Cerec inLab 3D/Cerec inEOS inLab). Thirty FDPs were veneered with a CAD/CAM lithium disilicate veneering ceramic (Cad-on) (test) and 30 were veneered with a layered zirconia veneering ceramic (control). For the clinical evaluation at baseline, 6, and 12 months, the United States Public Health Service (USPHS) criteria were used. The biologic outcome was judged by comparing the plaque control record (PCR), bleeding on probing (BOP), and probing pocket depth (PPD). Data were statistically analyzed. Fifty-six patients were examined at a mean follow-up of 13.9 months. At the 1-year follow-up the survival rate was 100% in the test and in the control group. No significant differences of the technical outcomes occurred. Major chipping occurred in the control group (n = 3) and predominantly minor chipping in the test group (minor n = 2, major n = 1). No biologic problems or differences were found. Both types of zirconia-ceramic FDPs exhibited very good clinical outcomes without differences between groups. Chipping occurred in both types of FDPs at small amounts, yet the extension of the chippings differed. The test FDPs predominantly exhibited minor chipping, the control FDPs major chipping.

  11. Reconstrucción total y parcial de cejas con trasplante de unidades foliculares: 10 años de experiencia Total and partial eyebrows reconstruction with folicular unit transplat: 10 years of experience

    Directory of Open Access Journals (Sweden)

    D. Llorens

    2013-03-01

    Full Text Available Las cejas son elementos integrales en el carácter de la cara y en la expresión del espectro de emociones. Su patrón de cabello es complejo: toma varias direcciones y está colocado en diferente posición y con forma distinta en hombres y mujeres. Esta complejidad de características hace de su reconstrucción un reto. Se han establecido tres líneas básicas para conseguir dicho fin: injertos compuestos, colgajos y trasplante de unidades foliculares. Exponemos la experiencia de 10 años en la reconstrucción de cejas a través del trasplante de unidades foliculares en la Clínica Planas de Barcelona (España con 58 pacientes consecutivos tratados en ese lapso y 94 cejas reconstruidas. Planteamos un estudio retrospectivo, observacional, transverso y descriptivo. Se analizaron la distribución de frecuencias y medidas de tendencia central de las variables. Los resultados obtenidos nos han permitido concluir que la técnica de trasplante de unidades foliculares es la mejor alternativa para la reconstrucción total y parcial de las cejas en casos seleccionados, con minúscula morbilidad, resultados netamente superiores y con una mínima interferencia en la vida del paciente.Eyebrows are integral elements in the character of the face and the expression of the spectrum of emotions. Its hair pattern is complex: it takes several directions and is placed in a different position and differently in men and women. This complexity of features makes reconstruction a challenge. In this way, we have established three basic areas to achieve this end: composite grafts, flaps and follicular units transplant. We report the experience of 10 years in the reconstruction of eyebrows throughout the follicular units transplantation technique at Clínica Planas in Barcelona ( Spain with 58 consecutive patients treated in this period and 94 eyebrows. A retrospective, observational, transverse and descriptive study was raised. We analyzed the frequency distribution and

  12. Endometrial effects of lower doses of conjugated equine estrogens and medroxyprogesterone acetate: two-year substudy results.

    Science.gov (United States)

    Pickar, James H; Yeh, I Tien; Wheeler, James E; Cunnane, Mary F; Speroff, Leon

    2003-11-01

    To determine the endometrial safety of 2 years of treatment with lower doses of continuous combined conjugated equine estrogens (CEE) and medroxyprogesterone acetate (MPA). Randomized, double-blind, placebo-controlled, multicenter metabolic and osteoporosis substudy of the Women's Health, Osteoporosis, Progestin, Estrogen (Women's HOPE) study. Nineteen study centers across the United States. Healthy, postmenopausal women (n = 822) with an intact uterus were recruited. Patients received CEE 0.625, CEE 0.625/MPA 2.5, CEE 0.45, CEE 0.45/MPA 2.5, CEE 0.45/MPA 1.5, CEE 0.3, CEE 0.3/MPA 1.5 (all doses mg/day), or placebo for 2 years. Endometrial biopsies were evaluated at baseline and years 0.5, 1, 1.5, and 2 using a centralized protocol. Efficacy of lower doses of CEE/MPA in reducing the incidence of endometrial hyperplasia rates associated with unopposed estrogen (E). No cases of endometrial hyperplasia were seen in the four CEE/MPA groups. For the CEE-alone groups, a dose-related increase in incidence rates from 3.17% (CEE 0.3 mg) to 27.27% (CEE 0.625 mg) was seen at 2 years. The number of cases increased from year 1 to year 2. For the CEE-alone groups, the incidence rates and types of hyperplasia diagnosed varied among the pathologists. Two years of treatment with lower doses of CEE/MPA provided endometrial protection comparable to that seen with commonly prescribed doses. These regimens should be considered for postmenopausal women who are candidates for hormone therapy.

  13. Turnley Unit

    Data.gov (United States)

    Federal Laboratory Consortium — Facilities at this unit include cattle working pens, hydraulic squeeze chute and electronic scale, a maintenance building, and four hay storage sheds. There is one...

  14. Operable Units

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset consists of operable unit data from multiple Superfund sites in U.S. EPA Region 8. These data were acquired from multiple sources at different times and...

  15. Hidden intrahospital mortality for cerebro vascular diseases in the Intermediate Care Unit service. A five year period from 2000 to 2004. Mortalidad oculta intrahospitalaria por enfermedades cerebro vasculares en el Servicio de Terapia Intermedia. Quinquenio 2000-2004.

    Directory of Open Access Journals (Sweden)

    Julio Jova Hernández

    2005-11-01

    Full Text Available Introduction: mortality is one of the trustable and necessary indicator for the analysis of the sanitary situation of a community, and a data source that satisfies an ample cover that allows to define strategies in health actions upon a given population. Objective: to describe aspects related with hidden mortality by cerebrovascular diseases in Intermediate Care Unit. Method: Descriptive and retrospective study of a series of cases carried out during the period 2002-2004 in the hospital ¨Dr. Gustavo Aldereguía Lima¨ of Cienfuegos. All monthly reports of the cerebrovascular diseases attention group were analysed, these being gathered from digitalized data bases from the Hospital Statistics Department (n=3477. An enquiry was applied to obtain information as: year and month of hospitalisation; egress state; decease place if in case; stay; and type of cerebrovascular disease. The deceased necropsy protocols were analysed. Results: The hidden mortality was of 0.05; the main causal entity was the cerebral infarction (71,87%, the behaviour was similar in the five years, the average stay of deceased patients in Intermediate Care Unity was of 4.2 days, and outside this Unity: 8.7 days. It was proved the reduced inn hospital hidden mortality caused by cerebrovascular diseases with lethality definition by these entities during the first days in progressive care. A reduced percent of patients died in other units where an average stay doubles that of the Intermediate Care Unit, and as the main cause: the polymorbility associated to bronchopneumonia. Fundamento:La mortalidad es uno de los indicadores confiables y necesarios para el análisis del estado sanitario de una comunidad y fuente de datos para satisfacer una amplia cobertura que permite definir estrategias en las acciones de salud sobre una población. Objetivo: Describir aspectos relacionados con

  16. 地勘单位“十三五”规划战略视角转移方向研究%Research on Shift Direction of Strategic Perspective of "Thirteenth Five Year Plan" in Geological Prospecting Units

    Institute of Scientific and Technical Information of China (English)

    孟新华

    2016-01-01

    通过回顾总结地勘单位“十二五”时期的发展,分析“十三五”时期可能面临的体制与机制变化,提出“十三五”时期应从总体发展上、问题导向上、制度建设上、重点任务上、发展举措上进行战略视角的转移。一是从总体发展战略上应重新明确队伍、产业、组织结构的总体布局;二是以问题为导向重新构建管理模式、商业模式和盈利模式;三是以制度建优化干部队伍,建立新的激励与约束机制、督察与绩效考核制度;四是以五大新发展理念为引领,以问题导向为出发点,确定未来五年重点任务;五是在发展举措上要抢占制高点、扩大增长点、抓好关键点、培育好创新点。%By reviewing the summary of geological prospecting units in "Twelfth Five Year Plan" period, we analyze the institutional and mechanism change in "Thirteenth Five Year Plan" period we may face, and put forward the direction shift from the following strategic perspectives: the overall development, the problem-oriented, system construction, the key tasks and development measure. Firstly, from the overall development strategy, we should redeifned the team, industry, the overall layout of the organizational structure; Secondly, we should re-build problem-oriented management model, business model and proift model; Thirdly, we should build the system to optimize cadres, establish new incentive and restraint mechanisms, inspectors and performance appraisal system; Fourthly, we should take the five new development concept as the lead, and take problem-oriented as a starting point to determine the key tasks for the next ifve years; Fifthly, we should seize the high ground in the development strategies, expand the growth, seize the key points and foster good innovation.

  17. La Unidad de Atención Crohn-Colitis: 3 años de actividad The Crohn-Colitis Care Unit: analysis of the first 3 years of activity

    Directory of Open Access Journals (Sweden)

    Gisel Fontanet

    2004-12-01

    Full Text Available Objetivo: Conocer los primeros datos de actividad de la Unidad de Atención Crohn-Colitis (UACC y su línea virtual, la http://www.ua-cc.org Material y método: La UACC es un servicio de educación y promoción de la salud que se dirige a los enfermos con enfermedad inflamatoria intestinal y a su entorno. Dispone de un centro de coordinación desde donde se gestionan todas las consultas y las resoluciones gestionadas por un equipo multidisciplinario. El acceso telefónico y la web son las principales vías de contacto. Resultados: A los 3 años de funcionamiento, la UACC cuenta con 956 usuarios, el 87% de los cuales son pacientes, que han generado más de 4.500 consultas multitemáticas. Destaca la vía de atención telefónica con un 67% y los más de 500 usuarios registrados en el portal. Conclusiones: Los primeros datos descriptivos expresan un impacto significativo del proyecto, en el que destacan la atención integral y el acceso virtual como las variables más significativas.Objective: To assess the activity of the Crohn-Colitis Care Unit (CCCU and of its web site: http://www.ua-cc.org Material and method: The CCCU is a unit for the education and health promotion of patients with inflammatory bowel disease and their immediate circle. It includes a coordination center with a multidisciplinary team that manages patients' requests. The main means of contact is through telephone and the Web. Results: After 3 years, there are 956 users registered in the CCCU, of which 87% are patients who generated more than 4,500 consultations on multiple topics. Telephone consultations account for 67% of all consultations and there are 500 users registered in the Web. Conclusions: The preliminary results suggest that the integral approach of the CCCU and its web site have had a significant impact on patients with inflammatory bowel disease.

