Empirical yield tables for Wisconsin.

Science.gov (United States)

Jerold T. Hahn; Joan M. Stelman

1989-01-01

Describes the tables derived from the 1983 Forest Survey of Wisconsin and presents ways the tables can be used. These tables are broken down according to Wisconsin`s five Forest Survey Units and 14 forest types.

Exposure to Neighborhood Green Space and Mental Health: Evidence from the Survey of the Health of Wisconsin

Directory of Open Access Journals (Sweden)

Kirsten M. M. Beyer

2014-03-01

Full Text Available Green space is now widely viewed as a health-promoting characteristic of residential environments, and has been linked to mental health benefits such as recovery from mental fatigue and reduced stress, particularly through experimental work in environmental psychology. Few population level studies have examined the relationships between green space and mental health. Further, few studies have considered the role of green space in non-urban settings. This study contributes a population-level perspective from the United States to examine the relationship between environmental green space and mental health outcomes in a study area that includes a spectrum of urban to rural environments. Multivariate survey regression analyses examine the association between green space and mental health using the unique, population-based Survey of the Health of Wisconsin database. Analyses were adjusted for length of residence in the neighborhood to reduce the impact of neighborhood selection bias. Higher levels of neighborhood green space were associated with significantly lower levels of symptomology for depression, anxiety and stress, after controlling for a wide range of confounding factors. Results suggest that “greening” could be a potential population mental health improvement strategy in the United States.

Geodemographic Features of Human Blastomycosis in Eastern Wisconsin

Directory of Open Access Journals (Sweden)

Megan E. Huber

2016-04-01

Full Text Available Purpose: Blastomycosis is an endemic fungal infection. In rural northern Wisconsin, blastomycosis cases are associated with certain environmental features including close proximity to waterways. Other studies have associated blastomycosis with particular soil chemicals. However, blastomycosis also occurs in urban and suburban regions. We explored the geodemographic associations of blastomycosis cases in the more urban/suburban landscape of eastern Wisconsin. Methods: We conducted a retrospective study of 193 laboratory-identified blastomycosis cases in a single eastern Wisconsin health system, 2007–2015. Controls were 250 randomly selected cases of community-diagnosed pneumonia from a similar time period. Geographic features of home addresses were explored using Google Maps. Categorical variables were analyzed with chi-square or Fisher’s exact tests and continuous variables by two-sample t-tests. Stepwise regression followed by binary logistic regression was used for multivariable analysis. Results: Compared to pneumonia cases, blastomycosis cases were younger (47.7 vs. 55.3 years and more likely to be male (67.9% vs. 45.6%, nonwhite (23.2% vs. 9.7% and machinists, automobile workers/mechanics or construction workers (32.7% vs. 7.2%; P 0.5 acres (30.4% vs. 14.2%, P = 0.0002, be < 0.25 miles from an automobile repair facility or junkyard (35.9% vs. 19.4%, P = 0.0005, and be < 0.1 miles from a park, forest or farm field (54.9% vs. 39.6%, P = 0.002. Only the latter association remained on multivariable analysis. Conclusions: Eastern Wisconsin blastomycosis case subjects were younger, more often male and more likely to live near parks/forests/fields. Novel associations of blastomycosis cases with machinery- and automobile-related occupations and/or facilities should be further explored.

Residential Energy Efficiency Potential: Wisconsin

Energy Technology Data Exchange (ETDEWEB)

Wilson, Eric J [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2017-11-27

Energy used by Wisconsin single-family homes that can be saved through cost-effective improvements. Prepared by Eric Wilson and Noel Merket, NREL, and Erin Boyd, U.S. Department of Energy Office of Energy Policy and Systems Analysis.

Collective Bargaining and District Costs for Teacher Health Insurance: An Examination of the Data from the BLS and Wisconsin

Science.gov (United States)

Costrell, Robert M.

2015-01-01

District costs for teachers' health insurance are, on average, higher then employer costs for private-sector professionals. How much of this is attributable to collective bargaining? This article examines the question using data from the National Compensation Survey (NCS) of the Bureau of Labor Statistics (BLS) and the state of Wisconsin. In…

Wisconsin's forests, 2004

Science.gov (United States)

Charles H. (Hobie) Perry; Vern A. Everson; Ian K. Brown; Jane Cummings-Carlson; Sally E. Dahir; Edward A. Jepsen; Joe Kovach; Michael D. Labissoniere; Terry R. Mace; Eunice A. Padley; Richard B. Rideout; Brett J. Butler; Susan J. Crocker; Greg C. Liknes; Randall S. Morin; Mark D. Nelson; Barry T. (Ty) Wilson; Christopher W. Woodall

2008-01-01

The first full, annualized inventory of Wisconsin's forests was completed in 2004 after 6,478 forested plots were visited. There are more than 16.0 million acres of forest land in the Wisconsin, nearly half of the State's land area; 15.8 million acres meet the definition of timberland. The total area of both forest land and timberland continues an upward...

Mixing zones studies of the waste water discharge from the Consolidated Paper Company into the Wisconsin River at Wisconsin Rapids, Wisconsin

Science.gov (United States)

Hoopes, J. A.; Wu, D. S.; Ganatra, R.

1973-01-01

Effluent concentration distributions from the waste water discharge of the Kraft Division Mill, Consolidated Paper Company, into the Wisconsin River at Wisconsin Rapids, Wisconsin, is investigated. Effluent concentrations were determined from measurements of the temperature distribution, using temperature as a tracer. Measurements of the velocity distribution in the vicinity of the outfall were also made. Due to limitations in the extent of the field observations, the analysis and comparison of the measurements is limited to the region within about 300 feet from the outfall. Effects of outfall submergence, of buoyancy and momentum of the effluent and of the pattern and magnitude of river currents on these characteristics are considered.

Improving Outreach and Surveillance Efforts Following a Large-Scale Carbon Monoxide Poisoning in Wisconsin.

Science.gov (United States)

Creswell, Paul D; Vogt, Christy M; Wozniak, Ryan J; Camponeschi, Jenny; Werner, Mark A; Meiman, Jonathan G

In December 2014, the largest carbon monoxide (CO) poisoning in Wisconsin's history occurred at an ice arena. Following this event, the Wisconsin Environmental Public Health Tracking (WI EPHT) Program sought to improve outreach and surveillance efforts. WI EPHT designed and distributed educational materials on CO poisoning prevention and surveyed stakeholders to gauge the effectiveness of outreach efforts. To enhance surveillance, WI EPHT utilized data from the Wisconsin Poison Center (WPC) to generate real-time alerts of anomalous numbers of CO-related calls. WI EPHT found that 42% of stakeholders reviewed the outreach materials, and 1 ice arena had installed a CO detector as a result. CO alerts were developed using WPC data and are now routinely used in statewide public health surveillance. WI EPHT staff improved CO poisoning prevention outreach and saw a positive response among stakeholders. This work demonstrates ways that health agencies can improve outreach and surveillance for CO poisoning. Improvements in these areas can bolster public health response and may prevent CO-related illness and injury.

Factors Affecting Physician Satisfaction and Wisconsin Medical Society Strategies to Drive Change.

Science.gov (United States)

Coleman, Michele; Dexter, Donn; Nankivil, Nancy

2015-08-01

Physicians' dissatisfaction in their work is increasing, which is affecting the stability of health care in America. The Wisconsin Medical Society (Society) surveyed 1016 Wisconsin physicians to determine the source of their dissatisfaction. The survey results indicate Wisconsin physicians are satisfied when it comes to practice environment, work-life balance, and income. In addition, they are extremely satisfied when it comes to rating their ability to provide high quality care, and they have identified some benefits related to the adoption of electronic health records. However, they are feeling burned out, very unsatisfied with the amount of time spent in direct patient care compared to indirect patient care, and that they are spending too much time on administrative and data entry tasks. In terms of future workforce, many physicians are either unsure or would not recommend the profession to a prospective medical student. Electronic health records serve as both a satisfier and dissatisfier and as a potential driver for future physician satisfaction interventions. Changes at the institutional, organizational, and individual levels potentially could address the identified dissatisfiers and build upon the satisfiers. The Society identifies 12 strategies to improve upon the physician experience.

Forests of Wisconsin, 2013

Science.gov (United States)

Charles H. Perry

2014-01-01

This resource update provides an overview of forest resources in Wisconsin based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Northern Research Station in cooperation with the Wisconsin Department of Natural Resources. Data estimates are based on field data collected using the FIA annualized sample design and...

Remedial Investigation Badger Army Ammunition Plant, Baraboo, Wisconsin. Volume 2. Appendices D.2 Through F

Science.gov (United States)

1991-01-01

FILES FOR COMPOUNDS OF POTENTIAL CONCERN Vol. 7 APPENDIX 0 - HUMAN HEALTH RISK CALCULATIONS Vol. 7 APPENDIX P - INVENTORY OF SITE SPECIES Vol. 7...Driing Mud 0" 0 3 am 01 99 5 .Annula space seal:- GnmuldBsuryoni 0 33 Lbs/gal mud weight ... Benuar-siid shiny 3 33 16. Driling addives used 13 yesLbs...CONSTRUCTION REPORT / 5 WISCONSIN STATE BOARD OF HEALTH WELL DRILLING DIVISION JUL 11 |W Note: Section 32 of the Wisconsin Well Drilling Sanitary Code

Working to Increase Vaccination for Human Papillomavirus: A Survey of Wisconsin Stakeholders, 2015.

Science.gov (United States)

Mroz, Sarah; Zhang, Xiao; Williams, Mercedes; Conlon, Amy; LoConte, Noelle K

2017-09-28

Infection with human papillomavirus (HPV) is common and can progress to various types of cancer. HPV infection can be prevented through vaccination; however, vaccination rates among adolescents are low. The objective of this study was to assess efforts among Wisconsin stakeholders in HPV vaccination and organizational capacity for future collaborative work. We conducted a cross-sectional online survey of 277 stakeholders in HPV vaccination activities, from April 30, 2015, through June 30, 2015. Stakeholders were public health professionals, health care providers, educators, quality improvement professionals, researchers, and advocates identified as engaged in HPV vaccination work. Of the 277 invited stakeholders, 117 (42%) responded to the survey. Findings showed that most current HPV vaccination activities targeted 3 groups: adolescents and parents, clinical and health professionals, and communities and health systems. The main activities directed at these groups were providing printed educational materials, professional education, and media campaigns to raise awareness. Common barriers reported were lack of understanding about the link between HPV and cancer, requests to delay vaccination, difficulty completing the 3-dose vaccine series, and reluctance to discuss sexuality. HPV vaccination rates are far below those of other vaccinations administered to adolescents in Wisconsin. Our study showed that various local efforts were being made to increase HPV vaccination uptake; however, many barriers exist to initiation and completion of the vaccine series. Future interventions should address barriers and employ evidence-based strategies for increasing HPV vaccination rates.

Wisconsin's forest resources in 2004

Science.gov (United States)

Charles H. Perry

2006-01-01

Results of the 2000-2004 annual inventory of Wisconsin show about 16.0 million acres of forest land, more than 22.1 billion cubic feet of live volume on forest land, and nearly 593 million dry tons of all live aboveground tree biomass on timberland. Populations of jack pine budworm are increasing, and it remains a significant pest in Wisconsin forests. A complete...

An assessment of collections at the University of Wisconsin-Madison Health Sciences Libraries: drug resistance.

Science.gov (United States)

Bergen, P L; Nemec, D

1999-01-01

In December 1997, the authors completed an in-depth collection assessment project at the University of Wisconsin-Madison Health Sciences Libraries. The purpose was to develop a framework for future collection assessment projects by completing a multifaceted evaluation of the libraries' monograph and serial collections in the subject area of drug resistance. Evaluators adapted and synthesized several traditional collection assessment tools, including shelflist measurement, bibliography and standard list checking, and citation analysis. Throughout the project, evaluators explored strategies to overcome some of the problems inherent in the application of traditional collection assessment methods to the evaluation of biomedical collections. Their efforts resulted in the identification of standard monographs and core journals for the subject area, a measurement of the collections' strength relative to the collections of benchmark libraries, and a foundation for future collection development within the subject area. The project's primary outcome was a collection assessment methodology that has potential application to both internal and cooperative collection development in medical, pharmaceutical, and other health sciences libraries.

Wisconsin Inventors` Network Database final report

Energy Technology Data Exchange (ETDEWEB)

1991-12-04

The Wisconsin Innovation Service Center at UW-Whitewater received a DOE grant to create an Inventor`s Network Database to assist independent inventors and entrepreneurs with new product development. Since 1980, the Wisconsin Innovation Service Center (WISC) at the University of Wisconsin-Whitewater has assisted independent and small business inventors in estimating the marketability of their new product ideas and inventions. The purpose of the WISC as an economic development entity is to encourage inventors who appear to have commercially viable inventions, based on preliminary market research, to invest in the next stages of development, perhaps investigating prototype development, legal protection, or more in-depth market research. To address inventor`s information needs, WISC developed on electronic database with search capabilities by geographic region and by product category/industry. It targets both public and private resources capable of, and interested in, working with individual and small business inventors. At present, the project includes resources in Wisconsin only.

Groundwater sampling methods using glass wool filtration to trace human enteric viruses in Madison, Wisconsin

Science.gov (United States)

Human enteric viruses have been detected in the Madison, Wisconsin deep municipal well system. Earlier projects by the Wisconsin Geological and Natural History Survey (WGNHS) have used glass wool filters to sample groundwater for these viruses directly from the deep municipal wells. Polymerase chain...

Increasing educational disparities in premature adult mortality, Wisconsin, 1990-2000.

Science.gov (United States)

Reither, Eric N; Peppard, Paul E; Remington, Patrick L; Kindig, David A

2006-10-01

Public health agencies have identified the elimination of health disparities as a major policy objective. The primary objective of this study is to assess changes in the association between education and premature adult mortality in Wisconsin, 1990-2000. Wisconsin death records (numerators) and US Census data (denominators) were compiled to estimate mortality rates among adults (25-64 years) in 1990 and 2000. Information on the educational status, sex, racial identification, and age of subjects was gathered from these sources. The effect of education on mortality rate ratios in 1990 and 2000 was assessed while adjusting for age, sex, and racial identification. Education exhibited a graded effect on mortality rates, which declined most among college graduates from 1990 to 2000. The relative rate of mortality among persons with less than a high school education compared to persons with a college degree increased from 2.4 to 3.1 from 1990-2000-an increase of 29%. Mortality disparities also increased, although to a lesser extent, among other educational groups. Despite renewed calls for the elimination of health disparities, evidence suggests that educational disparities in mortality increased from 1990 to 2000.

Determining climate change management priorities: A case study from Wisconsin

Science.gov (United States)

LeDee, Olivia E.; Ribic, Christine

2015-01-01

A burgeoning dialogue exists regarding how to allocate resources to maximize the likelihood of long-term biodiversity conservation within the context of climate change. To make effective decisions in natural resource management, an iterative, collaborative, and learning-based decision process may be more successful than a strictly consultative approach. One important, early step in a decision process is to identify priority species or systems. Although this promotes the conservation of select species or systems, it may inadvertently alter the future of non-target species and systems. We describe a process to screen terrestrial wildlife for potential sensitivity to climate change and then use the results to engage natural resource professionals in a process of identifying priorities for monitoring, research, and adaptation strategy implementation. We demonstrate this approach using a case study from Wisconsin. In Wisconsin, experts identified 23 out of 353 species with sufficient empirical research and management understanding to inform targeted action. Habitat management and management of hydrological conditions were the common strategies for targeted action. Although there may be an interest in adaptation strategy implementation for many species and systems, experts considered existing information inadequate to inform targeted action. According to experts, 40% of the vertebrate species in Wisconsin will require near-term intervention for climate adaptation. These results will inform state-wide conservation planning as well as regional efforts.

How to market an affiliation. St. Elizabeth Hospital and Mercy Medical Center affiliate to create Affinity Health System.

Science.gov (United States)

1996-01-01

When Wisconsin's St. Elizabeth Hospital and Mercy Medical Center affiliated to create Affinity Health System, Inc., strategic planning and a solid marketing plan carefully executed were instrumental in its success. A corporate identity campaign and product line identification were follow-up phases to the merger approval.

Assessment of high penetration of solar photovoltaics in Wisconsin

International Nuclear Information System (INIS)

Myers, Kevin S.; Klein, Sanford A.; Reindl, Douglas T.

2010-01-01

This paper provides an assessment of the large-scale implementation of distributed solar photovoltaics in Wisconsin with regard to its interaction with the utility grid, economics of varying levels of high penetration, and displaced emissions. These assessment factors are quantified using simulations with measured hourly solar radiation and weather data from the National Solar Radiation Database as primary inputs. Hourly utility load data for each electric utility in Wisconsin for a complete year were used in combination with the simulated PV output to quantify the impacts of high penetration of distributed PV on the aggregate Wisconsin electric utility load. As the penetration rate of distributed PV systems increases, both economic and environmental benefits experience diminishing returns. At penetration rates exceeding 15-20% of the aggregate utility load peak, less of the PV-energy is utilized and the contribution of the aggregate electricity generated from PV approaches a practical limit. The limit is not affected by costs, but rather by the time-distribution of available solar radiation and mismatch with the coincidence of aggregate utility electrical loads. The unsubsidized levelized cost of electricity from PV is more than four times greater than the current market price for electricity, based on time-of-use rates, in Wisconsin. At the present time, the investment in solar PV as a cost-effective means to reduce emissions from traditional electricity generation sources is not justified. (author)

Cover Crop (Rye) and No-Till System in Wisconsin

OpenAIRE

Alföldi, Thomas

2014-01-01

Erin Silva, University of Wisconsin, describes an organic no-till production technique using rye as cover crop to suppress weeds in the following production season. Using a roller-crimper, the overwintering rye is terminated at the time of cash crop planting, leaving a thick mat of plant residue on the soil surface. Soybeans are sown directly into the cover crop residue, allowing the cash crop to emerge through the terminated cover crop while suppressing weeds throughout the season. W...

Water Use in Wisconsin, 2005

Science.gov (United States)

Buchwald, Cheryl A.

2009-01-01

The U.S. Geological Survey (USGS) Wisconsin Water Science Center is responsible for presenting data collected or estimated for water withdrawals and diversions every 5 years to the National Water-Use Information Program (NWUIP). This program serves many purposes such as quantifying how much, where, and for what purpose water is used; tracking and documenting water-use trends and changes; and providing these data to other agencies to support hydrologic projects. In 2005, data at both the county and subbasin levels were compiled into the USGS national water-use database system; these data are published in a statewide summary report and a national circular. This publication, Water Use in Wisconsin, 2005, presents the water-use estimates for 2005; this publication also describes how these water-use data were determined (including assumptions used), limitations of using these data, and trends in water-use data presented to the NWUIP. Estimates of water use in Wisconsin indicate that about 8,608 million gallons per day (Mgal/d) were withdrawn during 2005. Of this amount, about 7,622 Mgal/d (89 percent) were from surface-water sources and about 986 Mgal/d (11 percent) were from ground-water sources. Surface water used for cooling at thermoelectric-power plants constituted the largest portion of daily use at 6,898 Mgal/d. Water provided by public-supply water utilities is the second largest use of water and totaled 552 Mgal/d. Public supply served approximately 71 percent of the estimated 2005 Wisconsin population of 5.54 million people; two counties - Milwaukee and Dane - accounted for more than one-third of the public-supply withdrawal. Industrial and irrigation were the next major water uses at 471 and 402 Mgal/d, respectively. Non-irrigational agricultural (livestock and aquaculture) accounted for approximately 155 Mgal/d and is similar to the combined withdrawal for the remaining water-use categories of domestic, commercial, and mining (131 Mgal/d). Data on water use

The Politics of Reforming School Finance in Wisconsin.

Science.gov (United States)

Geske, Terry G.

This paper is primarily concerned with identifying and explicating the environmental forces and political factors responsible for legislative enactment of major school finance changes in Wisconsin in 1973. Easton's political systems theory serves as a conceptual framework for the study. In addition, Lindblom's leadership model, Truman's interest…

Simulation of the Groundwater-Flow System in Pierce, Polk, and St. Croix Counties, Wisconsin

Science.gov (United States)

Juckem, Paul F.

2009-01-01

Groundwater is the sole source of residential water supply in Pierce, Polk, and St. Croix Counties, Wisconsin. A regional three-dimensional groundwater-flow model and three associated demonstration inset models were developed to simulate the groundwater-flow systems in the three-county area. The models were developed by the U.S. Geological Survey in cooperation with the three county governments. The objectives of the regional model of Pierce, Polk, and St. Croix Counties were to improve understanding of the groundwaterflow system and to develop a tool suitable for evaluating the effects of potential water-management programs. The regional groundwater-flow model described in this report simulates the major hydrogeologic features of the modeled area, including bedrock and surficial aquifers, groundwater/surface-water interactions, and groundwater withdrawals from high-capacity wells. Results from the regional model indicate that about 82 percent of groundwater in the three counties is from recharge within the counties; 15 percent is from surface-water sources, consisting primarily of recirculated groundwater seepage in areas with abrupt surface-water-level changes, such as near waterfalls, dams, and the downgradient side of reservoirs and lakes; and 4 percent is from inflow across the county boundaries. Groundwater flow out of the counties is to streams (85 percent), outflow across county boundaries (14 percent), and pumping wells (1 percent). These results demonstrate that the primary source of groundwater withdrawn by pumping wells is water that recharges within the counties and would otherwise discharge to local streams and lakes. Under current conditions, the St. Croix and Mississippi Rivers are groundwater discharge locations (gaining reaches) and appear to function as 'fully penetrating' hydraulic boundaries such that groundwater does not cross between Wisconsin and Minnesota beneath them. Being hydraulic boundaries, however, they can change in response to

Career satisfaction and retention risk among Wisconsin internists.

Science.gov (United States)

Giriyappa, Pradeep; Sullivan, Kandis K

2009-09-01

Physician career satisfaction has been studied extensively, but career satisfaction as it relates to retention is less well studied. The objective was to assess the relationship between career satisfaction and retention in primary care internal medicine physicians in Wisconsin. In this descriptive quantitative study, survey data was assessed for correlations between career satisfaction, risk to retention, and demographics. The survey included 1231 primary care internal medicine physicians in the Wisconsin Medical Directory (2007). Responses were measured by career satisfaction variables, and demographics and retention variables for the purpose of correlations and regression analysis. Survey responses included 573 physicians. An additional 85 physicians were disqualified. The final survey group included 1146 physicians for a response rate of 50%. A total of 116 physicians (20.2%) reported anticipating leaving their current position, 84 (14.7%) physicians reported anticipating leaving the career of medicine. Identified at risk for retention were 144 (25.1%) physicians. The lowest career satisfaction scores were reported in the areas of compensation (3.19) and practice (3.42) on a scale of 1 (very dissatisfied) to 5 (very satisfied). The highest correlations to retention were associated with practice, followed by compensation satisfaction. The level of significance for this study was identified as 0.05, and the P-value was 0.000. The study findings reveal a significant risk to the stability of continuity of care for patients, and may cost Wisconsin health care organizations more than $35 million in recruitment costs to replace departing physicians.

Wisconsin Inventors' Network Database final report

Energy Technology Data Exchange (ETDEWEB)

1991-12-04

The Wisconsin Innovation Service Center at UW-Whitewater received a DOE grant to create an Inventor's Network Database to assist independent inventors and entrepreneurs with new product development. Since 1980, the Wisconsin Innovation Service Center (WISC) at the University of Wisconsin-Whitewater has assisted independent and small business inventors in estimating the marketability of their new product ideas and inventions. The purpose of the WISC as an economic development entity is to encourage inventors who appear to have commercially viable inventions, based on preliminary market research, to invest in the next stages of development, perhaps investigating prototype development, legal protection, or more in-depth market research. To address inventor's information needs, WISC developed on electronic database with search capabilities by geographic region and by product category/industry. It targets both public and private resources capable of, and interested in, working with individual and small business inventors. At present, the project includes resources in Wisconsin only.

Alternative Fuels Data Center: Wisconsin Reduces Emissions With Natural Gas

Science.gov (United States)

Trucks Wisconsin Reduces Emissions With Natural Gas Trucks to someone by E-mail Share Alternative Fuels Data Center: Wisconsin Reduces Emissions With Natural Gas Trucks on Facebook Tweet about Alternative Fuels Data Center: Wisconsin Reduces Emissions With Natural Gas Trucks on Twitter Bookmark

The burden of suicide and homicide of Wisconsin's children and youth.

Science.gov (United States)

Shiffler, Thomas; Hargarten, Stephen W; Withers, Richard L

2005-01-01

To describe the epidemiology of violent deaths (suicides and homicides) of children and youth in Wisconsin. Linked data from death certificates, coroners or medical examiners, Uniform Crime Reports, police case reports and crime laboratories were analyzed using SPSS 11.5. Analyses from 2000 to 2002 describe suicides and homicides of children and youth under age 25. Rates are per 100,000 population per year. A total of 585 persons under age 25 in Wisconsin died from suicide or homicide during 2000--2002. Suicides outnumbered homicides 323 (55%) to 262 (45%). Firearms were involved in 59% (n=344) of cases. Fatality rates increased with advancing age, ranging from 2.0 in 0-13 year olds to 26.9 in youth age 21-24. There were over twice as many violent deaths compared to cancer and infectious disease deaths combined (n=253). Suicides and homicides are a significant burden on the children and youth of Wisconsin. An investment in reducing this burden requires comprehensive data and informed programs and policies. We recommend that physicians and public health community leaders collaborate with the criminal justice community and policy makers to develop, implement, and evaluate prevention programs and policies.

Implementing high-speed rail in Wisconsin peer exchange.

Science.gov (United States)

2009-01-01

The Wisconsin Department of Transportation Division of Transportation Investment Management hosted : a peer exchange on June 2 -4, 2009 in Milwaukee, Wisconsin. Representatives from four state DOTs and : two freight railroads joined representatives f...

Gray wolf exposure to emerging vector-borne diseases in Wisconsin with comparison to domestic dogs and humans

Science.gov (United States)

Jara, Rocio F.; Wydeven, Adrian P.; Samuel, Michael D.

2016-01-01

World-wide concern over emerging vector-borne diseases has increased in recent years for both animal and human health. In the United Sates, concern about vector-borne diseases in canines has focused on Lyme disease, anaplasmosis, ehrlichiosis, and heartworm which infect domestic and wild canids. Of these diseases, Lyme and anaplasmosis are also frequently diagnosed in humans. Gray wolves (Canis lupus) recolonized Wisconsin in the 1970s, and we evaluated their temporal and geographic patterns of exposure to these four vector-borne diseases in Wisconsin as the population expanded between 1985 and 2011. A high proportion of the Wisconsin wolves were exposed to the agents that cause Lyme (65.6%) and anaplasma (47.7%), and a smaller proportion to ehrlichiosis (5.7%) and infected with heartworm (9.2%). Wolf exposure to tick borne diseases was consistently higher in older animals. Wolf exposure was markedly higher than domestic dog (Canis familiaris) exposure for all 4 disease agents during 2001–2013. We found a cluster of wolf exposure to Borrelia burgdorferi in northwestern Wisconsin, which overlaps human and domestic dog clusters for the same pathogen. In addition, wolf exposure to Lyme disease in Wisconsin has increased, corresponding with the increasing human incidence of Lyme disease in a similar time period. Despite generally high prevalence of exposure none of these diseases appear to have slowed the growth of the Wisconsin wolf population.

Survival of adult martens in Northern Wisconsin

Science.gov (United States)

Nicholas P. McCann; Patrick A. Zollner; Jonathan H. Gilbert

2010-01-01

Low adult marten (Martes americana) survival may be one factor limiting their population growth >30 yr after their reintroduction in Wisconsin, USA. We estimated annual adult marten survival at 0.81 in northern Wisconsin, with lower survival during winter (0.87) than summer-fall (1.00). Fisher (Martes pennanti) and raptor kills...

Solar-energy-system performance evaluation: Northview Elementary School (Howard's Grove) Howard's Grove, Wisconsin, September 1978-April 1979

Energy Technology Data Exchange (ETDEWEB)

Shenfish, K.L.

1979-01-01

The Northview Elementary School in Howard's Grove, Wisconsin is provided space heating by a system consisting of an array of flat plate air collectors and a rock bed. Auxiliary heat is supplied by a fuel oil boiler. The system and its operation are briefly described, and its performance is analyzed using a system energy balance technique. The performance of major subsystems is also presented. (LEW)

A comparison of Wisconsin neonatal intensive care units with national data on outcomes and practices.

Science.gov (United States)

Hagen, Erika W; Sadek-Badawi, Mona; Albanese, Aggie; Palta, Mari

2008-11-01

Improvements in neonatal care over the past 3 decades have increased survival of infants at lower birthweights and gestational ages. However, outcomes and practices vary considerably between hospitals. To describe maternal and infant characteristics, neonatal intensive care units (NICU) practices, morbidity, and mortality in Wisconsin NICUs, and to compare outcomes in Wisconsin to the National Institute of Child Health and Human Development network of large academic medical center NICUs. The Newborn Lung Project Statewide Cohort is a prospective observational study of all very low birthweight (< or =1500 grams) infants admitted during 2003 and 2004 to the 16 level III NICUs in Wisconsin. Anonymous data were collected for all admitted infants (N=1463). Major neonatal morbidities, including bronchopulmonary dysplasia (BPD), intraventricular hemorrhage (IVH), necrotizing enterocolitis (NEC), and retinopathy of prematurity (ROP) were evaluated. The overall incidence of BPD was 24% (8%-56% between NICUs); IVH incidence was 23% (9%-41%); the incidence of NEC was 7% (0%-21%); and the incidence of grade III or higher ROP was 10% (0%-35%). The incidence rates of major neonatal morbidities in Wisconsin were similar to those of a national network of academic NICUs.

Unmanned aerial vehicles (UAVs) in pest management: Progress in the development of a UAV-deployed mating disruption system for Wisconsin cranberries

Science.gov (United States)

Unmanned aerial vehicles (UAVs) represent a powerful new tool for agriculture. Currently, UAVs are used almost exclusively as crop reconnaissance devices (“eyes in the sky”), not as pest control delivery systems. Research in Wisconsin cranberries is taking UAVs in a new direction. The Steffan and Lu...

Gray Wolf Exposure to Emerging Vector-Borne Diseases in Wisconsin with Comparison to Domestic Dogs and Humans.

Directory of Open Access Journals (Sweden)

Rocio F Jara

Full Text Available World-wide concern over emerging vector-borne diseases has increased in recent years for both animal and human health. In the United Sates, concern about vector-borne diseases in canines has focused on Lyme disease, anaplasmosis, ehrlichiosis, and heartworm which infect domestic and wild canids. Of these diseases, Lyme and anaplasmosis are also frequently diagnosed in humans. Gray wolves (Canis lupus recolonized Wisconsin in the 1970s, and we evaluated their temporal and geographic patterns of exposure to these four vector-borne diseases in Wisconsin as the population expanded between 1985 and 2011. A high proportion of the Wisconsin wolves were exposed to the agents that cause Lyme (65.6% and anaplasma (47.7%, and a smaller proportion to ehrlichiosis (5.7% and infected with heartworm (9.2%. Wolf exposure to tick borne diseases was consistently higher in older animals. Wolf exposure was markedly higher than domestic dog (Canis familiaris exposure for all 4 disease agents during 2001-2013. We found a cluster of wolf exposure to Borrelia burgdorferi in northwestern Wisconsin, which overlaps human and domestic dog clusters for the same pathogen. In addition, wolf exposure to Lyme disease in Wisconsin has increased, corresponding with the increasing human incidence of Lyme disease in a similar time period. Despite generally high prevalence of exposure none of these diseases appear to have slowed the growth of the Wisconsin wolf population.

Compact fluorescent lighting in Wisconsin: elevated atmospheric emission and landfill deposition post-EISA implementation.

Science.gov (United States)

Arendt, John D; Katers, John F

2013-07-01

The majority of states in the USA, including Wisconsin, have been affected by elevated air, soil and waterborne mercury levels. Health risks associated with mercury increase from the consumption of larger fish species, such as Walleye or Pike, which bio-accumulate mercury in muscle tissue. Federal legislation with the 2011 Mercury and Air Toxics Standards and the Wisconsin legislation on mercury, 2009 Wisconsin Act 44, continue to aim at lowering allowable levels of mercury emissions. Meanwhile, mercury-containing compact fluorescent lights (CFL) sales continue to grow as businesses and consumers move away from energy intensive incandescent light bulbs. An exchange in pollution media is occurring as airborne mercury emissions from coal-burning power plants, the largest anthropogenic source of mercury, are being reduced by lower energy demand and standards, while more universal solid waste containing mercury is generated each time a CFL is disposed. The treatment of CFLs as a 'universal waste' by the Environmental Protection Agency (EPA) led to the banning of non-household fluorescent bulbs from most municipal solid waste. Although the EPA encourages recycling of bulbs, industry currently recycles fluorescent lamps and CFLs at a rate of only 29%. Monitoring programs at the federal and state level have had only marginal success with industrial and business CFL recycling. The consumer recycling rate is even lower at only 2%. A projected increase in residential CFL use in Wisconsin owing to the ramifications of the Energy Independence and Security Act of 2007 will lead to elevated atmospheric mercury and landfill deposition in Wisconsin.

Whole-system carbon balance for a regional temperate forest in Northern Wisconsin, USA

Science.gov (United States)

Peckham, S. D.; Gower, S. T.

2010-12-01

The whole-system (biological + industrial) carbon (C) balance was estimated for the Chequamegon-Nicolet National Forest (CNNF), a temperate forest covering 600,000 ha in Northern Wisconsin, USA. The biological system was modeled using a spatially-explicit version of the ecosystem process model Biome-BGC. The industrial system was modeled using life cycle inventory (LCI) models for wood and paper products. Biome-BGC was used to estimate net primary production, net ecosystem production (NEP), and timber harvest (H) over the entire CNNF. The industrial carbon budget (Ci) was estimated by applying LCI models of CO2 emissions resulting from timber harvest and production of specific wood and paper products in the CNNF region. In 2009, simulated NEP of the CNNF averaged 3.0 tC/ha and H averaged 0.1 tC/ha. Despite model uncertainty, the CNNF region is likely a carbon sink (NEP - Ci > 0), even when CO2 emissions from timber harvest and production of wood and paper products are included in the calculation of the entire forest system C budget.

Digital Learning Compass: Distance Education State Almanac 2017. Wisconsin

Science.gov (United States)

Seaman, Julia E.; Seaman, Jeff

2017-01-01

This brief report uses data collected under the U.S. Department of Education's National Center for Educational Statistics (NCES) Integrated Postsecondary Education Data System (IPEDS) Fall Enrollment survey to highlight distance education data in the state of Wisconsin. The sample for this analysis is comprised of all active, degree-granting…

Environmental Education in Wisconsin: What the Textbooks Teach.

Science.gov (United States)

Sanera, Michael

1996-01-01

This report contains a study done at the request of the Wisconsin Policy Research Institute, which studies public policy issues affecting the state of Wisconsin. Environmental education texts for Grades 6 through 10 were examined for scientific and economic accuracy, objectivity, and balance in accomplishing the following: 1) stating facts that…

Tornadoes Strike Northern Wisconsin

Science.gov (United States)

2007-01-01

A series of tornadoes ripped through the Upper Midwest region of the United States in the evening of June 7, 2007. At least five different tornadoes touched down in Wisconsin, according to the Associated Press, one of which tore through the Bear Paw Resort in northern Wisconsin. Despite dropping as much as fifteen centimeters (six inches) of rain in some places and baseball-size hail in others, authorities were reporting no deaths attributable to the storm system, and only a smattering of injuries, but considerable property damage in some areas. When the MODIS instrument on NASA's Terra satellite observed the area on June 9, 2007, the track torn through the woods by one of the tornadoes stands out quite clearly. This photo-like image uses data collected by MODIS in the normal human vision range to give a familiar natural-looking appearance. The landscape is largely a checkerboard of farms, towns, roads, and cities. The pale land is predominantly farmland where crops have not fully grown in yet. Dark blue shows the winding path of rivers and lakes dotting the landscape. The large blue lake on the east (right) side of the image is Lake Michigan. Towns and cities, including the city of Green Bay, are gray. To the north side, farmland gives way to dark green as land use shifts from agriculture to the Menominee Indian Reservation and Nicolet National Forest. The diagonal slash through the dark green forested land shows the tornado track. Bare land was revealed where the tornado tore down trees or stripped vegetation off the branches. The high-resolution image provided above is at MODIS' full spatial resolution (level of detail) of 250 meters per pixel. The MODIS Rapid Response System provides this image at additional resolutions.

The Wisconsin Test of Adult Basic Education (WITABE).

Science.gov (United States)

Pandey, Tej N.; Cleary, T. Anne

A description is given of "The Wisconsin Test of Adult Basic Education (WITABE)" which was developed specifically to measure the achievement of the individuals enrolled in the Rural Family Development (RGD) program at the University Extension, University of Wisconsin. The test is divided into three main parts or subtests: subtests 1 and…

A Citizen Science Program for Monitoring Lake Stages in Northern Wisconsin

Science.gov (United States)

Kretschmann, A.; Drum, A.; Rubsam, J.; Watras, C. J.; Cellar-Rossler, A.