  18. 十九世纪五点区移民构成研究(1800-1860)%A study of Composition of Five Points Immigration in Nineteen Century(1800-1860)

    Institute of Scientific and Technical Information of China (English)

    张亮

    2011-01-01

    五点区是纽约历史上臭名昭著的社区。这里可以说是纽约的缩影,来自世界各地的人们汇集在这里,从事不同的职业。五点区最早是纽约本土人的地盘,经过数十年的移民潮以及纽约市向外围扩张,中下层收入的人们在这里谋生,他们之中有勇敢的爱尔兰人、精明的犹太人、谨慎的德意志人、技艺精湛的意大利人、勤劳的黑人等等。作为新来者,他们和美国的主流社会必定格格不入。当时的美国上层认为,五点区是一个肮脏龌龊的地方。事实上,五点区为各个国家人民的交流提供了舞台,它的存在繁荣了纽约乃至整个美国的文化。%Five points is the notorious repute community in New York history.It can be said that this is the epitome of New York,people from all over the world together in here,engaged in different occupation.Five points is the New York native's territory earlier,after decades of immigration and the city of New York to outlying expansion,Five Points becomes very important and the middle and lower income people live here,they are brave Irish,shrewd Jews,cautious Germans,craftsmanship Italians,hard-working black etc..These people constitute Five points' main body.As newcomers,they and the American mainstream society must be misfits.The United States upper thought,Five Points is a bandit infestations,the brothel is rampant,filthy place.But they only see the negative side,in fact,Five points provided a stage for different people,it promotes the prosperity of New York and even the whole United States.

  19. 78 FR 64385 - United Nations Day, 2013

    Science.gov (United States)

    2013-10-28

    ... October 28, 2013 Part V The President Proclamation 9045--United Nations Day, 2013 #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 9045 of October 23, 2013 United Nations Day..., 68 years after the adoption of the United Nations Charter, we mark United Nations Day by...

  20. Comportamiento de las infecciones nosocomiales en Unidad de Cuidados Intensivos en un quinquenio (2005 – 2009. Nosocomial infections behavior in Intensive Care Unit in 5 years (2005 – 2009.

    Directory of Open Access Journals (Sweden)

    Maicelys Ramírez Zaldivar

    2011-10-01

    sepsis than of any other cause. Objective: To describe the behavior of nosocomial infections in the Intensive Care Unit. Methods: Retrospective case series study conducted at the General University Hospital Vladimir I. Lenin, in Holguín, during the five years period from 2005 to 2009. A number of 468 patients that were diagnosed with nosocomial infections after 48 hours of admission, having presented no previous infections, were included. Data were obtained from the logbook for nosocomial infections and rates according to year and month, as well as to the most common place of infection (with an assessment of respiratory infections and most frequently isolated germs were determined. Through the Mann-Kendall test for a 95% confidence, it was also determined whether there was any specific trend in the rates. Results: The average rate of infection was 22.5. The average number of infections was higher in the warm, humid months of summer (above 22%, p = 0.28. The most frequent allocation was the respiratory system (257/54, 9%, being mechanical ventilation associated pneumonia (126/49% the most common condition. The average rate of pneumonia per 1 000 days of ventilation was 20.3. Multidrug-resistant gram-negatives were the most frequently isolated bacteria, being acinetobacter baumannii the predominating ones (42 in isolation, 17 in blood cultures. Conclusions: mechanical ventilation associated pneumonia and respiratory allocation of nosocomial infections were predominant.

  1. [Conservation Units.

    Science.gov (United States)

    Texas Education Agency, Austin.

    Each of the six instructional units deals with one aspect of conservation: forests, water, rangeland, minerals (petroleum), and soil. The area of the elementary school curriculum with which each correlates is indicated. Lists of general and specific objectives are followed by suggested teaching procedures, including ideas for introducing the…

  2. [Conservation Units.

    Science.gov (United States)

    Texas Education Agency, Austin.

    Instructional units deal with each aspect of conservation: forests, wildlife, rangelands, water, minerals, and soil. The area of the secondary school curriculum with which each is correlated is indicated. Lists of general and specific objectives are followed by suggested teaching procedures, including ideas for introducing the topic, questions to…

  3. The effect of lead time to treatment and of age of onset on developmental outcome at 4 years in infantile spasms: evidence from the United Kingdom Infantile Spasms Study.

    Science.gov (United States)

    O'Callaghan, Finbar J K; Lux, Andrew L; Darke, Katrina; Edwards, Stuart W; Hancock, Eleanor; Johnson, Anthony L; Kennedy, Colin R; Newton, Richard W; Verity, Christopher M; Osborne, John P

    2011-07-01

    Infantile spasms is a severe infantile seizure disorder. Several factors affect developmental outcome, especially the underlying etiology of the spasms. Treatment also affects outcome. Both age at onset of spasms and lead time to treatment (the time from onset of spasms to start of treatment) may be important. We investigated these factors. Developmental assessment using Vineland Adaptive Behaviour Scales (VABS) at 4 years of age in infants enrolled in the United Kingdom Infantile Spasms Study. Date of or age at onset of spasms was obtained prospectively. Lead time to treatment was then categorized into five categories. The effects of lead time to treatment, age of onset of spasms, etiology, and treatment on developmental outcome were investigated using multiple linear regression. Age of onset ranged (77 infants) from 2 months in 21 and not known in 6. Each month of reduction in age at onset of spasms was associated with a 3.1 [95% confidence interval (CI) 0.64-5.5, p = 0.03] decrease, and each increase in category of lead time duration associated with a 3.9 (95% CI 7.3-0.4, p = 0.014) decrease in VABS, respectively. There was a significant interaction between treatment allocation and etiology with the benefit in VABS in those allocated steroid therapy being in children with no identified etiology (coefficient 29.9, p=0.004). Both prompt diagnosis and prompt treatment of infantile spasms may help prevent subsequent developmental delay. Younger infants may be more at risk from the epileptic encephalopathy than older infants. Wiley Periodicals, Inc. © 2011 International League Against Epilepsy.

  4. Results of a monitoring program of continuous water levels and physical water properties at the Operable Unit 1 area of the Savage Municipal Well Superfund site, Milford, New Hampshire, water years 2000-03

    Science.gov (United States)

    Harte, Philip T.

    2005-01-01

    The Milford-Souhegan glacial-drift (MSGD) aquifer, in south-central New Hampshire, is an important source of industrial, commercial, and domestic water. The MSGD aquifer was also an important source of drinking water for the town of Milford until it was found to contain high concentrations of volatile organic compounds (VOCs) in the Savage and Keyes municipal-supply wells in the early 1980s. A VOC plume was found to cover part of the southwestern half of the MSGD aquifer. In September 1984, the site was designated a Superfund site, called the Savage Municipal Well Superfund site. The primary source area of contaminants was a former tool manufacturing facility (called the OK Tool facility, and now called the Operable Unit 1 (OU1) area) that disposed of solvents at the surface and in the subsurface. The facility was closed in 1987 and removed in 1998. A low-permeability containment barrier wall was constructed and installed in the overburden (MSGD aquifer) in 1998 to encapsulate the highest concentrations of VOCs, and a pump-and-treat remediation facility was also added. Remedial operations of extraction and injection wells started in May 1999. A network of water-level monitoring sites was implemented in water year 2000 (October 1, 1999, through September 30, 2000) in the OU1 area to help assess the effectiveness of remedial operations to mitigate the VOC plume, and to evaluate the effect of the barrier wall and remedial operations on the hydraulic connections across the barrier and between the overburden and underlying bedrock. Remedial extraction and injections wells inside and outside the barrier help isolate ground-water flow inside the barrier and the further spreading of VOCs. This report summarizes both continuous and selected periodic manual measurements of water level and physical water properties (specific conductance and water temperature) for 10 monitoring locations during water years 2000-03. Additional periodic manual measurements of water levels were

  5. UN declares 2008 "International Year of Planet Earth"

    Institute of Scientific and Technical Information of China (English)

    Ted Nield

    2006-01-01

    @@ The United Nations General Assembly meeting in New York has proclaimed the year 2008 to be the United Nations International Year of Planet Earth. The Year's activities will span the three years 2007-2009.

  6. FLYING UNITED

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Apart from selling hundreds of airplanes to China, Boeing buys locally made aircraft parts and transfers technology, in the true spirit of partnership Whenever Boeing's senior manager hear of a visit by one of China's state leaders, it's no doubt cause for celebration. Since China and the United States established diplomatic ties in 1978, every official trip by China's top statesmen has included a meeting with Boeing that

  7. Carcinomas neuroendocrinos de colon y recto: Experiencia de una unidad en seis años Neuroendocrine carcinomas of the colon and rectum: A unit's experience over six years

    Directory of Open Access Journals (Sweden)

    R. Vilallonga

    2008-01-01

    Colorectal Unit during a period of six years. Patients with neuroendocrine tumours have been reviewed retrospectively. Carcinoid tumours have not been included in this study. Results: during this period, 2,155 patients have been operated for colorectal cancer and in five patients a neuroendocrine tumour has been found in the specimen. Mean age was 66 years, three male and two female. One tumour was located in the caecum, two in the rectum and two in the sigmoid colon. Two patients had hepatic metastasis at diagnosis. Surgery was performed in all patients and two patients received adjuvant quimiotherapy. A patient died because of post-operative hepatic insufficiency, another at 2 months and another after one year. Two patients are still alive after eight months' follow-up. Conclusions: neuroendocrine tumours appear to be rare in the colon and rectum. Clinical manifestations are not different from standard adenocarcinoma. When these tumours are diagnosed, they have distance disease, as in two of the five cases, related to a poor prognosis for the patient. Surgery is the treatment that can offer a greater chance of survival to these patients.

  8. The Director-General receives the "150 Years of Romanian Diplomacy" Honorary Award from H.E. Mrs. Maria Ciobanu, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of Romania to the United Nations Office and other international organizations in Geneva.

    CERN Multimedia

    Samuel Morier-Genoud

    2012-01-01

    The Director-General receives the "150 Years of Romanian Diplomacy" Honorary Award from H.E. Mrs. Maria Ciobanu, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of Romania to the United Nations Office and other international organizations in Geneva.

  9. Variation in use of antipsychotic medications in nursing homes in the United States: A systematic review.

    Science.gov (United States)

    Cioltan, Hannah; Alshehri, Samah; Howe, Carol; Lee, Jeannie; Fain, Mindy; Eng, Howard; Schachter, Kenneth; Mohler, Jane

    2017-01-26

    The use of antipsychotic medications (APMs) in nursing home residents in the U.S. is an increasingly prominent issue and has been associated with increased risk of hospitalization, cardiovascular events, hip fractures, and mortality, among other adverse health events. The Food and Drug Administration has placed a black box warning on these drugs, specifying that they are not meant for residents with dementia, and has asked providers to review their treatment plans. The purpose of this systematic PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses)-based review was to summarize original research studies on facility level characteristics contributing to the use of antipsychotics in nursing homes across the United States, in order to investigate the variation of use. We searched Ovid Medline, Embase, Cochrane Library, Web of Science, CINAHL, PsycInfo, and Sociological Abstracts. Articles were selected according to the following criteria: (1) Population of interest: older adults (≥60 years of age) residing in nursing homes (not home-based or inpatient hospital settings) in the U.S. (2) Receiving APMs, typical and/or atypical. Specifically excluded were studies of psychotropic medications such as antidepressants, benzodiazepines, anxiolytics, hypnotics, mood stabilizers, and stimulants. All study designs were considered, though reviews, editorials, letters to the editor and opinion pieces were excluded. An expert consultant panel was consulted to categorize facility characteristics into domains and determine possible etiologies of APM use based upon each characteristic. Nineteen observational studies, both quantitative and qualitative, published from 2000 to 2015, met full inclusion criteria and were included in this review. APM use varied based on multiple facility characteristics across several domains: 1) physical, 2) staffing, 3) occupancy, 4) market, and 5) quality. Variation in use of APMs in U.S. nursing homes based upon facility

  10. Programa de oxigenoterapia domiciliar para crianças egressas de uma unidade neonatal: relato da experiência de dez anos Home oxygen therapy program for infants after neonatal unit discharge: report of a ten-year experience

    Directory of Open Access Journals (Sweden)

    Elaine Aparecida L. Garcia

    2010-09-01

    Full Text Available OBJETIVO: Descrever os resultados do programa de oxigenoterapia domiciliar, com uso de concentrador de oxigênio, utilizado por crianças egressas de uma unidade neonatal ao longo de seus primeiros dez anos. MÉTODOS: Estudo de corte transversal com componente analítico para avaliar o programa de oxigenoterapia domiciliar de uma unidade neonatal de um hospital público universitário do interior do Estado de São Paulo durante o período de novembro de 1996 a dezembro de 2006. RESULTADOS: Foram identificadas 160 crianças com indicação de oxigenoterapia domiciliar, das quais 63,3% apresentavam displasia broncopulmonar. Em média, 3,0% de todos os pacientes internados e 8,6% dos recém-nascidos com peso inferior a 1500g ao nascer receberam alta em oxigenoterapia. A duração média do uso de O2 no domicílio foi de 42,3±54,0 dias. Na comparação das características demográficas da população e do tempo de uso de O2 domiciliar, não se observaram diferenças significativas entre os anos. Não houve correlação entre o tempo de ventilação mecânica e a duração da terapia domiciliar. Houve necessidade de cuidados especiais, além do uso de O2 e medicações, em 22,3% dos casos. Nos primeiros dois anos de vida, a taxa de morbidade e de mortalidade foram, respectivamente, 40,1 e 14,1%. CONCLUSÕES: O uso de oxigênio domiciliar, com sistema de concentrador de oxigênio, é uma alternativa terapêutica factível em nosso meio, merecendo mais atenção dos profissionais de saúde e maior investimento das instituições de saúde. São necessários mais estudos nacionais para se aprimorar a qualidade do atendimento e a segurança destes programas para a população neonatal.OBJECTIVE: To describe the results of a home oxygen therapy program consisting of the use oxygen concentrator by children discharged from a neonatal unit during their first 10 years of the program. METHODS: Cross-sectional analytical study with data collection from

  11. United States

    Directory of Open Access Journals (Sweden)

    Stephen Bernow

    1998-12-01

    Full Text Available This paper presents and discusses an integrated set of policies designed to reduce U.S. carbon emissions over the next four decades. This innovation path also aims to promote environmental quality, particularly by reducing emissions of criteria air pollutants, to reduce U.S. dependence on imported oil, and to induce technological innovation and diffusion in energy production and consumption. The innovation path would reduce economy-wide carbon emissions by 26% below baseline projections for 2010 and by 62% below baseline projections for 2030; this translates into 10% below 1990 levels in 2010 and 45% below 1990 levels in 2030. Emissions of criteria pollutants also would be significantly reduced, as would petroleum imports by the United States. Moreover, the innovation path would yield cumulative net savings for the United States of $218 billion (1993 dollars through 2010, or $19 billion on a leveled annual basis, and would result in 800,000 additional jobs nationwide by 2010. Although the overall findings from the innovation path analysis are robust, the results should be taken as indicative, rather than precisely predictive, owing to uncertainties in future costs, prices, technology performance, and consumer behavior.

  12. 汉文化圈内的越南古代园林艺术初探--公元1世纪至19世纪中期的越南园林%A Preliminary Study about Ancient Vietnam Garden in Han Culture Circle:the Gardens in Vietnam from First Century to the Middle of the Nineteen Century A.D.

    Institute of Scientific and Technical Information of China (English)

    周琳

    2013-01-01

    After field research and literature reviewing, this paper tries to analyses the garden characteristics of those typical cases in different periods of Vietnam, and finds out the development process of Vietnam garden in ancient (from first Century to the middle of the nineteen Century A.D.). It analyses the application of garden elements and the regional features of Vietnam ancient garden.%  结合实地调研和文献资料检索,通过分析各时期典型案例的园林特点,梳理了越南古代(公元1世纪至19世纪中期)园林发展的脉络;对其造园要素的选择运用进行归纳剖析,探讨了越南古代园林的岭南地域特色。

  13. Update to An Inventory of Sources and Environmental Releases of Dioxin-Like Compounds in the United States for the Years 1987, 1995, and 2000 (2013, External Review Draft)

    Science.gov (United States)

    In 2006, EPA published an inventory of sources and environmental releases of dioxin-like compounds in the United States. This draft report presents an update and revision to that dioxin source inventory. It also presents updated estimates of environmental releases of dioxin-like...

  14. A one-year observational study of all hospitalized acute poisonings in Oslo: complications, treatment and sequelae

    Directory of Open Access Journals (Sweden)

    Lund Cathrine

    2012-07-01

    Full Text Available Abstract Objectives Changes in poisoning trends may affect both complications and outcomes in patients with acute poisoning. This study reports the treatments given and the frequency of complications, also related to treatment, mortality and sequelae related to various toxic agents. Methods All acute poisonings in adults (≥16 years admitted to the five hospitals in Oslo were included consecutively during one year (2008 to 2009 in an observational cross-sectional multicenter study. A standardized form was completed by the treating physician, which covered the study aims. Results There were 1065 admissions in 912 patients. The median length of hospital stay was one day, and 49% were observed in an intensive care unit (ICU. Active treatment was given to 83%, and consisted of supportive therapy (70%, antidote(s (38%, activated charcoal (16% and gastric lavage (9%. The most commonly used antidotes were flumazenil (19%, naloxone (17% and N-acetylcysteine (11%. The rate of treatment-related complications was 2.4% (21/884. Neither flumazenil, naloxone, nor the combination, was associated with convulsions or other complications. Among those receiving N-acetylcysteine, 5% (6/120 developed allergic reactions, one of which mandated discontinuation of treatment. Nineteen percent presented in a coma. Complications developed in 30%, compared with 18% in a 2003 study, mainly respiratory depression (12%, prolonged QTc interval (6% and hypotension (5%. Eight patients died (0.8% and five (0.5% survived with permanent sequelae, mainly anoxic brain damage. Discussion Few patients stayed more than two days. The use of the ICU was liberal, considering that only one out of five presented in a coma. Antidotes were frequently given diagnostically. Although N-acetylcysteine induced allergic reactions, most were mild and treatment discontinuation was only necessary once. The frequency of complications had almost doubled in five years, although the poisoning pattern was

  15. Nineteen-port photonic lantern with multimode delivery fiber

    DEFF Research Database (Denmark)

    Noordegraaf, Danny; Skovgaard, Peter M. W.; Sandberg, Rasmus Kousholt;

    2012-01-01

    We demonstrate efficient multimode (MM) to single-mode (SM) conversion in a 19-port photonic lantern with a 50 μm core MM delivery fiber. The photonic lantern can be used within the field of astrophotonics for coupling MM starlight to an ensemble of SM fibers in order to perform fiber-Bragg-grati......We demonstrate efficient multimode (MM) to single-mode (SM) conversion in a 19-port photonic lantern with a 50 μm core MM delivery fiber. The photonic lantern can be used within the field of astrophotonics for coupling MM starlight to an ensemble of SM fibers in order to perform fiber...

  16. LECTURES ON ACUPUNCTURE—PartⅠ Clinical Acupuncture Lecture Nineteen INSOMNIA

    Institute of Scientific and Technical Information of China (English)

    XuLi; MengHong; WangShaorong; WangWei

    2000-01-01

    Insomnia refers to a disorder in which patient can not have normal or enough sleep. Clinically, it has different manifestations. In mild cases, it is manifested as difficulty in getting to sleep, easy to wake up and unable to sleep againafter waking. In severe cases, it is manifested as sleeplessness during the whole night.