2011-12-01

Historical data indicate that surface water levels in northern Wisconsin are fluctuating more now than they did in the recent past. In the northern highland lake district of Vilas County, Wisconsin, concern about record low lake levels in 2008 spurred local citizens and lake associations to form a lake level monitoring network comprising citizen scientists. The network is administered by the North Lakeland Discovery Center (NLDC, a local NGO) and is supported by a grant from the Citizen Science Monitoring Program of the Wisconsin Department of Natural Resources (WDNR). With technical guidance from limnologists at neighboring UW-Madison Trout Lake Research Station, citizen scientists have installed geographic benchmarks and staff gauges on 26 area lakes. The project engages citizen and student science participants including homeowners, non-profit organization member-participants, and local schools. Each spring, staff gauges are installed and referenced to fixed benchmarks after ice off by NLDC and dedicated volunteers. Volunteers read and record staff gauges on a weekly basis during the ice-free season; and maintain log books recording lake levels to the nearest 0.5 cm. At the end of the season, before ice on, gauges are removed and log books are collected by the NLDC coordinator. Data is compiled and submitted to a database management system, coordinated within the Wisconsin Surface Water Integrated Monitoring System (SWIMS), a statewide information system managed by the WDNR in Madison. Furthermore, NLDC is collaborating with the SWIMS database manager to develop data entry screens based on records collected by citizen scientists. This program is the first of its kind in Wisconsin to utilize citizen scientists to collect lake level data. The retention rate for volunteers has been 100% over the three years since inception, and the program has expanded from four lakes in 2008 to twenty-six lakes in 2011. NLDC stresses the importance of long-term monitoring and the

Forging a novel provider and payer partnership in Wisconsin to compensate pharmacists for quality-driven pharmacy and medication therapy management services.

Science.gov (United States)

Trapskin, Kari; Johnson, Curtis; Cory, Patrick; Sorum, Sarah; Decker, Chris

2009-01-01

To describe the Wisconsin Pharmacy Quality Collaborative (WPQC), a quality-based network of pharmacies and payers with the common goals of improving medication use and safety, reducing health care costs for payers and patients, and increasing professional recognition and compensation for pharmacist-provided services. Wisconsin between 2006 and 2009. Community (independent, chain, and health-system) pharmacies and private and public health care payers/purchasers with support from the McKesson Corporation. This initiative aligns incentives for pharmacies and payers through implementation of 12 quality-based pharmacy requirements as conditions of pharmacy participation in a practice-advancement pilot. Payers compensate network pharmacies that meet the quality-based requirements for two levels of pharmacy professional services (level 1, intervention-based services; level 2, comprehensive medication review and assessment services). The pilot project is designed to measure the following outcomes: medication-use quality improvements, frequency and types of services provided, drug therapy problems, patient safety, cost savings, identification of factors that facilitate pharmacist participation, and patient satisfaction. The Pharmacy Society of Wisconsin created the WPQC network, which consists of 53 pharmacies, 106 trained pharmacists, 45 student pharmacists, 6 pharmacy technicians, and 2 initial payers. A quality assurance process is followed approximately quarterly to audit the 12 network quality requirements. An evaluation of this collaboration is being conducted. This program demonstrates that collaboration among payers and pharmacists is possible and can result in the development of an incentive-aligned program that stresses quality patient care, standardized services, and professional service compensation for pharmacists. This combination of a quality-based credentialing process with a professional services reimbursement schedule is unique and has the promise to

Learning from Wisconsin

Science.gov (United States)

Daniel, Jamie Owen

2011-01-01

Like thousands of other people from around the country and around the world, this author was heartened and inspired by the tenacity, immediacy, and creativity of the pushback by Wisconsin's public-sector unions against Governor Scott Walker's efforts to limit their collective bargaining rights. And like many others who made the trek to Madison to…

Pupil Nondiscrimination Guidelines. Implementing S.118.13 of the Wisconsin Statutes and PI 9 of the Wisconsin Administrative Code. Bullein No. 8327.

Science.gov (United States)

Wisconsin State Dept. of Public Instruction, Madison.

The new S. 118.13, Wisconsin Statutes, bans pupil discrimination in any curricular, extracurricular, pupil services, recreational, or other program or activity in the State of Wisconsin on the basis of sex; race; national origin; ancestry; creed; pregnancy; marital or parental status; sexual orientation; or physical, mental, emotional, or learning…

77 FR 59921 - Wisconsin Public Service Corporation; Notice of Environmental Site Review

Science.gov (United States)

2012-10-01

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 1940-000 Wisconsin; Project No. 1966-000 Wisconsin] Wisconsin Public Service Corporation; Notice of Environmental Site Review In anticipation of the filing of Notices of Intent (NOI) and Pre- Application Documents for the Grandfather Falls Hydroelectric Project No. 1966 and...

University of Wisconsin - Extension

Science.gov (United States)

... to know how to advance an innovative tech idea I want to know more about agricultural resources available in Wisconsin I want to learn how I can get training and support for my small business I want to learn how I can get ...

The Wisconsin Assessment of the Social and Built Environment (WASABE): a multi-dimensional objective audit instrument for examining neighborhood effects on health.

Science.gov (United States)

Malecki, Kristen C; Engelman, Corinne D; Peppard, Paul E; Nieto, F Javier; Grabow, Maggie L; Bernardinello, Milena; Bailey, Erin; Bersch, Andrew J; Walsh, Matthew C; Lo, Justin Y; Martinez-Donate, Ana

2014-11-13

Growing evidence suggests that mixed methods approaches to measuring neighborhood effects on health are needed. The Wisconsin Assessment of the Social and Built Environment (WASABE) is an objective audit tool designed as an addition to a statewide household-based health examination survey, the Survey of the Health of Wisconsin (SHOW), to objectively measure participant's neighborhoods. This paper describes the development and implementation of the WASABE and examines the instrument's ability to capture a range of social and built environment features in urban and rural communities. A systematic literature review and formative research were used to create the tool. Inter-rater reliability parameters across items were calculated. Prevalence and density of features were estimated for strata formed according to several sociodemographic and urbanicity factors. The tool is highly reliable with over 81% of 115 derived items having percent agreement above 95%. It captured variance in neighborhood features in for a diverse sample of SHOW participants. Sidewalk density in neighborhoods surrounding households of participants living at less than 100% of the poverty level was 67% (95% confidence interval, 55-80%) compared to 34% (25-44%) for those living at greater than 400% of the poverty level. Walking and biking trails were present in 29% (19-39%) of participant buffer in urban areas compared to only 7% (2-12%) in rural communities. Significant environmental differences were also observed for white versus non-white, high versus low income, and college graduates versus individuals with lower level of education. The WASABE has strong inter-rater reliability and validity properties. It builds on previous work to provide a rigorous and standardized method for systematically gathering objective built and social environmental data in a number of geographic settings. Findings illustrate the complex milieu of built environment features found in participants neighborhoods and have

Teaching Environmental Education to Wisconsin Teachers: A Review of University Course Materials.

Science.gov (United States)

Sanera, Michael

1997-01-01

This report contains a study done at the request of the Wisconsin Policy Research Institute, which studies public policy issues affecting the state of Wisconsin. The purpose of this study was to examine the content of environmental education (EE) materials used in courses required for teacher certification in Wisconsin to see if the knowledge and…

Using the index of biotic integrity (IBI) to measure environmental quality in warmwater streams of Wisconsin.

Science.gov (United States)

John Lyons

1992-01-01

Describes an index based on attributes of fish assemblages that has proven effective in assessing biotic integrity and environmental health in intermediate-sized, warmwater (i.e., too warm for salmonids) streams and rivers of Wisconsin. Provides detailed guidelines for applying this index.

The association between neighborhood economic hardship, the retail food environment, fast food intake, and obesity: findings from the Survey of the Health of Wisconsin.

Science.gov (United States)

Laxy, Michael; Malecki, Kristen C; Givens, Marjory L; Walsh, Matthew C; Nieto, F Javier

2015-03-13

Neighborhood-level characteristics such as economic hardship and the retail food environment are assumed to be correlated and to influence consumers' dietary behavior and health status, but few studies have investigated these different relationships comprehensively in a single study. This work aims to investigate the association between neighborhood-level economic hardship, the retail food environment, fast food consumption, and obesity prevalence. Linking data from the population-based Survey of the Health of Wisconsin (SHOW, n = 1,570, 2008-10) and a commercially available business database, the Wisconsin Retail Food Environment Index (WRFEI) was defined as the mean distance from each participating household to the three closest supermarkets divided by the mean distance to the three closest convenience stores or fast food restaurants. Based on US census data, neighborhood-level economic hardship was defined by the Economic Hardship Index (EHI). Relationships were analyzed using multivariate linear and logistic regression models. SHOW residents living in neighborhoods with the highest economic hardship faced a less favorable retail food environment (WRFEI = 2.53) than residents from neighborhoods with the lowest economic hardship (WRFEI = 1.77; p-trend associations between the WRFEI and obesity and only a weak borderline-significant association between access to fast food restaurants and self-reported fast food consumption (≥ 2 times/week, OR = 0.59-0.62, p = 0.05-0.09) in urban residents. Participants reporting higher frequency of fast food consumption (≥ 2 times vs. obese (OR = 1.35, p = 0.06). This study indicates that neighborhood-level economic hardship is associated with an unfavorable retail food environment. However inconsistent or non-significant relationships between the retail food environment, fast food consumption, and obesity were observed. More research is needed to enhance methodological approaches to assess the retail food environment and

Role of global stress in the health-related quality of life of caregivers: evidence from the Survey of the Health of Wisconsin.

Science.gov (United States)

Litzelman, Kristin; Skinner, Halcyon G; Gangnon, Ronald E; Nieto, F Javier; Malecki, Kristen; Witt, Whitney P

2014-06-01

Informal caregivers play a critical role in the care of individuals who are aging or have disabilities and are at increased risk for poor health outcomes. This study sought to determine whether and to what extent: (1) global stress and health-related quality of life (HRQoL) differed between caregivers and non-caregivers; (2) global stress mediated the relationship between caregiving status and HRQoL; and (3) caregiver strain (i.e., stress attributable to caregiving) was associated with worse HRQoL after accounting for global stress. Cross-sectional data were from the 2008-2010 Survey of the Health of Wisconsin, a representative sample of adults aged 21-74 years. Participants (n = 1,364) completed questionnaires about caregiving status, sociodemographics, global stress, and HRQoL. Staged generalized additive models assessed the impact of caregiving on HRQoL and the role of caregiver strain and global stress in this relationship. In the last 12 months, 17.2% of the sample reported caregiving. Caregivers reported worse mental HRQoL than non-caregivers (β -1.88, p = 0.02); global stress mediated this relationship (p stress (p stress, rather than caregiving per se, contributes to poor HRQoL among caregivers, above and beyond the effect of caregiving strain. Screening, monitoring, and reducing stress in multiple life domains presents an opportunity to improve HRQoL outcomes for caregivers.

Wisconsin State Briefing Book for low-level radioactive waste management

Energy Technology Data Exchange (ETDEWEB)

1980-11-01

The Wisconsin State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in Wisconsin. The profile is the result of a survey of NRC licensees in Wisconsin. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in Wisconsin.

Wisconsin State Briefing Book for low-level radioactive waste management

International Nuclear Information System (INIS)

1980-11-01

The Wisconsin State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in Wisconsin. The profile is the result of a survey of NRC licensees in Wisconsin. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in Wisconsin

Community Energy Systems and the Law of Public Utilities. Volume Fifty-one. Wisconsin

Energy Technology Data Exchange (ETDEWEB)

Feurer, D.A.; Weaver, C.L.

1981-01-01

A detailed description is presented of the laws and programs of the State of Wisconsin governing the regulation of public energy utilities, the siting of energy generating and transmission facilities, the municipal franchising of public energy utilities, and the prescription of rates to be charged by utilities including attendant problems of cost allocations, rate base and operating expense determinations, and rate of return allowances. These laws and programs are analyzed to identify impediments which they may present to the implementation of Integrated Community Energy Systems (ICES). This report is one of fifty-one separate volumes which describe such regulatory programs at the Federal level and in each state as background to the report entitled Community Energy Systems and the Law of Public Utilities - Volume One: An Overview. This report also contains a summary of a strategy described in Volume One - An Overview for overcoming these impediments by working within the existing regulatory framework and by making changes in the regulatory programs to enhance the likelihood of ICES implementation.

Exposure to Elevated Carbon Monoxide Levels at an Indoor Ice Arena--Wisconsin, 2014.

Science.gov (United States)

Creswell, Paul D; Meiman, Jon G; Nehls-Lowe, Henry; Vogt, Christy; Wozniak, Ryan J; Werner, Mark A; Anderson, Henry

2015-11-20

On December 13, 2014, the emergency management system in Lake Delton, Wisconsin, was notified when a male hockey player aged 20 years lost consciousness after participation in an indoor hockey tournament that included approximately 50 hockey players and 100 other attendees. Elevated levels of carbon monoxide (CO) (range = 45 ppm-165 ppm) were detected by the fire department inside the arena. The emergency management system encouraged all players and attendees to seek medical evaluation for possible CO poisoning. The Wisconsin Department of Health Services (WDHS) conducted an epidemiologic investigation to determine what caused the exposure and to recommend preventive strategies. Investigators abstracted medical records from area emergency departments (EDs) for patients who sought care for CO exposure during December 13-14, 2014, conducted a follow-up survey of ED patients approximately 2 months after the event, and conducted informant interviews. Ninety-two persons sought ED evaluation for possible CO exposure, all of whom were tested for CO poisoning. Seventy-four (80%) patients had blood carboxyhemoglobin (COHb) levels consistent with CO poisoning; 32 (43%) CO poisoning cases were among hockey players. On December 15, the CO emissions from the propane-fueled ice resurfacer were demonstrated to be 4.8% of total emissions when actively resurfacing and 2.3% when idling, both above the optimal range of 0.5%-1.0%. Incomplete fuel combustion by the ice resurfacer was the most likely source of elevated CO. CO poisonings in ice arenas can be prevented through regular maintenance of ice resurfacers, installation of CO detectors, and provision of adequate ventilation.

Wisconsin EE Mandates: The Bad News and the Good News.

Science.gov (United States)

Lane, Jennie; And Others

1996-01-01

Examines Wisconsin teachers' perceived competencies in, attitudes toward, and amount of class time devoted to teaching about the environment. Discusses the effects of Wisconsin environmental education mandates concerning preservice preparation in environmental education and K-12 environmental education curriculum plans. Identifies areas where the…

Wisconsin Maternity Leave and Fringe Benefits: Policies, Practices and Problems.

Science.gov (United States)

Gerner, Jennifer

The study examines the economic implications in Wisconsin of the 1972 Equal Employment Opportunity Commission guideline which requires employers to treat maternity leave as a temporary disability. First, the static cost of the maternity leave guideline to employers is estimated for the State of Wisconsin. Second, some examination of the economic…

Ecologic Niche Modeling of Blastomyces dermatitidis in Wisconsin

Science.gov (United States)

Reed, Kurt D.; Meece, Jennifer K.; Archer, John R.; Peterson, A. Townsend

2008-01-01

Background Blastomycosis is a potentially fatal mycosis that is acquired by inhaling infectious spores of Blastomyces dermatitidis present in the environment. The ecology of this pathogen is poorly understood, in part because it has been extremely difficult to identify the niche(s) it occupies based on culture isolation of the organism from environmental samples. Methodology/Principal Findings We investigated the ecology of blastomycosis by performing maximum entropy modeling of exposure sites from 156 cases of human and canine blastomycosis to provide a regional-scale perspective of the geographic and ecologic distribution of B. dermatitidis in Wisconsin. Based on analysis with climatic, topographic, surface reflectance and other environmental variables, we predicted that ecologic conditions favorable for maintaining the fungus in nature occur predominantly within northern counties and counties along the western shoreline of Lake Michigan. Areas of highest predicted occurrence were often in proximity to waterways, especially in northcentral Wisconsin, where incidence of infection is highest. Ecologic conditions suitable for B. dermatitidis are present in urban and rural environments, and may differ at the extremes of distribution of the species in the state. Conclusions/Significance Our results provide a framework for a more informed search for specific environmental factors modulating B. dermatitidis occurrence and transmission and will be useful for improving public health awareness of relative exposure risks. PMID:18446224

Evaluating regional water scarcity: Irrigated crop water budgets for groundwater management in the Wisconsin Central Sands

Science.gov (United States)

Nocco, M. A.; Kucharik, C. J.; Kraft, G.

2013-12-01

Regional water scarcity dilemmas between agricultural and aquatic land users pervade the humid northern lake states of Wisconsin, Minnesota, and Michigan, where agricultural irrigation relies on groundwater drawn from shallow aquifers. As these aquifers have strong connectivity to surface waters, irrigation lowers water levels in lakes and wetlands and reduces stream discharges. Irrigation expansion has cultivated a 60-year water scarcity dilemma in The Wisconsin Central Sands, the largest irrigated region in the humid northern lake states, dedicated to potato, maize, and processing vegetable production. Irrigation has depleted Wisconsin Central Sands surface waters, lowering levels in some lakes by over 2 m and drying some coldwater trout streams. Aquatic ecosystems, property values, and recreational uses in some surface waters have been devastated. While the causal link between pumping and surface water stress is established, understanding crop-mediated processes, such as the timing and magnitude of groundwater consumption by evapotranspiration (ET) and groundwater recharge, will be useful in management of groundwater, irrigated cropping systems, and surface water health. Previous modeling and field efforts have compared irrigated crop water use to a natural reference condition on a net annual basis. As a result, we presently understand that for irrigated potatoes and maize, the average annual ET is greater and therefore, the average annual recharge is less than rainfed row crops, grasslands, and both coniferous and deciduous forests. However, we have a limited understanding of the magnitude and timing of ET and recharge from irrigated cropping systems on shorter time scales that proceed with the annual cropping cycle (i.e. planting, full canopy, harvest, residue cover). We seek to understand the spatiotemporal variability of crop water budgets and associated water scarcity in the Wisconsin Central Sands through detailed measurements of drainage (potential

Feasibility Study of Economics and Performance of Solar Photovoltaics at the Refuse Hideaway Landfill in Middleton, Wisconsin

Energy Technology Data Exchange (ETDEWEB)

Salasovich, J.; Mosey, G.

2011-08-01

This report presents the results of an assessment of the technical and economic feasibility of deploying a photovoltaics (PV) system on a brownfield site at the Refuse Hideaway Landfill in Middleton, Wisconsin. The site currently has a PV system in place and was assessed for further PV installations. The cost, performance, and site impacts of different PV options were estimated. The economics of the potential systems were analyzed using an electric rate of $0.1333/kWh and incentives offered by the State of Wisconsin and by the serving utility, Madison Gas and Electric. According to the site production calculations, the most cost-effective system in terms of return on investment is the thin-film fixed-tilt technology. The report recommends financing options that could assist in the implementation of such a system.

Wisconsin's forest resources, 2010

Science.gov (United States)

C.H. Perry

2011-01-01

This publication provides an overview of forest resource attributes for Wisconsin based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information please refer to page 4 of this report...

Wisconsin's forest resources, 2005

Science.gov (United States)

Charles, H. (Hobie) Perry; Gary J. Brand

2006-01-01

The annual forest inventory of Wisconsin continues, and this document reports 2001-05 moving averages for most variables and comparisons between 2000 and 2005 for growth, removals, and mortality. Summary resource tables can be generated through the Forest Inventory Mapmaker website at http://ncrs2.fs.fed.us/4801/fiadb/index. htm. Estimates from this inventory show a...

Wisconsin's forest resources, 2006

Science.gov (United States)

C.H. Perry; V.A. Everson

2007-01-01

Figure 2 was revised by the author in August 2008. This publication provides an overview of forest resource attributes for Wisconsin based on an annual inventory conducted by the Forest Inventory and Analysis program at the Northern Research Station of the U.S. Forest Service from 2002-2006. These estimates, along with associated core tables postedon the Internet, are...

Wisconsin's Forest Resources, 2007

Science.gov (United States)

C.H. Perry; V.A. Everson

2008-01-01

This publication provides an overview of forest resource attributes for Wisconsin based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program of the U.S. Forest Service, Northern Research Station. These estimates, along with web-posted core tables, are updated annually. For more information please refer to page 4 of this report.

Wisconsin's forest resources, 2009

Science.gov (United States)

C.H. Perry

2011-01-01

This publication provides an overview of forest resource attributes for Wisconsin based on an annual inventory conducted by the Forest Inventory and Analysis (FIA) program at the Northern Research Station of the U.S. Forest Service. These estimates, along with web-posted core tables, will be updated annually. For more information, please refer to page 4 of this report...

Using a voucher system to extend health services to migrant farmworkers.

OpenAIRE

Slesinger, D P; Ofstead, C

1996-01-01

FAMILY HEALTH/LA CLINICA de los Campesinos, Inc., is a federally funded migrant health clinic in the heart of Wisconsin's farmland that has offered outpatient health care since 1973 and an accompanying "voucher" program since 1988. The charges for outpatient care are based on the ability to pay. The clinic issues vouchers not only to migrant workers living and working in remote parts of the State but also to patients needing services the clinic does not offer. Between 1 April 1992 and 30 Marc...

Simulation of the regional groundwater-flow system of the Menominee Indian Reservation, Wisconsin

Science.gov (United States)

Juckem, Paul F.; Dunning, Charles P.

2015-01-01

A regional, two-dimensional, steady-state groundwater-flow model was developed to simulate the groundwater-flow system and groundwater/surface-water interactions within the Menominee Indian Reservation. The model was developed by the U.S. Geological Survey (USGS), in cooperation with the Menominee Indian Tribe of Wisconsin, to contribute to the fundamental understanding of the region’s hydrogeology. The objectives of the regional model were to improve understanding of the groundwater-flow system, including groundwater/surface-water interactions, and to develop a tool suitable for evaluating the effects of potential regional water-management programs. The computer code GFLOW was used because of the ease with which the model can simulate groundwater/surface-water interactions, provide a framework for simulating regional groundwater-flow systems, and be refined in a stepwise fashion to incorporate new data and simulate groundwater-flow patterns at multiple scales. Simulations made with the regional model reproduce groundwater levels and stream base flows representative of recent conditions (1970–2013) and illustrate groundwater-flow patterns with maps of (1) the simulated water table and groundwater-flow directions, (2) probabilistic areas contributing recharge to high-capacity pumped wells, and (3) estimation of the extent of infiltrated wastewater from treatment lagoons.

40 CFR 81.30 - Southeastern Wisconsin Intrastate Air Quality Control Region.

Science.gov (United States)

2010-07-01

... Quality Control Region. 81.30 Section 81.30 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.30 Southeastern Wisconsin Intrastate Air Quality Control Region. The Metropolitan Milwaukee Intrastate Air Quality Control Region (Wisconsin) has been renamed the Southeastern...

Reintroduction medicine: whooping cranes in Wisconsin.

Science.gov (United States)

Keller, Dominique L; Hartup, Barry K

2013-01-01

This paper presents veterinary management strategies and diagnostic findings in the reintroduction of the endangered whooping crane (Grus americana). Between 2005 and 2010, 63 (27 male, 36 female) hatchling whooping cranes were assigned to a reintroduction project involving autumn release of costume-reared chicks in Wisconsin. Veterinary care included preventive measures and comprehensive pre-release evaluations to improve fitness and reduce translocation of potential disease agents to native habitats. A total of 44 clinically normal birds were released (70% of assigned individuals). Cases of morbidity were classified according to primary body system affected. Musculoskeletal disorders were described in 57 birds (90%); five birds were removed from the project prior to release (8%), all for abnormalities that prevented normal function. Fourteen birds died or were euthanized prior to release (22%); pre-release mortality was attributed to developmental abnormality, predation, trauma or infectious disease. Chronic respiratory aspergillosis, diagnosed in seven birds (11%), was the most common infectious disease of concern. Predation and trauma were primary causes of post-release mortality; no evidence of infectious disease of captive origin was detected in the study population by the end of 2010. The assessment of data accumulated by this project helped to outline successful health management strategies, as well as identify and mitigate ongoing risks to captive whooping cranes that impede reintroduction efforts and achieving management goals for species recovery. © 2013 Wiley Periodicals, Inc.

Utility experiences in redevelopment of formerly used sites -- Wisconsin Electric's risk management and economic development activities

International Nuclear Information System (INIS)

Borofka, B.P.

1999-01-01

Wisconsin Electric Power Company, which recently celebrated its 100th anniversary, has actively promoted the redevelopment of its former sites as well as those of its customers. Serving Milwaukee and southeast Wisconsin, Wisconsin Electric's (WE) sites include former power plants, landfills, right-of-ways, and manufactured gas plant sites. In setting an example for others, as well as seeking to maximize the economic value of these sites, WE has either redeveloped or promoted the redevelopment of these sites by others. Examples include the East Wells Power Plant (now home of the Milwaukee Repertory Theater), the Lakeside Power Plant Site (now the home of Harnischfeger Corporation's headquarters), and the Commerce Street Power Plant located on the Milwaukee River near downtown Milwaukee. In each case the company evaluated the potential environmental liabilities against the unrealized asset value derived from facility location, site size, architectural uniqueness, or other characteristics. At the Commerce Street Power Plant, walking distance to the downtown Milwaukee business district combined with river frontage, were significant site values leveraged against a $5 million asbestos and lead-based paint removal project done to prepare the plant for marketing. More recently, WE has used its experience in promoting the redevelopment of the Menomonee River Valley, the original core of Milwaukee's industrial community, and in advancing a more practical regulatory approach to redeveloping older sites. Finally, the company is working with a non-profit community health clinic, community groups and local foundations in linking these redevelopment activities with the economic and physical health of inner city residents

The Wisconsin experience with incentives for demand-side management

International Nuclear Information System (INIS)

Landgren, D.A.

1990-01-01

It has been noted that, within traditional regulatory frameworks for electric utilities, factors exist which discourage demand side management (DSM) and that there is a lack of positive incentives for DSM. Regulatory agencies should therefore make it possible for DSM measures to benefit from the same treatment as supply-side measures. The Wisconsin Public Service Commission (WPSC) has recognized this need and has adopted various measures accordingly. The need for efficiency incentives is described according to the particular experience of Wisconsin Electric concerning their recourse to a DSM incentive and according to new incentive models being tested in collaboration with other electricity suppliers in Wisconsin. The WPSC has concluded that the fact of considering the costs relating to DSM as expenses or capitalizing them within the rate base does not motivate the utility to promote DSM programs. The WPSC has thus decided to experiment with energy efficiency incentives in order to evaluate their eventual impact. The choice of the type of incentive had an objective of starting the process in an area where the lack of experience has created, from the regulatory point of view, a reticence on the part of utilities to engage in DSM programs. The WPSC has designed a variety of incentive models which have been adapted to each utility's own situation. Specific incentive programs developed for three Wisconsin utilities are reviewed

Wisconsin Earth and Space Science Education

Science.gov (United States)

Bilbrough, Larry (Technical Monitor); French, George

2003-01-01

The Wisconsin Earth and Space Science Education project successfilly met its objectives of creating a comprehensive online portfolio of science education curricular resources and providing a professional development program to increase educator competency with Earth and Space science content and teaching pedagogy. Overall, 97% of participants stated that their experience was either good or excellent. The favorable response of participant reactions to the professional development opportunities highlights the high quality of the professional development opportunity. The enthusiasm generated for using the curricular material in classroom settings was overwhelmingly positive at 92%. This enthusiasm carried over into actual classroom implementation of resources from the curricular portfolio, with 90% using the resources between 1-6 times during the school year. The project has had a positive impact on student learning in Wisconsin. Although direct measurement of student performance is not possible in a project of this kind, nearly 75% of participating teachers stated that they saw an increase in student performance in math and science as a result of using project resources. Additionally, nearly 75% of participants saw an increase in the enthusiasm of students towards math and science. Finally, some evidence exists that the professional development academies and curricular portfolio have been effective in changing educator behavior. More than half of all participants indicated that they have used more hands-on activities as a result of the Wisconsin Earth and Space Science Education project.

Predicting Scour of Bedrock in Wisconsin

Science.gov (United States)

2017-04-01

This research evaluates the scour potential of rocks supporting Wisconsin DOT bridge foundations. Ten highway bridges were selected for this study, of which seven are supported by shallow foundations, and five were built on sandstone in rivers/stream...

Creating a perfect storm to increase consumer demand for Wisconsin's Tobacco Quitline.

Science.gov (United States)

Sheffer, Megan A; Redmond, Lezli A; Kobinsky, Kate H; Keller, Paula A; McAfee, Tim; Fiore, Michael C

2010-03-01

Telephone quitlines are a clinically proven and cost-effective population-wide tobacco-dependence treatment, and this option is now available in all 50 states. Yet, only 1% of the smoking population accesses these services annually. This report describes a series of policy, programmatic, and communication initiatives recently implemented in Wisconsin that resulted in a dramatic increase in consumer demand for the Wisconsin Tobacco Quitline (WTQL). In 2007, the Wisconsin legislature voted to increase the state cigarette excise tax rate by $1.00, from $0.77/pack to $1.77/pack effective January 1, 2008. In preparation for the tax increase, the Wisconsin Tobacco Prevention and Control Program, the University of Wisconsin Center for Tobacco Research and Intervention, which manages the WTQL, and the state's quitline service provider, Free & Clear, Inc., collaborated to enhance quitline knowledge, availability, and services with the goal of increasing consumer demand for services. The enhancements included for the first time, a free 2-week supply of over-the-counter nicotine replacement medication for tobacco users who agreed to receive multi-session quitline counseling. A successful statewide earned media campaign intensified the impact of these activities, which were timed to coincide with temporal smoking-cessation behavioral patterns (i.e., New Year's resolutions). As a result, the WTQL fielded a record 27,000 calls during the first 3 months of 2008, reaching nearly 3% of adult Wisconsin smokers. This experience demonstrates that consumer demand for quitline services can be markedly enhanced through policy and communication initiatives to increase the population reach of this evidence-based treatment. Published by Elsevier Inc.

Solar project description for Zien Mechanical Contractors-I single family residence, Milwaukee, Wisconsin

Science.gov (United States)

Beers, D.

1980-02-01

The Zien Mechanical site is a single family residence located in Milwaukee, Wisconsin. The home has two separate solar energy systems: an air system for space heating and cooling; a liquid system to preheat the potable hot water. The space heating and cooling system design and operation modes are described. The space heating system is designed to apply approximately 44 percent of the space heating requirements for the 1388 square foot residence. Engineering drawings are provided and the performance evaluation instrumentation is described.

Managing type 1 diabetes: trends and outcomes over 20 years in the Wisconsin Diabetes Registry cohort.

Science.gov (United States)

Palta, Mari; LeCaire, Tamara

2009-08-01

The Wisconsin Diabetes Registry Study is a Wisconsin cohort of patients with type 1 diabetes, who were diagnosed in 1987-1992 and actively followed. The study provides patients and health care professionals with better prognostic information and helps identify aspects of diabetes management that need improvement. To describe diabetes management and acute and chronic complications from the time of diagnosis. All incident cases diagnosed at age <30 in 28 counties were eligible and 590 enrolled. A baseline interview, blood sample kits, biannual/annual questionnaires and study examinations at 4, 7, 9, 14, and 20 years duration were administered. Diabetes management indicators, general health, and acute and chronic complications. Glycemic control was poor in adolescence, but improved with age. A high percentage of individuals do not meet treatment standards for blood pressure and lipid profile. Self-reported health deteriorated with age, and body mass index was similar to that of the general US population. Chronic complications were present at 15-20 years, but tended to be relatively mild. There is room for improvement in diabetes management, especially in meeting goals for blood pressure and lipid profile. Nonetheless, individuals with type 1 diabetes can be offered a more optimistic prognosis than in the past.

Cost-Effectiveness Analysis of the Residential Provisions of the 2015 IECC for Wisconsin

Energy Technology Data Exchange (ETDEWEB)

Mendon, Vrushali V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhao, Mingjie [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Zachary T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Poehlman, Eric A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2016-02-15

The 2015 IECC provides cost-effective savings for residential buildings in Wisconsin. Moving to the 2015 IECC from the 2006 IECC base code is cost-effective for residential buildings in all climate zones in Wisconsin.

Hazardous emissions, operating practices, and air regulations at industrial wood-fired facilities in Wisconsin

International Nuclear Information System (INIS)

Hubbard, A.J.

1993-01-01

Since October of 1988 the State of Wisconsin Department of Natural Resources has regulated over four hundred substances as hazardous air pollutants. The rule regulates new as well as existing sources of air pollution in Wisconsin. Consequently, all permits to operate an air pollution source in Wisconsin must address the hazardous air emissions potential of the source. While widely perceived as a clean-burning fuel, wood is often burned in a manner which clearly results in significant emissions of very hazardous air pollutants. Research conducted on a 20 million BTU per hour wood-fired spreader stoker boiler in northern Wisconsin showed that this boiler has the potential to emit 0.022 pound of benzene and 0.012 pound of formaldehyde per ton (lb/ton) of wood fired. Recent stack tests at more than a dozen other small industrial wood-fired facilities in Wisconsin show a range of formaldehyde emissions of 0.0007--0.1950 lb/ton. Work at Birchwood Lumber ampersand Veneer showed that the benzene and formaldehyde emission rates under good firing conditions are an order of magnitude lower than the benzene and formaldehyde emission rates under poor firing conditions. This finding has supported Wisconsin's regulatory approach of encouraging wood-fired facilities to enhance the quality of the combustion process as a technique to minimize the hazardous air pollution potential of industrial wood combustion. The Wisconsin strategy is to define open-quotes good combustion technologyclose quotes through easily measurable combustion parameters rather than emission standards. This paper presents several techniques in use in Wisconsin to comply with open-quotes good combustion technologyclose quotes for industrial wood-fired furnaces. These techniques include fuel blending overfire air, furnace insulation, and proper grate design

Oneida Tribe of Indians of Wisconsin Energy Optimization Model

Energy Technology Data Exchange (ETDEWEB)

Troge, Michael [Little Bear Development Center, Oneida, WI (United States)

2014-12-01

Oneida Nation is located in Northeast Wisconsin. The reservation is approximately 96 square miles (8 miles x 12 miles), or 65,000 acres. The greater Green Bay area is east and adjacent to the reservation. A county line roughly splits the reservation in half; the west half is in Outagamie County and the east half is in Brown County. Land use is predominantly agriculture on the west 2/3 and suburban on the east 1/3 of the reservation. Nearly 5,000 tribally enrolled members live in the reservation with a total population of about 21,000. Tribal ownership is scattered across the reservation and is about 23,000 acres. Currently, the Oneida Tribe of Indians of Wisconsin (OTIW) community members and facilities receive the vast majority of electrical and natural gas services from two of the largest investor-owned utilities in the state, WE Energies and Wisconsin Public Service. All urban and suburban buildings have access to natural gas. About 15% of the population and five Tribal facilities are in rural locations and therefore use propane as a primary heating fuel. Wood and oil are also used as primary or supplemental heat sources for a small percent of the population. Very few renewable energy systems, used to generate electricity and heat, have been installed on the Oneida Reservation. This project was an effort to develop a reasonable renewable energy portfolio that will help Oneida to provide a leadership role in developing a clean energy economy. The Energy Optimization Model (EOM) is an exploration of energy opportunities available to the Tribe and it is intended to provide a decision framework to allow the Tribe to make the wisest choices in energy investment with an organizational desire to establish a renewable portfolio standard (RPS).

Wisconsin's fourth forest inventory, 1983.

Science.gov (United States)

John S. Jr. Spencer; W. Brad Smith; Jerold T. Hahn; Gerhard K. Raile

1988-01-01

The fourth inventory of the timber resource of Wisconsin shows that growing-stock volume increased from 11.2 to 15.5 billion cubic feet between 1968 and 1983, and area of timberland increased from 14.5 to 14.8 million acres. Presented are analysis and statistics on forest area and timber volume, growth, mortality, removals, and projections.

Perfluoroalkyl substances in older male anglers in Wisconsin.

Science.gov (United States)

Christensen, Krista Y; Raymond, Michelle; Thompson, Brooke A; Anderson, Henry A

2016-05-01

Perfluoroalkyl substances (PFAS) are an emerging class of contaminants. Certain PFAS are regulated or voluntarily limited due to concern about environmental persistence and adverse health effects, including thyroid disease and to dyslipidemia. The major source of PFAS exposure in the general population is seafood. In this analysis we examine PFAS levels and their determinants, as well as associations between PFAS levels and self-reported health outcomes, in a group of older male anglers in Wisconsin with high fish consumption. A biomonitoring study of male anglers aged 50 and older living in Wisconsin collected detailed information on fish consumption, demographics and self-reported health outcomes, along with hair and blood samples for biomarker analysis. Sixteen different PFAS were extracted from serum samples. Regression models were used to identify factors (demographic characteristics and fish consumption habits) associated with PFAS biomarker levels in blood, as well as associations between PFAS and self-reported health outcomes, adjusting for potential confounders. Seven PFAS were detected in at least 30% of participants and were used in subsequent analyses (PFDA, PFHpS, PFHxS, PFNA, PFOA, PFOS, PFuDA). The PFAS with the highest levels were PFOS, followed by PFOA, PFHxS and PFNA (medians of 19.0, 2.5, 1.8 and 1.4ng/mL). In general, increasing age was associated with higher PFAS levels, while increasing BMI were associated with lower PFAS levels. Greater alcohol consumption was associated with higher levels of PFHpS, PFHxS and PFOA. Associations with smoking and employment did not show a consistent pattern. Associations between fish consumption and PFAS were generally weak, with the exception of notably higher PFDA and PFHpS with both other locally-caught fish, and restaurant-purchased fish. Regarding associations with health outcomes, PFuDA, PFNA and PFDA were all associated with increased risk of pre-diabetes and/or diabetes. PFHpS was associated with a

Introduction to radioactive waste management issues in Wisconsin

International Nuclear Information System (INIS)

Anon.