  17. UNITE 2010

    Science.gov (United States)

    2010-01-01

    Computer Applications, Trigonometry , Physics, and College Writing were taught by University faculty and were structured after a real course at the...for nearly 20 years, challenging students to enhance their academic skills through advanced course work, providing a summer experience opportunity to...University, providing students the opportunity to earn class credits. These courses are enriched by the addition of hands-on activities and projects

  18. Pregnancy outcomes in women growing up with perinatally acquired HIV in the United Kingdom and Ireland

    Directory of Open Access Journals (Sweden)

    Laura Byrne

    2014-11-01

    Full Text Available Introduction: In the United Kingdom and Ireland more than 40% of individuals living with perinatally acquired HIV are now aged >16. Globally, increasing numbers of women with perinatally acquired HIV are becoming pregnant, but data on fertility and pregnancy outcomes is scarce. We present pregnancy outcome data for this emerging cohort. Methods: Pregnancies in diagnosed HIV-infected women in the United Kingdom and Ireland, and children diagnosed with HIV, are reported to the National Study of HIV in Pregnancy and Childhood. We analyzed data on pregnancies in women diagnosed aged ≤13 with perinatally acquired HIV, reported by June 2014. Results: A total of 759 females born before 2001, diagnosed with perinatally acquired HIV aged ≤13 years, and in care in the UK and Ireland have been reported. Forty-four of these (6% have had at least one pregnancy reported, with nineteen 2nd and four 3rd/4th pregnancies. Women's year of birth ranged from 1985 to 1996; 60% of women were UK/Irish-born and 39% African-born. Twenty one percent were diagnosed at 500 cells/µL in 36% of first pregnancies, 350–499 in 15% and 1000 in 5%. Forty four percent of live births were delivered by elective caesarean section (CS, 27% by emergency CS, 27% by planned vaginal delivery and with one unplanned vaginal delivery. Of 29 live births with viral load <50, 31% were delivered by elective CS, 17% by emergency CS and 52% by vaginal delivery. Fifteen percent of infants were delivered at 32–36 weeks gestation, and 2% at 30 weeks; 16% weighed 1.5–2.5 kg and 16% weighed <1.5 kg. Among 38 of the 51 infants where infection status is already reported, one is perinatally infected. Conclusions: Currently at least 6% of perinatally infected women in care in the UK and Ireland have experienced one or more pregnancies. Linking paediatric, pregnancy and second generation data will enable further monitoring of pregnancy outcomes in this newly emerging population.

  19. Termination unit

    Energy Technology Data Exchange (ETDEWEB)

    Traeholt, Chresten; Willen, Dag; Roden, Mark; Tolbert, Jerry C.; Lindsay, David; Fisher, Paul W.; Nielsen, Carsten Thidemann

    2016-05-03

    Cable end section comprises end-parts of N electrical phases/neutral, and a thermally-insulation envelope comprising cooling fluid. The end-parts each comprises a conductor and are arranged with phase 1 innermost, N outermost surrounded by the neutral, electrical insulation being between phases and N and neutral. The end-parts comprise contacting surfaces located sequentially along the longitudinal extension of the end-section. A termination unit has an insulating envelope connected to a cryostat, special parts at both ends comprising an adapter piece at the cable interface and a closing end-piece terminating the envelope in the end-section. The special parts houses an inlet and/or outlet for cooling fluid. The space between an inner wall of the envelope and a central opening of the cable is filled with cooling fluid. The special part at the end connecting to the cryostat houses an inlet or outlet, splitting cooling flow into cable annular flow and termination annular flow.

  20. 75 FR 65561 - United Nations Day, 2010

    Science.gov (United States)

    2010-10-26

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8589 of October 22, 2010 United Nations Day, 2010 By the President of the United States of America A Proclamation Sixty-five years ago, 51 nations... peace, justice, and progress. The founders of the United Nations vowed to work together to ensure...

  1. Do health and education agencies in the United States share responsibility for academic achievement and health? A review of 25 years of evidence about the relationship of adolescents' academic achievement and health behaviors.

    Science.gov (United States)

    Bradley, Beverly J; Greene, Amy C

    2013-05-01

    The United States Centers for Disease Control and Prevention monitors health-risk behaviors of adolescents in United States, which include (1) violence; (2) tobacco use; (3) alcohol and other drug use; (4) sexual behaviors contributing to unintended pregnancy and sexually transmitted diseases; (5) inadequate physical activity; and (6) unhealthy dietary behaviors. We reviewed original research published in peer-reviewed journals between 1985 and 2010 to synthesize evidence about the association of adolescent health-risk behaviors and academic achievement. Using predetermined selection criteria, 122 articles were included that used at least one variable for health-risk behaviors and also for academic achievement. For all six health-risk behaviors, 96.6% of the studies reported statistically significant inverse relationships between health-risk behaviors and academic achievement. With this persuasive evidence about the interrelationship of health-risk behaviors and academic achievement, it is imperative that leaders in education and health act together to make wise investments in our nation's school-age youth that will benefit the entire population. A unified system that addresses both health behavior and academic achievement would have reciprocal and synergistic effects on the health and academic achievement not only of children and adolescents, but also of adults in the United States. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  2. Brief Report: Estimated Prevalence of a Community Diagnosis of Autism Spectrum Disorder by Age 4 Years in Children from Selected Areas in the United States in 2010--Evaluation of Birth Cohort Effects

    Science.gov (United States)

    Soke, Gnakub N.; Maenner, M. J.; Christensen, D.; Kurzius-Spencer, M.; Schieve, L. A.

    2017-01-01

    We compared early-diagnosed autism spectrum disorder (ASD) (defined as diagnosis by age 4 years) between the 2002 and 2006 birth cohorts, in five sites of the Autism and Developmental Disabilities Monitoring Network. In the 2002 cohort, the prevalence/1000 of early-diagnosed ASD was half the 8-year-old prevalence (7.2 vs. 14.7, prevalence ratio…

  3. A Different New Year: Chinese New Year, Teacher's Handbook.

    Science.gov (United States)

    Huang, Joe

    This booklet provides: (1) background information on the traditional celebration of the Chinese New Year and on the Chinese New Year Festival as celebrated in the United States; (2) a three day lesson plan which focuses, respectively, on the Chinese New Year Festival in San Francisco, a field trip to San Francisco's Chinatown, and the Chinese…

  4. Simulation of 100000 tons/year polypropylene unit and the study of loop reactor%10万吨聚丙烯装置仿真应用与环管反应器的模拟

    Institute of Scientific and Technical Information of China (English)

    朱宏韬; 罗应君

    2011-01-01

    give advisable information for the real plant. This paper was written based on a simulation project of 100000 ton/year Polypropene unit of the Qingyang petrochemical corporation (China), which been applied with Honeywell's rigorous process simulation engine (UniSim Design) as the core of framework that support the full Basell Spheripol polypropene process to build the dynamic simulation models and applied with Real-Plant DCS interface as hardware layer to integrated into Operator Training System (OTS) and Dynamic study tools. The system can support high performanced start-up and shut-down operation in multiple loadings.The full-featured training interface supports both self-paced learning and instructor-led training. The simulation also introduced the application of UniSim Design's mechanism interpolation matrix model technology with a reasonable modify to simulate the Basell Spheripol loop reactor. With real-time iterate steps kernel and modified convergence model, the system realize the control model dynamic test and whole system robust test with reasonable results. With the results the paper also analyses the reactant's dynamic behavinr in the loop reactor under the operation condition, and the association of the major significant parameters such as loop density and temperature. Based on the multi-phase-flash calculation for the components mixture and kinetic regress results in the loop reactor, the paper finally point out that the Basell loop will exist a critical point between 70℃ ~80℃ and which can be verified and proofed in the real plant operation. With all the data and analyst acquired the simulation environment not only give the operator and engineer an immersed sense to do the simulation training, but also could provide a theoretical guidelines for the real plant, where the same model can be evaluated from either perspective with full sharing of process information, represent a significant advancement in the engineering software industry. With the

  5. Oversight Institutions Within the United Nations

    DEFF Research Database (Denmark)

    Pontoppidan, Caroline Aggestam

    2015-01-01

    This article will give a description of the role of internal audit and governance functions within the United Nations system. The United Nations has, during the last 10 years, worked to establish effective oversight services. Oversight, governance and hereunder the internal audit function has been...... a key priority within the United Nations and a crucial ingredient in the Secretary-General’s efforts to reform and strengthen the United Nations to meet the challenges of the 21st century....

  6. Oversight Institutions Within the United Nations

    DEFF Research Database (Denmark)

    Pontoppidan, Caroline Aggestam

    2015-01-01

    This article will give a description of the role of internal audit and governance functions within the United Nations system. The United Nations has, during the last 10 years, worked to establish effective oversight services. Oversight, governance and hereunder the internal audit function has been...... a key priority within the United Nations and a crucial ingredient in the Secretary-General’s efforts to reform and strengthen the United Nations to meet the challenges of the 21st century....

  7. An update of the International Joint Commission's 1998 report, unsafe dams? seven years later what has changed? a report to the Governments of the United States and Canada

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-03-15

    In February 1998, the International Joint Commission of Canada and the United States (IJC) submitted a report to the governments of the United States and Canada on the safety of dams and dykes that are directly subject to IJC Orders. One of the report's conclusions was that some regulated facilities that are under IJC Orders at the border are not subject to comprehensive government safety inspections and that oversight by governments was unsatisfactory. In early 2004, the IJC asked the owners of regulated facilities to update information furnished for the 1998 report, including information on safety inspections and emergency action plans, governmental oversight of inspections, inundation maps, security protocols and any other information concerning safety and security. In addition, the IJC asked for the assistance of its boards to provide information on steps that have been taken since 1998 to ensure the safety and security of these structures. Relevant federal, state and provincial government agencies were also requested to provide additional information regarding safety, security and governmental oversight of structures listed in the 1998 report. This document provided a summary of the information received pursuant to these requests as well as information from several other consultation processes. The report made several recommendations including that the governments take appropriate steps to ensure the safety and security of facilities at the border, particularly for those that are not regulated by the IJC. It was suggested that more United States federal funding be provided to Maine and Minnesota to increase the frequency of inspections. 2 tabs., 3 appendices.

  8. The StreamCat Dataset: Accumulated Attributes for NHDPlusV2 Catchments (Version 2.1) Riparian Buffer for the Conterminous United States: Forest Loss By Year 2001 to 2013

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset represents the characterization of global forest extent and change by year from 2001 through 2013 within individual local NHDPlusV2 catchments and...

  9. The StreamCat Dataset: Accumulated Attributes for NHDPlusV2 Catchments (Version 2.1) for the Conterminous United States: Forest Loss By Year 2001 to 2013

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset represents the characterization of global forest extent and change by year from 2001 through 2013 within individual local NHDPlusV2 catchments and...

  10. Predictive factors for survival for out-born infants born between 23 and 24 weeks of gestation in the post-surfactant era: fourteen years' experience in a single neonatal care unit, 1987-2000.

    Science.gov (United States)

    Hosono, Shigeharu; Ohno, Tsutomu; Kimoto, Hirofumi; Shimizu, Masaki; Takahashi, Shigeru; Harada, Kensuke

    2008-10-01

    The purpose of the present paper was to identify the predictive factors for survival for out-born infants born between 23 and 24 weeks of gestation. Ninety-two infants born between 23 and 24 weeks' gestation who were admitted to a level III neonatal intensive care unit from 1987 to 2000, were retrospectively studied. Survival was defined as discharge from the neonatal intensive care unit. Logistic regression was done to determine which clinical factors were most predictive of survival. The independent variables that were entered into the models were determined by preliminary univariate analysis. Ninety-two infants were enrolled in the present study, 49 of whom survived in the surfactant era. The four variables that were found to be most predictive for survival on logistic regression were systolic blood pressure at 6 h (odds ratio [OR], 1.3; 95% confidence interval [CI]: 1.11-1.44 1 mmHg), ventilatory index born at 23-24 weeks of gestation.

  11. Twenty Lives Nineteen Years Later: A Longitudinal Study (1964-1983) of the Impact of Literacy on the Occupations, Schooling, and Educational Growth of Young Adults Who Were Low-Reading Readiness in First Grade with Special Attention Given to Model, Motivation, Interest, Perseverance, and Pressure as Aspects of Background and Mental Environment.

    Science.gov (United States)

    Newman, Anabel P.

    The study described in this report had a threefold purpose: (1) to examine, over time, the development of young adults who, when in the first grade in a midwestern school system, were in the lower third of their classes; (2) to examine the effect of literacy on their educational attainment, occupational level, and achievement; and (3) to examine…

  12. Benchmark study on glyphosate-resistant cropping systems in the United States. Part 7: Effects of weed management strategy (grower practices versus academic recommendations) on the weed soil seedbank over 6 years.

    Science.gov (United States)

    Gibson, David J; Young, Bryan G; Owen, Micheal D K; Gage, Karla L; Matthews, Joseph L; Jordan, David L; Shaw, David R; Weller, Stephen C; Wilson, Robert G

    2016-04-01

    Shifts in weed species composition and richness resulting from near-exclusive reliance on herbicides in glyphosate-resistant (GR) cropping systems has necessitated the implementation of alternative weed management tactics to reduce selection pressures of herbicides. We contrasted the response of the weed soil seedbank to effects of weed management strategy, comparing grower practices with academic recommendations for best management practices (BMPs) over 6 years and across five weed hardiness zones in the US Midwest at sites subject to GR cropping systems. Total weed population density and species richness varied according to cropping system, location and prior year's crop, but less so to weed management strategy. The seedbank population density for 11 of the 14 most frequent weed species was affected by weed management strategy either alone or in an interaction with hardiness zone or year, or both. In only 29% of comparisons was weed population density lower following academic recommendations, and this depended upon prior crop and cropping system. The population density of high-risk weed species was reduced by academic recommendations, but only in two of six years and under continuous GR maize. Overall, the weed population density was decreasing in field halves subject to the BMPs in the academic recommendations relative to grower practices. The soil seedbank is slow to respond to academic recommendations to mitigate glyphosate-resistant weeds, but represents a biological legacy that growers need to keep in mind even when management practices reduce emerged field weed population densities. © 2015 Society of Chemical Industry.

  13. Stability in Test-Usage Practices of Clinical Neuropsychologists in the United States and Canada Over a 10-Year Period: A Follow-Up Survey of INS and NAN Members.

    Science.gov (United States)

    Rabin, Laura A; Paolillo, Emily; Barr, William B

    2016-05-01

    As a 10-year follow up to our original study (Rabin, Barr, & Burton, 2005), we surveyed the test usage patterns of clinical neuropsychologists in the U.S and Canada. We expanded the original questionnaire to include additional cognitive and functional domains and to address current practice-related issues. Participants were randomly selected from the combined membership lists of the National Academy of Neuropsychology and the International Neuropsychological Society. Respondents were 512 doctorate-level members (25% usable response rate; 54% women) who had been practicing neuropsychology for 15 years on average. The Wechsler Adult Intelligence Scales, followed by the Wechsler Memory Scales, Trail Making Test, California Verbal Learning Test, and Wechsler Intelligence Scale for Children, were the most commonly used tests. These top five responses were identical and in the same order as those from 10 years ago. Participants respectively identified a lack of ecological validity and difficulty comparing the meaning of standardized scores across tests as the greatest challenges associated with the selection of neuropsychological instruments and interpretation of test data. Overall, we found great consistency in assessment practices over the 10-year period. We compare results to those of previous studies and discuss challenges and implications for neuropsychology.

  14. S.2058: This act may be cited as the Department of Energy National Security Act for Fiscal Year 1999, introduced in the Senate of the United States, One Hundred Fifth Congress, Second Session, May 11, 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    This bill is to authorize appropriations for fiscal year 1999 for defense activities of the Department of Energy, and for other purposes. Topics addressed in the bill include DOE national security programs including recurring general provisions and program authorizations, restrictions,and limitations; defense nuclear facilities safety board; national defense stockpile; naval petroleum reserves; and Panama Canal commission.

  15. Landscape geochemistry near mineralized areas of eastern Alaska: Chapter H in Recent U.S. Geological Survey studies in the Tintina Gold Province, Alaska, United States, and Yukon, Canada--results of a 5-year project

    Science.gov (United States)

    Wang, Bronwen; Gough, Larry P.; Wanty, Richard B.; Crock, James G.; Lee, Gregory K.; Day, Warren C.; Vohden, Jim

    2007-01-01

    The Pogo lode gold deposit was discovered in eastern Alaska in the early 1990s and provided the opportunity to study elemental distribution and mobility in the natural environment prior to mine development. Studying mineralized systems prior to mining allows us to compare the natural biogeochemical signature in mineralized versus nonmineralized areas. The resultant data and interpretation also provide a baseline for evaluating what, if any, changes in elemental distribution result from development. This report investigates the chemistry of stream water, streambed sediment, and soil in the context of regional bedrock geology. The major-ion chemistry of the waters reflects a rock-dominated aqueous system, and the waters are classified as Ca2+ and Mg2+ - HCO3- to Ca2+ and Mg2+ - SO4-2 waters. Creeks draining the gneissic lithologies tend to be more sulfate dominated than those draining the intrusive units. Sulfate also dominated creeks draining mineralized areas; however, the underlying paragneiss unit could be contributing substantially to the sulfate concentration, and the sulfate concentration in these creeks may reflect a complex baltholith-paragneiss boundary rather than mineralization. Arsenic concentrations in bed sediments were elevated in mineralized areas relative to nonmineralized areas. Elevated concentrations of nickel, chromium, iron, manganese, and cobalt appear to reflect the presence of ultramafic rocks in the drainage. In general, aqueous metal concentrations were below the State of Alaska’s Aquatic Life Criteria and Drinking Water Standards, with the exception of arsenic in stream water, which ranged in concentration from less than 1 to 14 micrograms per liter (μg/L) and exceeded the drinking water standard at one site. The arsenic and antimony concentration in the A, B, and C soil horizons ranged from 3 to 410 milligrams per kilogram (mg/kg), 6.1 to 440 mg/kg, and 2 to 300 mg/kg, respectively, for arsenic and 0.4 to 24 mg/kg, 0.6 to 25 mg

  16. Eccentric Pumping Unit: Cost-effective and Reliable

    Institute of Scientific and Technical Information of China (English)

    Zhang Shaobo; Gao Heping; Chen Yibao; Shi Linsong; Zhang Huiwen

    1996-01-01

    @@ The beam-type pumping unit is the most widely used ty pe of pumping unit because of its simple geometry and its reliability. However. when its stroke exceeds five meters, the structure of the unit becomes massive and its cost becomes quite high. In order to make full use of the advantages of the beam pumping unit and to enhance its stroke. a new type of pumping unit - the ECCENTRIC PUMPING UNIT - has been designed after two years of the research work.

  17. Non-European Union doctors in the National Health Service: why, when and how do they come to the United Kingdom of Great Britain and Northern Ireland?

    Directory of Open Access Journals (Sweden)

    Jude Edward B

    2007-02-01

    Full Text Available Abstract Background As many as 30% of doctors working for the National Health System (NHS of the United Kingdom of Great Britain and Northern Ireland (UK have obtained their primary qualifications from a country outside the European Union. However, factors driving this migration of doctors to the UK merit continuing exploration. Our objective was to obtain training and employment profile of UK doctors who obtained their primary medical qualification outside the European Union (non-European doctors and to assess self-reported reasons for their migration. Methods We conducted an online survey of non-European doctors using a pre-validated questionnaire. Results One thousand six hundred and nineteen doctors of 26 different nationalities completed the survey. Of the respondents, 90.1% were from India and over three-quarters migrated to the UK mainly for 'training'. Other reasons cited were 'better pay' (7.2%, 'better work environment' (7.1% and 'having family and friends in the UK' (2.8%. Many of the respondents have been in the UK for more than a year (88.8%, with 31.3% having spent more than 3 years gaining experience of working in the NHS. Most respondents believe they will be affected by recent changes to UK immigration policy (86.6%, few report that they would be unaffected (3.7% and the rest are unsure (9.8%. Conclusion The primary reason for many non-European doctors to migrate to the UK is for training within the NHS. Secondary reasons like better pay, better work environment and having friends and family in the UK also play a role in attracting these doctors, predominantly from the Indian subcontinent and other British Commonwealth countries.

  18. Neutronics Benchmarks for the Utilization of Mixed-Oxide Fuel: Joint U.S./Russian Progress Report for Fiscal Year 1997 Volume 2-Calculations Performed in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Primm III, RT

    2002-05-29

    This volume of the progress report provides documentation of reactor physics and criticality safety studies conducted in the US during fiscal year 1997 and sponsored by the Fissile Materials Disposition Program of the US Department of Energy. Descriptions of computational and experimental benchmarks for the verification and validation of computer programs for neutron physics analyses are included. All benchmarks include either plutonium, uranium, or mixed uranium and plutonium fuels. Calculated physics parameters are reported for all of the computational benchmarks and for those experimental benchmarks that the US and Russia mutually agreed in November 1996 were applicable to mixed-oxide fuel cycles for light-water reactors.

  19. Americans hear as well or better today compared with 40 years ago: hearing threshold levels in the unscreened adult population of the United States, 1959-1962 and 1999-2004.