1977-01-01

This brief focused on wastes from commercial production of electricity and various industrial, medical and research applications of radioactive materials. Only traditionally solid wastes are dealt with. It was organized into five parts. Part I presented an introduction to radioactivity - what it is and the biological hazards associated with it. Federal regulation of the management of radioactive wastes was discussed in Part II. Existing state laws and bills currently before the Wisconsin Legislature were described in Part III. Part IV gave background information on specific areas of potential inquiry related to radioactive wastes in Wisconsin. Part V summarized the issues identified in the brief. 2 figures, 7 tables

Flood-frequency characteristics of Wisconsin streams

Science.gov (United States)

Walker, John F.; Peppler, Marie C.; Danz, Mari E.; Hubbard, Laura E.

2017-05-22

Flood-frequency characteristics for 360 gaged sites on unregulated rural streams in Wisconsin are presented for percent annual exceedance probabilities ranging from 0.2 to 50 using a statewide skewness map developed for this report. Equations of the relations between flood-frequency and drainage-basin characteristics were developed by multiple-regression analyses. Flood-frequency characteristics for ungaged sites on unregulated, rural streams can be estimated by use of the equations presented in this report. The State was divided into eight areas of similar physiographic characteristics. The most significant basin characteristics are drainage area, soil saturated hydraulic conductivity, main-channel slope, and several land-use variables. The standard error of prediction for the equation for the 1-percent annual exceedance probability flood ranges from 56 to 70 percent for Wisconsin Streams; these values are larger than results presented in previous reports. The increase in the standard error of prediction is likely due to increased variability of the annual-peak discharges, resulting in increased variability in the magnitude of flood peaks at higher frequencies. For each of the unregulated rural streamflow-gaging stations, a weighted estimate based on the at-site log Pearson type III analysis and the multiple regression results was determined. The weighted estimate generally has a lower uncertainty than either the Log Pearson type III or multiple regression estimates. For regulated streams, a graphical method for estimating flood-frequency characteristics was developed from the relations of discharge and drainage area for selected annual exceedance probabilities. Graphs for the major regulated streams in Wisconsin are presented in the report.

76 FR 57646 - Final Withdrawal of Certain Federal Aquatic Life Water Quality Criteria Applicable to Wisconsin

Science.gov (United States)

2011-09-16

... Final Withdrawal of Certain Federal Aquatic Life Water Quality Criteria Applicable to Wisconsin AGENCY... aquatic life water quality criteria applicable to Wisconsin? C. Why is the EPA not withdrawing Wisconsin's chronic endrin aquatic life use criterion for waters designated as Warm Water Sportfish and Warm Water...

Wisconsin Educators Tackle Violence Head On.

Science.gov (United States)

Jones, Katherine A.

1999-01-01

In August 1999, Wisconsin school business officials and other school administrators met with police officers to discuss cooperative ventures to ensure school safety. Conference participants attended sessions on identifying troubled students, physical security measures, safety planning, dealing with bomb threats, and prevention and punishment. (MLH)

Libraries in Wisconsin Institutions: Status Report.

Science.gov (United States)

Merriam, Elizabeth B.

The Wisconsin Library Association Round Table of Hospitals and Institutional Librarians became concerned about adequate funding of institutional libraries; the right of institutionalized persons to read and to have educational, legal, and recreational materials; and the development of staff libraries for treatment, rehabilitation, and research…

Lyme disease in Wisconsin: epidemiologic, clinical, serologic, and entomologic findings.

Science.gov (United States)

Davis, J P; Schell, W L; Amundson, T E; Godsey, M S; Spielman, A; Burgdorfer, W; Barbour, A G; LaVenture, M; Kaslow, R A

1984-01-01

In 1980-82, 80 individuals (71 Wisconsin residents) had confirmed Lyme disease (LD-c) reported; 39 additional patients had probable or possible LD. All cases of LD-c occurred during May-November; 73 percent occurred during June-July; 54 (68 percent) occurred in males. The mean age was 38.7 years (range, 7-77 years). Among LD-c patients, likely exposure to the presumed vector Ixodes dammini (ID) occurred in 22 different Wisconsin counties. Antibodies to the ID spirochete that causes LD occurred in 33 of 49 LD-c cases versus 0 of 18 in ill controls (p less than .001) and in 13 of 26 LD-c cases treated with penicillin or tetracycline versus 16 of 19 LD-c cases not treated. Early antibiotic therapy appears to blunt the antibody response to the ID spirochete. Regional tick surveys conducted in Wisconsin during each November in 1979-82 have demonstrated regions of greater density of ID. Utilizing comparable tick collection in these surveys, increases were noted in the percentage of deer with ID from 24 percent (31/128) in 1979 to 38 percent (58/152) in 1981, in the standardized mean value of ID/deer from 1.0 in 1979 to 2.2 in 1981, in the percentage of ID of the total ticks collected from 13 percent in 1979 to 71 percent in 1981, or in the ratio of ID to Dermacentor albipictus ticks from 0.14 in 1979 to 2.44 in 1981. However, a reduction in the density of ID/deer was noted generally throughout Wisconsin in 1982 when compared to 1981. LD is widespread in Wisconsin, with ecologic and clinical features similar to those occurring along the eastern seaboard.

Mental Health Services to State Corrections Inmates. Staff Brief 86-10.

Science.gov (United States)

Henkel, Jane R.

This report was written for the Advisory Committee on Mentally Ill Inmates of the Wisconsin State Legislative Council's Special Committee on Mental Health Issues. It describes mental health services to inmates of Wisconsin's state prisons. Part I describes the organization of state level responsibilities for corrections, including the state…

The evolution of Wisconsin's urban FIA program—yesterday today and tomorrow

Science.gov (United States)

Andrew M. Stoltman; Richard B. Rideout

2015-01-01

In 2002, Wisconsin was part of two pilot projects in cooperation with the US Forest Service. The first was a street tree assessment, and the second was an urban FIA project. The data generated by these pilots changed the way that Wisconsin DNRs’ Urban Forestry Program conducts its business. Although there have been several urban FIA pilot projects throughout the U.S.,...

Effect of feeding strategies and cropping systems on greenhouse gas emission from Wisconsin certified organic dairy farms.

Science.gov (United States)

Liang, D; Sun, F; Wattiaux, M A; Cabrera, V E; Hedtcke, J L; Silva, E M

2017-07-01

Organic agriculture continues to expand in the United States, both in total hectares and market share. However, management practices used by dairy organic producers, and their resulting environmental impacts, vary across farms. This study used a partial life cycle assessment approach to estimate the effect of different feeding strategies and associated crop production on greenhouse gas emissions (GHG) from Wisconsin certified organic dairy farms. Field and livestock-driven emissions were calculated using 2 data sets. One was a 20-yr data set from the Wisconsin Integrated Cropping System Trial documenting management inputs, crop and pasture yields, and soil characteristics, used to estimate field-level emissions from land associated with feed production (row crop and pasture), including N 2 O and soil carbon sequestration. The other was a data set summarizing organic farm management in Wisconsin, which was used to estimate replacement heifer emission (CO 2 equivalents), enteric methane (CH 4 ), and manure management (N 2 O and CH 4 ). Three combinations of corn grain (CG) and soybean (SB) as concentrate (all corn = 100% CG; baseline = 75% CG + 25% SB; half corn = 50% CG + 50% SB) were assigned to each of 4 representative management strategies as determined by survey data. Overall, GHG emissions associated with crop production was 1,297 ± 136 kg of CO 2 equivalents/t of ECM without accounting for soil carbon changes (ΔSC), and GHG emission with ΔSC was 1,457 ± 111 kg of CO 2 equivalents/t of ECM, with greater reliance on pasture resulting in less ΔSC. Higher levels of milk production were a major driver associated with reduction in GHG emission per metric tonne of ECM. Emissions per metric tonne of ECM increased with increasing proportion of SB in the ration; however, including SB in the crop rotation decreased N 2 O emission per metric tonne of ECM from cropland due to lower applications of organically approved N fertility inputs. More SB at the expense of CG

Divided Wisconsin: Partisan Spatial Electoral Realignment

Science.gov (United States)

Zaniewski, Kazimierz J.; Simmons, James R.

2016-01-01

When the Republican and Democratic presidential candidates head into the general election this fall, they will be courting votes from a statewide electorate that has dramatically shifted over time, mirroring the political polarization that is happening across the country. Over the last three decades, Wisconsin's political geography has evolved…

Simulation of the shallow groundwater-flow system in the Forest County Potawatomi Community, Forest County, Wisconsin

Science.gov (United States)

Fienen, Michael N.; Saad, David A.; Juckem, Paul F.

2013-01-01

The shallow groundwater system in the Forest County Potawatomi Comminity, Forest County, Wisconsin, was simulated by expanding and recalibrating a previously calibrated regional model. The existing model was updated using newly collected water-level measurements, inclusion of surface-water features beyond the previous near-field boundary, and refinements to surface-water features. The updated model then was used to calculate the area contributing recharge for seven existing and three proposed pumping locations on lands of the Forest County Potawatomi Community. The existing wells were the subject of a 2004 source-water evaluation in which areas contributing recharge were calculated using the fixed-radius method. The motivation for the present (2012) project was to improve the level of detail of areas contributing recharge for the existing wells and to provide similar analysis for the proposed wells. Delineated 5- and 10-year areas contributing recharge for existing and proposed wells extend from the areas of pumping to delineate the area at the surface contributing recharge to the wells. Steady-state pumping was simulated for two scenarios: a base-pumping scenario using pumping rates that reflect what the Community currently (2012) pumps (or plans to in the case of proposed wells), and a high-pumping scenario in which the rate was set to the maximum expected from wells installed in this area, according to the Forest County Potawatomi Community Natural Resources Department. In general, the 10-year areas contributing recharge did not intersect surface-water bodies. The 5- and 10-year areas contributing recharge simulated at the maximum pumping rate at Bug Lake Road may intersect Bug Lake. At the casino near the Town of Carter, Wisconsin, the 10-year areas contributing recharge intersect infiltration ponds. At the Devils Lake and Lois Crow Drive wells, areas contributing recharge are near cultural features, including residences.

78 FR 34966 - Approval and Promulgation of Air Quality Implementation Plans; Wisconsin; Removal of Gasoline...

Science.gov (United States)

2013-06-11

... Promulgation of Air Quality Implementation Plans; Wisconsin; Removal of Gasoline Vapor Recovery From Southeast... specifically installed at gasoline dispensing facilities (GDF) and capture the refueling fuel vapors at the gasoline pump nozzle. The system carries the vapors back to the underground storage tank at the GDF to...

78 FR 48900 - Notice of Inventory Completion: State Historical Society of Wisconsin, Madison, WI

Science.gov (United States)

2013-08-12

.... ADDRESSES: Jennifer Kolb, Wisconsin Historical Museum, 30 North Carroll Street, Madison, WI 53703, telephone (608) 261-2461, email Jennifer.Kolb@wisconsinhistory.org . SUPPLEMENTARY INFORMATION: Notice is here... request to Jennifer Kolb, Wisconsin Historical Museum, 30 North Carroll Street, Madison, WI 53703...

Informed Forces for Environmental Quality, Conference Proceedings (University of Wisconsin, Green Bay, Wisconsin, March 28-29, 1968).

Science.gov (United States)

Wisconsin Univ., Green Bay.

To increase understanding of the dimensions of man's impact on his environment and the key issues involved in improving that environment through education and action was the goal of the environmental quality conference held at the University of Wisconsin, Green Bay, on March 28-29, 1968. Contained in this document are the conference…

Wisconsin's forest statistics, 1987: an inventory update.

Science.gov (United States)

W. Brad Smith; Jerold T. Hahn

1989-01-01

The Wisconsin 1987 inventory update, derived by using tree growth models, reports 14.7 million acres of timberland, a decline of less than 1% since 1983. This bulletin presents findings from the inventory update in tables detailing timberland area, volume, and biomass.

Wisconsin Public Schools at a Glance

Science.gov (United States)

Wisconsin Department of Public Instruction, 2014

2014-01-01

"Wisconsin Public Schools at a Glance" provides in a single page document statistical information on the following topics: (1) Total number of public schools (2014-15); (2) Staff (2013-14); (3) Students (2013-14);(4) Report Cards (2013-14); (5) Attendance and Graduation (2012-13); (6) Student Performance (2013-14); and (7) School Funding.

Continuing the promise: Recruiting and preparing Hmong-American educators for Central Wisconsin

Directory of Open Access Journals (Sweden)

Leslie McClain-Ruelle

2006-01-01

Full Text Available The state of Wisconsin, and in the broader context, the middle states of the United States experienced a large influx of Hmong families starting in the early 1980’s and into the 1990’s. With this influx a large number of young, Southeast Asian children entered the PK-12 classrooms, often with the support of bilingual aides. While many of the children flourished within this newer context, they were mostly guided in their classrooms by white, Anglo educators. Although theseeducators work to meet the needs of all children, there were few to no Hmong educators working with these same children in the PK-12 setting. At the same time, a number of Hmong young adults were serving as bilingual aides in these classrooms. Project Forward, a federally funded Title VII grant, has worked to create a shift in these roles, preparing Hmong college students to become educators in the PK-12 settings. In 1999, Central Wisconsin enrolled approximately3,200 Hmong children in the PK-12 schools; at the same time, Central Wisconsin employed merely seven Hmong teachers in the classrooms. The goal of the grant program described in this paper is to prepare teachers of Southeast Asian background for early childhood, elementary, secondary and K-12 classrooms. The Central Wisconsin grant has supported a total of 35 Southeast Asian students in their pursuit of teaching careers. Fulfilling the goal of preparingteachers who can serve as role models for Southeast Asian children in our schools has met with successes and struggles. This article presents consideration of the central factors affectingrecruitment, retention and preparation of Hmong pre-service teachers in Central Wisconsin. The article includes a brief historical examination of the immigration of the Hmong population intothe United States, a consideration of the Hmong culture as it affects recruitment and retention of pre-service teachers and evidence related to successes and struggles experienced by Project

Bridge Scour Monitoring Methods at Three Sites in Wisconsin

National Research Council Canada - National Science Library

Walker, John F; Hughes, Peter E

2005-01-01

.... Geological Survey, in cooperation with the Wisconsin Department of Transportation, the Marathon County Highway Department, and the Jefferson County Highway Department, performed routine monitoring...

Operability and location of Wisconsin's timber resource.

Science.gov (United States)

Jerold T. Hahn; Mark H. Hansen

1989-01-01

Data collected during the 1983 Wisconsin Statewide forest inventory were used to examine operability of the timber resource based on seven operability components. Operability is the ease or difficulty of managing or harvesting timber because of physical conditions in the stand or on the site.

78 FR 44596 - Notice of Inventory Completion: State Historical Society of Wisconsin, Madison, WI

Science.gov (United States)

2013-07-24

... address in this notice by August 23, 2013. ADDRESSES: Jennifer Kolb, Wisconsin Historical Museum, 30 North Carroll Street, Madison, WI 53703, telephone (608) 261-2461, email Jennifer.Kolb@wisconsinhistory.org... request to Jennifer Kolb, Wisconsin Historical Museum, 30 North Carroll Street, Madison, WI 53703...

Advocacy and education in Wisconsin

International Nuclear Information System (INIS)

Wise, M.

1986-01-01

Wisconsin's Radioactive Waste Review Board is required by law to advocate for and educate the public on the high-level nuclear waste issue. The goal of its education program is to empower people by giving them information and skills. Environmental advocacy and public activism are part of the State's Progressive political tradition. The Board seeks and uses public input while developing education programs, and helps local areas organize committees to develop their own programs

Wisconsin’s Environmental Public Health Tracking Network: Information Systems Design for Childhood Cancer Surveillance

Science.gov (United States)

Hanrahan, Lawrence P.; Anderson, Henry A.; Busby, Brian; Bekkedal, Marni; Sieger, Thomas; Stephenson, Laura; Knobeloch, Lynda; Werner, Mark; Imm, Pamela; Olson, Joseph

2004-01-01

In this article we describe the development of an information system for environmental childhood cancer surveillance. The Wisconsin Cancer Registry annually receives more than 25,000 incident case reports. Approximately 269 cases per year involve children. Over time, there has been considerable community interest in understanding the role the environment plays as a cause of these cancer cases. Wisconsin’s Public Health Information Network (WI-PHIN) is a robust web portal integrating both Health Alert Network and National Electronic Disease Surveillance System components. WI-PHIN is the information technology platform for all public health surveillance programs. Functions include the secure, automated exchange of cancer case data between public health–based and hospital-based cancer registrars; web-based supplemental data entry for environmental exposure confirmation and hypothesis testing; automated data analysis, visualization, and exposure–outcome record linkage; directories of public health and clinical personnel for role-based access control of sensitive surveillance information; public health information dissemination and alerting; and information technology security and critical infrastructure protection. For hypothesis generation, cancer case data are sent electronically to WI-PHIN and populate the integrated data repository. Environmental data are linked and the exposure–disease relationships are explored using statistical tools for ecologic exposure risk assessment. For hypothesis testing, case–control interviews collect exposure histories, including parental employment and residential histories. This information technology approach can thus serve as the basis for building a comprehensive system to assess environmental cancer etiology. PMID:15471739

75 FR 70026 - Notice of Inventory Completion: Wisconsin Historical Society, Museum Division, Madison, WI

Science.gov (United States)

2010-11-16

... with representatives of the Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad... Division, is responsible for notifying the Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin; Forest County Potawatomi Community, Wisconsin; Lac Courte...

77 FR 34125 - Wisconsin Central Ltd.-Intra-Corporate Family Merger Exemption-Elgin, Joliet and Eastern Railway...

Science.gov (United States)

2012-06-08

... reporting, accounting, IT systems, and corporate filings that are required to support the separate existence... Ltd.--Intra-Corporate Family Merger Exemption-- Elgin, Joliet and Eastern Railway Company Wisconsin... 49 CFR 1180.2(d)(3) for an intra-corporate family transaction. WCL, a rail carrier, is a wholly owned...

75 FR 52369 - Notice of Inventory Completion: Wisconsin Historical Society, Museum Division, Madison, WI

Science.gov (United States)

2010-08-25

... member Indian tribes (Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River... Alliance and the Wisconsin Inter-tribal Repatriation Committee indicated that the Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin, and Red Cliff Band of...

The Legal Status of Homemakers in Wisconsin.

Science.gov (United States)

Melli, Marygold Shire

This report focuses on laws in the state of Wisconsin as they relate to homemakers. Four areas are discussed, each in separate sections: marriage, widowhood, divorce, and wife abuse. The section on marriage includes information on property rights, disability and death of homemaker, federal Equal Credit Opportunity Act, domicile, interspousal…

Water-quality and lake-stage data for Wisconsin lakes, water year 2014

Science.gov (United States)

Manteufel, S. Bridgett; Robertson, Dale M.

2017-05-25

IntroductionThe U.S. Geological Survey (USGS), in cooperation with local and other agencies, collects data at selected lakes throughout Wisconsin. These data, accumulated over many years, provide a database for developing an improved understanding of the water quality of lakes. To make these data available to interested parties outside the USGS, the data are published annually in this report series. The locations of water-quality and lake-stage stations in Wisconsin for water year 2014 are shown in figure 1. A water year is the 12-month period from October 1 through September 30. It is designated by the calendar year in which it ends. Thus, the periodOctober 1, 2013, through September 30, 2014, is called “water year 2014.”The purpose of this report is to provide information about the chemical and physical characteristics of Wisconsin lakes. Data that have been collected at specific lakes, and information to aid in the interpretation of those data, are included in this report. Data collected include measurements of in-lake water quality and lake stage. Time series of Secchi depths, surface total phosphorus, and chlorophyll a concentrations collected during nonfrozen periods are included for many lakes. Graphs of vertical profiles of temperature, dissolved oxygen, pH, and specific conductance are included for sites where these parameters were measured. Descriptive information for each lake includes the location of the lake, area of the lake’s watershed, period for which data are available, revisions to previously published records, and pertinent remarks. Additional data, such as streamflow and water quality in tributary and outlet streams of some of the lakes, are published online at http://nwis.waterdata.usgs.gov/wi/nwis.Water-resources data, including stage and discharge data at most streamflow-gaging stations, are available online. The Wisconsin Water Science Center’s home page is at https://www.usgs.gov/centers/wisconsin-water-science-center. Information

78 FR 65875 - Approval and Promulgation of Air Quality Implementation Plans; Wisconsin; Removal of Gasoline...

Science.gov (United States)

2013-11-04

...] Approval and Promulgation of Air Quality Implementation Plans; Wisconsin; Removal of Gasoline Vapor... Administrative Code, Chapter NR 420 Control of Organic Compound Emissions from Petroleum and Gasoline Sources... FROM PETROLEUM AND GASOLINE SOURCES. NR 420.01 as published in the (Wisconsin) Register, February, 1990...

Wisconsin Public Schools at a Glance, 2016

Science.gov (United States)

Wisconsin Department of Public Instruction, 2016

2016-01-01

"Wisconsin Public Schools at a Glance" provides in a single page document statistical information on the following topics: (1) Total number of public schools (2015-16); (2) Student (2015-16); (3) Attendance & Graduation (2014-15);(4) Staff (2013-14); (5) School Funding; and (6) Student Performance (2014-15). [For the previous report…

Ammonia emissions from dairy production in Wisconsin.

Science.gov (United States)

Harper, L A; Flesch, T K; Powell, J M; Coblentz, W K; Jokela, W E; Martin, N P

2009-05-01

Ammonia gas is the only significant basic gas that neutralizes atmospheric acid gases produced from combustion of fossil fuels. This reaction produces an aerosol that is a component of atmospheric haze, is implicated in nitrogen (N) deposition, and may be a potential human health hazard. Because of the potential impact of NH3 emissions, environmentally and economically, the objective of this study was to obtain representative and accurate NH3 emissions data from large dairy farms (>800 cows) in Wisconsin. Ammonia concentrations and climatic measurements were made on 3 dairy farms during winter, summer, and autumn to calculate emissions using an inverse-dispersion analysis technique. These study farms were confinement systems utilizing freestall housing with nearby sand separators and lagoons for waste management. Emissions were calculated from the whole farm including the barns and any waste management components (lagoons and sand separators), and from these components alone when possible. During winter, the lagoons' NH3 emissions were very low and not measurable. During autumn and summer, whole-farm emissions were significantly larger than during winter, with about two-thirds of the total emissions originating from the waste management systems. The mean whole-farm NH3 emissions in winter, autumn, and summer were 1.5, 7.5, and 13.7% of feed N inputs emitted as NH3-N, respectively. Average annual emission comparisons on a unit basis between the 3 farms were similar at 7.0, 7.5, and 8.4% of input feed N emitted as NH3-N, with an annual average for all 3 farms of 7.6 +/- 1.5%. These winter, summer, autumn, and average annual NH3 emissions are considerably smaller than currently used estimates for dairy farms, and smaller than emissions from other types of animal-feeding operations.

Evaluating barnyard Best Management Practices in Wisconsin using upstream-downstream monitoring

Science.gov (United States)

Stuntebeck, Todd D.

1995-01-01

The Nonpoint Source Water Pollution Abatement Program was created in 1978 by the Wisconsin Legislature. The goal of the program is to improve and protect the water quality of lakes, streams, wetlands, and ground water within selected priority watersheds by controlling sources of nonpoint pollution. For each selected watershed, the Wisconsin Department of Natural Resources drafts a management plan that guides the implementation of pollution-control strategies known as Best Management Practices (BMP's). This plan summarizes resource and land-use inventories, describes the results of pollution-source modeling, and suggests pollution reduction goals. The U.S. Geological Survey, through a cooperative effort with the Wisconsin Department of Natural Resources, is monitoring water-quality improvements that result from the implementation of BMP's. The data collected are then compared to the watershed plans to assess progress and determine whether goals are being realized. This fact sheet describes the data-collection efforts, preliminary results, and planned data-analysis techniques of monitoring projects for pre-BMP conditions at two barnyards, one each on Otter Creek and Halfway Prairie Creek.

Modeling the Precambrian Topography of Columbia County, Wisconsin Using Two-Dimensional Models of Gravity and Aeromagnetic Data

Science.gov (United States)

Rasmussen, J.; Skalbeck, J.; Stewart, E.

2017-12-01

The deep sandstone and dolomite aquifer of Wisconsin is the primary source of water in the central, southern, and western portions of the state, as well as a supplier for many high-capacity wells in the eastern portion. This prominent groundwater system is highly impacted by the underlying Precambrian basement, which includes the doubly plunging Baraboo Syncline in Columbia and Sauk Counties. This project is a continuation of previous work done in Dodge and Fond du Lac Counties by the University of Wisconsin-Parkside (UW-P) and the Wisconsin Geological & Natural History Survey (WGNHS). The goal of this project was to produce of an updated Precambrian topographic map of southern Wisconsin, by adding Gravity and Aeromagnetic data to the existing map which is based mainly on sparse outcrop and well data. Gravity and Aeromagnetic data from the United States Geological Survey (USGS) was processed using GM-SYS 3D modeling software in Geosoft Oasis Montaj. Grids of subsurface layers were created from the data and constrained by well and drilling records. The Columbia County basement structure is a complex network of Precambrian granites and rhyolites which is non-conformably overlain by quartzite, slate, and a layer of iron rich sedimentary material. Results from previously collected cores as well as drilling done in neighboring Dodge County, show that the iron rich layer was draped over much of the Baraboo area before being subject to the multitude of folding and faulting events that happened in the region during the late Precambrian. This layer provides telltale signatures that aided in construction of the model due to having an average density of 3.7 g/cm3 and a magnetic susceptibility of 8000 x 10-6 cgs, compared to the average density and susceptibility of the rest of the bedrock being 2.8 g/cm3 and 1500 x 10-6 cgs, respectively. The research done on the Columbia County basement is one part of a larger project aimed at improving groundwater management efforts of the

Stakeholders' Perceptions of Parcelization in Wisconsin's Northwoods

Science.gov (United States)

Mark G. Rickenbach; Paul H. Gobster

2003-01-01

Parcelization, the process by which relatively large forest ownerships become subdivided into smaller ones, is often related to changes in ownership and can bring changes to the use of the land. Landowners, resource professionals, and others interested in Wisconsin's Northwoods were asked their views on parcelization in a series of stakeholder forums. We analyzed...

An Evaluation of Illicit Stimulants and Metabolites in Wastewa ter Effluent and the Wisconsin River Along the Central Wisconsin River Basin

Directory of Open Access Journals (Sweden)

Erik S. Hendrickson

2015-09-01

Full Text Available The goals of the study were to develop a method for extracting and quantifying illicit stimulants and metabolites, methamphetamine, amphetamine, cocaine, and benzoylecogonine from wastewater effluent and surface water grab samples, and evaluate Central Wisconsin wastewater treatment plant’s (WWTP removal efficiency of compounds of interest. The method created used HLB solid-phase extraction (SPE cartridges to extract substances of interest and High Performance Liquid Chromatography tandem Mass Spectrometry (HPLC/MS/MS for quantification and qualification. All four wastewater effluent samples and three Wisconsin River samples had quantifiable concentrations of at least one analyte. Conclusions derived from the study were: The method created is effective for separating, quantifying, and identifying amphetamine, cocaine, and benzoylecognine from wastewater effluent and surface water grab samples, and each illicit stimulant and metabolite analyzed in this study were all quantified in wastewater effluent, indicating these compounds have the ability to survive WWTP.

Toward Mass Customization of Health Information

Science.gov (United States)

de la Cruz, Norberto B.; Kahn, Charles E.

1999-01-01

As a part of its community outreach efforts, the Medical College of Wisconsin developed the “MCW HealthLink” health information resource. The philosophy, design and implementation of the site lend well to steering future developments towards mass customization of health information.

Timber resource of Wisconsin's Northwest Survey Unit, 1983.

Science.gov (United States)

W. Brad Smith

1984-01-01

The fourth inventory of the timber resource of the Northwest Wisconsin Survey Unit shows a 1.8% decline in commercial forest area and a 36% gain in growing-stock volume between 1968 and 1983. Presented are highlights and statistics on area, volume, growth, mortality, removals, utilization, and biomass.

Wisconsin Women and the Law, Second Edition. The Governor's Commission on the Status of Women.

Science.gov (United States)

Governor's Commission on the Status of Women, Madison, WI.

This handbook is written to inform Wisconsin citizens of women's rights and responsibilities under Wisconsin and federal law. It is intended for use as general legal resource material. It is not intended to take the place of an attorney in the solution of individual legal problems. Each of the 12 chapters treats a particular subject or topic.…

Public Schooling in Southeast Wisconsin: 2013-2014 [Summary

Science.gov (United States)

Yeado, Joe; Schmidt, Jeff; Hart, Rebecca; Henken, Rob

2014-01-01

This summary from the "Public Schooling in Southeast Wisconsin: 2013-2014" full report presents the school district performance in a pull-out format. Definitions are provided for the column heading: (1) Total Operations Spending, (2) Property Tax Revenue, (3) Total Enrollment; (4) One-Year Change in Enrollment, (5) Minority Enrollment,…

Geology and ground-water resources of Outagamie County, Wisconsin

Science.gov (United States)

LeRoux, E.F.

1957-01-01

Outagamie County is in east-central Wisconsin. It has no serious groundwater problem at present, but the county is important as a recharge area for the principal aquifers supplying water to Brown County and industrial Green Bay to the east.

Comparison of Home Retrofit Programs in Wisconsin

Energy Technology Data Exchange (ETDEWEB)

Cunningham, Kerrie [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership; Hannigan, Eileen [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership

2013-03-01

To explore ways to reduce customer barriers and increase home retrofit completions, several different existing home retrofit models have been implemented in the state of Wisconsin. This study compared these programs' performance in terms of savings per home and program cost per home to assess the relative cost-effectiveness of each program design. However, given the many variations in these different programs, it is difficult to establish a fair comparison based on only a small number of metrics. Therefore, the overall purpose of the study is to document these programs' performance in a case study approach to look at general patterns of these metrics and other variables within the context of each program. This information can be used by energy efficiency program administrators and implementers to inform home retrofit program design. Six different program designs offered in Wisconsin for single-family energy efficiency improvements were included in the study. For each program, the research team provided information about the programs' approach and goals, characteristics, achievements and performance. The program models were then compared with performance results-program cost and energy savings-to help understand the overall strengths and weaknesses or challenges of each model.

Comparison of Home Retrofit Programs in Wisconsin

Energy Technology Data Exchange (ETDEWEB)

Cunningham, K.; Hannigan, E.

2013-03-01

To explore ways to reduce customer barriers and increase home retrofit completions, several different existing home retrofit models have been implemented in the state of Wisconsin. This study compared these programs' performance in terms of savings per home and program cost per home to assess the relative cost-effectiveness of each program design. However, given the many variations in these different programs, it is difficult to establish a fair comparison based on only a small number of metrics. Therefore, the overall purpose of the study is to document these programs' performance in a case study approach to look at general patterns of these metrics and other variables within the context of each program. This information can be used by energy efficiency program administrators and implementers to inform home retrofit program design. Six different program designs offered in Wisconsin for single-family energy efficiency improvements were included in the study. For each program, the research team provided information about the programs' approach and goals, characteristics, achievements and performance. The program models were then compared with performance results -- program cost and energy savings -- to help understand the overall strengths and weaknesses or challenges of each model.

Mercury accumulation in transplanted Hypogymnia physodes lichens downwind of Wisconsin chlor-alkali plant

Science.gov (United States)

Makholm, M.M.; Bennett, J.P.

1998-01-01

Emissions of mercury from a chlor-alkali plant in central Wisconsin have raised concern about possible effects on biota in the area. Samples of the lichen Hypogymnia physodes, which no longer grows in the area, were transplanted from a site in northeastern Wisconsin and positioned on plastic stands at varying distances up to 1250 m from the plant and sampled for Hg quarterly for one year to test the hypothesis that Hg would be taken up by the lichens and would decline with distance. Average tissue concentrations were elevated when first sampled at three months and continued to increase at the nearest sites until the study ended after one year. Average concentrations after a year of exposure ranged from 4418 ppb at 250 m from the plant to 403 ppb at 1250 m from the plant. The decrease over distance followed a negative exponential pattern. Background concentrations at a control site in northern Wisconsin averaged 155 ppb.

Wisconsin Partnerships to Educate and Engage Public Audiences on Climate Change Topics

Science.gov (United States)

Mooney, M. E.; Ackerman, S.; Rowley, P.; Crowley Conn, K.

2011-12-01

The complexity and scale of climate change-related challenges requires more than one strategy to share meaningful information with public audiences. This presentation will discuss a few initiatives to engage the public originating from the University of Wisconsin-Madison. First, a local partnership between the Cooperative Institute for Meteorological Satellite Studies (CIMSS) and the Aldo Leopold Nature Center (ALNC), an informal learning center with a new climate change "classroom" which recently acquired a Science on a Sphere (SOS) exhibit. Second, an informal education project funded by the NOAA Office of Education coordinated by CIMSS in partnership with the national SOS Network with the goal of helping museum docents share meaningful interpretation of real-time weather and climate data. CIMSS staff has been conducting weather and climate discussions on a Magic Planet display for several years. This "mini-SOS" is powered by a solar panel on the roof, modeling the essential Sun-Earth connection and the first principle of climate literacy. However, the convenient proximity of CIMSS and ALNC provides a perfect opportunity to test "SOS-scale" talking points posted on a weekly docent blog to the benefit of the entire SOS Network. Two other Wisconsin projects of note include the Wisconsin Initiative on Climate Change Impacts, a partnership between the University and the Wisconsin Department of Natural Resources, and a pilot project between CIMSS and NOAA's National Weather Service to engage storm spotters in climate mitigation and stewardship. Ideally, the synergistic benefits and lessons learned from these collaborations can inform similar efforts in order to galvanize meaningful responses to climate change.

SMES developments at the University of Wisconsin

International Nuclear Information System (INIS)

Boom, R.W.; Abdelsalam, M.K.; Eyssa, Y.; Hilal, M.; Huang, X.; McIntosh, G.E.; Pfotenhauer, J.

1988-01-01

This paper reports on a long term SMES program in the Applied Superconductivity Center (ASC) in progress at the University of Wisconsin since 1970. The present principal interest in SMES stems from the US DNA-SDI program to build an engineering test model (ETM) for utility and government use. This paper is a review of SMES design highlights and of some small scale SMES studies

77 FR 12603 - National Institute of Mental Health; Notice of Closed Meeting

Science.gov (United States)

2012-03-01

... Health; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as...: Doubletree Hotel Bethesda, 8120 Wisconsin Avenue, Bethesda, MD 20814. Time: March 14, 2012, 8:30 a.m. to 12... meet with PIs Training Fellows and Staff Scientists. Place: Doubletree Hotel Bethesda, 8120 Wisconsin...

Tree seed handling, processing, testing, and storage at Hayward State Nursery, Wisconsin Department of Natural Resources

Science.gov (United States)

Gordon Christians

2008-01-01

The Hayward State Nursery, Wisconsin grows more than 40 species from seeds. Up to 6000 bushels of raw unprocessed tree and shrub seeds are collected each year, and all seeds are collected in Wisconsin or adjacent states. All white spruce (Picea glauca) and some white pine seeds (Pinus strobus) are collected from orchards containing...

Water-quality and lake-stage data for Wisconsin lakes, water years 2012–2013

Science.gov (United States)

Manteufel, S. Bridgett; Robertson, Dale M.

2017-05-25

IntroductionThe U.S. Geological Survey (USGS), in cooperation with local and other agencies, collects data at selected lakes throughout Wisconsin. These data, accumulated over many years, provide a data base for developing an improved understanding of the water quality of lakes. To make these data available to interested parties outside the USGS, the data are published annually in this report series. The locations of water-quality and lake-stage stations in Wisconsin for water year 2012 are shown in figure 1. A water year is the 12-month period from October 1 through September 30. It is designated by the calendar year in which it ends. Thus, the period October 1, 2011 through September 30, 2012, is called “water year 2012.”The purpose of this report is to provide information about the chemical and physical characteristics of Wisconsin lakes. Data that have been collected at specific lakes, and information to aid in the interpretation of those data, are included in this report. Data collected include measurements of in-lake water quality and lake stage. Time series of Secchi depths, surface total phosphorus and chlorophyll a concentrations collected during non-frozen periods are included for all lakes. Graphs of vertical profiles of temperature, dissolved oxygen, pH, and specific conductance are included for sites where these parameters were measured. Descriptive information for each lake includes: location of the lake, area of the lake’s watershed, period for which data are available, revisions to previously published records, and pertinent remarks. Additional data, such as streamflow and water quality in tributary and outlet streams of some of the lakes, are published online at http://nwis.waterdata.usgs.gov/wi/nwis.Water-resources data, including stage and discharge data at most streamflow-gaging stations, are available online. The Wisconsin Water Science Center’s home page is at https://www.usgs.gov/centers/wisconsin-water-science-center. Information on

Delivery of State-Provided Predictive Analytics to Schools: Wisconsin's DEWS and the Proposed EWIMS Dashboard. WCER Working Paper No. 2016-3

Science.gov (United States)

Clune, Bill; Knowles, Jared

2016-01-01

Since 2012, the Wisconsin Department of Public Instruction (DPI) has maintained a statewide predictive analytics system providing schools with an early warning in middle grades of students at risk for not completing high school. DPI is considering extending and enhancing this system, known as the Dropout Early Warning System (DEWS). The proposed…

Certification Manual for Wisconsin Public Librarians. Bulletin No. 94111.

Science.gov (United States)

Lamb, Donald K.

This manual contains the guidelines and procedures for public librarian certification and certification renewal in Wisconsin. Certification is not required for library personnel other than administrators, but nonadministrators may apply for certification at the level for which they are eligible. Requirements for voluntary library certification are…

Wisconsin Certification Manual for Public Librarians. Bulletin No. 7075.

Science.gov (United States)

Wisconsin State Dept. of Public Instruction, Madison. Div. of Library Services.

Designed to be used as a guide for public librarians and boards of trustees in meeting the requirements of Wisconsin's public librarian certification law, this manual is divided into two major sections covering public librarian certification and certification renewal/continuing education requirements. The first section includes discussions of…

Characterization of suspended solids and total phosphorus loadings from small watersheds in Wisconsin

Science.gov (United States)

Danz, Mari E.; Corsi, Steven R.; Graczyk, David J.; Bannerman, Roger T.

2010-01-01

Knowledge of the daily, monthly, and yearly distribution of contaminant loadings and streamflow can be critical for the successful implementation and evaluation of water-quality management practices. Loading data for solids (suspended sediment and total suspended solids) and total phosphorus and streamflow data for 23 watersheds were summarized for four ecoregions of Wisconsin: the Driftless Area Ecoregion, the Northern Lakes and Forests Ecoregion, the North Central Hardwoods Ecoregion, and the Southeastern Wisconsin Till Plains Ecoregion. The Northern Lakes and Forests and the North Central Hardwoods Ecoregions were combined into one region for analysis due to a lack of sufficient data in each region. Urban watersheds, all located in the Southeastern Wisconsin Till Plains, were analyzed separately from rural watersheds as the Rural Southeastern Wisconsin Till Plains region and the Urban Southeastern Wisconsin Till Plains region. Results provide information on the distribution of loadings and streamflow between base flow and stormflow, the timing of loadings and streamflow throughout the year, and information regarding the number of days in which the majority of the annual loading is transported. The average contribution to annual solids loading from stormflow periods for the Driftless Area Ecoregion was 84 percent, the Northern Lakes and Forests/North Central Hardwoods region was 71 percent, the Rural Southeastern Wisconsin Till Plains region was 70 percent, and the Urban Southeastern Wisconsin Till Plains region was 90 percent. The average contributions to annual total phosphorus loading from stormflow periods were 72, 49, 61, and 76 percent for each of the respective regions. The average contributions to annual streamflow from stormflow periods are 20, 23, 31, and 50 percent for each of the respective regions. In all regions, the most substantial loading contributions for solids were in the late winter (February through March), spring (April through May), and

Assessing the Workforce Development Needs of Healthcare Employers in Southeastern Wisconsin. Research Brief. Volume 98, Number 3

Science.gov (United States)

Million, Laura

2010-01-01

Despite near-record unemployment rates in the region, southeast Wisconsin's healthcare sector faces a distinctive challenge: finding sufficient numbers of qualified and trained workers to fill current and future job openings. A May 2009 University of Wisconsin-Milwaukee analysis found that one out of every four full-time job openings and one out…

Ecosystem vulnerability assessment and synthesis: a report from the Climate Change Response Framework Project in northern Wisconsin

Science.gov (United States)

Chris Swanston; Maria Janowiak; Louis Iverson; Linda Parker; David Mladenoff; Leslie Brandt; Patricia Butler; Matt St. Pierre; Anantha Prasad; Stephen Matthews; Matthew Peters; Dale Higgins; Avery Dorland

2011-01-01

The forests of northern Wisconsin will likely experience dramatic changes over the next 100 years as a result of climate change. This assessment evaluates key forest ecosystem vulnerabilities to climate change across northern Wisconsin under a range of future climate scenarios. Warmer temperatures and shifting precipitation patterns are expected to influence ecosystem...

Electronic Cigarette Exposure: Calls to Wisconsin Poison Control Centers, 2010–2015.

Science.gov (United States)

Weiss, Debora; Tomasallo, Carrie D; Meiman, Jon G; Creswell, Paul D; Melstrom, Paul C; Gummin, David D; Patel, Disa J; Michaud, Nancy T; Sebero, Heather A; Anderson, Henry A

2016-12-01

E-cigarettes are battery-powered devices that deliver nicotine and flavorings by aerosol and have been marketed in the United States since 2007. Because e-cigarettes have increased in popularity, toxicity potential from device misuse and malfunction also has increased. National data indicate that during 2010–2014, exposure calls to US poison control centers increased only 0.3% for conventional cigarette exposures, whereas calls increased 41.7% for e-cigarette exposures. We characterized cigarette and e-cigarette exposure calls to the Wisconsin Poison Center January 1, 2010 through October 10, 2015. We compared cigarette and e-cigarette exposure calls by exposure year, demographic characteristics, caller site, exposure site, exposure route, exposure reason, medical outcome, management site, and level of care at a health care facility. During January 2010 to October 2015, a total of 98 e-cigarette exposure calls were reported, and annual exposure calls increased approximately 17-fold, from 2 to 35. During the same period, 671 single-exposure cigarette calls with stable annual call volumes were reported. E-cigarette exposure calls were associated with children aged ≤5 years (57/98, 58.2%) and adults aged ≥20 years (30/98, 30.6%). Cigarette exposure calls predominated among children aged ≤5 years (643/671, 95.8%). The frequency of e-cigarette exposure calls to the Wisconsin Poison Center has increased and is highest among children aged ≤5 years and adults. Strategies are warranted to prevent future poisonings from these devices, including nicotine warning labels and public advisories to keep e-cigarettes away from children.

Phosphorus Loading and Compositional Characteristics in Eight-Mile Run Watershed, Wisconsin

National Research Council Canada - National Science Library

James, William

2004-01-01

The purpose of this research was to describe and quantify biologically labile and refractory phosphorus runoff in Eight-Mile Run, a small watershed in west-central Wisconsin that is impacted by dairy...

Trustee Essentials: A Handbook for Wisconsin Public Library Trustees.

Science.gov (United States)

Wisconsin State Dept. of Public Instruction, Madison.

This handbook for Trustees of the Wisconsin Public Library describes in detail the tasks involved in being a library trustee. The handbook comprises a number of "Trustee Essentials" that cover the basic essential information needed by Trustees, as well as sources of additional information. Contents include: The Trustee Job Description;…

Queer & Ally Youth Involvement in the Fair Wisconsin Campaign

Science.gov (United States)

Stiegler, Sam

2008-01-01

This article discusses the role and experience of queer youth and allies in the Fair Wisconsin campaign that fought against the marriage amendment to that state's constitution. It illustrates how LGBT and ally youth involvement can be incorporated into other organizations. Following an explanation of the campaign, are narratives of two…

Analysis of water-level fluctuations in Wisconsin wells

Science.gov (United States)

Patterson, G.L.; Zaporozec, A.

1987-01-01

More than 60 percent of the residents of Wisconsin use ground water as their primary water source. Water supplies presently are abundant, but ground-water levels continually fluctuate in response to natural factors and human-related stresses. A better understanding of the magnitude, duration, and frequency of past fluctuations, and the factors controlling these fluctuations may help anticipate future changes in ground-water levels.

Surface-water quality, Oneida Reservation and vicinity, Wisconsin, 1997-98

Science.gov (United States)

Schmidt, Morgan A.; Scudder, Barbara C.; Richards, Kevin D.

2000-01-01

Streamwater samples were collected at 19 sites in the vicinity of the Oneida Tribe of Indians of Wisconsin Reservation. Samples were collected during 5 sampling periods in 1997-98. Field measurements were made and samples were analyzed for nutrients, suspended sediment, major ions, and pesticides.

On Farmers’ Ground: Wisconsin Dairy Farm Nutrient Management Survey Questionnaire

Science.gov (United States)

This questionnaire was used during quarterly, face-to-face interviews with the fifty-four Wisconsin dairy farmers who participated in the ‘On Farmers’ Ground’ nutrient management research project. It was designed to systematically and consistently compile information on herd size and composition, l...

Determination of resilient modulus values for typical plastic soils in Wisconsin.

Science.gov (United States)

2011-09-01

"The objectives of this research are to establish a resilient modulus test results database and to develop : correlations for estimating the resilient modulus of Wisconsin fine-grained soils from basic soil properties. A : laboratory testing program ...

Biblioteca y Centro de Estudios de la Universidad de Wisconsin - Kenosha - . Wisconsin – (EE.UU.

Directory of Open Access Journals (Sweden)

Hellmuth, George

1978-12-01

Full Text Available Continuing the line established by these same architects in previous University designs, the Library and Study Hall of the University of Wisconsin is another attempt at creating an exciting atmosphere, particularly conducive to the development of university life. It is to be noted, in this case, the arrangement of the library and study areas around a central common open space, sort of an inner courtyard used as a relaxation and sitting área, where all traffic corridors and promenades from the adjacent faculties come to meet, thus becoming the main reference point for the entire campus. The library with a current capacity for 245,000 volumes and 1,400 reading stalls is designed so it can be eventually enlarged permitting to almost double its book capacity and increasing the reading stalls to more than 2,000.

Continuando la línea marcada por estos mismos arquitectos en anteriores proyectos de universidades, la biblioteca y el centro de estudios de la Universidad de Wisconsin procura definir atractivos espacios para el desarrollo de la vida universitaria. En este caso destaca la organización de los servicios de biblioteca y estudio en torno a un espacio comunitario central, a modo de plaza interior, destinado a sala de estar y recreo, y en donde confluyen las circulaciones que provienen de los locales adyacentes, convirtiéndolo en el principal punto de referencia del campus universitario. La biblioteca, que actualmente tiene capacidad para 245.000 volúmenes y 1.400 lectores, ha previsto una ampliación que le permitirá casi doblar el número de volúmenes y proporcionar espacio para más de 2.000 lectores.

National Uranium Resource Evaluation: Iron River Quadrangle, Michigan and Wisconsin

Energy Technology Data Exchange (ETDEWEB)

Frishman, D

1982-09-01

No area within the Iron River 1/sup 0/ x 2/sup 0/ Quadrangle, Michigan and Wisconsin, appears to be favorable for the existence of a minimum of 100 tons of U/sub 3/O/sub 8/ at a grade of 0.01 percent or better.

Seasonal field metabolic rates of American martens in Wisconsin

Science.gov (United States)

Jonathan H. Gilbert; Patrick A Zollner; Adam K. Green; John L. Wright

2009-01-01

We report on FMR of free-living American martens (Martes americana) in autumn and winter in northern Wisconsin. Mean body mass was significantly higher in males (1099 ± 43 [S.E.] g) than females (737 ± 28 g), with no significant difference by season. Daily mass change rates of martens did not differ from zero, and mass change rate...

Occupational safety issues in residential construction surveyed in Wisconsin, United States.

Science.gov (United States)

Choi, Sang D; Carlson, Kathryn

2014-01-01

Residential construction is a high-risk industry in the U.S. due to the exposure to work-related safety hazards and fall injuries. This study aimed to examine the safety training and safe work practices of construction workers within the small residential construction industry. In order to achieve the study objectives, a survey was designed and sent to approximately 200 Wisconsin based residential construction contractors. About one third of the respondents stated that they did not have any form of safety programs. The study indicated that the most common types of work-related injuries in residential construction were slips/trips/falls and cuts/lacerations. The survey findings also suggested that the residential construction contractors needed to increase the utilization of fall protection safety equipment. Further education and subject matter expert training could provide benefits to improve occupational safety and health of the small business workforce in the residential construction industry.

75 FR 22589 - Preliminary Listing of an Additional Water to Wisconsin's 2008 List of Waters Under Section 303(d...

Science.gov (United States)

2010-04-29

... Wisconsin's 2008 List of Waters Under Section 303(d) of the Clean Water Act AGENCY: Environmental Protection... 303(d)(2) requires that States submit and EPA approve or disapprove lists of waters for which existing... approved Wisconsin's listing of waters, associated pollutants, and associated priority rankings. EPA...

Research on Certification System for Wisconsin Public Librarians in America%美国威斯康星州公共图书馆员认证制度研究

Institute of Scientific and Technical Information of China (English)

冯佳

2011-01-01

The certification system for Wisconsin public librarians as the representative of the certifitypes and the certification process of the certification system for Wisconsin public librarians, some features of the certification system can be obtained： strengthening the important role of the library system, providing government and lawdriven and security, emphasis on library directors＇ profesional eertifieation, foeusing on eombining with continuing education and practical work, strict distinction of certifieation types, concern on the operability of the implementation process and so on.%威斯康星州的公共图书馆员认证制度作为美国公共图书馆员认证制度的代表，反映了当前美国公共图书馆员认证制度的状况。通过对威斯康星州公共图书馆员认证制度的发展历程、认证类型、认证过程进行介绍和详细梳理，得出该认证制度的一些特点：强化图书馆系统的重要作用、提供政府及法律的驱动与保障、强调图书馆馆长的资格认证、注重继续教育与实际工作的相结合、严格进行认证类别的区分、关注实施过程的可操作性等。

Linkages To Engagement At University of Wisconsin-Parkside

Science.gov (United States)

Evans, C. V.

2007-12-01

The University of Wisconsin-Parkside Department of Geosciences is a small but successful department within one of the smallest comprehensive universities in the University of Wisconsin system. Formerly a more traditional "rocks and petroleum" program, the Department was on the verge of extinction in 1999. Fortunately, a farsighted Dean intervened and proposed a change of direction for the department, filling in behind retirements with new leadership and a strong environmental focus. Several strategies have been key to resuscitating the Department to its current status, increasing majors, faculty, and SCH/FTE. First, we embraced our niche as the environmental resource, specifically offering urban or other developed settings for our focus on environmental quality. Secondly we revamped our majors' curriculum to enable our students to learn to integrate practical technological skills in sampling, analysis, instrumentation use, and civic engagement to produce positive outcomes at both physical and social levels. Thirdly, our Department has become a strong and active supporter of a teacher preparation program that is undergoing important curriculum and organizational changes. Our newest faculty addition is an atmospheric chemist with significant teaching responsibility in our campus' new Liberal Arts major for elementary school teachers. Geosciences faculty also vigorously support a certificate program in Community Based Learning, direct the campus minor in Environmental Studies, and have actively participated in campus initiatives such as First Year Experience, General Education reform, the campus' Teaching and Learning Center, and collaborative course offerings that link academic skills (math, reading, writing) courses to extra support in General Education science courses. In addition, the Department has taken campus leadership in participation in the national SENCER initiative, which links science education and civic engagement. Finally, we have also amended and

Antimicrobial resistance patterns of bovine Salmonella enterica isolates submitted to the Wisconsin Veterinary Diagnostic Laboratory: 2006-2015.

Science.gov (United States)

Valenzuela, J R; Sethi, A K; Aulik, N A; Poulsen, K P

2017-02-01

Salmonellosis on the dairy continues to have a significant effect on animal health and productivity and in the United States. Additionally, Salmonella enterica ssp. enterica causes an estimated 1.2 million cases of human illness annually. Contributing to the morbidity and mortality in both human and domestic animal species is emergence of antimicrobial resistance by Salmonella species and increased incidence of multidrug-resistant isolates. This study describes serotype distribution and the antimicrobial resistance patterns for various Salmonella serotypes isolated from bovine samples submitted to the Wisconsin Veterinary Diagnostic Laboratory (WVDL) over the past 10 yr. Salmonella serotyping and antimicrobial susceptibility testing data were obtained from the laboratory information management system at WVDL. Data from accessions were limited to bovine samples submitted to the WVDL between January 2006 and June 2015 and those that had both a definitive serotype and complete results for antimicrobial susceptibility testing. A total of 4,976 isolates were identified. Salmonella enterica ser. Dublin was the most prevalent serotype identified among bovine samples submitted to the WVDL, accounting for a total of 1,153 isolates (23% of total isolates) over the study period. Along with Dublin, Salmonella enterica ser. Cerro (795, 16%), Newport (720, 14%), Montevideo (421, 8%), Kentucky (419, 8%), and Typhimurium (202, 4%) comprised the top 6 most commonly isolated serotypes during that time. Overall, resistance of bovine Salmonella isolates in the study population remained stable, although decreases in resistance were noted for gentamicin, neomycin, and trimethoprim sulfamethoxazole during the study period. All isolates remained susceptible to enrofloxacin. These data show that antimicrobial susceptibility for bovine Salmonella has changed in the population served by WVDL in the past 10 yr. This information is important for understanding Salmonella disease ecology in

Skill Needs and Training Strategies in the Wisconsin Printing Industry.

Science.gov (United States)

Wisconsin Univ., Madison. Center on Wisconsin Strategy.

A study examined the emerging skill needs in the Wisconsin printing industry, a key industry that provided the largest increase (more than 13,000 new jobs) in manufacturing employment in the state in the past decade. Eighteen interviews were conducted with industry personnel and production managers, union representatives, technical college…

Beech Range Extension and Vegetation History: Pollen Stratigraphy of Two Wisconsin Lakes.

Science.gov (United States)

Webb, Sara L

1987-12-01

The pollen stratigraphy of two small lakes in eastern Wisconsin (Radtke Lake, Washington county, and Gass Lake, Manitowoc County) records the Holocene (past 10 000 yr) spread of beech (Fagus grandifolia: Fagaceae). Radiocarbon dates were obtained for the oldest stratigraphic levels at which beech pollen appeared consistently in amounts > 0.5% of terrestrial pollen. A spatially continuous pattern of beech expansion from the north was ruled out, because beech trees grew in Wisconsin by 6000 BP, 2000 yr before adjacent populations were established to the north. Alternative geographic patterns of speed (from the south or east) were spatially discontinuous, requiring seed dispersal distances of perhaps 25-130 km. That beechnuts could be dispersed across such distances suggests (1) the involvement of Blue Jays, Passenger Pigeons, or other vertebrates, and (2) a capacity for reaching climatically controlled range limits, given sufficient time despite such discontinuities in habitat. A lag 1000-2000 yr between the establishment of source populations in Michigan and Indiana and the appearance of beech in Wisconsin suggests that low-probability dispersal events were involved and that dispersal constraints limited the range of beech during this time, although climatic and edaphic explanations for the lag cannot be ruled out. Pollen data from the two sites reveal other features of vegetation history in eastern Wisconsin: an open Picea-Fraxinus woodland prior to 11 000 BP; sequence of Picea, Abies, Betula, and then Pinus forests between 11 000 and 7500 BP; the establishment of a coniferous/deciduous forest ecotone ("tension zone") ° 7000 BP in this region; and the presence of Quercus-dominanted deciduous forests from 7000 BP until 110 BP (time of Euro-American settlement), a period punctuated by a gradual decrease in Ulmus populations (° 4500 and 5700 BP at the two sites) and by an increase in mesophytic tree abundance at the expense of Quercus after 3500 BP. © 1987 by the

Effects of consumption-oriented versus trophy-oriented fisheries on Muskellunge population size structure in northern Wisconsin

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Faust, Matthew D.; Hansen, Michael J.

2016-01-01

To determine whether a consumption-oriented fishery was compatible with a trophy-oriented fishery for Muskellunge Esox masquinongy, we modeled effects of a spearing fishery and recreational angling fishery on population size structure (i.e., numbers of fish ≥ 102, 114, and 127 cm) in northern Wisconsin. An individual-based simulation model was used to quantify the effect of harvest mortality at currently observed levels of recreational angling and tribal spearing fishery exploitation, along with simulated increases in exploitation, for three typical growth potentials (i.e., low, moderate, and high) of Muskellunge in northern Wisconsin across a variety of minimum length limits (i.e., 71, 102, 114, and 127 cm). Populations with moderate to high growth potential and minimum length limits ≥ 114 cm were predicted to have lower declines in numbers of trophy Muskellunge when subjected to angling-only and mixed fisheries at observed and increased levels of exploitation, which suggested that fisheries with disparate motivations may be able to coexist under certain conditions such as restrictive length limits and low levels of exploitation. However, for most Muskellunge populations in northern Wisconsin regulated by a 102-cm minimum length limit, both angling and spearing fisheries may reduce numbers of trophy Muskellunge as larger declines were predicted across all growth potentials. Our results may be useful if Muskellunge management options in northern Wisconsin are re-examined in the future.

Assessing Future Ecosystem Services: a Case Study of the Northern Highlands Lake District, Wisconsin

Directory of Open Access Journals (Sweden)

Garry D. Peterson

2003-12-01

Full Text Available The Northern Highlands Lake District of Wisconsin is in transition from a sparsely settled region to a more densely populated one. Expected changes offer benefits to northern Wisconsin residents but also threaten to degrade the ecological services they rely on. Because the future of this region is uncertain, it is difficult to make decisions that will avoid potential risks and take advantage of potential opportunities. We adopt a scenario planning approach to cope with this problem of prediction. We use an ecological assessment framework developed by the Millennium Ecosystem Assessment to determine key social and ecological driving forces in the Northern Highlands Lake District. From these, we describe three alternative scenarios to the year 2025 in which the projected use of ecological services is substantially different. The work reported in this paper demonstrates how scenarios can be developed for a region and provides a starting point for a participatory discussion of alternative futures for northern Wisconsin. Although the future is unknowable, we hope that the assessment process begun in this paper will help the people of the Northern Highlands Lake District choose the future path of their region.

76 FR 63852 - Proposed Establishment of the Wisconsin Ledge Viticultural Area

Science.gov (United States)

2011-10-14

..., University of Wisconsin Press, 1965, page 281). The western portion of the proposed boundary line extends... grapevine growth (``General Viticulture,'' by Albert J. Winkler, University of California Press, 1974, pages... River National Wildlife Refuges. Finally, the petition adds that Horicon Ledge Park, Ledge View County...

Evaluation of nonpoint-source contamination, Wisconsin: water year 1999

Science.gov (United States)

Walker, John F.; Graczyk, D.J.; Corsi, Steven R.; Wierl, J.A.; Owens, D.W.

2001-01-01

The objective of the watershed-management evaluation monitoring program in Wisconsin is to evaluate the effectiveness of best-management practices (BMPs) for controlling nonpoint-source pollution in rural and urban watersheds. This progress report provides a summary of the data collected by the U.S Geological Survey for the program and a discussion of the results from several different detailed analyses conducted within this program.

Food Processing and Agriculture. Wisconsin Annual Farm Labor Report, 1968.

Science.gov (United States)

Wisconsin State Employment Service, Madison.

A yearly report on the migrant farm worker situation in Wisconsin evaluates the year 1968 in relation to past years and makes projections for the future. Comparisons are made of trends in year-round employment practices, seasonal food processing, the cherry industry, and the cucumber industry. The report includes a discussion on the social aspects…

The changing veneer and plywood industry of Michigan and Wisconsin.

Science.gov (United States)

Gary R. Lindell; Lewis T. Hendricks

1972-01-01

Analyzes trends in the hardwood veneer and plywood industry of Michigan and Wisconsin between 1964 and 1969. In that period, red oak and hard maple replaced yellow birch as the major species used. Log supplies were adequate. Wall paneling was the major end market with doorskins next. Excess plywood producing capacity is a chronic problem.

Electric energy supply and non-utility generation: A comparative analysis of B.C. and Wisconsin

International Nuclear Information System (INIS)

Logan, J.A.

1993-01-01

The pricing policies and buyback rates (those concerned with purchase of non-utility generation, NUG) of British Columbia (BC) Hydro are examined along with their effectiveness in encouraging the efficient use and development of power. Specifically, the levels of self-generation within BC's pulp mills are examined as well as mill manager attitudes to increasing energy production. BC Hydro's encouragement of self-generation is determined by examining the ratio of the industrial rate for pulp mills to the utility's long-run marginal cost of power. BC Hydro's buyback policies are also examined to determine the level of encouragement they provide for increased self-generation. Comparisons are made with similar data, wherever possible, from utilities and pulp mills in Wisconsin. The comparison reveals similarities with respect to pulp mills' attitudes toward increasing self-generation capacity. A significant difference is noted in terms of the amount of pulp mill self-generation: Wisconsin mills generate substantially more of their own energy requirements than BC mills. Wisconsin utilities provided greater markup through their industrial rates, and also provided the greater encouragement for increased self-generation through their buyback policies. BC Hydro is the only utility that offered a load displacement policy, however. In summary, the policies and regulations of both BC and Wisconsin utilities have the potential to encourage greater industrial self-sufficiency and increased levels of self-generated power. Existing levels of encouragement are not determined solely by economic considerations but also reflect utility planning objectives. 97 refs., 3 figs., 20 tabs

Effects of landscape composition and wetland fragmentation on frog and toad abundance and species richness in Iowa and Wisconsin, USA

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Knutson, M.G.; Sauer, J.R.; Olsen, D.A.; Mossman, M.J.; Hemesath, L.M.; Lannoo, M.J.

1999-01-01

Management of amphibian populations to reverse recent declines will require defining high-quality habitat for individual species or groups of species, followed by efforts to retain or restore these habitats on the landscape. We examined landscape-level habitat relationships for frogs and toads by measuring associations between relative abundance and species richness based on survey data derived from anuran calls and features of land-cover maps for Iowa and Wisconsin. The most consistent result across all anuran guilds was a negative association with the presence of urban land. Upland and wetland forests and emergent wetlands tended to be positively associated with anurans. Landscape metrics that represent edges and patch diversity also had generally positive associations, indicating that anurans benefit from a complex of habitats that include wetlands. In Iowa the most significant associations with relative abundance were the length of the edge between wetland and forest (positive) and the presence of urban land (negative). In Wisconsin the two most significant associations with relative abundance were forest area and agricultural area (both positive). Anurans had positive associations with agriculture in Wisconsin but not in Iowa. Remnant forest patches in agricultural landscapes may be providing refuges for some anuran species. Differences in anuran associations with deep water and permanent wetlands between the two states suggest opportunities for management action. Large-scale maps can contribute to predictive models of amphibian habitat use, but water quality and vegetation information collected from individual wetlands will likely be needed to strengthen those predictions. Landscape habitat analyses provide a framework for future experimental and intensive research on specific factors affecting the health of anurans.

Simulation of groundwater flow in the glacial aquifer system of northeastern Wisconsin with variable model complexity

Science.gov (United States)

Juckem, Paul F.; Clark, Brian R.; Feinstein, Daniel T.

2017-05-04

The U.S. Geological Survey, National Water-Quality Assessment seeks to map estimated intrinsic susceptibility of the glacial aquifer system of the conterminous United States. Improved understanding of the hydrogeologic characteristics that explain spatial patterns of intrinsic susceptibility, commonly inferred from estimates of groundwater age distributions, is sought so that methods used for the estimation process are properly equipped. An important step beyond identifying relevant hydrogeologic datasets, such as glacial geology maps, is to evaluate how incorporation of these resources into process-based models using differing levels of detail could affect resulting simulations of groundwater age distributions and, thus, estimates of intrinsic susceptibility.This report describes the construction and calibration of three groundwater-flow models of northeastern Wisconsin that were developed with differing levels of complexity to provide a framework for subsequent evaluations of the effects of process-based model complexity on estimations of groundwater age distributions for withdrawal wells and streams. Preliminary assessments, which focused on the effects of model complexity on simulated water levels and base flows in the glacial aquifer system, illustrate that simulation of vertical gradients using multiple model layers improves simulated heads more in low-permeability units than in high-permeability units. Moreover, simulation of heterogeneous hydraulic conductivity fields in coarse-grained and some fine-grained glacial materials produced a larger improvement in simulated water levels in the glacial aquifer system compared with simulation of uniform hydraulic conductivity within zones. The relation between base flows and model complexity was less clear; however, the relation generally seemed to follow a similar pattern as water levels. Although increased model complexity resulted in improved calibrations, future application of the models using simulated particle

Social Vulnerability Index (SoVI) for Wisconsin based on 2000 Census Block Groups

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data depicts the social vulnerability of Wisconsin census block groups to environmental hazards. Data were culled primarily from the 2000 Decennial Census.

Borreliosis in free-ranging black bears from Wisconsin.

Science.gov (United States)

Kazmierczak, J J; Amundson, T E; Burgess, E C

1988-04-01

Blood, kidney and tick samples were obtained from 18 hunter-killed black bears (Ursus americanus) from three sites in northern Wisconsin. A Borrelia sp., morphologically and antigenically similar to Borrelia burgdorferi, was isolated from the blood of two of the animals, and from the kidney of a third. Ixodes dammini and Dermacentor variabilis were found on the bears. This is the first report of borreliosis in the Ursidae, and of the primary vector of Lyme disease, I. dammini, from this host.

Archaeological Investigations at a Wisconsin Petroglyph Site

Directory of Open Access Journals (Sweden)

Jack Steinbring

2014-01-01

Full Text Available Preliminary test excavations at the Hensler Petroglyph Site in East Central Wisconsin, U.S.A. have disclosed the remains of aboriginal engravings below Aeolian sediments dated to ca. 15,000 years B.P. The stratified deposits lying adjacent to an engraved panel, containing 35 pecked images, have yielded animal-like cobbles, some covered with red ochre, apparently picked for some esoteric use. The site itself has unusual natural shapes in the rock formation, along with acoustical properties, lightning strikes, a magnetic anomaly, and geographic prominence. Collectively these factors are thought to have attracted the ancient rock artists to the site.

Validation of a short form Wisconsin Upper Respiratory Symptom Survey (WURSS-21

Directory of Open Access Journals (Sweden)

Highstrom Alex D

2009-08-01

Full Text Available Abstract Background The Wisconsin Upper Respiratory Symptom Survey (WURSS is an illness-specific health-related quality-of-life questionnaire outcomes instrument. Objectives Research questions were: 1 How well does the WURSS-21 assess the symptoms and functional impairments associated with common cold? 2 How well can this instrument measure change over time (responsiveness? 3 What is the minimal important difference (MID that can be detected by the WURSS-21? 4 What are the descriptive statistics for area under the time severity curve (AUC? 5 What sample sizes would trials require to detect MID or AUC criteria? 6 What does factor analysis tell us about the underlying dimensional structure of the common cold? 7 How reliable are items, domains, and summary scores represented in WURSS? 8 For each of these considerations, how well does the WURSS-21 compare to the WURSS-44, Jackson, and SF-8? Study Design and Setting People with Jackson-defined colds were recruited from the community in and around Madison, Wisconsin. Participants were enrolled within 48 hours of first cold symptom and monitored for up to 14 days of illness. Half the sample filled out the WURSS-21 in the morning and the WURSS-44 in the evening, with the other half reversing the daily order. External comparators were the SF-8, a 24-hour recall general health measure yielding separate physical and mental health scores, and the eight-item Jackson cold index, which assesses symptoms, but not functional impairment or quality of life. Results In all, 230 participants were monitored for 2,457 person-days. Participants were aged 14 to 83 years (mean 34.1, SD 13.6, majority female (66.5%, mostly white (86.0%, and represented substantive education and income diversity. WURSS-21 items demonstrated similar performance when embedded within the WURSS-44 or in the stand-alone WURSS-21. Minimal important difference (MID and Guyatt's responsiveness index were 10.3, 0.71 for the WURSS-21 and 18.5, 0

System impact research - increasing public health and health care system performance.

Science.gov (United States)

Malmivaara, Antti

2016-01-01

Interventions directed to system features of public health and health care should increase health and welfare of patients and population. To build a new framework for studies aiming to assess the impact of public health or health care system, and to consider the role of Randomized Controlled Trials (RCTs) and of Benchmarking Controlled Trials (BCTs). The new concept is partly based on the author's previous paper on the Benchmarking Controlled Trial. The validity and generalizability considerations were based on previous methodological studies on RCTs and BCTs. The new concept System Impact Research (SIR) covers all the studies which aim to assess the impact of the public health system or of the health care system on patients or on population. There are two kinds of studies in System Impact Research: Benchmarking Controlled Trials (observational) and Randomized Controlled Trials (experimental). The term impact covers in particular accessibility, quality, effectiveness, safety, efficiency, and equality. System Impact Research - creating the scientific basis for policy decision making - should be given a high priority in medical, public health and health economic research, and should also be used for improving performance. Leaders at all levels of health and social care can use the evidence from System Impact Research for the benefit of patients and population. Key messages The new concept of SIR is defined as a research field aiming at assessing the impacts on patients and on populations of features of public health and health and social care systems or of interventions trying to change these features. SIR covers all features of public health and health and social care system, and actions upon these features. The term impact refers to all effects caused by the public health and health and social care system or parts of it, with particular emphasis on accessibility, quality, effectiveness, adverse effects, efficiency, and equality of services. SIR creates the

Surface-water hydrology and quality, and macroinvertebrate and smallmouth bass populations in four stream basins in southwestern Wisconsin, 1987-90

Science.gov (United States)

Graczyk, David J.; Lillie, Richard A.; Schlesser, Roger A.; Mason, John W.; Lyons, John D.; Kerr, Roger A.; Graczyk, David J.

1993-01-01

Data on streamflow, water quality, and macroinvertebrate and smallmouth bass (microptercus dolomieni) populations were collected from July 1987 through September 1990, in four streams in southwestern Wisconsin to determine the effect of surface-water hydrology and quality on populations of macroinvertebrates and smallmouth bass. The study was a joint project of the U.S. Geological Survey and the Wisconsin Department of Natural Resources.

Evaluation of wood species and preservatives for Wisconsin transportation sign posts : [research brief].

Science.gov (United States)

2013-12-01

The Wisconsin Department of Transportation (WisDOT) administers approximately 11,800 miles of state highways. It uses preservative-treated wood posts for much of the signage along these highways because wood is relatively inexpensive, easy to install...

Multidisciplinary Optimization of Oral Chemotherapy Delivery at the University of Wisconsin Carbone Cancer Center.

Science.gov (United States)

Mulkerin, Daniel L; Bergsbaken, Jason J; Fischer, Jessica A; Mulkerin, Mary J; Bohler, Aaron M; Mably, Mary S

2016-10-01

Use of oral chemotherapy is expanding and offers advantages while posing unique safety challenges. ASCO and the Oncology Nursing Society jointly published safety standards for administering chemotherapy that offer a framework for improving oral chemotherapy practice at the University of Wisconsin Carbone Cancer Center. With the goal of improving safety, quality, and uniformity within our oral chemotherapy practice, we conducted a gap analysis comparing our practice against ASCO/Oncology Nursing Society guidelines. Areas for improvement were addressed by multidisciplinary workgroups that focused on education, workflows, and information technology. Recommendations and process changes included defining chemotherapy, standardizing patient and caregiver education, mandating the use of comprehensive electronic order sets, and standardizing documentation for dose modification. Revised processes allow pharmacists to review all orders for oral chemotherapy, and they support monitoring adherence and toxicity by using a library of scripted materials. Between August 2015 and January 2016, revised processes were implemented across the University of Wisconsin Carbone Cancer Center clinics. The following are key performance indicators: 92.5% of oral chemotherapy orders (n = 1,216) were initiated within comprehensive electronic order sets (N = 1,315), 89.2% compliance with informed consent was achieved, 14.7% of orders (n = 193) required an average of 4.4 minutes review time by the pharmacist, and 100% compliance with first-cycle monitoring of adherence and toxicity was achieved. We closed significant gaps between institutional practice and published standards for our oral chemotherapy practice and experienced steady improvement and sustainable performance in key metrics. We created an electronic definition of oral chemotherapies that allowed us to leverage our electronic health records. We believe our tools are broadly applicable.