    Science.gov (United States)

    Hoffman, Howard J; Dobie, Robert A; Ko, Chia-Wen; Themann, Christa L; Murphy, William J

    2010-12-01

    (1) To present hearing threshold data from a recent nationally representative survey in the United States (National Health and Nutrition Examination Survey, 1999-2004) in a distributional format that might be appropriate to replace Annex B in international (ISO-1999) and national (ANSI S3.44) standards and (2) to compare these recent data with older survey data (National Health Examination Survey I, 1959-1962) on which the current Annex B is based. Better-ear threshold distributions (selected percentiles and their confidence intervals) were estimated using linear interpolation. The 95% confidence intervals for the medians for the two surveys were compared graphically for each of the four age groups and for both men and women. In addition, we calculated odds ratios comparing the prevalences of better-ear hearing impairment (thresholds > 25 dB HL) between the two surveys, for 500, 1000, 2000, and 4000 Hz, and for their four-frequency average. Across age and sex groups, median thresholds were lower (better) in the 1999-2004 survey at 500, 3000, 4000, and 6000 Hz (8000 Hz was not tested in the 1959-1962 survey). For both men and women, the prevalence of hearing impairment was significantly lower in 1999-2004 at 500, 2000, and 4000 Hz, but not at 1000 Hz. For men and women of a specific age, high-frequency hearing thresholds were lower (better) in 1999-2004 than in 1959-1962. The prevalences of hearing impairment were also lower in the recent survey. Differences seen at 500 Hz may be attributable at least in part to changes in standards for ambient noise in audiometry. The National Health and Nutrition Examination Survey 1999-2004 distributions are offered as a possible replacement for Annex B in ISO-1999 and ANSI S3.44.

  20. Investigating First Year Education Students' Stress Level

    Science.gov (United States)

    Geng, Gretchen; Midford, Richard

    2015-01-01

    This paper investigated the stress levels of first-year education students who undertake teaching practicum and theory units during their first year of teacher education program. First, 139 first-year and 143 other years' education students completed the PSS-10 scale, which measures perceived level of stress. Then, 147 first-year education…

  1. 7 CFR 996.3 - Crop year.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Crop year. 996.3 Section 996.3 Agriculture Regulations... DOMESTIC AND IMPORTED PEANUTS MARKETED IN THE UNITED STATES Definitions § 996.3 Crop year. Crop year means the 12-month period beginning with July 1 of any year and ending with June 30 of the following year...

  2. 生命的惩戒、治理与生存的美学--读奥威尔的《一九八四》%Punishing and governing life and aesthetics of existence:Reading Orwell’sNineteen Eight-Four

    Institute of Scientific and Technical Information of China (English)

    支运波; 刘莉

    2015-01-01

    Based on the theory of biopolitique which was initiated by Foucault, the present essay clearly illustrates the bio-political nature disclosed in the totalitarian novelNineteen Eight-Four by Orwell. Employing Big Brother as a symbol of power, Oceania, a country ruled by Ing. Soc, imposed a series of physical punishments and life governance techniques on Winston Smith, who was an outer party member. In the novel, Orwell reveals to us how the individual life could be reduced to bare life after suffering the political and technological interpenetration, and meanwhile he also expresses his deep concern for human life as well as his hope and pursuit for existence of aesthetics in the life field.%奥威尔运用福柯的生命政治理论阐释奥威尔的反极权主义小说《一九八四》,借此展现了大众生命在遭受否定性权力惩戒后,被权力的单边主义真理推向极端,直接裸露在权力之下,最后沦为纯粹“赤裸生命”的情状,集中显现了权力彻底政治化时未来社会的生命政治学和社会伦理范式。以生命抵抗政治的生存美学,传达了个人如何在政治与技术的双重生命场域中“复活”并生存的现实问题。

  3. Perfil epidemiológico de dezesseis anos de uma unidade de terapia intensiva pediátrica A sixteen-year epidemiological profile of a pediatric intensive care unit, Brazil

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Einloft

    2002-12-01

    Full Text Available OBJETIVO: Revisar e descrever os dados epidemiológicos dos pacientes admitidos em uma unidade de terapia pediátrica brasileira (UTIP e compará-los aos aspectos clínicos associados aos índices de gravidade e mortalidade. Descrever as características desses pacientes, incluindo os dados demográficos, prevalência de doenças, índices de mortalidade e fatores associados. MÉTODOS: Os dados foram coletados retrospectivamente de todos os pacientes admitidos na UTIP de um hospital universitário entre 1978 e 1994. Os dados foram expressos em percentagens e comparados pelo teste qui-quadrado, calculando-se o risco relativo (RR com um intervalo de confiança de 95%, considerando-se um pOBJECTIVE: To review epidemiological data from patients admitted to a Pediatric Intensive Care Unit (PICU, Brazil, and to compare them to medical aspects associated to disease severity and mortality. Also, to profile these patients, including demographic data, disease prevalence, mortality rates and associated factors. METHODS: Retrospective data were collected from all patients admitted in a PICU of a university hospital between 1978 and 1994. Data were presented as percentages and compared using Chi-square, and calculating the relative risk (RR with a 95% confidence interval, p<0.05. RESULTS: Of 13, 101 patients selected, most of them were boys (58.4%, younger than 12 months of age (40.4%, well-nourished (69.5%, and with clinical disease (73.1%. The general mortality rate was 7.4%. Patients aged less than 12 months showed a RR of 1.86 (CI 1.65 - 2.10; p<0.0001, while the RR of malnutrition was 2.98 (CI 2.64 - 3.36; p<0.0001. CONCLUSIONS: The epidemiological survey showed that the mortality is higher in malnourished children younger than 12 months of age. Sepsis was the most main cause of death.

  4. [The role of the neuropsychologist in neurology services: a descriptive study of the users of the specialised neurological assessment unit of the Hospital Complex of Navarra during its first year in service].

    Science.gov (United States)

    Luna-Lario, Pilar; Seijas-Gómez, Raquel; Carnés-Vendrell, Anna

    2014-12-16

    INTRODUCTION. A large number of neurological diseases course with impairment of higher cognitive functions, their evaluation being important for diagnostic, prognostic and therapeutic purposes. The main purpose of neuropsychological assessment is to identify behavioral, emotional and cognitive consequences of brain dysfunction. The neuropsychologist's figure was included in Navarra's Hospital Neurology Service in February 2013 through a specialized practice in neuropsychological assessment. AIM. To describe the sociodemographic and clinical profile of all patients referred to the same from March 2013 to March 2014. PATIENTS AND METHODS. A total of 511 people have been treated in this practice. RESULTS. 73.2% are more than 55 years old and the most frequent reason of referral is to characterize the neuropsychological profile to detect and discriminate mild cognitive impairment and dementia, as well as the type of dementia. In younger adults (neurology services and point out future aims.

  5. A 19 year old with heavy vaginal bleeding; unlikely diagnosis of uterine carcinsarcoma

    Directory of Open Access Journals (Sweden)

    Andrew L. Atkinson

    2013-04-01

    Full Text Available Uterine carcinosarcoma is a rare malignancy that has a high recurrence rate after treatment with very poor long term prognosis. Women are diagnosed usually over the age of 50, with most cases occurring between the sixth and seventh decade of life. We present a rare case of uterine carcinosarcoma diagnosed a nineteen year old after having a dilation and curettage for heavy vaginal bleeding. The patient went on to have a total abdominal hysterectomy with transposition of the ovaries as well as adjuvant treatment with chemotherapy. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000: 221-223

  6. Pancreas transplant outcomes for United States (US) cases as reported to the United Network for Organ Sharing (UNOS) and the International Pancreas Transplant Registry (IPTR).

    Science.gov (United States)

    Gruessner, Angelika C; Sutherland, David E R

    2008-01-01

    From December 16, 1966 to December 31, 2008 more than 30,000 pancreas transplants have been reported to the International Pancreas Transplant Registry (IPTR), including > 22,000 from the United States and > 8,000 from outside the US. This report focused on the most recent outcomes for pancreas transplants performed in the US, since we had reliable follow-up information available for US cases only at this time. Between 2004 and 2008 the most common pancreas transplant category was a combined pancreas/kidney transplant (SPK) (73%). Nineteen percent of diabetic patients had already received a kidney transplant before undergoing a pancreas transplant (PAK). In those cases, 76% of all kidneys came from a living donor. Pancreas transplants alone (PTA) accounted for 9% of all pancreas transplants in diabetic patients. The number of pancreas transplants for diabetic patients decreased over the last 5 years, and the decrease was highest in PAK, followed by PTA and SPK. During this time period, the patient age at transplant increased due to an increased number of patients with type 2 diabetes reported as reason for transplantation. The decrease in the number of pancreas transplants provided the opportunity for better selection of deceased donors. We noticed a significant decrease in the age of the deceased donor. Only 6-8% of all reported donors were 45 years of age or older, and the majority of donors were between 15 and 30 years old. In all three pancreas transplant categories (SPK, PAK, and PTA), the majority of patients received antibody therapy for induction and a maintenance protocol of Tacrolimus in combination with MMF. In a growing number of patients, the maintenance protocol was Sirolimus based. In all protocols a strong trend of steroids avoidance could be seen and accounted for one third of all transplants. The overall outcome of pancreas transplantation improved significantly. Patient survival at one year is now better than 95% and reached 90% at 3 years post

  7. An ISOLDE target unit

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    A good dozen different targets are available for ISOLDE, made of different materials and equipped with different kinds of ion-sources, according to the needs of the experiments. Each separator (GPS: general purpose; HRS: high resolution) has its own target. Because of the high radiation levels, robots effect the target changes, about 80 times per year. In the standard unit shown in picture _01, the target is the cylindrical object in the front. It contains uranium-carbide kept at a temperature of 2200 deg C, necessary for the isotopes to be able to escape. At either end, one sees the heater current leads, carrying 700 A. The Booster beam, some 3E13 protons per pulse, enters the target from left. The evaporated isotope atoms enter a hot-plasma ion source (the black object behind the target). The whole unit sits at 60 kV potential (pulsed in synchronism with the arrival of the Booster beam) which accelerates the ions (away from the viewer) towards one of the 2 separators.

  8. Comparison Of Digital Radiographic Units

    Science.gov (United States)

    Wang, Yen

    1986-06-01

    A total PACS will be inevitable for radiology practice within several years. To achieve a total PACS for radiology, a satisfactory digital radiographic unit is required, because approximately 65% of digital data for PACS comes from digital radiographs. There are several possibilities for producing digital radiographs, and 3 - 4 companies have been marketing digital radiographic devices. Some data regarding the digital radiographic units on the market are compared. It will aid in assessing the current status and availability of this aspect of development, as well as providing a summary of further development of digital radiographic technology.

  9. Lanreotide extended-release aqueous-gel formulation, injected by patient, partner or healthcare provider in patients with acromegaly in the United States: 1-year data from the SODA registry.

    Science.gov (United States)

    Salvatori, Roberto; Woodmansee, Whitney W; Molitch, Mark; Gordon, Murray B; Lomax, Kathleen G

    2014-02-01

    Lanreotide depot (LD; commercial name Somatuline(®) Depot) is an injectable, extended-release formulation of the synthetic somatostatin analog (SSA) lanreotide. In recent clinical trials, LD was found to be suitable for self or partner administration, avoiding the need to travel to a medical facility. The Somatuline(®) Depot for Acromegaly (SODA) study is an ongoing, multicenter, observational study in the US investigating the efficacy, safety, convenience and symptom relief provided by LD in patients with acromegaly. Sub-analyses explore outcomes according to who administered the injection: patient, partner, healthcare provider (HCP) or a combination. Data reported here reflect one year of patient experience. Patients are eligible for inclusion if they have a diagnosis of acromegaly, are treated with LD and can give signed informed consent. Baseline data include patient demographics, previous acromegaly treatment and investigations, GH and IGF-I levels, LD dose and dose adjustment frequency. Symptom frequency, injection pain and treatment convenience are assessed using patient-reported questionnaires. As of 18 April 2012, 166 patients had enrolled in SODA. Most (72 %) achieved normal IGF-I levels after 12 months of LD treatment. Disease control was similar in self or partner injectors and in patients who received injections from their HCP, although self or partner injecting was deemed more convenient. LD was well-tolerated irrespective of who performed the injection. Self injection led to more injection-site reactions, but this did not increase the rate of treatment interruption. Acromegaly symptoms remained stable. Biochemical, safety and convenience data support the clinical validity of injecting LD at home.

  10. Using SI Units in Astronomy

    Science.gov (United States)

    Dodd, Richard

    2011-12-01

    1. Introduction; 2. An introduction to SI units; 3. Dimensional analysis; 4. Unit of angular measure (radian); 5. Unit of time (second); 6. Unit of length (metre); 7. Unit of mass (kilogram); 8. Unit of luminous intensity (candela); 9. Unit of thermodynamic temperature (kelvin); 10. Unit of electric current (ampere); 11. Unit of amount of substance (mole); 12. Astronomical taxonomy; Index.

  11. 外科重症监护室导管相关性医院感染5年监测资料分析%Catheter-associated nosocomial infection in surgical intensive care unit: a 5 year data analysis

    Institute of Scientific and Technical Information of China (English)

    糜琛蓉; 张祎博; 杨莉; 李文慧; 顾秋莹; 赵煜瑾; 孙芳艳; 李贤华

    2011-01-01

    Objective To realize the status and causes of catheter-associated nosocomial infection (CANI) in surgical intensive care unit (SICU) , so as to decrease the incidence by taking proper measures. Methods Six hundred and fifteen patients with catheters in SICU between 2005 and 2009 were monitored prospectively, including the occurrence of CANI, patients' age, length of hospital stay, invasive procedures, and pathogens. Results One hundred and ninety-seven of 615 patients (32. 03%) developed CANI, and CANI rate was 2. 60%, 12. 85% and 56. 40% in patients with 1 kind, 2 or 3 kinds of catheters simultaneously respectively, there were significant difference among three groups (x2 = 151.55, P<0. 001). The rate of ventilator-associated pneumonia (VAP), catheterassociated urinary tract infection (CA-UTI) , and central venous catheter (CVC)-associated bloodstream infection (CVC-BSI) per 1 000 catheter days was 15. 51, 13. 70 and 5. 79 respectively. The average catheter utilization days before the occurrence of CANI were as follows: ventilator (12. 22 ± 11.29) days, urinary catheter (13. 09 ± 13. 29)days , CVC (20. 64 ± 18. 39) days respectively. The major pathogen in VAP , CA-UTI and CVC-BSI was Acinetobacter spp. ( 18. 80 %), Candida albicans (36. 46 %) and Acinetobacter spp. ( 18. 75 %) respectively. Conclusion Patients with more catheters , long hospital stay and long duration of catheters are prone to develop nosocomial infection. The key to the prevention of emerging of drug-resistant strain and decrease in NI are strengthening of disinfection and isolation, shortening the time of catheter retaining, implementing hand hygiene, and using antimicrobial drug rationally.%目的 了解外科重症监护室(SICU)导管相关性医院感染发生状况及其原因,以采取相应措施降低其发病率.方法 采用前瞻性监测方法,对SICU 2005-2009年间615例留置导管患者的相关医院感染发生状况、年龄、住院天数、侵人性操作

  12. United Arab Emirates.

    Science.gov (United States)

    1985-02-01

    This discussion of the United Arab Emirates focuses on the following: the people; geography; history; government; political conditions; defense; the economy; foreign relations; and relations between the US and the United Arab Emirates. In 1983 the population was estimated at 1,194,000. In 1984 the annual growth rate was negative. Life expectancy is about 60 years. Fewer than 20% of the population are UAE citizens. Indigenous Emiris are Arab; the rest of the population includes significant numbers of other Arabs -- Palestinians, Egyptians, Jordanians, Yemenis, Omanis, as well as many Iranians, Pakistanis, Indians, and West Europeans, especially in Dubai. The UAE is in the eastern Arabian Peninsula, bounded on the north by the Persian Gulf. European and Arab pirates roamed the Trucial Coast area from the 17th century into the 19th century. Early British expeditions against the pirates led to further campaigns against their headquarters. Piracy continued intermittently until 1835, when the shaikhs agreed not to engage in hostilities at sea. Primarily in reaction to the ambitions of other European countries, the UK and the Trucial States established closer bonds in an 1892 treaty. In 1968 the British government announced its decision, reaffirmed in March 1971, to end the treaty relationship with the gulf shaikhdoms. When the British protective treaty with the Trucial Shaikhdoms ended on December 1, they became fully independent. On December 2, 1971, 6 of them entered into a union called the United Arab Emirates. The 7th, Ras al-Khaimah, joined in early 1972. Administratively, the UAE is a loose federation of 7 emirates, each with its own ruler. The pace at which local government in each emirate is evolving, from traditional to modern, is set primarily by the ruler. Under the provisional constitution of 1971, each emirate reserves considerable powers, including control over mineral rights, taxation, and police powers. In this milieu, the growth of federal powers has

  13. United States 2030 Food Loss and Waste Reduction Goal

    Science.gov (United States)

    On September 16, 2015, the United States Department of Agriculture (USDA) and the United States Environmental Protection Agency (EPA) announced the first ever domestic goal to reduce food loss and waste by half by the year 2030.

  14. Energy Efficient Iris Recognition With Graphics Processing Units

    National Research Council Canada - National Science Library

    Rakvic, Ryan; Broussard, Randy; Ngo, Hau

    2016-01-01

    .... In the past few years, however, this growth has slowed for central processing units (CPUs). Instead, there has been a shift to multicore computing, specifically with the general purpose graphic processing units (GPUs...

  15. Ir de compras en Espana: A Self-Instructional Unit

    Science.gov (United States)

    Tuttle, Harry Grover

    1978-01-01

    A self-instructional unit of six sections offers exercises, vocabulary, activities and self-tests that deal with shopping in Spain. The unit is designed for the first-year high school Spanish class. (KM)

  16. 7 CFR 996.17 - Quota year.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Quota year. 996.17 Section 996.17 Agriculture... STANDARDS FOR DOMESTIC AND IMPORTED PEANUTS MARKETED IN THE UNITED STATES Definitions § 996.17 Quota year. Quota year means the 12-month period beginning January 1 and ending December 31 of the same year for...

  17. Malaria Treatment (United States)

    Science.gov (United States)

    ... a CDC Malaria Branch clinician. malaria@cdc.gov Malaria Treatment (United States) Recommend on Facebook Tweet Share Compartir Treatment of Malaria: Guidelines For Clinicians (United States) Download PDF version ...

  18. United Cerebral Palsy

    Science.gov (United States)

    ... be sure to follow us on Twitter . United Cerebral Palsy UCP educates, advocates and provides support services to ... Partners Merz Logo Sprint Relay Copyright © 2015 United Cerebral Palsy 1825 K Street NW Suite 600 Washington, DC ...

  19. Unit Cost Compendium Calculations

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Unit Cost Compendium (UCC) Calculations raw data set was designed to provide for greater accuracy and consistency in the use of unit costs across the USEPA...

  20. Establishing the Intermediate Unit.

    Science.gov (United States)

    Pennsylvania State Dept. of Education, Harrisburg.

    The State of Pennsylvania Act 102 establishes a system of 29 intermediate units, creates intermediate unit boards of directors, spells out their duties and functions, and provides a system of financing their operations. This handbook has been prepared by the Pennsylvania Department of Education to provide intermediate unit boards of directors,…

  1. Unitals in Projective Planes

    CERN Document Server

    Barwick, Susan

    2008-01-01

    Unitals are key structures in projective planes, and have connections with other structures in algebra. This book presents a monograph on unitals embedded in finite projective planes. It offers a survey of the research literature on embedded unitals. It is suitable for graduate students and researchers who want to learn about this topic

  2. Hanford Site Waste Management Units Report

    Energy Technology Data Exchange (ETDEWEB)

    Shearer, Jeffrey P. [Hanford Site (HNF), Richland, WA (United States)

    2014-02-19

    The Hanford Site Waste Management Units Report (HSWMUR) has been created to meet the requirements of the Tri-Party Agreement (TPA) Action Plan, Section 3.5, which states: “The Hanford Site Waste Management Units Report shall be generated, in a format agreed upon by the Parties, as a calendar year report and issued annually by the DOE by the end of February of each year, and posted electronically for regulator and public access. This report shall reflect all changes made in waste management unit status during the previous year.” This February 2013 version of the HSWMUR contains a comprehensive inventory of the 3438 sites and 569 subsites in the Waste Information Data System (WIDS). The information for each site contains a description of each unit and the waste it contains, where applicable. The WIDS database provides additional information concerning the sites contained in this report and is maintained with daily changes to these sites.

  3. Hanford Site Waste Management Units Report

    Energy Technology Data Exchange (ETDEWEB)

    Shearer, Jeffrey P. [Hanford Site (HNF), Richland, WA (United States)

    2012-02-29

    The Hanford Site Waste Management Units Report (HSWMUR) has been created to meet the requirements of the Tri-Party Agreement (TPA) Action Plan, Section 3.5, which states: “The Hanford Site Waste Management Units Report shall be generated, in a format agreed upon by the Parties, as a calendar year report and issued annually by the DOE by the end of February of each year, and posted electronically for regulator and public access. This report shall reflect all changes made in waste management unit status during the previous year.” This February 2012 version of the HSWMUR contains a comprehensive inventory of the 3389 sites and 540 subsites in the Waste Information Data System (WIDS). The information for each site contains a description of each unit and the waste it contains, where applicable. The WIDS database provides additional information concerning the sites contained in this report and is maintained with daily changes to these sites.