Mid-Wisconsin to Holocene permafrost and landscape dynamics based on a drained lake basin core from the northern Seward Peninsula, northwest Alaska

Science.gov (United States)

Lenz, Josefine; Grosse, Guido; Jones, Benjamin M.; Anthony, Katey M. Walter; Bobrov, Anatoly; Wulf, Sabine; Wetterich, Sebastian

2016-01-01

Permafrost-related processes drive regional landscape dynamics in the Arctic terrestrial system. A better understanding of past periods indicative of permafrost degradation and aggradation is important for predicting the future response of Arctic landscapes to climate change. Here, we used a multi-proxy approach to analyse a ~ 4 m long sediment core from a drained thermokarst lake basin on the northern Seward Peninsula in western Arctic Alaska (USA). Sedimentological, biogeochemical, geochronological, micropalaeontological (ostracoda, testate amoebae) and tephra analyses were used to determine the long-term environmental Early-Wisconsin to Holocene history preserved in our core for central Beringia. Yedoma accumulation dominated throughout the Early to Late-Wisconsin but was interrupted by wetland formation from 44.5 to 41.5 ka BP. The latter was terminated by the deposition of 1 m of volcanic tephra, most likely originating from the South Killeak Maar eruption at about 42 ka BP. Yedoma deposition continued until 22.5 ka BP and was followed by a depositional hiatus in the sediment core between 22.5 and 0.23 ka BP. We interpret this hiatus as due to intense thermokarst activity in the areas surrounding the site, which served as a sediment source during the Late-Wisconsin to Holocene climate transition. The lake forming the modern basin on the upland initiated around 0.23 ka BP and drained catastrophically in spring 2005. The present study emphasises that Arctic lake systems and periglacial landscapes are highly dynamic and that permafrost formation as well as degradation in central Beringia was controlled by regional to global climate patterns as well as by local disturbances.

Wisconsin timber industry--an assessment of timber product output and use, 1988.

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W. Brad Smith; James W. Whipple

1990-01-01

Discusses recent Wisconsin forest industry trends; production and receipts of pulpwood, saw logs, and veneer logs; and production of other timber products in 1988. Reports on logging residue, on wood and bark residue generated at primary wood-using mills, and on disposition of this mill residue.

Characterizing phosphorus dynamics in tile-drained agricultural fieldsof eastern Wisconsin

Science.gov (United States)

Madison, Allison; Ruark, Matthew; Stuntebeck, Todd D.; Komiskey, Matthew J.; Good, Laura W.; Drummy, Nancy; Cooley, Eric

2014-01-01

Artificial subsurface drainage provides an avenue for the rapid transfer of phosphorus (P) from agricultural fields to surface waters. This is of particular interest in eastern Wisconsin, where there is a concentrated population of dairy farms and high clay content soils prone to macropore development. Through collaboration with private landowners, surface and tile drainage was measured and analyzed for dissolved reactive P (DRP) and total P (TP) losses at four field sites in eastern Wisconsin between 2005 and 2009. These sites, which received frequent manure applications, represent a range of crop management practices which include: two chisel plowed corn fields (CP1, CP2), a no-till corn–soybean field (NT), and a grazed pasture (GP). Subsurface drainage was the dominant pathway of water loss at each site accounting for 66–96% of total water discharge. Average annual flow-weighted (FW) TP concentrations were 0.88, 0.57, 0.21, and 1.32 mg L−1 for sites CP1, CP2, NT, and GP, respectively. Low TP concentrations at the NT site were due to tile drain interception of groundwater flow where large volumes of tile drainage water diluted the FW-TP concentrations. Subsurface pathways contributed between 17% and 41% of the TP loss across sites. On a drainage event basis, total drainage explained between 36% and 72% of the event DRP loads across CP1, CP2, and GP; there was no relationship between event drainflow and event DRP load at the NT site. Manure applications did not consistently increase P concentrations in drainflow, but annual FW-P concentrations were greater in years receiving manure applications compared to years without manure application. Based on these field measures, P losses from tile drainage must be integrated into field level P budgets and P loss calculations on heavily manured soils, while also acknowledging the unique drainage patterns observed in eastern Wisconsin.

Parasite infections in nestling red-shouldered hawks (Buteo lineatus) in northeast Wisconsin.

Science.gov (United States)

King, Janet C; Dubay, Shelli A; Huspeni, Todd C; VanLanen, Andrew R; Gerhold, Richard W

2010-06-01

Red-shouldered hawks (Buteo lineatus) are threatened in Wisconsin and long-term data suggest that nest productivity is low in the state for unknown reasons. Our objective was to determine whether red-shouldered hawks in northeast Wisconsin were infected with parasites that could contribute to low nest productivity. We examined nestlings for the presence of Trichomonas gallinae, Protocalliphora avium, and blood parasites in June 2006 and 2007. We did not detect T. gallinae in throat swabs taken from 24 nestlings in 2007. Ear canals of nestlings were parasitized by P. avium larvae in 10 of 11 (91%) nests and in 22 of 24 (92%) nestlings. Larvae were found in higher intensity in 1 ear relative to the other. Leucocytozoon toddi was present in 90.5% (38/42) of the nestlings. At least 1 bird in each nest was infected. Intensity of L. toddi averaged 48.6 +/- 58.3 infected cells per 2,000 erythrocytes (2.4 +/- 2.9%). No other blood parasites were identified.

Flood of July 2016 in northern Wisconsin and the Bad River Reservation

Science.gov (United States)

Fitzpatrick, Faith A.; Dantoin, Eric D.; Tillison, Naomi; Watson, Kara M.; Waschbusch, Robert J.; Blount, James D.

2017-06-06

Heavy rain fell across northern Wisconsin and the Bad River Reservation on July 11, 2016, as a result of several rounds of thunderstorms. The storms caused major flooding in the Bad River Basin and nearby tributaries along the south shore of Lake Superior. Rainfall totals were 8–10 inches or more and most of the rain fell in an 8-hour period. A streamgage on the Bad River near Odanah, Wisconsin, rose from 300 cubic feet per second to a record peak streamflow of 40,000 cubic feet per second in only 15 hours. Following the storms and through September 2016, personnel from the U.S. Geological Survey and Bad River Tribe Natural Resources Department recovered and documented 108 high-water marks near the Bad River Reservation. Many of these high-water marks were used to create three flood-inundation maps for the Bad River, Beartrap Creek, and Denomie Creek for the Bad River Reservation in the vicinity of the community of Odanah.

Progress toward the Wisconsin Free Electron Laser

International Nuclear Information System (INIS)

Bisognano, Joseph; Bosch, R.A.; Eisert, D.; Fisher, M.V.; Green, M.A.; Jacobs, K.; Kleman, K.J.; Kulpin, J.; Rogers, G.C.; Lawler, J.E.; Yavuz, D.; Legg, R.

2011-01-01

The University of Wisconsin-Madison/Synchrotron Radiation Center is advancing its design for a seeded VUV/soft X-ray Free Electron Laser facility called WiFEL. To support this vision of an ultimate light source, we are pursuing a program of strategic R and D addressing several crucial elements. This includes development of a high repetition rate, VHF superconducting RF electron gun, R and D on photocathode materials by ARPES studies, and evaluation of FEL facility architectures (e.g., recirculation, compressor scenarios, CSR dechirping, undulator technologies) with the specific goal of cost containment. Studies of high harmonic generation for laser seeding are also planned.

77 FR 48538 - Notice of Inventory Completion: State Historical Society of Wisconsin, Madison, WI

Science.gov (United States)

2012-08-14

... Historical Society of Wisconsin at the address below by September 13, 2012. ADDRESSES: Jennifer Kolb... Indian tribe that believes it satisfies the criteria in 43 CFR 10.11(c)(1) should contact Jennifer Kolb...

Predictors of receiving therapy among very low birth weight 2-year olds eligible for Part C early intervention in Wisconsin.

Science.gov (United States)

McManus, Beth Marie; Robert, Stephanie; Albanese, Aggie; Sadek-Badawi, Mona; Palta, Mari

2013-07-11

The Individuals with Disabilities Education Act (Part C) authorizes states to establish systems to provide early intervention services (e.g., therapy) for children at risk, with the incentive of federal financial support. This study examines family and neighborhood characteristics associated with currently utilizing physical, occupational, or speech therapy among very low birthweight (VLBW) 2-year-old children who meet Wisconsin eligibility requirements for early intervention services (EI) due to developmental delay. This cross-sectional analysis used data from the Newborn Lung Project, a regional cohort study of VLBW infants hospitalized in Wisconsin's newborn intensive care units during 2003-2004. We included the 176 children who were age two at follow-up, and met Wisconsin state eligibility requirements for EI based on developmental delay. Exact logistic regression was used to describe child and neighborhood socio-demographic correlates of parent-reported receipt of therapy. Among VLBW children with developmental delay, currently utilizing therapy was higher among children with Medicaid (aOR = 5.3, 95% CI: 1.3, 28.3) and concomitant developmental disability (aOR = 5.2, 95% CI: 2.1, 13.3) and lower for those living in a socially more disadvantaged neighborhood (aOR=0.48, 95% CI: 0.21, 0.98, per tertile). Among a sample of VLBW 2-year olds with developmental delays who are EI-eligible in WI, 4 out of 5 were currently receiving therapy, per parent report. Participation in Medicaid positively influences therapy utilization. Children with developmental difficulties who live in socially disadvantaged neighborhoods are at highest risk for not receiving therapy.

Sedimentation History Of Halfway Creek Marsh, Upper Mississippi River National Wildlife And Fish Refuge, Wisconsin, 1846-2006. Scientific Investigations Report 2007–5209

Science.gov (United States)

The history of overbank sedimentation in the vicinity of Halfway Creek Marsh near La Crosse, Wisconsin, was examined during 2005-06 by the U.S. Geological Survey and University of Wisconsin-Madison as part of a broader study of sediment and nutrient loadings to the Upper Mississi...

University of Wisconsin, Nuclear Reactor Laboratory. Annual report, 1985-1986

International Nuclear Information System (INIS)

Cashwell, R.J.

1986-01-01

Operational activities for the reactor are described concerning nuclear engineering classes from the University of Wisconsin; reactor sharing program; utility personnel training; sample irradiations and neutron activation analysis; and changes in personnel, facility, and procedures. Results of surveillance tests are presented for operating statistics and fuel exposure; emergency shutdowns and inadvertent scrams; maintenance; radioactive waste disposal; radiation exposures; environmental surveys; and publications and presentations on work based on reactor use

Relating groundwater to seasonal wetlands in southeastern Wisconsin, USA

Science.gov (United States)

Skalbeck, J.D.; Reed, D.M.; Hunt, R.J.; Lambert, J.D.

2009-01-01

Historically, drier types of wetlands have been difficult to characterize and are not well researched. Nonetheless, they are considered to reflect the precipitation history with little, if any, regard for possible relation to groundwater. Two seasonal coastal wetland types (wet prairie, sedge meadow) were investigated during three growing seasons at three sites in the Lake Michigan Basin, Wisconsin, USA. The six seasonal wetlands were characterized using standard soil and vegetation techniques and groundwater measurements from the shallow and deep systems. They all met wetland hydrology criteria (e.g., water within 30 cm of land surface for 5% of the growing season) during the early portion of the growing season despite the lack of appreciable regional groundwater discharge into the wetland root zones. Although root-zone duration analyses did not fit a lognormal distribution previously noted in groundwater-dominated wetlands, they were able to discriminate between the plant communities and showed that wet prairie communities had shorter durations of continuous soil saturation than sedge meadow communities. These results demonstrate that the relative rates of groundwater outflows can be important for wetland hydrology and resulting wetland type. Thus, regional stresses to the shallow groundwater system such as pumping or low Great Lake levels can be expected to affect even drier wetland types. ?? Springer-Verlag 2008.

Research Evidence and School Board Deliberations: Lessons from Three Wisconsin School Districts

Science.gov (United States)

Asen, Robert; Gurke, Deb; Conners, Pamela; Solomon, Ryan; Gumm, Elsa

2013-01-01

This article analyzes the use of research evidence in school-board deliberations in three school districts in Wisconsin. In these settings, the circulation, meaning, and function of research depended importantly on the interests and backgrounds of advocates, the composition of audiences, and the values and contexts of decision-making. Board…

An Examination of Alternative Poverty Measures for the Wisconsin Equalization Aid Formula.

Science.gov (United States)

Cibulka, James G.

1986-01-01

Wisconsin's guaranteed tax base equalization formula has no direct adjustment for the additional costs of educating poverty level pupils. This paper establishes the need for an adjustment and examines three measures (based on varying poverty definitions) to determine which provides the most equitable funding formula for educating poor children. (9…

Health systems around the world - a comparison of existing health system rankings.

Science.gov (United States)

Schütte, Stefanie; Acevedo, Paula N Marin; Flahault, Antoine

2018-06-01

Existing health systems all over the world are different due to the different combinations of components that can be considered for their establishment. The ranking of health systems has been a focal points for many years especially the issue of performance. In 2000 the World Health Organization (WHO) performed a ranking to compare the Performance of the health system of the member countries. Since then other health system rankings have been performed and it became an issue of public discussion. A point of contention regarding these rankings is the methodology employed by each of them, since no gold standard exists. Therefore, this review focuses on evaluating the methodologies of each existing health system performance ranking to assess their reproducibility and transparency. A search was conducted to identify existing health system rankings, and a questionnaire was developed for the comparison of the methodologies based on the following indicators: (1) General information, (2) Statistical methods, (3) Data (4) Indicators. Overall nine rankings were identified whereas six of them focused rather on the measurement of population health without any financial component and were therefore excluded. Finally, three health system rankings were selected for this review: "Health Systems: Improving Performance" by the WHO, "Mirror, Mirror on the wall: How the Performance of the US Health Care System Compares Internationally" by the Commonwealth Fund and "the Most efficient Health Care" by Bloomberg. After the completion of the comparison of the rankings by giving them scores according to the indicators, the ranking performed the WHO was considered the most complete regarding the ability of reproducibility and transparency of the methodology. This review and comparison could help in establishing consensus in the field of health system research. This may also help giving recommendations for future health rankings and evaluating the current gap in the literature.

Fueling Wisconsin's economy with renewable energy

International Nuclear Information System (INIS)

Clemmer, S.

1995-01-01

A dynamic macroeconomic model of the Wisconsin economy is used to estimate the economic impacts of displacing a portion of future investment in fossil fuel power plants (coal and natural gas) with renewable energy resources (biomass, wind, solar and hydro). The results show that renewable energy investments produce over three times more jobs, income and economic activity than the same amount of electricity generated from coal and natural gas power plants. Between 1995 and 2020, a 75% increase in renewable energy use generates approximately 65,000 more job-years of employment, $1.6 billion in higher disposable income and a $3.1 billion increase in gross regional product than conventional power plant investments. This includes the effects of a 0.3% average annual increase in electricity prices from renewable energy investments

System impact research – increasing public health and health care system performance

Science.gov (United States)

Malmivaara, Antti

2016-01-01

Abstract Background Interventions directed to system features of public health and health care should increase health and welfare of patients and population. Aims To build a new framework for studies aiming to assess the impact of public health or health care system, and to consider the role of Randomized Controlled Trials (RCTs) and of Benchmarking Controlled Trials (BCTs). Methods The new concept is partly based on the author's previous paper on the Benchmarking Controlled Trial. The validity and generalizability considerations were based on previous methodological studies on RCTs and BCTs. Results The new concept System Impact Research (SIR) covers all the studies which aim to assess the impact of the public health system or of the health care system on patients or on population. There are two kinds of studies in System Impact Research: Benchmarking Controlled Trials (observational) and Randomized Controlled Trials (experimental). The term impact covers in particular accessibility, quality, effectiveness, safety, efficiency, and equality. Conclusions System Impact Research – creating the scientific basis for policy decision making - should be given a high priority in medical, public health and health economic research, and should also be used for improving performance. Leaders at all levels of health and social care can use the evidence from System Impact Research for the benefit of patients and population.Key messagesThe new concept of SIR is defined as a research field aiming at assessing the impacts on patients and on populations of features of public health and health and social care systems or of interventions trying to change these features.SIR covers all features of public health and health and social care system, and actions upon these features. The term impact refers to all effects caused by the public health and health and social care system or parts of it, with particular emphasis on accessibility, quality, effectiveness, adverse effects, efficiency

ADA Compliance and Accessibility of Fitness Facilities in Western Wisconsin.

Science.gov (United States)

Johnson, Marquell J; Stoelzle, Hannah Y; Finco, Kristi L; Foss, Sadie E; Carstens, Katie

2012-01-01

The study expands the research on fitness facility accessibility by determining how compliant fitness facilities in rural western Wisconsin were with Title III of the Americans with Disabilities Act (ADA). Comparisons were made with 4 other studies that were conducted in different geographical regions. The study also examined fitness professionals' disability knowledge and awareness. An ADA fitness facility compliance instrument and a fitness professional disability awareness survey were used. Direct observation and physical measurements were taken during on-site visits to 16 of 36 eligible fitness facilities in rural western Wisconsin. Ten fitness professionals from participating facilities completed an online survey. Frequencies were used to analyze the results. None of the participating facilities were in 100% compliance with ADA. Customer service desk (84%) and path of travel throughout the facility (72%) were the highest compliance areas. Telephone (6%) and locker rooms (32%) were the lowest compliance areas. No fitness professional was trained in wheelchair transfers and very few had received training in providing services to individuals with disabilities. Fitness facility accessibility remains a concern nationally. Continued efforts need to be made to raise the awareness of ADA compliance among fitness professionals across the United States, especially in rural areas where fitness facility availability is limited.

Denmark: Health system review

DEFF Research Database (Denmark)

Juul, Annegrete; Krasnik, Allan; Rudkjøbing, Andreas

The Health Systems in Transition (HiT) series provide detailed descriptions of health systems in the countries of the WHO European Region as well as some additional OECD countries. An individual health system review (HiT) examines the specific approach to the organization, financing and delivery...... of health services in a particular country and the role of the main actors in the health system. It describes the institutional framework, process, content, and implementation of health and health care policies. HiTs also look at reforms in progress or under development and make an assessment of the health...... system based on stated objectives and outcomes with respect to various dimensions (health status, equity, quality, efficiency, accountability)....

Transitions in state public health law: comparative analysis of state public health law reform following the Turning Point Model State Public Health Act.

Science.gov (United States)

Meier, Benjamin Mason; Hodge, James G; Gebbie, Kristine M

2009-03-01

Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and state case studies, we investigated how the Turning Point Act's model legal language has been considered for incorporation into state law and analyzed key facilitating and inhibiting factors for public health law reform. Our findings provide the practice community with a research base to facilitate further law reform and inform future scholarship on the role of law as a determinant of the public's health.

75 FR 32813 - St. Croix Chippewa Indians of Wisconsin Alcoholic Beverage Control Ordinance

Science.gov (United States)

2010-06-09

... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs St. Croix Chippewa Indians of Wisconsin...: This notice publishes the Secretary's certification of the amended St. Croix Chippewa Indians of... Country. The St. Croix Tribal Council of the adopted this amended Liquor Ordinance on December 3, 2009...

How Productive Are Southeastern Wisconsin Schools? Regional Report. Volume 3, Number 10

Science.gov (United States)

Schmidt, Jeffrey K.; Lemke, Melissa

2006-01-01

Public schools can be considered a form of workforce development, and thus it is important to measure the "work product" of the schools. The Public Policy Forum's annual analysis of public schools in the 50 districts serving southeastern Wisconsin measured absenteeism as educational opportunities lost because children were not in class.…

Hydrologic, ecologic, and geomorphic responses of Brewery Creek to construction of a residential subdivision, Dane County, Wisconsin, 1999-2002

Science.gov (United States)

Selbig, William R.; Jopke, Peter L.; Marhshall, David W.; Sorge, Michael J.

2004-01-01

The U.S. Geological Survey (USGS), in cooperation with the Dane County Land Conservation Department (LCD) and the Wisconsin Department of Natural Resources (DNR), investigated the instream effects from construction of a residential subdivision on Brewery Creek in Dane County, Wisconsin. The purpose of the investigation was to determine whether a variety of storm-runoff and erosion-control best-management practices (BMPs) would effectively control the overall sediment load, as well as minimize any hydrologic, ecologic, and geomorphic stresses to Brewery Creek.

Relationship between neighborhood disadvantage and social function of Wisconsin 2- and 3-year-olds born at very low birth weight.

Science.gov (United States)

McManus, Beth Marie; Robert, Stephanie A; Albanese, Aggie; Sadek-Badawi, Mona; Palta, Mari

2011-02-01

To examine whether (1) neighborhood disadvantage is associated with social function in 2- and 3-year-olds born at very low birth weight (<1500 g) and (2) the association between social function and child's health-related quality of life (HRQoL) is moderated by neighborhood disadvantage. Cross-sectional study using the Newborn Lung Project, a cohort of infants born at very low birth weight in 2003 and 2004 in Wisconsin. Wisconsin. This study includes the subgroup of 626 non-Hispanic black or white infants who were followed up at ages 24 to 43 months with parent-reported health and developmental information. An index of neighborhood disadvantage was derived by principal component analysis of 5 census tract variables (percentage of families in poverty, percentage of households with income higher than the state median, percentage of women with bachelor's degree or more, percentage of single mothers, and percentage of mothers of young children unemployed). Children were then classified (based on index tertiles) as living in either disadvantaged, middle advantage, or advantaged neighborhoods. Children's HRQoL was measured using the Pediatric Quality of Life Inventory. Social function was measured using the Pediatric Evaluation of Disability Inventory. Adjusting for child medical and family socioeconomic attributes, social function was lower (mean difference, -4.60; 95% confidence interval, -8.4 to -0.8) for children living in disadvantaged vs advantaged neighborhoods. We also found that the ill effects of lower HRQoL are particularly bad for children living in a disadvantaged neighborhood. Children born at very low birth weight have disparities in social function at ages 2 and 3 years that are associated with both HRQoL and neighborhood characteristics.

Slovenia: Health System Review.

Science.gov (United States)

Albreht, Tit; Pribakovic Brinovec, Radivoje; Josar, Dusan; Poldrugovac, Mircha; Kostnapfel, Tatja; Zaletel, Metka; Panteli, Dimitra; Maresso, Anna

2016-06-01

This analysis of the Slovene health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The health of the population has improved over the last few decades. While life expectancy for both men and women is similar to EU averages, morbidity and mortality data show persistent disparities between regions, and mortality from external causes is particularly high. Satisfaction with health care delivery is high, but recently waiting times for some outpatient specialist services have increased. Greater focus on preventive measures is also needed as well as better care coordination, particularly for those with chronic conditions. Despite having relatively high levels of co-payments for many services covered by the universal compulsory health insurance system, these expenses are counterbalanced by voluntary health insurance, which covers 95% of the population liable for co-payments. However, Slovenia is somewhat unique among social health insurance countries in that it relies almost exclusively on payroll contributions to fund its compulsory health insurance system. This makes health sector revenues very susceptible to economic and labour market fluctuations. A future challenge will be to diversify the resource base for health system funding and thus bolster sustainability in the longer term, while preserving service delivery and quality of care. Given changing demographics and morbidity patterns, further challenges include restructuring the funding and provision of long-term care and enhancing health system efficiency through reform of purchasing and provider-payment systems. World Health Organization 2016 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies).

Wisconsin's Lake Superior Basin Water Quality Study. Supplement. Technical Report No. 2.

Science.gov (United States)

Whisnant, David M., Ed.

During the period extending from May 1972 through April 1973, an investigation of the overall water quality conditions of streams flowing into Lake Superior from the entire state of Wisconsin was conducted. The goal of this publication was to provide much needed regional information on water quality, drainage basins, pollution sources and loads,…

75 FR 10309 - Wisconsin Statewide Habitat Conservation Plan for Karner Blue Butterfly

Science.gov (United States)

2010-03-05

... implementation of the HCP, which has become the normal way of doing business in Wisconsin. Partners and other... management that incidentally takes butterflies could not proceed. Vegetation succession would follow and the... normal business hours (8 a.m. to 4:30 p.m.) at the Ecological Services Field Office in New Franken and at...

Primary health care and public health: foundations of universal health systems.

Science.gov (United States)

White, Franklin

2015-01-01

The aim of this review is to advocate for more integrated and universally accessible health systems, built on a foundation of primary health care and public health. The perspective outlined identified health systems as the frame of reference, clarified terminology and examined complementary perspectives on health. It explored the prospects for universal and integrated health systems from a global perspective, the role of healthy public policy in achieving population health and the value of the social-ecological model in guiding how best to align the components of an integrated health service. The importance of an ethical private sector in partnership with the public sector is recognized. Most health systems around the world, still heavily focused on illness, are doing relatively little to optimize health and minimize illness burdens, especially for vulnerable groups. This failure to improve the underlying conditions for health is compounded by insufficient allocation of resources to address priority needs with equity (universality, accessibility and affordability). Finally, public health and primary health care are the cornerstones of sustainable health systems, and this should be reflected in the health policies and professional education systems of all nations wishing to achieve a health system that is effective, equitable, efficient and affordable. © 2015 S. Karger AG, Basel.

76 FR 26681 - Wisconsin: Incorporation by Reference of Approved State Hazardous Waste Management Program

Science.gov (United States)

2011-05-09

... of Approved State Hazardous Waste Management Program AGENCY: Environmental Protection Agency (EPA... Hazardous Waste Management Programs,'' Wisconsin's authorized hazardous waste program. EPA will incorporate... that are authorized and that the EPA will enforce under the Solid Waste Disposal Act, commonly referred...

Personality and Health Care Decision-Making Style

OpenAIRE

Kathryn E. Flynn; Maureen A. Smith

2007-01-01

Using the Wisconsin Longitudinal Study Graduate Survey (N = 5,830), a population-based cohort of older adults (most aged 63–66 years), we explored relationships between five factors of personality and four preference types that account for multiple components of the health care decision-making process (information exchange, deliberation, and selection of treatment choice). After adjustment for personal, health, social, and economic factors, we found that increased conscientiousness and openne...

Belgium: Health system review.

Science.gov (United States)

Gerkens, Sophie; Merkur, Sherry

2010-01-01

The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The Belgian population continues to enjoy good health and long life expectancy. This is partly due to good access to health services of high quality. Financing is based mostly on proportional social security contributions and progressive direct taxation. The compulsory health insurance is combined with a mostly private system of health care delivery, based on independent medical practice, free choice of physician and predominantly fee-for-service payment. This Belgian HiT profile (2010) presents the evolution of the health system since 2007, including detailed information on new policies. While no drastic reforms were undertaken during this period, policy-makers have pursued the goals of improving access to good quality of care while making the system sustainable. Reforms to increase the accessibility of the health system include measures to reduce the out-of-pocket payments of more vulnerable populations (low-income families and individuals as well as the chronically ill). Quality of care related reforms have included incentives to better integrate different levels of care and the establishment of information systems, among others. Additionally, several measures on pharmaceutical products have aimed to reduce costs for both the National Institute for Health and Disability Insurance (NIHDI) and patients, while maintaining the quality of care. World Health Organization 2010, on behalf of the European Observatory on health systems and Policies.

Consumer adoption and grid impact models for plug-in hybrid electric vehicles in Wisconsin.

Science.gov (United States)

2010-05-01

This proposed study focuses on assessing the demand for plug-in hybrid electric vehicles (PHEV) in Wisconsin and its economic : impacts on the States energy market and the electric grid. PHEVs are expected to provide a range of about 40 miles per ...

France: Health System Review.

Science.gov (United States)

Chevreul, Karine; Berg Brigham, Karen; Durand-Zaleski, Isabelle; Hernandez-Quevedo, Cristina

2015-01-01

This analysis of the French health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The French population has a good level of health, with the second highest life expectancy in the world for women. It has a high level of choice of providers, and a high level of satisfaction with the health system. However, unhealthy habits such as smoking and harmful alcohol consumption remain significant causes of avoidable mortality. Combined with the significant burden of chronic diseases, this has underscored the need for prevention and integration of services, although these have not historically been strengths of the French system. Although the French health care system is a social insurance system, it has historically had a stronger role for the state than other Bismarckian social insurance systems. Public financing of health care expenditure is among the highest in Europe and out-of-pocket spending among the lowest. Public insurance is compulsory and covers the resident population; it is financed by employee and employer contributions as well as increasingly through taxation. Complementary insurance plays a significant role in ensuring equity in access. Provision is mixed; providers of outpatient care are largely private, and hospital beds are predominantly public or private non-profit-making. Despite health outcomes being among the best in the European Union, social and geographical health inequities remain. Inequality in the distribution of health care professionals is a considerable barrier to equity. The rising cost of health care and the increasing demand for long-term care are also of concern. Reforms are ongoing to address these issues, while striving for equity in financial access; a long-term care reform including public coverage of long-term care is still pending. World Health Organization 2015 (acting as the host organization for, and secretariat of, the

Personality Characteristics and Level of Performance of Male County Extension Agents in Wisconsin.

Science.gov (United States)

Pandya, Dasharathrai Navnitrai

The major purpose of this study was to determine the relationship between selected personality characteristics and attitudes of male extension agents in Wisconsin, and their level of job performance. The relationships between selected background factors and the level of agent's job performance were also studied. Subjects were 79 male county agents…

Legislation on Homelessness. Wisconsin Legislative Council Report No. 12 to the 1991 Legislature.

Science.gov (United States)

Rose, Laura; Matthias, Mary

The components of Wisconsin's 1991 Assembly Bill 680 that considers homelessness are discussed in this document. The Bill itself addresses: (1) surplus state lands; (2) transitional housing grants; (3) prevention of homelessness; (4) establishing a low-income housing income and franchise tax credit; (5) veterans lacking a permanent address; (6)…

Self Perceived Leadership Styles of Male and Female Superintendents in Wisconsin Public Schools

Science.gov (United States)

Rieckmann, Kelly Renée

2016-01-01

The number of female superintendents in Wisconsin public schools remains disproportionately low compared to males. With research supporting a connection between female leaders and transformational leadership, the question as to why more females do not enter the realm of leadership and how they see themselves as leaders remains unanswered. This…

Switzerland: Health System Review.

Science.gov (United States)

De Pietro, Carlo; Camenzind, Paul; Sturny, Isabelle; Crivelli, Luca; Edwards-Garavoglia, Suzanne; Spranger, Anne; Wittenbecher, Friedrich; Quentin, Wilm

2015-01-01

This analysis of the Swiss health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The Swiss health system is highly complex, combining aspects of managed competition and corporatism (the integration of interest groups in the policy process) in a decentralized regulatory framework shaped by the influences of direct democracy. The health system performs very well with regard to a broad range of indicators. Life expectancy in Switzerland (82.8 years) is the highest in Europe after Iceland, and healthy life expectancy is several years above the European Union (EU) average. Coverage is ensured through mandatory health insurance (MHI), with subsidies for people on low incomes. The system offers a high degree of choice and direct access to all levels of care with virtually no waiting times, though managed care type insurance plans that include gatekeeping restrictions are becoming increasingly important. Public satisfaction with the system is high and quality is generally viewed to be good or very good. Reforms since the year 2000 have improved the MHI system, changed the financing of hospitals, strengthened regulations in the area of pharmaceuticals and the control of epidemics, and harmonized regulation of human resources across the country. In addition, there has been a slow (and not always linear) process towards more centralization of national health policy-making. Nevertheless, a number of challenges remain. The costs of the health care system are well above the EU average, in particular in absolute terms but also as a percentage of gross domestic product (GDP) (11.5%). MHI premiums have increased more quickly than incomes since 2003. By European standards, the share of out-of-pocket payments is exceptionally high at 26% of total health expenditure (compared to the EU average of 16%). Low and middle-income households contribute a greater share of their income to

Health System Advance Care Planning Culture Change for High-Risk Patients: The Promise and Challenges of Engaging Providers, Patients, and Families in Systematic Advance Care Planning.

Science.gov (United States)

Reidy, Jennifer; Halvorson, Jennifer; Makowski, Suzana; Katz, Delila; Weinstein, Barbara; McCluskey, Christine; Doering, Alex; DeCarli, Kathryn; Tjia, Jennifer

2017-04-01

The success of a facilitator-based model for advance care planning (ACP) in LaCrosse, Wisconsin, has inspired health systems to aim for widespread documentation of advance directives, but limited resources impair efforts to replicate this model. One promising strategy is the development of interactive, Internet-based tools that might increase access to individualized ACP at minimal cost. However, widespread adoption and implementation of Internet-based ACP efforts has yet to be described. We describe our early experiences in building a systematic, population-based ACP initiative focused on health system-wide deployment of an Internet-based tool as an adjunct to a facilitator-based model. With the sponsorship of our healthcare system's population health leadership, we engaged a diverse group of clinical stakeholders as champions to design an Internet-based ACP tool and facilitate local practice change. We describe how we simultaneously began to train clinicians in ACP conversations, engage patients and health system employees in thinking about ACP, redesign clinic workflows to accommodate ACP discussions, and integrate the Internet-based tool into the electronic medical record (EMR). Over 18 months, our project engaged two subspecialty clinics in a systematic ACP process and began work with a large primary care practice with a large Medicare Accountable Care Organization at-risk population. Overall, 807 people registered at the Internet site and 85% completed ACPs. We learned that changing culture and systems to promote ACP requires a comprehensive vision with simultaneous, interconnected strategies targeting patient education, clinician training, EMR documentation, and community awareness.

Evaluating community-based public health leadership training.

Science.gov (United States)

Ceraso, Marion; Gruebling, Kirsten; Layde, Peter; Remington, Patrick; Hill, Barbara; Morzinski, Jeffrey; Ore, Peggy

2011-01-01

Addressing the nation's increasingly complex public health challenges will require more effective multisector collaboration and stronger public health leadership. In 2005, the Healthy Wisconsin Leadership Institute launched an annual, year-long intensive "community teams" program. The goal of this program is to develop collaborative leadership and public health skills among Wisconsin-based multisectoral teams mobilizing their communities to improve public health. To measure the scope of participation and program impacts on individual learning and practice, including application of new knowledge and collective achievements of teams on coalition and short-term community outcomes. End-of-year participant program evaluations and follow-up telephone interviews with participants 20 months after program completion. Community-based public health leadership training program. Sixty-eight participants in the Community Teams Program during the years 2006 to 2007 and 2007 to 2008. Professional diversity of program participants; individual learning and practice, including application of new knowledge; and collective achievements of teams, including coalition and short-term community outcomes. Participants in the Community Teams Program represent a diversity of sectors, including nonprofit, governmental, academic, business, and local public health. Participation increased knowledge across all public health and leadership competency areas covered in the program. Participating teams reported outcomes, including increased engagement of community leadership, expansion of preventive services, increased media coverage, strengthened community coalitions, and increased grant funding. Evaluation of this community-based approach to public health leadership training has shown it to be a promising model for building collaborative and public health leadership skills and initiating sustained community change for health improvement.

Malta: Health system review.

Science.gov (United States)

Azzopardi Muscat, Natasha; Calleja, Neville; Calleja, Antoinette; Cylus, Jonathan

2014-01-01

This analysis of the Maltese health system reviews the developments in its organization and governance, health financing, health-care provision, health reforms and health system performance. The health system in Malta consists of a public sector, which is free at the point of service and provides a comprehensive basket of health services for all its citizens, and a private sector, which accounts for a third of total health expenditure and provides the majority of primary care. Maltese citizens enjoy one of the highest life expectancies in Europe. Nevertheless, non-communicable diseases pose a major concern with obesity being increasingly prevalent among both adults and children. The health system faces important challenges including a steadily ageing population, which impacts the sustainability of public finances. Other supply constraints stem from financial and infrastructural limitations. Nonetheless, there exists a strong political commitment to ensure the provision of a healthcare system that is accessible, of high quality, safe and also sustainable. This calls for strategic investments to underpin a revision of existing processes whilst shifting the focus of care away from hospital into the community. World Health Organization 2014 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies).

Ukraine: health system review.

Science.gov (United States)

Lekhan, Valery; Rudiy, Volodymyr; Shevchenko, Maryna; Nitzan Kaluski, Dorit; Richardson, Erica

2015-03-01

This analysis of the Ukrainian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. Since the country gained independence from the Soviet Union in 1991, successive governments have sought to overcome funding shortfalls and modernize the health care system to meet the needs of the population's health. However, no fundamental reform of the system has yet been implemented and consequently it has preserved the main features characteristic of the Semashko model; there is a particularly high proportion of total health expenditure paid out of pocket (42.3 % in 2012), and incentives within the system do not focus on quality or outcomes. The most recent health reform programme began in 2010 and sought to strengthen primary and emergency care, rationalize hospitals and change the model of health care financing from one based on inputs to one based on outputs. Fundamental issues that hampered reform efforts in the past re-emerged, but conflict and political instability have proved the greatest barriers to reform implementation and the programme was abandoned in 2014. More recently, the focus has been on more pressing humanitarian concerns arising from the conflict in the east of Ukraine. It is hoped that greater political, social and economic stability in the future will provide a better environment for the introduction of deep reforms to address shortcomings in the Ukrainian health system. World Health Organization 2015 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies).

Transmission of chronic wasting disease in Wisconsin white-tailed deer: Implications for disease spread and management

Science.gov (United States)

Jennelle, Christopher S.; Henaux, Viviane; Wasserberg, Gideon; Thiagarajan, Bala; Rolley, Robert E.; Samuel, Michael D.

2014-01-01

Few studies have evaluated the rate of infection or mode of transmission for wildlife diseases, and the implications of alternative management strategies. We used hunter harvest data from 2002 to 2013 to investigate chronic wasting disease (CWD) infection rate and transmission modes, and address how alternative management approaches affect disease dynamics in a Wisconsin white-tailed deer population. Uncertainty regarding demographic impacts of CWD on cervid populations, human and domestic animal health concerns, and potential economic consequences underscore the need for strategies to control CWD distribution and prevalence. Using maximum-likelihood methods to evaluate alternative multi-state deterministic models of CWD transmission, harvest data strongly supports a frequency-dependent transmission structure with sex-specific infection rates that are two times higher in males than females. As transmissible spongiform encephalopathies are an important and difficult-to-study class of diseases with major economic and ecological implications, our work supports the hypothesis of frequency-dependent transmission in wild deer at a broad spatial scale and indicates that effective harvest management can be implemented to control CWD prevalence. Specifically, we show that harvest focused on the greater-affected sex (males) can result in stable population dynamics and control of CWD within the next 50 years, given the constraints of the model. We also provide a quantitative estimate of geographic disease spread in southern Wisconsin, validating qualitative assessments that CWD spreads relatively slowly. Given increased discovery and distribution of CWD throughout North America, insights from our study are valuable to management agencies and to the general public concerned about the impacts of CWD on white-tailed deer populations.

Evaluation of community and organizational characteristics of smoke-free ordinance campaigns in 15 Wisconsin cities.

Science.gov (United States)

Ahrens, David; Uebelher, Paul; Remington, Patrick L

2005-07-01

Smoke-free restaurant ordinance campaigns were conducted in 15 Wisconsin cities during 1992 through 2002. Community and health coalition organizational characteristics varied with each campaign; nine campaigns were successful in enacting ordinances, and six campaigns failed. Data on community and coalition characteristics were analyzed. Community characteristics included adjusted gross income, percentage of Democratic voters in recent elections, and county smoking prevalence. Coalition characteristics included the number of supporters identified, leadership experience, level of print news media coverage, and editorial position of local newspaper. Successful campaigns were more likely to have leadership with high levels of political experience; eight of nine successful campaigns had leadership with high levels of experience, and two of six unsuccessful campaigns had leadership with high levels of experience. Every successful campaign had high levels of newspaper coverage and strong editorial support. None of the unsuccessful campaigns had high levels of news coverage or strong editorial support. Characteristics controlled or influenced by coalitions are associated with successful outcomes. Community characteristics were not associated with outcomes. These results should assist communities planning to implement smoke-free ordinances or other health policy campaigns.

Are community-level financial data adequate to assess population health investments?

Science.gov (United States)

Casper, Tim; Kindig, David A

2012-01-01

The variation in health outcomes among communities results largely from different levels of financial and nonfinancial policy investments over time; these natural experiments should offer investment and policy guidance for a business model on population health. However, little such guidance exists. We examined the availability of data in a sample of Wisconsin counties for expenditures in selected categories of health care, public health, human services, income support, job development, and education. We found, as predicted by the National Committee on Vital and Health Statistics in 2002, that availability is often limited by the challenges of difficulty in locating useable data, a lack of resources among public agencies to upgrade information technology systems for making data more usable and accessible to the public, and a lack of enterprise-wide coordination and geographic detail in data collection efforts. These challenges must be overcome to provide policy-relevant information for optimal population health resource allocation.

Austria: health system review.

Science.gov (United States)

Hofmarcher, Maria M; Quentin, Wilm

2013-01-01

This analysis of the Austrian health system reviews recent developments in organization and governance, health financing, health-care provision, health reforms and health-system performance. The Austrian health system provides universal coverage for a wide range of benefits and high-quality care. Free choice of providers and unrestricted access to all care levels (general practitioners, specialist physicians and hospitals) are characteristic features of the system. Unsurprisingly, population satisfaction is well above EU average. Income-related inequality in health has increased since 2005, although it is still relatively low compared to other countries. The health-care system has been shaped by both the federal structure of the state and a tradition of delegating responsibilities to self-governing stakeholders. On the one hand, this enables decentralized planning and governance, adjusted to local norms and preferences. On the other hand, it also leads to fragmentation of responsibilities and frequently results in inadequate coordination. For this reason, efforts have been made for several years to achieve more joint planning, governance and financing of the health-care system at the federal and regional level. As in any health system, a number of challenges remain. The costs of the health-care system are well above the EU15 average, both in absolute terms and as a percentage of GDP. There are important structural imbalances in healthcare provision, with an oversized hospital sector and insufficient resources available for ambulatory care and preventive medicine. This is coupled with stark regional differences in utilization, both in curative services (hospital beds and specialist physicians) and preventative services such as preventive health check-ups, outpatient rehabilitation, psychosocial and psychotherapeutic care and nursing. There are clear social inequalities in the use of medical services, such as preventive health check-ups, immunization or dentistry

Convective cells and their relationship to vortex diffusion in the Wisconsin Levitated Octupole

International Nuclear Information System (INIS)

Ehrhardt, A.B.

1978-01-01

The purpose of this thesis is two-fold: first, to present floating potential structure for different plasmas and operating parameters in the Wisconsin Levitated Octupole. Second, to show how the observed potential structure can be used, within the framework of vortex diffusion, to account for enhanced diffusion in the appropriate parameter regimes

Wisconsin torsatron/stellarator program, FY 1989

International Nuclear Information System (INIS)

Shohet, J.L.; Anderson, D.T.; Anderson, F.S.B.; Talmadge, J.N.

1988-07-01

This proposal documents recent activities within the University of Wisconsin-Madison Torsatron/Stellarator Laboratory and presents plans for future research activities for a three year period. Research efforts have focused on fundamental stellarator physics issues through experimental investigations on the Interchangeable Module Stellarator (IMS) and the Proto-Cleo Stellarator. Theoretical activities and studies of new configurations are being undertaken to support and broaden the experimental program. Experimental research at the Torsatron Stellarator Laboratory has been primarily concerned with effects induced through electron-cyclotron resonant frequency plasma production and heating in the IMS device. Plasma electric fields have been shown to play a major role in particle transport and confinement in IMS. ECRF heating at 6 kG has produced electron tail populations in agreement with Monte-Carlo models. Electric and magnetic fields have been shown to alter the particle flows to the IMS modular divertors. 48 refs

Climate change science applications and needs in forest ecosystem management: a workshop organized as part of the northern Wisconsin Climate Change Response Framework Project

Science.gov (United States)

Leslie Brandt; Chris Swanston; Linda Parker; Maria Janowiak; Richard Birdsey; Louis Iverson; David Mladenoff; Patricia. Butler

2012-01-01

Climate change is leading to direct and indirect impacts on forest tree species and ecosystems in northern Wisconsin. Land managers will need to prepare for and respond to these impacts, so we designed a workshop to identify forest management approaches that can enhance the ability of ecosystems in northern Wisconsin to cope with climate change and address how National...

Population Characteristics of Drunk Drivers Referred for Assessment in Two Wisconsin Counties 1981-1983.

Science.gov (United States)

Gurnack, Anne M.

1986-01-01

Summarizes a study of Wisconsin's drunk driving law and evaluates the mandated alcohol assessment for convicted offenders. Findings indicated individuals operating while intoxicated remain young, male, unmarried, with high school educations. A substantial number of these persons were assessed with serious drinking problems. The strongest predictor…

Groundwater Quantity and Quality Issues in a Water-Rich Region: Examples from Wisconsin, USA

Directory of Open Access Journals (Sweden)

John Luczaj

2015-06-01

Full Text Available The State of Wisconsin is located in an unusually water-rich portion of the world in the western part of the Great Lakes region of North America. This article presents an overview of the major groundwater quantity and quality concerns for this region in a geologic context. The water quantity concerns are most prominent in the central sand plain region and portions of a Paleozoic confined sandstone aquifer in eastern Wisconsin. Water quality concerns are more varied, with significant impacts from both naturally occurring inorganic contaminants and anthropogenic sources. Naturally occurring contaminants include radium, arsenic and associated heavy metals, fluoride, strontium, and others. Anthropogenic contaminants include nitrate, bacteria, viruses, as well as endocrine disrupting compounds. Groundwater quality in the region is highly dependent upon local geology and land use, but water bearing geologic units of all ages, Precambrian through Quaternary, are impacted by at least one kind of contaminant.

Promoting Success in the Physical Sciences: The University of Wisconsin's Physics Learning Program

Science.gov (United States)

Nossal, S. M.; Jacob, A. T.

2002-05-01

The Physics Learning Program at the University of Wisconsin-Madison provides small group, academic and mentoring support for students enrolled in algebra-based introductory physics courses. Those students accepted into our program are potentially at-risk academically in their physics course or for feeling isolated at the University. They include, among others, students who have not taken high school physics, returning adults, minority students, students with disabilities, and students with English as a second language. A core component of the program is the peer-lead teaching and mentoring groups that match upper level undergraduate physics majors with students potentially at-risk in introductory physics. The tutors receive ongoing training and supervision throughout the year. The program has expanded over the years to include staff tutors, the majority of whom are scientists who seek additional teaching experience. The Physics Peer Mentor Tutor Program is run in collaboration with a similar chemistry program at the University of Wisconsin's Chemistry Learning Center. We will describe our Physics Learning Programs and discuss some of the challenges, successes, and strategies used to work with our tutors and students.

Initial Experience with "Honoring Choices Wisconsin": Implementation of an Advance Care Planning Pilot in a Tertiary Care Setting.

Science.gov (United States)

Peltier, Wendy L; Gani, Faiz; Blissitt, Jennifer; Walczak, Katherine; Opper, Kristi; Derse, Arthur R; Johnston, Fabian M

2017-09-01

Although previous research on advance care planning (ACP) has associated ACP with improved quality of care at the end of life, the appropriate use of ACP remains limited. To evaluate the impact of a pilot program using the "Honoring Choices Wisconsin" (HCW) model for ACP in a tertiary care setting, and to understand barriers to system-wide implementation. Retrospective review of prospectively collected data. Patients who received medical or surgical oncology care at Froedtert and the Medical College of Wisconsin. Patient demographics, disease characteristics, patient satisfaction, and clinical outcomes. Data from 69 patients who died following the implementation of the HCW program were reviewed; 24 patients were enrolled in the HCW program while 45 were not. Patients enrolled in HCW were proportionally less likely to be admitted to the ICU (12.5% vs. 17.8%) and were more likely to be "do not resuscitate" (87.5% vs. 80.0%), as well as have a completed ACP (83.3% vs. 79.1%). Furthermore, admission to a hospice was also higher among patients who were enrolled in the HCW program (79.2% vs. 25.6%), with patients enrolled in HCW more likely to die in hospice (70.8% vs. 53.3%). The HCW program was favorably viewed by patients, patient caregivers, and healthcare providers. Implementation of a facilitator-based ACP care model was associated with fewer ICU admissions, and a higher use of hospice care. System-level changes are required to overcome barriers to ACP that limit patients from receiving end-of-life care in accordance with their preferences.

Greece: Health system review.

Science.gov (United States)

Economou, Charalambos

2010-01-01

The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The health status of the Greek population has strongly improved over the last few decades and seems to compare relatively favourably with other OECD and European Union (EU) countries. The health system is a mixture of public integrated, public contract and public reimbursement models, comprising elements from both the public and private sectors and incorporating principles of different organizational patterns. Access to services is based on citizenship as well as on occupational status.The system is financed by the state budget, social insurance contributions and private payments.The largest share of health expenditure constitutes private expenditure, mainly in the form of out of pocket payments which is also the element contributing most to the overall increase in health expenditure. The delivery of health care services is based on both public and private providers. The presence of private providers is more obvious in primary care,especially in diagnostic technologies, private physicians' practices and pharmaceuticals. Despite success in improving the health of the population, the Greek health care system faces serious structural problems concerning the organization, financing and delivery of services. It suffers from the absence of cost-containment measures and defined criteria for funding, resulting in sickness funds experiencing economic constraints and budget deficits. The high percentage of private expenditure goes against the principle of fair

Using the Wisconsin-Ohio Reference Evaluation Program (WOREP) to Improve Training and Reference Services

Science.gov (United States)

Novotny, Eric; Rimland, Emily

2007-01-01

This article discusses a service quality study conducted in the Pennsylvania State University Libraries. The Wisconsin-Ohio Reference Evaluation Program survey was selected as a valid, standardized instrument. We present our results, highlighting the impact on reference training. A second survey a year later demonstrated that focusing on…

Poland health system review.

Science.gov (United States)

Sagan, Anna; Panteli, Dimitra; Borkowski, W; Dmowski, M; Domanski, F; Czyzewski, M; Gorynski, Pawel; Karpacka, Dorota; Kiersztyn, E; Kowalska, Iwona; Ksiezak, Malgorzata; Kuszewski, K; Lesniewska, A; Lipska, I; Maciag, R; Madowicz, Jaroslaw; Madra, Anna; Marek, M; Mokrzycka, A; Poznanski, Darius; Sobczak, Alicja; Sowada, Christoph; Swiderek, Maria; Terka, A; Trzeciak, Patrycja; Wiktorzak, Katarzyna; Wlodarczyk, Cezary; Wojtyniak, B; Wrzesniewska-Wal, Iwona; Zelwianska, Dobrawa; Busse, Reinhard

2011-01-01

Since the successful transition to a freely elected parliament and a market economy after 1989, Poland is now a stable democracy and is well represented within political and economic organizations in Europe and worldwide. The strongly centralized health system based on the Semashko model was replaced with a decentralized system of mandatory health insurance, complemented with financing from state and territorial self-government budgets. There is a clear separation of health care financing and provision: the National Health Fund (NFZ) the sole payer in the system is in charge of health care financing and contracts with public and non-public health care providers. The Ministry of Health is the key policy-maker and regulator in the system and is supported by a number of advisory bodies, some of them recently established. Health insurance contributions, borne entirely by employees, are collected by intermediary institutions and are pooled by the NFZ and distributed between the 16 regional NFZ branches. In 2009, Poland spent 7.4% of its gross domestic product (GDP) on health. Around 70% of health expenditure came from public sources and over 83.5% of this expenditure can be attributed to the (near) universal health insurance. The relatively high share of private expenditure is mostly represented by out-of-pocket (OOP) payments, mainly in the form of co-payments and informal payments. Voluntary health insurance (VHI) does not play an important role and is largely limited to medical subscription packages offered by employers. Compulsory health insurance covers 98% of the population and guarantees access to a broad range of health services. However, the limited financial resources of the NFZ mean that broad entitlements guaranteed on paper are not always available. Health care financing is overall at most proportional: while financing from health care contributions is proportional and budgetary subsidies to system funding are progressive, high OOP expenditures

Bulgaria health system review.

Science.gov (United States)

Dimova, Antoniya; Rohova, Maria; Moutafova, Emanuela; Atanasova, Elka; Koeva, Stefka; Panteli, Dimitra; van Ginneken, Ewout

2012-01-01

In the last 20 years, demographic development in Bulgaria has been characterized by population decline, a low crude birth rate, a low fertility rate, a high mortality rate and an ageing population. A stabilizing political situation since the early 2000s and an economic upsurge since the mid-2000s were important factors in the slight increase of the birth and fertility rates and the slight decrease in standardized death rates. In general, Bulgaria lags behind European Union (EU) averages in most mortality and morbidity indicators. Life expectancy at birth reached 73.3 years in 2008 with the main three causes of death being diseases of the circulatory system, malignant neoplasms and diseases of the respiratory system. One of the most important risk factors overall is smoking, and the average standardized death rate for smoking-related causes in 2008 was twice as high as the EU15 average. The Bulgarian health system is characterized by limited statism. The Ministry of Health is responsible for national health policy and the overall organization and functioning of the health system and coordinates with all ministries with relevance to public health. The key players in the insurance system are the insured individuals, the health care providers and the third party payers, comprising the National Health Insurance Fund, the single payer in the social health insurance (SHI) system, and voluntary health insurance companies (VHICs). Health financing consists of a publicprivate mix. Health care is financed from compulsory health insurance contributions, taxes, outofpocket (OOP) payments, voluntary health insurance (VHI) premiums, corporate payments, donations, and external funding. Total health expenditure (THE) as a share of gross domestic product (GDP) increased from 5.3% in 1995 to 7.3% in 2008. At the latter date it consisted of 36.5% OOP payments, 34.8% SHI, 13.6% Ministry of Health expenditure, 9.4% municipality expenditure and 0.3% VHI. Informal payments in the health

Valuable Work, Minimal Rewards: A Report on the Wisconsin Child Care Work Force.

Science.gov (United States)

Burton, Alice; And Others

A 1994 state-wide survey examined the status of child care profession in Wisconsin. Surveyed were 326 family child care providers, 104 child care center directors, and 254 center teaching staff. Responses indicated that child care teaching staff have experienced a wage increase of just over 1 percent per year since 1988, and continue to earn low…

Low bone mass prevalence and osteoporosis risk factor assessment in African American Wisconsin women.

Science.gov (United States)

Kidambi, Srividya; Partington, Susan; Binkley, Neil

2005-11-01

Post-menopausal osteoporosis is seen in all racial groups. With the increasing population and longevity of minority groups, osteoporosis is becoming an important health concern. Data regarding risk factors for, and prevalence of, low bone mass and awareness of osteoporosis risk in African American (AA) women are limited. This article evaluates the risk factors for, and prevalence of, low bone mass in a population of urban AA women in Wisconsin and assesses this group's perceived risk for osteoporosis. One hundred fifty consecutive community-dwelling AA women > or = 45 years old from Milwaukee, Wis were asked to complete a questionnaire based on currently accepted osteoporosis risk factors. Additionally, their perception of osteoporosis risk was assessed using a Likert scale. All subjects underwent quantitative calcaneal ultrasound. Subject mean age was 54 +/- 7 years. Mean T- and Z-scores were 0.5 and 0.4, respectively. Applying World Health Organization criteria, osteopenia (bone mineral density T-score 2 children), postmenopausal state, and current smoking were associated with lower calcaneal bone mass. Higher education and presence of diabetes were associated with a higher bone mass. Only 25% of the women surveyed thought they were at moderate to high risk for osteoporosis. Low bone mass was present in 33% of these AA women despite their relative young age. Many AA women do not perceive osteoporosis as a health risk. It is necessary to develop strategies to educate AA women regarding osteoporosis risk.

Integrating Social impacts on Health and Health-Care Systems in Systemic Seismic Vulnerability Analysis

Science.gov (United States)

Kunz-Plapp, T.; Khazai, B.; Daniell, J. E.

2012-04-01

This paper presents a new method for modeling health impacts caused by earthquake damage which allows for integrating key social impacts on individual health and health-care systems and for implementing these impacts in quantitative systemic seismic vulnerability analysis. In current earthquake casualty estimation models, demand on health-care systems is estimated by quantifying the number of fatalities and severity of injuries based on empirical data correlating building damage with casualties. The expected number of injured people (sorted by priorities of emergency treatment) is combined together with post-earthquake reduction of functionality of health-care facilities such as hospitals to estimate the impact on healthcare systems. The aim here is to extend these models by developing a combined engineering and social science approach. Although social vulnerability is recognized as a key component for the consequences of disasters, social vulnerability as such, is seldom linked to common formal and quantitative seismic loss estimates of injured people which provide direct impact on emergency health care services. Yet, there is a consensus that factors which affect vulnerability and post-earthquake health of at-risk populations include demographic characteristics such as age, education, occupation and employment and that these factors can aggravate health impacts further. Similarly, there are different social influences on the performance of health care systems after an earthquake both on an individual as well as on an institutional level. To link social impacts of health and health-care services to a systemic seismic vulnerability analysis, a conceptual model of social impacts of earthquakes on health and the health care systems has been developed. We identified and tested appropriate social indicators for individual health impacts and for health care impacts based on literature research, using available European statistical data. The results will be used to

Circumpolar Inuit health systems.

Science.gov (United States)

Ellsworth, Leanna; O'Keeffe, Annmaree

2013-01-01

The Inuit are an indigenous people totalling about 160,000 and living in 4 countries across the Arctic - Canada, Greenland, USA (Alaska) and Russia (Chukotka). In essence, they are one people living in 4 countries. Although there have been significant improvements in Inuit health and survival over the past 50 years, stark differences persist between the key health indicators for Inuit and those of the national populations in the United States, Canada and Russia and between Greenland and Denmark. On average, life expectancy in all 4 countries is lower for Inuit. Infant mortality rates are also markedly different with up to 3 times more infant deaths than the broader national average. Underlying these statistical differences are a range of health, social, economic and environmental factors which have affected Inuit health outcomes. Although the health challenges confronting the Inuit are in many cases similar across the Arctic, the responses to these challenges vary in accordance with the types of health systems in place in each of the 4 countries. Each of the 4 countries has a different health care system with varying degrees of accessibility and affordability for Inuit living in urban, rural and remote areas. To describe funding and governance arrangements for health services to Inuit in Canada, Greenland, USA (Alaska) and Russia (Chukotka) and to determine if a particular national system leads to better outcomes than any of the other 3 systems. Literature review. It was not possible to draw linkages between the different characteristics of the respective health systems, the corresponding financial investment and the systems' effectiveness in adequately serving Inuit health needs for several reasons including the very limited and inadequate collection of Inuit-specific health data by Canada, Alaska and Russia; and second, the data that are available do not necessarily provide a feasible point of comparison in terms of methodology and timing of the available data

Health System Measurement Project

Data.gov (United States)

U.S. Department of Health & Human Services — The Health System Measurement Project tracks government data on critical U.S. health system indicators. The website presents national trend data as well as detailed...

A Descriptive Study of Wisconsin PK-12 Virtual Public School Program Operations and Management

Science.gov (United States)

Banker, Margaret M.

2012-01-01

E-Learning as it pertains to public education is in its infancy in America. There is limited research on what operational design, development, and management attributes of virtual school programs foster student achievement. The Wisconsin Department of Instruction has not developed or adopted program standards for E-Learning programs. The purpose…

2 Dailies Battle for Readers and Advertisers in U. of Wisconsin Student-Newspaper War.

Science.gov (United States)

Hirschorn, Michael W.

1987-01-01

Two student newspapers at the University of Wisconsin at Madison are in fierce competition for readers and advertisers. A proposal of the Badger Herald, an 18-year-old conservative weekly, that the two merge their financial operations was rejected by the liberal Daily Cardinal and the newspaper war was on. (MLW)

Waste Management in Universities and Colleges. Workshop Proceedings (Madison, Wisconsin, July 9-11, 1980).

Science.gov (United States)

Association of Physical Plant Administrators of Universities and Colleges, Washington, DC.

In response to a request from the Wisconsin Department of Natural Resources, Region V of the United States Environmental Protection Agency (EPA) sponsored a workshop on waste management in universities and colleges. It consisted of four sessions: (1) managing general university waste and regulatory concerns; (2) chemical waste management; (3)…

Creating Jobs through Energy Efficiency Using Wisconsin's Successful Focus on Energy Program

Energy Technology Data Exchange (ETDEWEB)

Akhtar, Masood; Corrigan, Edward; Reitter, Thomas

2012-03-30

The purpose of this project was to provide administrative and technical support for the completion of energy efficiency projects that reduce energy intensity and create or save Wisconsin industrial jobs. All projects have been completed. Details in the attached reports include project management, job development, and energy savings for each project.

Health, Health Care, and Systems Science: Emerging Paradigm.

Science.gov (United States)

Janecka, Ivo

2017-02-15

Health is a continuum of an optimized state of a biologic system, an outcome of positive relationships with the self and others. A healthy system follows the principles of systems science derived from observations of nature, highlighting the character of relationships as the key determinant. Relationships evolve from our decisions, which are consequential to the function of our own biologic system on all levels, including the genome, where epigenetics impact our morphology. In healthy systems, decisions emanate from the reciprocal collaboration of hippocampal memory and the executive prefrontal cortex. We can decide to change relationships through choices. What is selected, however, only represents the cognitive interpretation of our limited sensory perception; it strongly reflects inherent biases toward either optimizing state, making a biologic system healthy, or not. Health or its absence is then the outcome; there is no inconsequential choice. Public health effort should not focus on punitive steps (e.g. taxation of unhealthy products or behaviors) in order to achieve a higher level of public's health. It should teach people the process of making healthy decisions; otherwise, people will just migrate/shift from one unhealthy product/behavior to another, and well-intended punitive steps will not make much difference. Physical activity, accompanied by nutrition and stress management, have the greatest impact on fashioning health and simultaneously are the most cost-effective measures. Moderate-to-vigorous exercise not only improves aerobic fitness but also positively influences cognition, including memory and senses. Collective, rational societal decisions can then be anticipated. Health care is a business system principally governed by self-maximizing decisions of its components; uneven and contradictory outcomes are the consequences within such a non-optimized system. Health is not health care. We are biologic systems subject to the laws of biology in spite of

Estonia: health system review.

Science.gov (United States)

Lai, Taavi; Habicht, Triin; Kahur, Kristiina; Reinap, Marge; Kiivet, Raul; van Ginneken, Ewout

2013-01-01

This analysis of the Estonian health system reviews recent developments in organization and governance, health financing, health-care provision, health reforms and health system performance. Without doubt, the main issue has been the 2008 financial crisis. Although Estonia has managed the downturn quite successfully and overall satisfaction with the system remains high, it is hard to predict the longer-term effects of the austerity package. The latter included some cuts in benefits and prices, increased cost sharing for certain services, extended waiting times, and a reduction in specialized care. In terms of health outcomes, important progress was made in life expectancy, which is nearing the European Union (EU) average, and infant mortality. Improvements are necessary in smoking and alcohol consumption, which are linked to the majority of avoidable diseases. Although the health behaviour of the population is improving, large disparities between groups exist and obesity rates, particularly among young people, are increasing. In health care, the burden of out-of-pocket payments is still distributed towards vulnerable groups. Furthermore, the number of hospitals, hospital beds and average length of stay has decreased to the EU average level, yet bed occupancy rates are still below EU averages and efficiency advances could be made. Going forwards, a number of pre-crisis challenges remain. These include ensuring sustainability of health care financing, guaranteeing a sufficient level of human resources, prioritizing patient-centred health care, integrating health and social care services, implementing intersectoral action to promote healthy behaviour, safeguarding access to health care for lower socioeconomic groups, and, lastly, improving evaluation and monitoring tools across the health system. World Health Organization 2013 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies).

Methods of Data Collection, Sample Processing, and Data Analysis for Edge-of-Field, Streamgaging, Subsurface-Tile, and Meteorological Stations at Discovery Farms and Pioneer Farm in Wisconsin, 2001-7

Science.gov (United States)

Stuntebeck, Todd D.; Komiskey, Matthew J.; Owens, David W.; Hall, David W.

2008-01-01

The University of Wisconsin (UW)-Madison Discovery Farms (Discovery Farms) and UW-Platteville Pioneer Farm (Pioneer Farm) programs were created in 2000 to help Wisconsin farmers meet environmental and economic challenges. As a partner with each program, and in cooperation with the Wisconsin Department of Natural Resources and the Sand County Foundation, the U.S. Geological Survey (USGS) Wisconsin Water Science Center (WWSC) installed, maintained, and operated equipment to collect water-quantity and water-quality data from 25 edge-offield, 6 streamgaging, and 5 subsurface-tile stations at 7 Discovery Farms and Pioneer Farm. The farms are located in the southern half of Wisconsin and represent a variety of landscape settings and crop- and animal-production enterprises common to Wisconsin agriculture. Meteorological stations were established at most farms to measure precipitation, wind speed and direction, air and soil temperature (in profile), relative humidity, solar radiation, and soil moisture (in profile). Data collection began in September 2001 and is continuing through the present (2008). This report describes methods used by USGS WWSC personnel to collect, process, and analyze water-quantity, water-quality, and meteorological data for edge-of-field, streamgaging, subsurface-tile, and meteorological stations at Discovery Farms and Pioneer Farm from September 2001 through October 2007. Information presented includes equipment used; event-monitoring and samplecollection procedures; station maintenance; sample handling and processing procedures; water-quantity, waterquality, and precipitation data analyses; and procedures for determining estimated constituent concentrations for unsampled runoff events.

Survey of medical radium installations in Wisconsin

International Nuclear Information System (INIS)

Tapert, A.C.; Lea, W.L.

1975-05-01

A radiation protection survey was performed at 70 medical radium installations in the State of Wisconsin. The requirements of the State's Radiation Protection Code were used as survey criteria. Radiation measurements of radium storage containers, radium capsule leakage tests, and monitoring of work surfaces for contamination were performed. Film badge monitoring data of whole body and extremity doses are presented for 221 individuals at 17 hospitals. Whole body doses during single treatments ranged from 10 to 1360 mrems per individual. The estimate of 500 mrems per treatment was determined as the dose aggregate to hospital personnel. Whole body doses from film badges are compared with analogous TLD doses. Four physicians and six technicians at nine hospitals participated in a study for monitoring the extremities with TLD. Cumulative extremity doses ranged from 28 to 6628 mrems per participant during the study. (U.S.)

Collection methods, data compilation, and lessons learned from a study of stream geomorphology associated with riparian cattle grazing along the Fever River, University of Wisconsin- Platteville Pioneer Farm, Wisconsin, 2004–11

Science.gov (United States)

Peppler, Marie C.; Fitzpatrick, Faith A.

2018-03-09

Stream geomorphic characteristics were monitored along a 0.8-mile reach of the Fever River in the Driftless Area of southwestern Wisconsin from 2004 to 2011 where cattle grazed in paddocks along the riverbank at the University of Wisconsin-Platteville’s Pioneer Farm. The study reach encompassed seven paddocks that covered a total of 30 acres on both sides of the river. Monitoring data included channel crosssection surveys, eroding bank measurements and photograph points, erosion-pin measurements, longitudinal profile surveys, measurements of the volume of soft sediment in the channel, and repeated time-lapse photographs. Characteristics were summarized into subreaches by use of a geographic information system. From 2004 to 2007, baseline monitoring was done to identify geomorphic conditions prior to evaluating the effects of management alternatives for riparian grazing. Subsequent to the full-scale baseline monitoring, additional data were collected from 2007 to 2011. Samples of eroding bank and in-channel soft sediment were collected and analyzed for dry bulk density in 2008 for use in a sediment budget. One of the pastures was excluded from cattle grazing in the fall of 2007; in 2009 channel cross sections, longitudinal profiles, erosion-pin measurements, photographs, and a soft sediment survey were again collected along the full 0.8-mile reach for a comparison to baseline monitoring data. Channel cross sections were surveyed a final time in 2011. Lessons learned from bank monitoring with erosion pins were most numerous and included the need for consistent tracking of each pin and whether there was deposition or erosion, timing of measurements and bank conditions during measurements (frozen, postflood), and awareness of pins loosening in place. Repeated freezing and thawing of banks and consequential mass wasting and jointing enhance fluvial erosion. Monitoring equipment in the paddocks was kept flush to the ground or located high on posts to avoid injuring the

78 FR 57501 - Approval and Promulgation of Air Quality Implementation Plans; Wisconsin; Amendments to Vehicle...

Science.gov (United States)

2013-09-19

... Definitions, NR 485.04 Motor vehicle emission limitations; exemptions, and NR 485.045 Repair cost limit for... Promulgation of Air Quality Implementation Plans; Wisconsin; Amendments to Vehicle Inspection and Maintenance... Resources on June 7, 2012, concerning the state's vehicle inspection and maintenance (I/M) program in...

The State Laboratory of Hygiene's role in terrorism preparedness and response.

Science.gov (United States)

Hintzman, Peggy L

2003-01-01

In the fall of 2001, the national public health system found itself responding to acts of terrorism. The intentional release of Bacillus anthracis spores on the East Coast tested the capacity of all state public health laboratories to respond. The impact on the public health system extended to the Wisconsin State Laboratory of Hygiene (WSLH). Fortunately, participation in the National Laboratory Response Network helped the WSLH meet the challenge of 24 hour/7 days a week coverage, and subsequent federal funding increases have enabled the WSLH to expand its technical capabilities and provide training and outreach to other Wisconsin laboratories to prepare them for their roles in man-made or naturally-occurring public health emergencies.

[The health system of Ecuador].

Science.gov (United States)

Lucio, Ruth; Villacrés, Nilhda; Henríquez, Rodrigo

2011-01-01

This paper describes the health conditions in Ecuador and, in more detail, the characteristics of the Ecuadorian health system, including its structure and coverage, its financial sources, the physical, material and human resources available, and the stewardship activities developed by the Ministry of Public Health. It also describes the structure and content of its health information system, and the participation of citizens in the operation and evaluation of the health system. The paper ends with a discussion of the most recent policy innovations implemented in the Ecuadorian system, including the incorporation of a chapter on health into the new Constitution which recognizes the protection of health as a human right, and the construction of the Comprehensive Public Health Network.

Mechanisms of Termite Spread in Wisconsin and Potential Consequences as a Result of Changing Climate Trends

Science.gov (United States)

R. A. Arango; F. III Green; G.R. Esenther; D.A. Marschalek; M.E. Berres; K.F. Raffa

2014-01-01

Mature colonies of Reticulitermes spp. reproduce and spread mainly by secondary (rather than alate) reproductives throughout their geographical distribution, but especially near the northern boundaries of their range. Historically in Wisconsin, winged reproductives of the one established species, Reticulitermes flavipes (Kollar),...

77 FR 46952 - Approval and Promulgation of Air Quality Implementation Plans; Wisconsin; Regional Haze

Science.gov (United States)

2012-08-07

... July 31, 2018. Wisconsin submitted its regional haze plan on January 18, 2012, with a supplemental.... Response: In cases like this where a subject is addressed by both the general guidance in the draft... option at that time. Further, this approach does not require an election of one set of mass caps by July...

Circumpolar Inuit health systems

Directory of Open Access Journals (Sweden)

Leanna Ellsworth

2013-08-01

Full Text Available Background . The Inuit are an indigenous people totalling about 160,000 and living in 4 countries across the Arctic – Canada, Greenland, USA (Alaska and Russia (Chukotka. In essence, they are one people living in 4 countries. Although there have been significant improvements in Inuit health and survival over the past 50 years, stark differences persist between the key health indicators for Inuit and those of the national populations in the United States, Canada and Russia and between Greenland and Denmark. On average, life expectancy in all 4 countries is lower for Inuit. Infant mortality rates are also markedly different with up to 3 times more infant deaths than the broader national average. Underlying these statistical differences are a range of health, social, economic and environmental factors which have affected Inuit health outcomes. Although the health challenges confronting the Inuit are in many cases similar across the Arctic, the responses to these challenges vary in accordance with the types of health systems in place in each of the 4 countries. Each of the 4 countries has a different health care system with varying degrees of accessibility and affordability for Inuit living in urban, rural and remote areas. Objective . To describe funding and governance arrangements for health services to Inuit in Canada, Greenland, USA (Alaska and Russia (Chukotka and to determine if a particular national system leads to better outcomes than any of the other 3 systems. Study design . Literature review. Results . It was not possible to draw linkages between the different characteristics of the respective health systems, the corresponding financial investment and the systems’ effectiveness in adequately serving Inuit health needs for several reasons including the very limited and inadequate collection of Inuit-specific health data by Canada, Alaska and Russia; and second, the data that are available do not necessarily provide a feasible point of

Health systems research in the time of health system reform in India: a review.

Science.gov (United States)

Rao, Krishna D; Arora, Radhika; Ghaffar, Abdul

2014-08-09

Research on health systems is an important contributor to improving health system performance. Importantly, research on program and policy implementation can also create a culture of public accountability. In the last decade, significant health system reforms have been implemented in India. These include strengthening the public sector health system through the National Rural Health Mission (NRHM), and expansion of government-sponsored insurance schemes for the poor. This paper provides a situation analysis of health systems research during the reform period. We reviewed 9,477 publications between 2005 and 2013 in two online databases, PubMed and IndMED. Articles were classified according to the WHO classification of health systems building blocks. Our findings indicate the number of publications on health systems progressively increased every year from 92 in 2006 to 314 in 2012. The majority of papers were on service delivery (40%), with fewer on information (16%), medical technology and vaccines (15%), human resources (11%), governance (5%), and financing (8%). Around 70% of articles were lead by an author based in India, the majority by authors located in only four states. Several states, particularly in eastern and northeastern India, did not have a single paper published by a lead author located in a local institution. Moreover, many of these states were not the subject of a single published paper. Further, a few select institutions produced the bulk of research. Of the foreign author lead papers, 77% came from five countries (USA, UK, Canada, Australia, and Switzerland). The growth of published research during the reform period in India is a positive development. However, bulk of this research is produced in a few states and by a few select institutions Further strengthening health systems research requires attention to neglected health systems domains like human resources, financing, and governance. Importantly, research capacity needs to be strengthened in

Building health research systems to achieve better health

Directory of Open Access Journals (Sweden)

González Block Miguel

2006-11-01

Full Text Available Abstract Health research systems can link knowledge generation with practical concerns to improve health and health equity. Interest in health research, and in how health research systems should best be organised, is moving up the agenda of bodies such as the World Health Organisation. Pioneering health research systems, for example those in Canada and the UK, show that progress is possible. However, radical steps are required to achieve this. Such steps should be based on evidence not anecdotes. Health Research Policy and Systems (HARPS provides a vehicle for the publication of research, and informed opinion, on a range of topics related to the organisation of health research systems and the enormous benefits that can be achieved. Following the Mexico ministerial summit on health research, WHO has been identifying ways in which it could itself improve the use of research evidence. The results from this activity are soon to be published as a series of articles in HARPS. This editorial provides an account of some of these recent key developments in health research systems but places them in the context of a distinguished tradition of debate about the role of science in society. It also identifies some of the main issues on which 'research on health research' has already been conducted and published, in some cases in HARPS. Finding and retaining adequate financial and human resources to conduct health research is a major problem, especially in low and middle income countries where the need is often greatest. Research ethics and agenda-setting that responds to the demands of the public are issues of growing concern. Innovative and collaborative ways are being found to organise the conduct and utilisation of research so as to inform policy, and improve health and health equity. This is crucial, not least to achieve the health-related Millennium Development Goals. But much more progress is needed. The editorial ends by listing a wide range of topics

Forested landscapes promote richness and abundance of native bees (Hymenoptera: Apoidea: Anthophila) in Wisconsin apple orchards.