  4. Hanford Site Waste Management Units Report

    Energy Technology Data Exchange (ETDEWEB)

    Shearer, Jeffrey P. [Hanford Site (HNF), Richland, WA (United States)

    2013-02-13

    The Hanford Site Waste Management Units Report (HSWMUR) has been created to meet the requirements of the Tri-Party Agreement (TPA) Action Plan, Section 3.5, which states: “The Hanford Site Waste Management Units Report shall be generated, in a format agreed upon by the Parties, as a calendar year report and issued annually by the DOE by the end of February of each year, and posted electronically for regulator and public access. This report shall reflect all changes made in waste management unit status during the previous year.” This February 2013 version of the HSWMUR contains a comprehensive inventory of the 3427 sites and 564 subsites in the Waste Information Data System (WIDS). The information for each site contains a description of each unit and the waste it contains, where applicable. The WIDS database provides additional information concerning the sites contained in this report and is maintained with daily changes to these sites.

  5. The United States Army Infantry Squad: Year 2015.

    Science.gov (United States)

    1999-06-04

    time is a testament to the selfless service they provide the Army daily. To Kellie, Ashley, and Haley, thank you for the notes, pictures, love , and... astrology . "s Before World War I, the world’s major military powers studied major battles to determine how best to prepare their forces to fight in the

  6. Teamwork in First Year Law Units: Can It Work?

    Science.gov (United States)

    Carver, Tracey L.; Stickley, Amanda

    2012-01-01

    There is an abundance of literature on the importance of teamwork in undergraduate degrees; how to teach it, how to assess it and how to manage it. However, there is also much recorded about students' dislike of teamwork, especially where an early experience is unsatisfactory and builds resistance against such assessment. Accordingly, despite the…

  7. United States Air Force Statistical Digest, Fiscal Year 2000

    Science.gov (United States)

    2000-09-30

    Catlin Chief, Mideast/Africa Division Col Jack Gregory Chief, Pacific Division Col Frank Kisner Chief, Saudi Arabia Division Col Rich...Corsi Director, Operations Support VACANT Director, Information Planning Mr Terry Balven Director, Departmental Publishing Ms Carolyn Watkins Director...AF Declassification Office Lt Col Don Dyrda Director (Plans, Programs and Budget) Ms Carolyn Lumsford Director (Security & Investigative Programs) Mr

  8. Fiscal Year 2012 United States Air Force Agency Financial Report

    Science.gov (United States)

    2012-01-01

    equipment. The Air Force recognizes excess, obsolete, and unserviceable OM&S at a net realizable value of $0 pending development of an effective...Legend for Valuation Methods: LAC = Latest Acquisition Cost NRV = Net Realizable Value MAC = Moving Average Cost SP = Standard Price LCM...AFWCF recognizes excess, obsolete, and unserviceable inventory and OM&S at a net realizable value of $0 pending development of an effective means of

  9. United States Air Force Statistical Digest, Fiscal Year 1995

    Science.gov (United States)

    1996-05-01

    Safety Brig Gen Orin L. Godsey Chief of Security Police Brig Gen Stephen C. Mannell AF Historian Dr. Richard P. Hallion Chief Scientist Dr. Edward A...Evaluation Maj Gen J. W. Handy The Surgeon General Lt Gen Edgar R. Anderson Jr Chief of Chaplains Maj Gen Donald J. Hariin Director of Services Brig Gen

  10. United States Air Force Statistical Digest, Fiscal Year 1996

    Science.gov (United States)

    1997-06-01

    Safety Brig Gen Orin L. Godsey Chief of Security Police Brig Gen Richard A. Coleman Jr AF Historian Dr. Richard P. Hallion Chief Scientist Dr...Programs & Evaluation Maj Gen John W. Handy Director, Services Brig Gen Patrick 0. Adams Surgeon General Lt Gen Edgar R. Anderson Jr Chief of...Mclntosh AF Review Boards Agency Mr. Joe G. Lineberger AF Safety Agency Brig Gen Orin L. Godsey AF Security Police Agency Col Lawrence R. Mayes AF

  11. United States Air Force Statistical Digest, Fiscal Year 1993

    Science.gov (United States)

    1994-11-01

    SUDDlv& Maintenance 9.8 8.9 6.1 (3) Trna Med & Other Gen Pers Activitv 9.6 11.5 8.2 (3) Administration & Asso Activitv 1.3 1.3 1.3 (3) Support of Other...MAINTENANCE 9.6 8.9 6.1 5.1 TNG MED & OTHER GEN PERS ACTIVITY 9.6 11.5 8.3 8.3 ADMINISTRATION & ASSO ACTIVITY 1.3 1.3 1.2 1.2 SUPPORT OF OTHER NATIONS 0.1...1,120 1,129 1122 1,033 941 877 88 PARALEGAL - - 886 866 810 780 828 89 CHAPLAIN MGMT - - 684 698 620 570 525 90 MEDICAL .... 19062 18,167 18651 19,043

  12. United States Air Force Statistical Digest, Fiscal Year 1997

    Science.gov (United States)

    1998-04-01

    DEVELOPMENT 6.353 7.379 7.593 7.498 CENTRAL SUPPLY & MAINTENANCE 0.125 0.030 0.078 0.105 TNG MED & OTHER GEN PERS ACTIVITY 0.002 0.001 0.001 0.002...3U MANPOWER 510 568 731 3V VISUAL INFORMATION 1,756 1,687 1,677 4X MEDICAL 24,388 24,413 23,912 4Y DENTAL 3,098 2,912 2,682 5J PARALEGAL 922 989...Honorable Rudy de Leon Deputy Under Secretary (International Affairs) Mr Robert D. Bauerlein Principal Assistant Deputy Maj Gen Clinton V. Horn

  13. United States Air Force Statistical Digest, Fiscal Year 2001

    Science.gov (United States)

    2001-09-30

    0.169 0.247 0.342 RESEARCH & DEVELOPMENT 7.425 6.754 7.319 10.788 CENTRAL SUPPLY & MAINTENANCE 0.080 0.101 0.116 0.127 TNG MED & OTHER GEN PERS ACTIVITY...INFORMATION 1,577 1,407 1,318 4X MEDICAL 21,233 20,255 19,234 4Y DENTAL 2,718 2,550 2,478 5J PARALEGAL 1,014 979 954 5R CHAPLAIN SERVICE SUPPORT 446 420...Honorable Peter Teets Deputy Under Secretary (International Affairs) Mr Willard Mitchell Assistant Deputy Maj Gen Ted McFarland Director of Policy

  14. 75 Years of Histoplasmosis Outbreaks in the United States

    Centers for Disease Control (CDC) Podcasts

    2016-03-24

    Kaitlin Benedict, CDC epidemiologist, discusses Histoplasma capsulatum infection.  Created: 3/24/2016 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 3/24/2016.

  15. Extended Spring Indices, Contiguous United States, 1981 - Current Year

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The USA National Phenology Network has available a series of gridded products enabling researchers to analyze historical and contemporary data related to the...

  16. Past Years

    Science.gov (United States)

    Lodge, Oliver

    2012-07-01

    Preface; 1. Ancestry and early days; 2. Schooldays; 3. Relation with other boys at school; 4. Education; 5. Influence of the Royal Institution; 6. Later education in London; 7. Reminiscences of Bedford College; 8. Scientific work and friends in London; 9. Personal retrospect; 10. Romance; 11. Influence of the British Association; 12. Reminiscences of Coopers Hill and assistants and popular lectures; 13. Liverpool; 14. Scientific work at Liverpool; 15. Scientific work at Liverpool (cont.); 16. Scientific work at Liverpool (cont.); 17. Electric waves and the beginnings of wireless; 18. Other friends; 19. Family life; 20. Holidays; 21. Side issues; 22. Early experiences in psychical research; 23. Psychical research; 24. Further psychic adventures, and psycho-physical phenomena; 25. Reminiscences of my years at the university of Birmingham; 26. Birmingham friendships and recollections; 27. Scientific retrospect; 28. Apologia pro vita mea; Index.

  17. Friendly units for coldness

    CERN Document Server

    Fraundorf, P

    2006-01-01

    Measures of temperature that center around human experience get lots of use. Of course thermal physics insights of the last century have shown that reciprocal temperature (1/kT) has applications that temperature addresses less well. In addition to taking on negative absolute values under population inversion (e.g. of magnetic spins), bits and bytes turn 1/kT into an informatic measure of the thermal ambient for developing correlations within any complex system. We show here that, in the human-friendly units of bytes and food Calories, water freezes when 1/kT ~200 ZB/Cal or kT ~5 Cal/YB. Casting familiar benchmarks into these terms shows that habitable human space requires coldness values (part of the time, at least) between 0 and 40 ZB/Cal with respect body temperature ~100 degrees F, a range in kT of ~1 Cal/YB. Insight into these physical quantities underlying thermal equilibration may prove useful for budding scientists, as well as the general public, in years ahead.

  18. 100 Years of Chinese Education

    Institute of Scientific and Technical Information of China (English)

    ZHANG ZHIPING

    2010-01-01

    @@ This year marks the 100th anniversary of the foundation of the Department of Chinese Language and Literature (DOCLL) of Peking University. On March 31, 1910, the Imperial Capital University (the predecessor of today's Peking University) was estab-lished, with a Chinese literature school as an independent teaching unit.

  19. 100 Years of Chinese Education

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    This year marks the 100th anniversary of the foundation of the Department of Chinese Language and Literature (DOCLL) of Peking University. On March 31,1910,the Imperial Capital University (the predecessor of today’s Peking University) was established,with a Chinese literature school as an independent teaching unit.

  20. Freestanding midwifery units versus obstetric units

    DEFF Research Database (Denmark)

    Overgaard, Charlotte; Fenger-Grøn, Morten; Sandall, Jane

    2012-01-01

    women intending to give birth in two freestanding midwifery units (FMU) versus two obstetric units in Denmark differed by level of social disadvantage Methods The study was designed as a cohort study with a matched control group. It included 839 lowrisk women intending to give birth in an FMU, who were...... prospectively and individually matched on nine selected obstetric/socio-economic factors to 839 low-risk women intending OU birth. Educational level was chosen as a proxy for social position. Analysis was by intention-to-treat. Results Women intending to give birth in an FMU had a significantly higher...