Science.gov (United States)

Watson, J C; Wolf, A T; Ascher, J S

2011-06-01

Wild bees provide vital pollination services for many native and agricultural plant species, yet the landscape conditions needed to support wild bee populations are not well understood or appreciated. We assessed the influence of landscape composition on bee abundance and species richness in apple (Malus spp.) orchards of northeastern Wisconsin during the spring flowering period. A diverse community of bee species occurs in these apple orchards, dominated by wild bees in the families Andrenidae and Halictidae and the honey bee, Apis mellifera L. Proportion of forest area in the surrounding landscape was a significant positive predictor of wild bee abundance in orchards, with strongest effects at a GIS (Geographic Information Systems) buffer distance of 1,000 m or greater. Forest area also was positively associated with species richness, showing strongest effects at a buffer distance of 2,000 m. Nonagricultural developed land (homes, lawns, etcetera) was significantly negatively associated with species richness at buffer distances >750 m and wild bee abundance in bowl traps at all distances. Other landscape variables statistically associated with species richness or abundance of wild bees included proportion area of pasture (positive) and proportion area of roads (negative). Forest area was not associated with honey bee abundance at any buffer distance. These results provide clear evidence that the landscape surrounding apple orchards, especially the proportion of forest area, affects richness and abundance of wild bees during the spring flowering period and should be a part of sustainable land management strategies in agro-ecosystems of northeastern Wisconsin and other apple growing regions.

Research in the Doctoral Program in Second Language Acquisition at the University of Wisconsin-Madison

Science.gov (United States)

De Costa, Peter I.; Bernales, Carolina; Merrill, Margaret

2011-01-01

Faculty and graduate students in the Doctoral Program in Second Language Acquisition (SLA) at the University of Wisconsin-Madison engage in a broad spectrum of research. From Professor Sally Magnan's research on study abroad and Professor Monika Chavez's work in foreign language policy through Professor Richard Young's examination of…

Urban and community forests of the North Central East region: Illinois, Indiana, Michigan, Ohio, Wisconsin

Science.gov (United States)

David J. Nowak; Eric J. Greenfield

2010-01-01

This report details how land cover and urbanization vary within the states of Illinois, Indiana, Michigan, Ohio, and Wisconsin by community (incorporated and census designated places), county subdivision, and county. Specifically this report provides critical urban and community forestry information for each state including human population characteristics and trends,...

Putting Anti-Indian Violence in Context. The Case of the Great Lakes Chippewas of Wisconsin

Science.gov (United States)

Perry, Barbara; Robyn, Linda

2005-01-01

The Chippewas of Northern Wisconsin continue to experience a peculiarly American form of apartheid, characterized by segregation, discrimination, cultural imperialism, and everyday violence. While the blatant stigmatization, disempowerment, and violence reached its modern day zenith in the spear fishing conflict of the 1980s and 1990s, ongoing…

Soil Exchangeable Phosphorus Pools, Equilibrium Characteristics, and Mass Distribution Coefficients for Eight-Mile Run Watershed, Wisconsin

Science.gov (United States)

2009-09-01

Galle River Basin, west-central Wisconsin (Figure 1). Livestock ( dairy ) pasture and associated barnyards represent approximately 6 percent of the...Reddy. 1998. Dairy manure influences on phosphorus retention capacity of Spodosols. J. Environ. Qual. 27:522-527. Pierzynski, G. M. 2000. Methods

Losses due to weather phenomena in the bituminous concrete construction industry in Wisconsin

Science.gov (United States)

Kuhn, H. A. J.

1973-01-01

The losses (costs) due to weather phenomena as they affect the bituminous concrete industry in Wisconsin were studied. The bituminous concrete industry's response to precipitation, in the form of rain, is identified through the use of a model, albeit crude, which identifies a typical industry decision-response mechanism. Using this mechanism, historical weather data and 1969 construction activity, dollar losses resulting from rain occurrences were developed.

Hardwood Face Veneer and Plywood Mill Closures in Michigan and Wisconsin Since 1950

Science.gov (United States)

Lewis T. Hendricks

1966-01-01

In recent years there has been a great deal of concern about the closure of numberous hardwood face veneer and plywood mills in Michigan and Wisconsin. As part of an overall study of that industry in the northern Lake States region, the basic reasons leading to the closure of these mills were investigated. In the past 15 years, there have been eight known mill...

[Health services research for the public health service (PHS) and the public health system].

Science.gov (United States)

Hollederer, A; Wildner, M

2015-03-01

There is a great need for health services research in the public health system and in the German public health service. However, the public health service is underrepresented in health services research in Germany. This has several structural, historical and disciplinary-related reasons. The public health service is characterised by a broad range of activities, high qualification requirements and changing framework conditions. The concept of health services research is similar to that of the public health service and public health system, because it includes the principles of multidisciplinarity, multiprofessionalism and daily routine orientation. This article focuses on a specified system theory based model of health services research for the public health system and public health service. The model is based on established models of the health services research and health system research, which are further developed according to specific requirements of the public health service. It provides a theoretical foundation for health services research on the macro-, meso- and microlevels in public health service and the public health system. Prospects for public health service are seen in the development from "old public health" to "new public health" as well as in the integration of health services research and health system research. There is a significant potential for development in a better linkage between university research and public health service as is the case for the "Pettenkofer School of Public Health Munich". © Georg Thieme Verlag KG Stuttgart · New York.

Towards automated statewide land cover mapping in Wisconsin using satellite remote sensing and GIS techniques

International Nuclear Information System (INIS)

Cosentino, B.L.; Lillesand, T.M.

1991-01-01

Attention is given to an initial research project being performed by the University of Wisconsin-Madison, Environmental Remote Sensing Center in conjunction with seven local, state, and federal agencies to implement automated statewide land cover mapping using satellite remote sensing and geographical information system (GIS) techniques. The basis, progress, and future research needs for this mapping program are presented. The research efforts are directed toward strategies that integrate satellite remote sensing and GIS techniques in the generation of land cover data for multiple users of land cover information. The project objectives are to investigate methodologies that integrate satellite data with other imagery and spatial data resident in emerging GISs in the state for particular program needs, and to develop techniques that can improve automated land cover mapping efficiency and accuracy. 10 refs

Restoring Wisconsin Art Therapy Association in Art Therapy History: Implications for Professional Definition and Inclusivity

Science.gov (United States)

Potash, Jordan; Burnie, Michele; Pearson, Rosemary; Ramirez, Wayne

2016-01-01

The Wisconsin Art Therapy Association (WATA), formally established in 1969, was the first incorporated organization of art therapists in the United States. Under the leadership of Wayne Ramirez, WATA lobbied the national association for an inclusive definition of art therapy that aimed to foster respect for psychiatric, educational, and community…

Gay Men's Book Clubs versus Wisconsin's Public Libraries: Political Perceptions in the Absence of Dialogue

Science.gov (United States)

Pruitt, John

2010-01-01

Because of an absence of dialogue, a tense relationship appears to exist between Wisconsin's gay men's book discussion groups and their local public libraries. Public library directors express interest in accommodating these groups if approached but face budget restrictions and local communities that may oppose these gatherings; gay men's book…

Catalyzing Collaboration: Wisconsin's Agency-Initiated Basin Partnerships

Science.gov (United States)

Genskow, Kenneth D.

2009-03-01

Experience with collaborative approaches to natural resource and environmental management has grown substantially over the past 20 years, and multi-interest, shared-resources initiatives have become prevalent in the United States and internationally. Although often viewed as “grass-roots” and locally initiated, governmental participants are crucial to the success of collaborative efforts, and important questions remain regarding their appropriate roles, including roles in partnership initiation. In the midst of growing governmental support for collaborative approaches in the mid-1990s, the primary natural resource and environmental management agency in Wisconsin (USA) attempted to generate a statewide system of self-sustaining, collaborative partnerships, organized around the state’s river basin boundaries. The agency expected the partnerships to enhance participation by stakeholders, leverage additional resources, and help move the agency toward more integrated and ecosystem-based resource management initiatives. Most of the basin partnerships did form and function, but ten years after this initiative, the agency has moved away from these partnerships and half have disbanded. Those that remain active have changed, but continue to work closely with agency staff. Those no longer functioning lacked clear focus, were dependent upon agency leadership, or could not overcome issues of scale. This article outlines the context for state support of collaborative initiatives and explores Wisconsin’s experience with basin partnerships by discussing their formation and reviewing governmental roles in partnerships’ emergence and change. Wisconsin’s experience suggests benefits from agency support and agency responsiveness to partnership opportunities, but cautions about expectations for initiating general-purpose partnerships.

Thinking shift on health systems: from blueprint health programmes towards resilience of health systems Comment on "Constraints to applying systems thinking concepts in health systems: A regional perspective from surveying stakeholders in Eastern Mediterranean countries".

Science.gov (United States)

Blanchet, Karl

2015-03-03

International health is still highly dominated by equilibrium approaches. The emergence of systems thinking in international health provides a great avenue to develop innovative health interventions adapted to changing contexts. The public health community, nevertheless, has the responsibility to translate concepts related to systems thinking and complexity into concrete research methods and interventions. One possibility is to consider the properties of systems such as resilience and adaptability as entry points to better understand how health systems react to shocks. © 2015 by Kerman University of Medical Sciences.

Health policy, health systems research and analysis capacity ...

African Journals Online (AJOL)

Introduction: Health Policy and Systems Research and Analysis (HPSR&A) is an applied science that deals with complexity as it tries to provide lessons, tools and methods to understand and improve health systems and health policy. It is defined by the kinds of questions asked rather than a particular methodology.

76 FR 22748 - Wisconsin Central Ltd.-Intra-Corporate Family Merger Exemption-Duluth, Missabe and Iron Range...

Science.gov (United States)

2011-04-22

... Ltd.--Intra-Corporate Family Merger Exemption-- Duluth, Missabe and Iron Range Railway Company and Duluth, Winnipeg and Pacific Railway Company Wisconsin Central Ltd. (WCL), Duluth, Missabe and Iron Range Railway Company (DMIR) and Duluth, Winnipeg and Pacific Railway Company (DWP) have jointly filed a...

77 FR 38821 - Final Environmental Impact Statement for the Menominee Indian Tribe of Wisconsin's Proposed Fee...

Science.gov (United States)

2012-06-29

..., with the Menominee Indian Tribe of Wisconsin (Tribe), the National Indian Gaming Commission (NIGC), the... III gaming would be conducted inside the existing clubhouse until the new casino is built. The FEIS..., environmental justice, cumulative effects, indirect effects and mitigation. The BIA has afforded other...

76 FR 14351 - Proposed Withdrawal of Certain Federal Aquatic Life Water Quality Criteria Applicable to Wisconsin

Science.gov (United States)

2011-03-16

... Proposed Withdrawal of Certain Federal Aquatic Life Water Quality Criteria Applicable to Wisconsin AGENCY... aquatic life water quality criteria for chronic and acute copper and nickel, and chronic endrin and...., Washington, DC 20460 or Francine Norling, Proposed Withdrawal of Certain Federal Aquatic Life Water Quality...

Are there differences in health information exchange by health system type?

Science.gov (United States)

Opoku-Agyeman, William; Menachemi, Nir

2016-01-01

Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30% of U.S. hospitals doing so in 2012. The aim of this study was to explore the relationship between different health system types and how they engage in HIE. Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics. Ordinal logistic regression analyses were used to examine the relationship between a scale measuring the level of HIE engagement and health system type controlling for hospital and market characteristics. Data from 1552 hospitals were available for analyses. Overall, hospital in a health system of any kind exchanged more patient data elements (e.g., patient demographics, clinical summaries, laboratory results, medication history, and radiology report) compared with stand-alone hospitals (3.82 vs. 1.80, p centralized health systems, 75 (4.8%) were in centralized physician/insurance health system, 284 (18.3%) were in moderately centralized health system, 391 (25.2%) were in decentralized health system, and 91 (5.9%) were in independent health system. In regression analyses, hospitals belonging to a health system were more likely to exchange patient health data with other hospitals in the same system (OR = 3.94, p < .001) but not with hospitals outside their system (OR = 1.89, p = .445). Across health system types, there was no significant difference in the exchange of patient health data. Hospital engagement in HIE is associated with health system membership. These findings will assist hospital leaders and managers to better understand how the structure and nature of their system may influence what their individual hospital can and cannot do in their decision to engage in HIE and other decisions that support the overall system objectives.

Radon concentrations in homes in an area of dolomite bedrock: Door County, Wisconsin

International Nuclear Information System (INIS)

Hawk, K.; Stieglitz, R.D.; Norman, J.C.

1993-01-01

A statewide survey by the Wisconsin Department of Health and Social Services with U.S.E.P.A. assistance reported an anomalously high percentage of homes in Door County with radon concentrations in excess of 20 pCi/L. The results were of interest because the county is underlain by marine sedimentary rocks rather than the igneous and metamorphic crystalline types usually associated with elevated radon concentrations. A voluntary population of 55 homes was tested for radon using activated charcoal canisters. This population was also asked to provide questionnaire response data on family, home, and socioeconomic aspects. The data were separated into socioeconomic, energy efficiency, radon access, and karst level categories and statistically analyzed. A subpopulation was selected from the larger population for detailed site investigation, which included additional in-home air testing and, at some sites, water supply analysis and in-ground testing for radon. The field investigations collected information on the geology, soil, topography, and home construction and use. The results of the investigation verified and characterized the radon occurrences in Door County. The presence or absence of karst features is shown to be statistically significant to radon levels. 23 refs., 5 figs., 3 tabs

Plasma resistivity measurements in the Wisconsin levitated octupole

International Nuclear Information System (INIS)

Brouchous, D.A.

1980-11-01

Resistivity measurements parallel to the magnetic field were made on gun injected plasmas ranging in density from 10 9 cm -3 to 10 1 parallelcm -3 in the Wisconsin levitated octupole with toroidal and poloidal magnetic fields. The 10 9 cm -3 plasma was collisionless with lambda/sub mfp/ > 100 mirror lengths, had T/sub e/ = 10 eV, T/sub i/ = 30 eV and was found to have anomalous resistivity scaling like eta = √T/sub e//n/sub e/ when E/sub parallel/ > E/su c/ is the Dreicer critical field. The 10 12 cm -3 plasma was collisional with lambda/sub mfp/ < mirror length, had T/sub e/ = T/sub i/ approx. = .2 eV and was found to have Spitzer resistivity when E/sub parallel/ < E/sub c/

University of Wisconsin Oshkosh Anaerobic Dry Digestion Facility

Energy Technology Data Exchange (ETDEWEB)

Koker, John [Univ. of Wisconsin, Oshkosh, WI (United States); Lizotte, Michael [Univ. of Wisconsin, Oshkosh, WI (United States)

2017-02-08

The University of Wisconsin Oshkosh Anaerobic Dry Digestion Facility is a demonstration project that supported the first commercial-scale use in the United States of high solids, static pile technology for anaerobic digestion of organic waste to generate biogas for use in generating electricity and heat. The research adds to the understanding of startup, operation and supply chain issues for anaerobic digester technology. Issues and performance were documented for equipment installation and modifications, feedstock availability and quality, weekly loading and unloading of digestion chambers, chemical composition of biogas produced, and energy production. This facility also demonstrated an urban industrial ecology approach to siting such facilities near sewage treatment plants (to capture and use excess biogas generated by the plants) and organic yard waste collection sites (a source of feedstock).

Research on the Translation and Implementation of Stepping On in Three Wisconsin Communities

Directory of Open Access Journals (Sweden)

Amy E. Schlotthauer

2017-06-01

Full Text Available ObjectiveFalls are a leading cause of injury death. Stepping On is a fall prevention program developed in Australia and shown to reduce falls by up to 31%. The original program was implemented in a community setting, by an occupational therapist, and included a home visit. The purpose of this study was to examine aspects of the translation and implementation of Stepping On in three community settings in Wisconsin.MethodsThe investigative team identified four research questions to understand the spread and use of the program, as well as to determine whether critical components of the program could be modified to maximize use in community practice. The team evaluated program uptake, participant reach, program feasibility, program acceptability, and program fidelity by varying the implementation setting and components of Stepping On. Implementation setting included type of host organization, rural versus urban location, health versus non-health background of leaders, and whether a phone call could replace the home visit. A mixed methodology of surveys and interviews completed by site managers, leaders, guest experts, participants, and content expert observations for program fidelity during classes was used.ResultsThe study identified implementation challenges that varied by setting, including securing a physical therapist for the class and needing more time to recruit participants. There were no implementation differences between rural and urban locations. Potential differences emerged in program fidelity between health and non-health professional leaders, although fidelity was high overall with both. Home visits identified more home hazards than did phone calls and were perceived as of greater benefit to participants, but at 1 year no differences were apparent in uptake of strategies discussed in home versus phone visits.ConclusionAdaptations to the program to increase implementation include using a leader who is a non-health professional, and

Archive of Geosample Data and Information from the University of Wisconsin Ice Island T3 Core Collection

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — From 1963 to 1972, 349 piston cores were collected from the Arctic Ocean using Ice Island T3 as a sampling platform and sent to the University of Wisconsin-Madison...

Four centuries on from Bacon: progress in building health research systems to improve health systems?

Science.gov (United States)

Hanney, Stephen R; González-Block, Miguel A

2014-09-23

In 1627, Francis Bacon's New Atlantis described a utopian society in which an embryonic research system contributed to meeting the needs of the society. In this editorial, we use some of the aspirations described in New Atlantis to provide a context within which to consider recent progress in building health research systems to improve health systems and population health. In particular, we reflect on efforts to build research capacity, link research to policy, identify the wider impacts made by the science, and generally build fully functioning research systems to address the needs identified. In 2014, Health Research Policy and Systems has continued to publish one-off papers and article collections covering a range of these issues in both high income countries and low- and middle-income countries. Analysis of these contributions, in the context of some earlier ones, is brought together to identify achievements, challenges and possible ways forward. We show how 2014 is likely to be a pivotal year in the development of ways to assess the impact of health research on policies, practice, health systems, population health, and economic benefits.We demonstrate how the increasing focus on health research systems will contribute to realising the hopes expressed in the World Health Report, 2013, namely that all nations would take a systematic approach to evaluating the outputs and applications resulting from their research investment.

Henry Ford Health Systems

Science.gov (United States)

Henry Ford Health Systems evolved from a hospital into a system delivering care to 2.5 million patients and includes the Cancer Epidemiology, Prevention and Control Program, which focuses on epidemiologic and public health aspects of cancer.

The Physics Learning Center at the University of Wisconsin-Madison

Science.gov (United States)

Nossal, S. M.; Watson, L. E.; Hooper, E.; Huesmann, A.; Schenker, B.; Timbie, P.; Rzchowski, M.

2013-03-01

The Physics Learning Center at the University of Wisconsin-Madison provides academic support and small-group supplemental instruction to students studying introductory algebra-based and calculus-based physics. These classes are gateway courses for majors in the biological and physical sciences, pre-health fields, engineering, and secondary science education. The Physics Learning Center offers supplemental instruction groups twice weekly where students can discuss concepts and practice with problem-solving techniques. The Center also provides students with access on-line resources that stress conceptual understanding, and to exam review sessions. Participants in our program include returning adults, people from historically underrepresented racial/ethnic groups, students from families in lower-income circumstances, students in the first generation of their family to attend college, transfer students, veterans, and people with disabilities, all of whom might feel isolated in their large introductory course and thus have a more difficult time finding study partners. We also work with students potentially at-risk for having academic difficulty (due to factors academic probation, weak math background, low first exam score, or no high school physics). A second mission of the Physics Learning Center is to provide teacher training and leadership experience for undergraduate Peer Mentor Tutors. These Peer Tutors lead the majority of the weekly group sessions in close supervision by PLC staff members. We will describe our work to support students in the Physics Learning Center, including our teacher-training program for our undergraduate Peer Mentor Tutors

Integrated Systems Health Management for Intelligent Systems

Science.gov (United States)

Figueroa, Fernando; Melcher, Kevin

2011-01-01

The implementation of an integrated system health management (ISHM) capability is fundamentally linked to the management of data, information, and knowledge (DIaK) with the purposeful objective of determining the health of a system. It is akin to having a team of experts who are all individually and collectively observing and analyzing a complex system, and communicating effectively with each other in order to arrive at an accurate and reliable assessment of its health. In this paper, concepts, procedures, and approaches are presented as a foundation for implementing an intelligent systems ]relevant ISHM capability. The capability stresses integration of DIaK from all elements of a system. Both ground-based (remote) and on-board ISHM capabilities are compared and contrasted. The information presented is the result of many years of research, development, and maturation of technologies, and of prototype implementations in operational systems.

Strengthening Rehabilitation in Health Systems Worldwide by Integrating Information on Functioning in National Health Information Systems.

Science.gov (United States)

Stucki, Gerold; Bickenbach, Jerome; Melvin, John

2017-09-01

A complete understanding of the experience of health requires information relevant not merely to the health indicators of mortality and morbidity but also to functioning-that is, information about what it means to live in a health state, "the lived experience of health." Not only is functioning information relevant to healthcare and the overall objectives of person-centered healthcare but to the successful operation of all components of health systems.In light of population aging and major epidemiological trends, the health strategy of rehabilitation, whose aim has always been to optimize functioning and minimize disability, will become a key health strategy. The increasing prominence of the rehabilitative strategy within the health system drives the argument for the integration of functioning information as an essential component in national health information systems.Rehabilitation professionals and researchers have long recognized in WHO's International Classification of Functioning, Disability and Health the best prospect for an internationally recognized, sufficiently complete and powerful information reference for the documentation of functioning information. This paper opens the discussion of the promise of integrating the ICF as an essential component in national health systems to secure access to functioning information for rehabilitation, across health systems and countries.

Interrogating resilience in health systems development.

Science.gov (United States)

van de Pas, Remco; Ashour, Majdi; Kapilashrami, Anuj; Fustukian, Suzanne

2017-11-01

The Fourth Global Symposium on Health Systems Research was themed around 'Resilient and responsive health systems for a changing world.' This commentary is the outcome of a panel discussion at the symposium in which the resilience discourse and its use in health systems development was critically interrogated. The 2014-15 Ebola outbreak in West-Africa added momentum for the wider adoption of resilient health systems as a crucial element to prepare for and effectively respond to crisis. The growing salience of resilience in development and health systems debates can be attributed in part to development actors and philanthropies such as the Rockefeller Foundation. Three concerns regarding the application of resilience to health systems development are discussed: (1) the resilience narrative overrules certain democratic procedures and priority setting in public health agendas by 'claiming' an exceptional policy space; (2) resilience compels accepting and maintaining the status quo and excludes alternative imaginations of just and equitable health systems including the socio-political struggles required to attain those; and (3) an empirical case study from Gaza makes the case that resilience and vulnerability are symbiotic with each other rather than providing a solution for developing a strong health system. In conclusion, if the normative aim of health policies is to build sustainable, universally accessible, health systems then resilience is not the answer. The current threats that health systems face demand us to imagine beyond and explore possibilities for global solidarity and justice in health. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Managing Type 1 Diabetes: Trends and Outcomes over 20 years of Follow-up in the Wisconsin Diabetes Registry Cohort

Science.gov (United States)

Palta, Mari; LeCaire, Tamara

2009-01-01

Context The WDRS is a Wisconsin cohort with type 1 diabetes, diagnosed 1987–1992 and actively followed. The study provides patients and health care professionals with better prognostic information and helps identify aspects of diabetes management that need improvement. Objective To describe diabetes management and acute and chronic complications from the time of diagnosis. Design and setting All incident cases diagnosed at age ≤30 in 28 counties were eligible and 590 enrolled. A baseline interview, blood sample kits, biannual/annual questionnaires and study examinations at 4, 7, 9, 14 and 20 year's duration were administered. Main outcome measures Diabetes management indicators, general health, and acute and chronic complications. Results Glycemic control was poor in adolescence, but improved with age. A high percentage of individuals do not meet treatment standards for blood pressure and lipid profile. Self reported health deteriorated with age, and BMI was similar to that of the general U.S. population. Chronic complications were present at 15–20 years duration, but tended to be relatively mild. Conclusion There is room for improvement in diabetes management, especially in meeting goals for blood pressure and lipid profile. Nonetheless, individuals with type 1 diabetes can be offered a more optimistic prognosis than in the past. PMID:19743752

Public health systems under attack in Canada: Evidence on public health system performance challenges arbitrary reform.

Science.gov (United States)

Guyon, Ak'ingabe; Perreault, Robert

2016-10-20

Public health is currently being weakened in several Canadian jurisdictions. Unprecedented and arbitrary cuts to the public health budget in Quebec in 2015 were a striking example of this. In order to support public health leaders and citizens in their capacity to advocate for evidence-informed public health reforms, we propose a knowledge synthesis of elements of public health systems that are significantly associated with improved performance. Research consistently and significantly associates four elements of public health systems with improved productivity: 1) increased financial resources, 2) increased staffing per capita, 3) population size between 50,000 and 500,000, and 4) specific evidence-based organizational and administrative features. Furthermore, increased financial resources and increased staffing per capita are significantly associated with improved population health outcomes. We contend that any effort at optimization of public health systems should at least be guided by these four evidence-informed factors. Canada already has existing capacity in carrying out public health systems and services research. Further advancement of our academic and professional expertise on public health systems will allow Canadian public health jurisdictions to be inspired by the best public health models and become stronger advocates for public health's resources, interventions and outcomes when they need to be celebrated or defended.

System health monitoring

International Nuclear Information System (INIS)

Reneke, J.A.; Fryer, M.O.

1995-01-01

Well designed large systems include many instrument taking data. These data are used in a variety of ways. They are used to control the system and its components, to monitor system and component health, and often for historical or financial purposes. This paper discusses a new method of using data from low level instrumentation to monitor system and component health. The method uses the covariance of instrument outputs to calculate a measure of system change. The method involves no complicated modeling since it is not a parameter estimation algorithm. The method is iterative and can be implemented on a computer in real time. Examples are presented for a metal lathe and a high efficiency particulate air (HEPA) filter. It is shown that the proposed method is quite sensitive to system changes such as wear out and failure. The method is useful for low level system diagnostics and fault detection

Groundwater-surface water relations in the Fox River watershed: insights from exploratory studies in Illinois and Wisconsin

Science.gov (United States)

Mills, Patrick C.

2014-01-01

Exploratory studies were conducted at sites bordering the Fox River in Waukesha, Wisconsin, during 2010 and McHenry, Illinois, during 2011–13. The objectives of the studies were to assess strategies for the study of and insights into the potential for directly connected groundwater and surface-water systems with natural groundwater discharge to streams diverted and (or) streamflow induced (captured) by nearby production-well withdrawals. Several collection efforts of about 2 weeks or less provided information and data on site geology, groundwater and surface-water levels, hydraulic gradients, water-temperature and stream-seepage patterns, and water chemistry including stables isotopes. Overview information is presented for the Waukesha study, and selected data and preliminary findings are presented for the McHenry study.

The business of optimism. Wisconsin's Midwest Renewable Energy Fair

International Nuclear Information System (INIS)

Decker, J.

2006-01-01

The paper reports on the Wisconsin Midwest Renewable Energy Fair. The renewable energy business is said to be based on sound technology and sustainable development and is being largely embraced with enthusiasm. However, the keynote speaker, James Kunstler, warned that the transition from fossil fuels to renewables will be complicated and messy. The report mentions the views of several speakers but not all shared Kunstler's views. There were more than 100 workshops at the fair. Although big business was well represented, there were also home-made devices on show including a motorcycle powered by electricity. The importance of the fair is probably best judged by the way in which it generates enthusiasm for preserving the planet through the sustainable development of environmentally-friendly technology. (author)

Using Public-Private Partnerships to Mitigate Disparities in Access to Genetic Services: Lessons from Wisconsin.

Science.gov (United States)

Senier, Laura; Kearney, Matthew; Orne, Jason

This mixed-methods study reports on an outreach clinics program designed to deliver genetic services to medically underserved communities in Wisconsin. We show the geographic distribution, funding patterns, and utilization trends for outreach clinics over a 20-year period. Interviews with program planners and outreach clinic staff show how external and internal constraints limited the program's capacity. We compare clinic operations to the conceptual models guiding program design. Our findings show that state health officials had to scale back financial support for outreach clinic activities while healthcare providers faced increasing pressure from administrators to reduce investments in charity care. These external and internal constraints led to a decline in the overall number of patients served. We also find that redistribution of clinics to the Milwaukee area increased utilization among Hispanics but not among African-Americans. Our interviews suggest that these patterns may be a function of shortcomings embedded in the planning models. Planning models have three shortcomings. First, they do not identify the mitigation of health disparities as a specific goal. Second, they fail to acknowledge that partners face escalating profit-seeking mandates that may limit their capacity to provide charity services. Finally, they underemphasize the importance of seeking trusted partners, especially in working with communities that have been historically marginalized. There has been little discussion about equitably leveraging genetic advances that improve healthcare quality and efficacy. The role of State Health Agencies in mitigating disparities in access to genetic services has been largely ignored in the sociological literature.

Academic Freedom on Trial: 100 Years of Sifting and Winnowing at the University of Wisconsin-Madison.

Science.gov (United States)

Hansen, W. Lee, Ed.

The 29 papers in this collection celebrate academic freedom at the University of Wisconsin-Madison and are organized around the 1894 "trial" of Richard T. Ely, an economist who was exonerated of fomenting unrest and discussing "dangerous" ideas in a Board of Regents Statement which stressed the importance of "sifting and…

Military Health System Transformation Implications on Health Information Technology Modernization.

Science.gov (United States)

Khan, Saad

2018-03-01

With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system. In this perspective, we discuss the implications of the intersection of two large-scope and large-scale initiatives, health system transformation, and information technology modernization, being rolled out in the largest and most complex federal agency and potential risk mitigating steps. The Military Health System will require an expanded unified clinical leadership to spearhead short-term transformation; furthermore, developing, organizing, and growing a cadre of informatics expertise to expand the use and diffusion of novel solutions such as health information exchanges, data analytics, and others to transcend organizational barriers are still needed to achieve the long-term aim of health system reform as envisioned by the National Defense Authorization Act for Fiscal Year 2017.

CE–QUAL–W2 water-quality model and supporting LOADEST models for Lake St. Croix, Wisconsin and Minnesota, 2013

Data.gov (United States)

Department of the Interior — A mechanistic, biophysical water-quality model (CE–QUAL–W2) was developed and calibrated for Lake St. Croix, Wisconsin and Minnesota. The Lake St. Croix CE–QUAL–W2...

Health-system reform and universal health coverage in Latin America.

Science.gov (United States)

Atun, Rifat; de Andrade, Luiz Odorico Monteiro; Almeida, Gisele; Cotlear, Daniel; Dmytraczenko, T; Frenz, Patricia; Garcia, Patrícia; Gómez-Dantés, Octavio; Knaul, Felicia M; Muntaner, Carles; de Paula, Juliana Braga; Rígoli, Felix; Serrate, Pastor Castell-Florit; Wagstaff, Adam

2015-03-28

Starting in the late 1980s, many Latin American countries began social sector reforms to alleviate poverty, reduce socioeconomic inequalities, improve health outcomes, and provide financial risk protection. In particular, starting in the 1990s, reforms aimed at strengthening health systems to reduce inequalities in health access and outcomes focused on expansion of universal health coverage, especially for poor citizens. In Latin America, health-system reforms have produced a distinct approach to universal health coverage, underpinned by the principles of equity, solidarity, and collective action to overcome social inequalities. In most of the countries studied, government financing enabled the introduction of supply-side interventions to expand insurance coverage for uninsured citizens--with defined and enlarged benefits packages--and to scale up delivery of health services. Countries such as Brazil and Cuba introduced tax-financed universal health systems. These changes were combined with demand-side interventions aimed at alleviating poverty (targeting many social determinants of health) and improving access of the most disadvantaged populations. Hence, the distinguishing features of health-system strengthening for universal health coverage and lessons from the Latin American experience are relevant for countries advancing universal health coverage. Copyright © 2015 Elsevier Ltd. All rights reserved.

Neurocysticercosis in Wisconsin: 3 cases and a review of the literature.

Science.gov (United States)

Naddaf, Elie; Seeger, Susanne K; Stafstrom, Carl E

2014-04-01

Neurocysticercosis is the most common parasitic infection of the brain. Endemic in many regions of the world, neurocysticercosis is now showing up in nonendemic areas such as Wisconsin. We present 3 patients that illustrate features typical for neurocysticercosis in anon-endemic area, including immigrant/travel status, presentation with focal seizures, classic magnetic resonance imaging features of single enhancing lesions, and good response to treatment with anticonvulsants, anti-inflammatory agents, and cysticidal drugs. It behooves physicians involved in the care of at-risk populations to be aware of the clinical features, radiographic signs, diagnostic tests, and general principles for treating neurocysticercosis.

Viewing Indians: Native Encounters with Power, Tourism, and the Camera in the Wisconsin Dells, 1866-1907

Science.gov (United States)

Hoelscher, Steven

2003-01-01

In the winter of 1883, the photographer H. H. Bennett decided to spice up his descriptive catalogue of stereo views with something new. Several years earlier, a simple listing of his photographs--mostly landscape views of the area surrounding the Wisconsin River Dells--brought the small-town studio photographer considerable renown and enhanced…

Age Differences in Perseveration: Cognitive and Neuroanatomical Mediators of Performance on the Wisconsin Card Sorting Test

Science.gov (United States)

Head, Denise; Kennedy, Kristen M.; Rodrigue, Karen M.; Raz, Naftali

2009-01-01

Aging effects on the Wisconsin Card Sorting Test (WCST) are fairly well established but the mechanisms of the decline are not clearly understood. In this study, we examined the cognitive and neural mechanisms mediating age-related increases in perseveration on the WCST. MRI-based volumetry and measures of selected executive functions in…

Fatal degenerative neurologic illnesses in men who participated in wild game feasts--Wisconsin, 2002.

Science.gov (United States)

2003-02-21

Creutzfeldt-Jakob disease (CJD) is a fatal neurologic disorder in humans. CJD is one of a group of conditions known as transmissible spongiform encephalopathies (TSEs), or prion diseases, that are believed to be caused by abnormally configured, host-encoded prion proteins that accumulate in the central nervous tissue. CJD has an annual incidence of approximately 1 case per million population in the United States and occurs in three forms: sporadic, genetically determined, and acquired by infection. In the latter form, the incubation period is measured typically in years. Recent evidence that prion infection can cross the species barrier between humans and cattle has raised increasing public health concerns about the possible transmission to humans of a TSE among deer and elk known as chronic wasting disease (CWD). During 1993-1999, three men who participated in wild game feasts in northern Wisconsin died of degenerative neurologic illnesses. This report documents the investigation of these deaths, which was initiated in August 2002 and which confirmed the death of only one person from CJD. Although no association between CWD and CJD was found, continued surveillance of both diseases remains important to assess the possible risk for CWD transmission to humans.

The Netherlands: health system review

NARCIS (Netherlands)

Schäfer, W.; Kroneman, M.; Boerma, W.; van den Berg, M.; Westert, G.; Devillé, W.; van Ginneken, E.

2010-01-01

The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of health systems and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of

Introduction on health recommender systems.

Science.gov (United States)

Sanchez-Bocanegra, C L; Sanchez-Laguna, F; Sevillano, J L

2015-01-01

People are looking for appropriate health information which they are concerned about. The Internet is a great resource of this kind of information, but we have to be careful if we don't want to get harmful info. Health recommender systems are becoming a new wave for apt health information as systems suggest the best data according to the patients' needs.The main goals of health recommender systems are to retrieve trusted health information from the Internet, to analyse which is suitable for the user profile and select the best that can be recommended, to adapt their selection methods according to the knowledge domain and to learn from the best recommendations.A brief definition of recommender systems will be given and an explanation of how are they incorporated in the health sector. A description of the main elementary recommender methods as well as their most important problems will also be made. And, to finish, the state of the art will be described.

A model for evaluating stream temperature response to climate change in Wisconsin

Science.gov (United States)

Stewart, Jana S.; Westenbroek, Stephen M.; Mitro, Matthew G.; Lyons, John D.; Kammel, Leah E.; Buchwald, Cheryl A.

2015-01-01

Expected climatic changes in air temperature and precipitation patterns across the State of Wisconsin may alter future stream temperature and flow regimes. As a consequence of flow and temperature changes, the composition and distribution of fish species assemblages are expected to change. In an effort to gain a better understanding of how climatic changes may affect stream temperature, an approach was developed to predict and project daily summertime stream temperature under current and future climate conditions for 94,341 stream kilometers across Wisconsin. The approach uses a combination of static landscape characteristics and dynamic time-series climatic variables as input for an Artificial Neural Network (ANN) Model integrated with a Soil-Water-Balance (SWB) Model. Future climate scenarios are based on output from downscaled General Circulation Models (GCMs). The SWB model provided a means to estimate the temporal variability in groundwater recharge and provided a mechanism to evaluate the effect of changing air temperature and precipitation on groundwater recharge and soil moisture. The Integrated Soil-Water-Balance and Artificial Neural Network version 1 (SWB-ANNv1) Model was used to simulate daily summertime stream temperature under current (1990–2008) climate and explained 76 percent of the variation in the daily mean based on validation at 67 independent sites. Results were summarized as July mean water temperature, and individual stream segments were classified by thermal class (cold, cold transition, warm transition, and warm) for comparison of current (1990–2008) with future climate conditions.

Drinking Water Systems, Hydrology, and Childhood Gastrointestinal Illness in Central and Northern Wisconsin

Science.gov (United States)

Uejio, Christopher K.; Yale, Steven H.; Malecki, Kristen; Borchardt, Mark A.; Anderson, Henry A.; Patz, Jonathan A.

2014-01-01

Objectives. This study investigated if the type of drinking water source (treated municipal, untreated municipal, and private well water) modifies the effect of hydrology on childhood (aged water systems. Separate time series models were created for each system and half-year period (winter/spring, summer/fall). Results. More precipitation (summer/fall) systematically increased childhood gastrointestinal illness in municipalities accessing untreated water. The relative risk of contracting gastrointestinal illness was 1.4 in weeks with 3 centimeters of precipitation and 2.4 in very wet weeks with 12 centimeters of precipitation. By contrast, gastrointestinal illness in private well and treated municipal areas was not influenced by hydrologic conditions, although warmer winter temperatures slightly increased incidence. Conclusions. Our study suggests that improved drinking water protection, treatment, and delivery infrastructure may improve public health by specifically identifying municipal water systems lacking water treatment that may transmit waterborne disease. PMID:24524509

The Sixties and the Cold War University: Madison, Wisconsin and the Development of the New Left

Science.gov (United States)

Levin, Matthew

2009-01-01

The history of the sixties at the University of Wisconsin-Madison is both typical of other large universities in the United States and, at the same time, distinctive within the national and even international upheaval that marked the era. Madison's history shows how higher education transformed in the decades after World War II, influenced…

76 FR 18261 - University of Wisconsin; Notice of Issuance of Renewed Facility License No. R-74

Science.gov (United States)

2011-04-01

... of Issuance of Renewed Facility License No. R-74 The U.S. Nuclear Regulatory Commission (NRC, the Commission) has issued renewed Facility License No. R-74, held by the University of Wisconsin (the licensee... to 1.4% [Delta]k/k. The renewed Facility License No. R-74 will expire at midnight 20 years from its...

Aerial gamma ray and magnetic survey: Green Bay Quadrangle, Wisconsin. Final report

International Nuclear Information System (INIS)

1978-04-01

Data obtained from a high sensitivity airborne radiometric and magnetic survey of Green Bay Quadrangle in Wisconsin are presented. All data are presented as corrected profiles of all radiometric variables, magnetic data, radar and barometric altimeter data, air temperature and airborne Bismuth contributions. Radiometric data presented are corrected for Compton Scatter, altitude dependence and atmospheric Bismuth. These data are also presented on microfiche, and digital magnetic tapes. In addition, anomaly maps and interpretation maps are presented relating known geology or soil distribution to the corrected radiometric/magnetic data

Aerial gamma ray and magnetic survey: Rice Lake Quadrangle, Wisconsin. Final report

International Nuclear Information System (INIS)

1978-04-01

Data obtained from a high sensitivity airborne radiometric and magnetic survey of the Rice Lake Quadrangle in Wisconsin are presented. All data are presented as corrected profiles of all radiometric variables, magnetic data, radar and barometric altimeter data, air temperature and airborne Bismuth contributions. Radiometric data presented are corrected for Compton Scatter, altitude dependence and atmospheric Bismuth. These data are also presented on microfiche, and digital magnetic tapes. In addition, anomaly maps and interpretation maps are presented relating known geology or soil distribution to the corrected radiometric/magnetic data

Health information systems to improve health care: A telemedicine case study

Directory of Open Access Journals (Sweden)

Liezel Cilliers

2013-03-01

Full Text Available Background: E-health has been identified as an integral part of the future of South African public healthcare. Telemedicine was first introduced in South Africa in 1997 and since then the cost of running the Telemedicine projects has increased substantially. Despite these efforts to introduce the system, only 34% of the Telemedicine sites in South Africa are functional at present. Objectives: Literature has suggested that one of the barriers to the successful implementation of health information systems is the user acceptance by health care workers of systems such as Telemedicine. This study investigated the user acceptance of Telemedicine in the public health care system in the Eastern Cape Province, making use of the Unified Theory of the Use and Acceptance of Technology. Method: The study employed a quantitative survey approach. A questionnaire was developed making use of existing literature and was distributed to various clinics around the province where Telemedicine has been implemented. Statistics were produced making use of Statistical Package for the Social Sciences (SPSS. Results: In general, the health care workers did understand the value and benefit of health information systems to improve the effectiveness and efficiency of the health care system. The barriers to the effective implementation of a health information system include the lack of knowledge and the lack of awareness regarding the Telemedicine system. This in turn means that the user is apprehensive when making use of the system thus contributing to less frequent usage. Conclusion: Health care workers do acknowledge that information systems can help to increase the effectiveness of the health care system. In general, the acceptance of Telemedicine in the Eastern Cape Department of Health is positive, but in order to integrate it into standard work practices, more must be done with regards to the promotion and education of telemedicine.

The role of health system governance in strengthening the rural health insurance system in China.

Science.gov (United States)

Yuan, Beibei; Jian, Weiyan; He, Li; Wang, Bingyu; Balabanova, Dina

2017-05-23

Systems of governance play a key role in the operation and performance of health systems. In the past six decades, China has made great advances in strengthening its health system, most notably in establishing a health insurance system that enables residents of rural areas to achieve access to essential services. Although there have been several studies of rural health insurance schemes, these have focused on coverage and service utilization, while much less attention has been given to the role of governance in designing and implementing these schemes. Information from publications and policy documents relevant to the development of two rural health insurance policies in China was obtained, analysed, and synthesise. 92 documents on CMS (Cooperative Medical Scheme) or NCMS (New Rural Cooperative Medical Scheme) from four databases searched were included. Data extraction and synthesis of the information were guided by a framework that drew on that developed by the WHO to describe health system governance and leadership. We identified a series of governance practices that were supportive of progress, including the prioritisation by the central government of health system development and certain health policies within overall national development; strong government commitment combined with a hierarchal administrative system; clear policy goals coupled with the ability for local government to adopt policy measures that take account of local conditions; and the accumulation and use of the evidence generated from local practices. However these good practices were not seen in all governance domains. For example, poor collaboration between different government departments was shown to be a considerable challenge that undermined the operation of the insurance schemes. China's success in achieving scale up of CMS and NCMS has attracted considerable interest in many low and middle income countries (LMICs), especially with regard to the schemes' designs, coverage, and funding

E-health, health systems and social innovation

DEFF Research Database (Denmark)

Brem, Alexander; Sliwa, Sophie Isabel; Agarwal, Nivedita

2017-01-01

This paper explores telecare as one of the practical applications in the field of e-health. Using 11 expert interviews the study evaluates development of cross-national analogies between the different institutional contexts of health systems in Germany, Austria, and Denmark. Telecare is treated a...... to be driving socially innovative solutions. Implications for research and practice, as well as future research directions, are elaborated....... as a set of ideas regarding future processes in health and home care services, involving technological solutions, starting to change stakeholders' behaviour, work practices, and social roles. A system-centric framework is proposed to evaluate the interdependencies between telecare, the changing...

Embedded Sensor Systems for Health - A Step Towards Personalized Health.

Science.gov (United States)

Lindén, Maria; Björkman, Mats

2018-01-01

The demography is changing towards older people, and the challenge to provide an appropriate care is well known. Sensor systems, combined with IT solutions are recognized as one of the major tools to handle this situation. Embedded Sensor Systems for Health (ESS-H) is a research profile at Mälardalen University in Sweden, focusing on embedded sensor systems for health technology applications. The research addresses several important issues: to provide sensor systems for health monitoring at home, to provide sensor systems for health monitoring at work, to provide safe and secure infrastructure and software testing methods for physiological data management. The user perspective is important in order to solve real problems and to develop systems that are easy and intuitive to use. One of the overall aims is to enable health trend monitoring in home environments, thus being able to detect early deterioration of a patient. Sensor systems, signal processing algorithms, and decision support algorithms have been developed. Work on development of safe and secure infrastructure and software testing methods are important for an embedded sensor system aimed for health monitoring, both in home and in work applications. Patient data must be sent and received in a safe and secure manner, also fulfilling the integrity criteria.

Rapid evolution mitigates the ecological consequences of an invasive species (Bythotrephes longimanus) in lakes in Wisconsin.

Science.gov (United States)

Gillis, Michael K; Walsh, Matthew R

2017-07-12

Invasive species have extensive negative consequences for biodiversity and ecosystem health. Novel species also drive contemporary evolution in many native populations, which could mitigate or amplify their impacts on ecosystems. The predatory zooplankton Bythotrephes longimanus invaded lakes in Wisconsin, USA, in 2009. This invasion caused precipitous declines in zooplankton prey ( Daphnia pulicaria ), with cascading impacts on ecosystem services (water clarity). Here, we tested the link between Bythotrephes invasion, evolution in Daphnia and post-invasion ecological dynamics using 15 years of long-term data in conjunction with comparative experiments. Invasion by Bythotrephes is associated with rapid increases in the body size of Daphnia Laboratory experiments revealed that such shifts have a genetic component; third-generation laboratory-reared Daphnia from 'invaded' lakes are significantly larger and exhibit greater reproductive effort than individuals from 'uninvaded' lakes. This trajectory of evolution should accelerate Daphnia population growth and enhance population persistence. We tested this prediction by comparing analyses of long-term data with laboratory-based simulations, and show that rapid evolution in Daphnia is associated with increased population growth in invaded lakes. © 2017 The Authors.

Environmental health surveillance system; Kankyo hoken surveillance system

Energy Technology Data Exchange (ETDEWEB)

Ono, M. [National Inst. for Environmental Studies, Tsukuba (Japan)

1998-02-01

The Central Environmental Pollution Prevention Council pointed out the necessity to establish an environmental health surveillance system (hereinafter referred to as System) in its report `on the first type district specified by the Environmental Pollution Caused Health Damages Compensation Act,` issued in 1986. A study team, established in Environment Agency, has been discussing to establish System since 1986. This paper outlines System, and some of the pilot surveillance results. It is not aimed at elucidation of the cause-effect relationships between health and air pollution but at discovery of problems, in which the above relationships in a district population are monitored periodically and continuously from long-term and prospective viewpoints, in order to help take necessary measures in the early stage. System is now collecting the data of the chronic obstructive lung diseases on a nation-wide scale through health examinations of 3-year-old and preschool children and daily air pollution monitoring. 6 refs., 3 figs., 1 tab.

Survival rates and lifetime reproduction of breeding male Cooper’s Hawks in Wisconsin, 1980-2005

Science.gov (United States)

Rosenfield, Robert N.; Bielefeldt, John; Rosenfield, Laura J.; Booms, Travis L.; Bozek, Michael A.

2009-01-01

There are few published data on annual survival and no reports of lifetime reproduction for breeding Cooper's Hawks (Accipiter cooperii). Breeding males (n  =  105) in central and southeastern Wisconsin had an annual mortality rate of 19%, or a survival rate of 81% for birds ≤10 years of age. We did not detect significant differences in mortality rates between urban and rural habitats, nor between the earlier 13 years and later 13 years of this study. Male Cooper's Hawks produced from zero to 32 nestlings during their lifetimes. Body mass or size appeared unrelated to annual survivorship and lifetime reproduction, although lifetime reproduction was correlated strongly with longevity of breeding males. Fifteen of 66 males (23%) produced most (53%) of the nestlings. Our studies occurred in an area where breeding populations may be increasing with some of the highest reported productivity indices and nesting densities for this species. Habitat used for nesting on our Wisconsin study areas may be less important for survivorship and lifetime reproduction than acquisition of a nesting area in which a male will breed throughout his life.

Hydrogeochemical and stream sediment reconnaissance basic data for Ashland NTMS Quadrangle, Wisconsin; Michigan; Minnesota

International Nuclear Information System (INIS)

1979-01-01

Results of a reconnaissance geochemical survey of the Ashland Quadrangle, Wisconsin; Michigan; Minnesota are reported. Field and laboratory data are presented for 312 groundwater and 383 stream sediment samples. Statistical and areal distributions of uranium and possible uranium-related variables are displayed. A generalized geologic map of the survey area is provided, and pertinent geologic factors which may be of significance in evaluating the potential for uranium mineralization are briefly discussed. Groundwater data indicate that the most promising area for potential uranium mineralization occurs along the Douglas Thrust Fault in northern Douglas County, Wisconsin. The Douglas Fault brings Fond du Lac Formation sediments in contact with Chengwatana volcanics where carbonate-rich water derived from the mafic volcanics enter the arkosic Fond du Lac Formation. Another area of interest surrounds the Bad River Indian Reservation in northern Ashland and Iron Counties. The waters here are produced from red lithic sandstone and are also associated with the Douglas Fault. Water chemistry of these waters appears similar to the waters from the Douglas County area. The stream sediment data are inconclusive because of the extensive cover of glacial deposits. A moderately favorable area is present in a strip along Lake Superior in Douglas County, where sediments are derived from arkoses of the Fond du Lac Formation

Governance of Health Systems Comment on “A Network Based Theory of Health Systems and Cycles of Well-Being”

OpenAIRE

Blanchet, Karl

2013-01-01

Health systems research aims to understand the governance of health systems (i.e. how health systems function and perform and how their actors interact with each other). This can be achieved by applying innovative methodologies and concepts that are going to capture the complexity and dynamics of health systems when they are affected by shocks. The capacity of health systems to adapt to shocks (i.e. the resilience of health systems) is a new area of investigation. Social network analysis is a...

The right to health, health systems development and public health policy challenges in Chad.

Science.gov (United States)

Azétsop, Jacquineau; Ochieng, Michael

2015-02-15

There is increasing consensus that the right to health can provide ethical, policy and practical groundings for health systems development. The goals of the right to health are congruent with those of health systems development, which are about strengthening health promotion organizations and actions so as to improve public health. The poor shape and performance of health systems in Chad question the extent of realization of the right to health. Due to its comprehensiveness and inclusiveness, the right to health has the potential of being an organizational and a normative backbone for public health policy and practice. It can then be understood and studied as an integral component of health systems development. This paper uses a secondary data analysis of existing documents by the Ministry of Public Health, Institut National de la Statistique, des Etudes Economiques et Démographiques (INSEED), the Ministry of Economy and Agence Française de Cooperation to analyze critically the shape and performance of health systems in Chad based on key concepts and components of the right to health contained in article 12 of the International Covenant on Economic, Social and Cultural Rights, and on General Comment 14. The non-realization of the right to health, even in a consistently progressive manner, raises concerns about the political commitment of state officials to public health, about the justice of social institutions in ensuring social well-being and about individual and public values that shape decision-making processes. Social justice, democratic rule, transparency, accountability and subsidiarity are important groundings for ensuring community participation in public affairs and for monitoring the performance of public institutions. The normative ideals of health systems development are essentially democratic in nature and are rooted in human rights and in ethical principles of human dignity, equality, non-discrimination and social justice. These ideals are grounded

Hawaii's public mental health system.

Science.gov (United States)

VanderVoort, Debra J

2005-03-01

The following article addresses the nature of and problems with the public mental health system in Hawaii. It includes a brief history of Hawaii's public mental health system, a description and analysis of this system, economic factors affecting mental health, as well as a needs assessment of the elderly, individuals with severe mental illness, children and adolescents, and ethnically diverse individuals. In addition to having the potential to increase suicide rates and unnecessarily prolong personal suffering, problems in the public mental health system such as inadequate services contribute to an increase in social problems including, but not limited to, an increase in crime rates (e.g., domestic violence, child abuse), divorce rates, school failure, and behavioral problems in children. The population in need of mental health services in Hawaii is under served, with this inadequacy of services due to economic limitations and a variety of other factors.

Alternate Models of Sibling Status Effects on Health in Later Life

Science.gov (United States)

Falbo, Toni; Kim, Sunghun; Chen, Kuan-yi

2009-01-01

Although siblings are thought to be influential in child development, little is known about the influence of sibling status on the health of older adults. Using structural equation modeling, the authors created and tested a series of models with data from a sample (N = 3,968) of 1957 high school graduates from the Wisconsin Longitudinal Study. The…

[eHealth in Peru: implementation of policies to strengthen health information systems].

Science.gov (United States)

Curioso, Walter H

2014-01-01

Health information systems play a key role in enabling high quality, complete health information to be available in a timely fashion for operational and strategic decision-making that makes it possible to save lives and improve the health and quality of life of the population. In many countries, health information systems are weak, incomplete, and fragmented. However, there is broad consensus in the literature of the need to strengthen health information systems in countries around the world. The objective of this paper is to present the essential components of the conceptual framework to strengthen health information systems in Peru. It describes the principal actions and strategies of the Ministry of Health of Peru during the process of strengthening health information systems. These systems make it possible to orient policies for appropriate decision-making in public health.

New Law Relating to Family and Medical Leave (1987 Wisconsin Act 287). Information Memorandum 88-13.

Science.gov (United States)

Rose, Laura

This document describes the 1987 Wisconsin Act 287 which concern providing family leave and medical leave to employees. The background of the law is described in the first part of the document. The second part of the document describes the family and medical leave act. These topics are covered: (1) basic provisions of family and medical leave,…

Influence of forest management alternatives and land type on susceptibility to fire in northern Wisconsin, USA

Science.gov (United States)

Eric J. Gustafson; Patrick A. Zollner; Brian R. Sturtevant; S. He Hong; David J. Mladenoff

2004-01-01

We used the LANDIS disturbance and succession model to study the effects of six alternative vegetation management scenarios on forest succession and the subsequent risk of canopy fire on a 2791 km2 landscape in northern Wisconsin, USA. The study area is a mix of fire-prone and fire-resistant land types. The alternatives vary the spatial...

Acculturation Processes of Hmong in Eastern Wisconsin

Directory of Open Access Journals (Sweden)

John Kha Lee

2010-01-01

Full Text Available This study examines acculturation processes among Hmong who live in Eastern Wisconsin by using the East Asian Acculturation Measure (EAAM, which was developed by Barry (2001. The results indicated that in terms of Acculturation, Hmong ranked highest in integration, then separation, assimilation, and lastly marginalization. Questions on each dimension of integration, separation, assimilation, and marginalization were analyzed and positive correlations were found between the youngest of the generations, the length of residency in the United States, and the ability to speak, read, and write in English. In contrast, the older the age of the participant when they came to the United States had a positive correlation with separation. The ability to speak, read, and write in English had a positive correlation with assimilation, and the older the age of coming to the United States had a positive correlation with marginalization. Assimilation and separation had a positive correlation with marginalization, while integration had a negative correlation with marginalization and a positive correlation with assimilation, and separation had no correlation with marginalization. Results are discussed in regards to previous Hmong acculturation studies.

Seasonal response of feeding, differentiation, and growth in the eastern subterranean termite Reticulitermes flavipes (Kollar) in Wisconsin

Science.gov (United States)

Rachel Ann Arango; Frederick Green; Glenn R. Esenther

2007-01-01

In termites, differentiation plasticity in undifferentiated Reticulitermes progresses with growth stages from larvae to workers, which may then differentiate into soldiers, winged nymphs, or neotenics. Although studies have been done on seasonality of the termite life cycle, data appears to vary from location to location. Reticulitermes populations in Wisconsin appear...

78 FR 44881 - Approval and Promulgation of Air Quality Implementation Plans; Wisconsin; Disapproval of PM2.5

Science.gov (United States)

2013-07-25

... promulgated by the 2008 implementation rule does not conflict with the decision. Wisconsin's submission did... accounting for the condensable fraction of PM 2.5 and PM 10 emissions in applicability determinations and... role is to approve state choices, provided that they meet the criteria of the CAA. In this context, in...

Self-Reported Mental Health Predicts Acute Respiratory Infection.

Science.gov (United States)

Maxwell, Lizzie; Barrett, Bruce; Chase, Joseph; Brown, Roger; Ewers, Tola

2015-06-01

Poor mental health conditions, including stress and depression, have been recognized as a risk factor for the development of acute respiratory infection. Very few studies have considered the role of general mental health in acute respiratory infection occurrence. The aim of this analysis is to determine if overall mental health, as assessed by the mental component of the Short Form 12 Health Survey, predicts incidence, duration, or severity of acute respiratory infection. Data utilized for this analysis came from the National Institute of Health-funded Meditation or Exercise for Preventing Acute Respiratory Infection (MEPARI) and MEPARI-2 randomized controlled trials examining the effects of meditation or exercise on acute respiratory infection among adults aged > 30 years in Madison, Wisconsin. A Kendall tau rank correlation compared the Short Form 12 mental component, completed by participants at baseline, with acute respiratory infection incidence, duration, and area-under-the-curve (global) severity, as assessed by the Wisconsin Upper Respiratory Symptom Survey. Participants were recruited from Madison, Wis, using advertisements in local media. Short Form 12 mental health scores significantly predicted incidence (P = 0.037) of acute respiratory infection, but not duration (P = 0.077) or severity (P = 0.073). The Positive and Negative Affect Schedule (PANAS) negative emotion measure significantly predicted global severity (P = 0.036), but not incidence (P = 0.081) or duration (P = 0.125). Mindful Attention Awareness Scale scores significantly predicted incidence of acute respiratory infection (P = 0.040), but not duration (P = 0.053) or severity (P = 0.70). The PHQ-9, PSS-10, and PANAS positive measures did not show significant predictive associations with any of the acute respiratory infection outcomes. Self-reported overall mental health, as measured by the mental component of Short Form 12, predicts acute respiratory infection incidence.

Health care financing and the sustainability of health systems.

Science.gov (United States)

Liaropoulos, Lycourgos; Goranitis, Ilias

2015-09-15

The economic crisis brought an unprecedented attention to the issue of health system sustainability in the developed world. The discussion, however, has been mainly limited to "traditional" issues of cost-effectiveness, quality of care, and, lately, patient involvement. Not enough attention has yet been paid to the issue of who pays and, more importantly, to the sustainability of financing. This fundamental concept in the economics of health policy needs to be reconsidered carefully. In a globalized economy, as the share of labor decreases relative to that of capital, wage income is increasingly insufficient to cover the rising cost of care. At the same time, as the cost of Social Health Insurance through employment contributions rises with medical costs, it imperils the competitiveness of the economy. These reasons explain why spreading health care cost to all factors of production through comprehensive National Health Insurance financed by progressive taxation of income from all sources, instead of employer-employee contributions, protects health system objectives, especially during economic recessions, and ensures health system sustainability.

[The national health system in Peru].

Science.gov (United States)

Sánchez-Moreno, Francisco

2014-01-01

In 1975, a group of professionals in Peru who were experts on national health systems began a process that led the country to be the first in South America to initiate a modern organization of the health system. This pioneering development meant that the creation of the National Health Services System [in Peru] in 1978 occurred before the health system reforms in Chile (1980), Brazil (1990), Colombia (1993), and Ecuador (2008). This encouraging start has had permanent reformist fluctuations since then, with negative development because of the lack of a State policy. Current features of the Peruvian system are inefficient performance, discontinuity, and lack of assessment, which creates a major setback in comparison with other health systems in America. In the 21st century, significant technical efforts have been missed to modernize the system and its functions. The future is worrying and the role of new generations will be decisive.

Eliciting consumer preferences for health plans.

Science.gov (United States)

Booske, B C; Sainfort, F; Hundt, A S

1999-10-01

To examine (1) what people say is important to them in choosing a health plan; (2) the effect, if any, that giving health plan information has on what people say is important to them; and (3) the effect of preference elicitation methods on what people say is important. A random sample of 201 Wisconsin state employees who participated in a health plan choice experiment during the 1995 open enrollment period. We designed a computer system to guide subjects through the review of information about health plan options. The system began by eliciting the stated preferences of the subjects before they viewed the information, at time 0. Subjects were given an opportunity to revise their preference structures first after viewing summary information about four health plans (time 1) and then after viewing more extensive, detailed information about the same options (time 2). At time 2, these individuals were also asked to rate the relative importance of a predefined list of health plan features presented to them. Data were collected on the number of attributes listed at each point in time and the importance weightings assigned to each attribute. In addition, each item on the attribute list was content analyzed. The provision of information changes the preference structures of individuals. Costs (price) and coverage dominated the attributes cited both before and after looking at health plan information. When presented with information on costs, quality, and how plans work, many of these relatively well educated consumers revised their preference structures; yet coverage and costs remained the primary cited attributes. Although efforts to provide health plan information should continue, decisions on the information to provide and on making it available are not enough. Individuals need help in understanding, processing, and using the information to construct their preferences and make better decisions.

High-power ion-cyclotron-resonance heating in the Wisconsin Levitated Octupole

International Nuclear Information System (INIS)

Fortgang, C.M.

1983-05-01

Ion cyclotron resonance heating has been investigated, both experimentally and theoretically, on the Wisconsin Levitated Octupole. Heating of both ions and electrons has been observed. Typically, a two component ion energy distribution is produced (300 eV and 50 eV) with the application of 500 kW of rf power into a 5 x 10 12 cm -3 density plasma. Power is coupled to the plasma with an antenna that also serves as the inductor of an oscillator tank circuit. The oscillator is tunable from 1 to 3 MHz and can be applied for periods up to 10 msec. The experiments were performed with hydrogen, gun injected plasmas

Health Systems Sustainability and Rare Diseases.

Science.gov (United States)

Ferrelli, Rita Maria; De Santis, Marta; Egle Gentile, Amalia; Taruscio, Domenica

2017-01-01

The paper is addressing aspects of health system sustainability for rare diseases in relation to the current economic crisis and equity concerns. It takes into account the results of the narrative review carried out in the framework of the Joint Action for Rare Diseases (Joint RD-Action) "Promoting Implementation of Recommendations on Policy, Information and Data for Rare Diseases", that identified networks as key factors for health systems sustainability for rare diseases. The legal framework of European Reference Networks and their added value is also presented. Networks play a relevant role for health systems sustainability, since they are based upon, pay special attention to and can intervene on health systems knowledge development, partnership, organizational structure, resources, leadership and governance. Moreover, sustainability of health systems can not be separated from the analysis of the context and the action on it, including fiscal equity. As a result of the financial crisis of 2008, cuts of public health-care budgets jeopardized health equity, since the least wealthy suffered from the greatest health effects. Moreover, austerity policies affected economic growth much more adversely than previously believed. Therefore, reducing public health expenditure not only is going to jeopardise citizens' health, but also to hamper fair and sustainable development.

Czechoslovakia's changing health care system.

Science.gov (United States)

Raffel, M W; Raffel, N K

1992-01-01

Before World War II, Czechoslovakia was among the most developed European countries with an excellent health care system. After the Communist coup d'etat in 1948, the country was forced to adapt its existing health care system to the Soviet model. It was planned and managed by the government, financed by general tax money, operated in a highly centralized, bureaucratic fashion, and provided service at no direct charge at the time of service. In recent years, the health care system had been deteriorating as the health of the people had also been declining. Life expectancy, infant mortality rates, and diseases of the circulatory system are higher than in Western European countries. In 1989, political changes occurred in Czechoslovakia that made health care reform possible. Now health services are being decentralized, and the ownership of hospitals is expected to be transferred to communities, municipalities, churches, charitable groups, or private entities. Almost all health leaders, including hospital directors and hospital department heads, have been replaced. Physicians will be paid according to the type and amount of work performed. Perhaps the most important reform is the establishment of an independent General Health Care Insurance Office financed directly by compulsory contributions from workers, employers, and government that will be able to negotiate with hospitals and physicians to determine payment for services.

[A Maternal Health Care System Based on Mobile Health Care].

Science.gov (United States)

Du, Xin; Zeng, Weijie; Li, Chengwei; Xue, Junwei; Wu, Xiuyong; Liu, Yinjia; Wan, Yuxin; Zhang, Yiru; Ji, Yurong; Wu, Lei; Yang, Yongzhe; Zhang, Yue; Zhu, Bin; Huang, Yueshan; Wu, Kai

2016-02-01

Wearable devices are used in the new design of the maternal health care system to detect electrocardiogram and oxygen saturation signal while smart terminals are used to achieve assessments and input maternal clinical information. All the results combined with biochemical analysis from hospital are uploaded to cloud server by mobile Internet. Machine learning algorithms are used for data mining of all information of subjects. This system can achieve the assessment and care of maternal physical health as well as mental health. Moreover, the system can send the results and health guidance to smart terminals.

Health care delivery systems.

NARCIS (Netherlands)

Stevens, F.; Zee, J. van der

2007-01-01

A health care delivery system is the organized response of a society to the health problems of its inhabitants. Societies choose from alternative health care delivery models and, in doing so, they organize and set goals and priorities in such a way that the actions of different actors are effective,

A threatened privilege.

Science.gov (United States)

Bazan, W J

1992-04-01

Because their tax-exempt status was at stake, Wisconsin hospitals joined together in 1990 to study and develop a system to better measure and quantify their provision of needed community services. The goal of a task force made up of members of the Catholic Health Association of Wisconsin (CHA-W) and the Wisconsin Hospital Association (WHA) was to develop a proactive response to potential legislative and municipal initiatives that could challenge the tax-exempt status of not-for-profit hospitals. The CHA-W/WHA Task Force on Social Accountability decided to generate data to demonstrate hospitals' tax-exempt worthiness and to show that hospitals pay for many of the direct municipal services they receive. The task force surveyed Wisconsin hospitals on the services they provide to their communities, the municipal service fees they pay, and whether any of their services compete with local businesses. The survey results showed that Wisconsin hospitals do provide needed community services. However, the hospitals do not always adequately communicate to their communities the extent of these benefits. The survey results also showed that Wisconsin hospitals pay most service fees that are quantifiable and measurable. In 1991 the task force adopted a statement of policy which emphasizes that hospitals must clearly demonstrate that they have assessed the health-care needs of their communities, implemented programs to respond to those needs, and maintained their mission to serve.

Measuring health systems strength and its impact: experiences from the African Health Initiative.

Science.gov (United States)

Sherr, Kenneth; Fernandes, Quinhas; Kanté, Almamy M; Bawah, Ayaga; Condo, Jeanine; Mutale, Wilbroad

2017-12-21

Health systems are essential platforms for accessible, quality health services, and population health improvements. Global health initiatives have dramatically increased health resources; however, funding to strengthen health systems has not increased commensurately, partially due to concerns about health system complexity and evidence gaps demonstrating health outcome improvements. In 2009, the African Health Initiative of the Doris Duke Charitable Foundation began supporting Population Health Implementation and Training Partnership projects in five sub-Saharan African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) to catalyze significant advances in strengthening health systems. This manuscript reflects on the experience of establishing an evaluation framework to measure health systems strength, and associate measures with health outcomes, as part of this Initiative. Using the World Health Organization's health systems building block framework, the Partnerships present novel approaches to measure health systems building blocks and summarize data across and within building blocks to facilitate analytic procedures. Three Partnerships developed summary measures spanning the building blocks using principal component analysis (Ghana and Tanzania) or the balanced scorecard (Zambia). Other Partnerships developed summary measures to simplify multiple indicators within individual building blocks, including health information systems (Mozambique), and service delivery (Rwanda). At the end of the project intervention period, one to two key informants from each Partnership's leadership team were asked to list - in rank order - the importance of the six building blocks in relation to their intervention. Though there were differences across Partnerships, service delivery and information systems were reported to be the most common focus of interventions, followed by health workforce and leadership and governance. Medical products, vaccines and technologies, and

Strengthening global health security by embedding the International Health Regulations requirements into national health systems.

Science.gov (United States)

Kluge, Hans; Martín-Moreno, Jose Maria; Emiroglu, Nedret; Rodier, Guenael; Kelley, Edward; Vujnovic, Melitta; Permanand, Govin

2018-01-01

The International Health Regulations (IHR) 2005, as the overarching instrument for global health security, are designed to prevent and cope with major international public health threats. But poor implementation in countries hampers their effectiveness. In the wake of a number of major international health crises, such as the 2014 Ebola and 2016 Zika outbreaks, and the findings of a number of high-level assessments of the global response to these crises, it has become clear that there is a need for more joined-up thinking between health system strengthening activities and health security efforts for prevention, alert and response. WHO is working directly with its Member States to promote this approach, more specifically around how to better embed the IHR (2005) core capacities into the main health system functions. This paper looks at how and where the intersections between the IHR and the health system can be best leveraged towards developing greater health system resilience. This merging of approaches is a key component in pursuit of Universal Health Coverage and strengthened global health security as two mutually reinforcing agendas.

Canada: Health system review.

Science.gov (United States)

Marchildon, Gregory

2013-01-01

Canada is a high-income country with a population of 33 million people. Its economic performance has been solid despite the recession that began in 2008. Life expectancy in Canada continues to rise and is high compared with most OECD countries; however, infant and maternal mortality rates tend to be worse than in countries such as Australia, France and Sweden. About 70% of total health expenditure comes from the general tax revenues of the federal, provincial and territorial governments. Most public revenues for health are used to provide universal medicare (medically necessary hospital and physician services that are free at the point of service for residents) and to subsidise the costs of outpatient prescription drugs and long-term care. Health care costs continue to grow at a faster rate than the economy and government revenue, largely driven by spending on prescription drugs. In the last five years, however, growth rates in pharmaceutical spending have been matched by hospital spending and overtaken by physician spending, mainly due to increased provider remuneration. The governance, organization and delivery of health services is highly decentralized, with the provinces and territories responsible for administering medicare and planning health services. In the last ten years there have been no major pan-Canadian health reform initiatives but individual provinces and territories have focused on reorganizing or fine tuning their regional health systems and improving the quality, timeliness and patient experience of primary, acute and chronic care. The medicare system has been effective in providing Canadians with financial protection against hospital and physician costs. However, the narrow scope of services covered under medicare has produced important gaps in coverage and equitable access may be a challenge in these areas. World Health Organization 2013 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and

Institutional analysis of health system governance.

Science.gov (United States)

Abimbola, Seye; Negin, Joel; Martiniuk, Alexandra L; Jan, Stephen

2017-11-01

It is important that researchers who study health system governance have a set of collective understandings of the meanings of governance, which can then inform the methods used in research. We present an institutional framing and definition of health system governance; that is, governance refers to making, changing, monitoring and enforcing the rules that govern the demand and supply of health services. This pervasive, relational view of governance is to be preferred to approaches that focus primarily on structures of governments and health care organizations, because health system governance involves communities and service users, and because governments in many low- and middle-income countries tend to under-govern. Therefore, the study of health system governance requires institutional analysis; an approach that focuses not only on structures, but also on the rules (both formal and informal) governing demand and supply relations. Using this 'structure-relations' lens, and based on our field experience, we discuss how this focus could be applied to the three approaches to framing and studying health system governance that we identified in the literature. In order of decreasing focus on structures ('hardware') and increasing focus on relations ('software'), they are: (1) the government-centred approach, which focuses on the role of governments, above or to the exclusion of non-government health system actors; (2) the building-block approach, which focuses on the internal workings of health care organizations, and treats governance as one of the several building blocks of organizations; and (3) the institutional approach, which focuses on how the rules governing social and economic interactions are made, changed, monitored and enforced. Notably, either or both qualitative and quantitative methods may be used by researchers in efforts to incorporate the analysis of how rules determine relations among health system actors into these three approaches to health system

The State Public Health Laboratory System.

Science.gov (United States)

Inhorn, Stanley L; Astles, J Rex; Gradus, Stephen; Malmberg, Veronica; Snippes, Paula M; Wilcke, Burton W; White, Vanessa A

2010-01-01

This article describes the development since 2000 of the State Public Health Laboratory System in the United States. These state systems collectively are related to several other recent public health laboratory (PHL) initiatives. The first is the Core Functions and Capabilities of State Public Health Laboratories, a white paper that defined the basic responsibilities of the state PHL. Another is the Centers for Disease Control and Prevention National Laboratory System (NLS) initiative, the goal of which is to promote public-private collaboration to assure quality laboratory services and public health surveillance. To enhance the realization of the NLS, the Association of Public Health Laboratories (APHL) launched in 2004 a State Public Health Laboratory System Improvement Program. In the same year, APHL developed a Comprehensive Laboratory Services Survey, a tool to measure improvement through the decade to assure that essential PHL services are provided.

Private sector in public health care systems

OpenAIRE

Matějusová, Lenka

2008-01-01

This master thesis is trying to describe the situation of private sector in public health care systems. As a private sector we understand patients, private health insurance companies and private health care providers. The focus is placed on private health care providers, especially in ambulatory treatment. At first there is a definition of health as a main determinant of a health care systems, definition of public and private sectors in health care systems and the difficulties at the market o...

Aerial gamma ray and magnetic survey: Iron Mountain Quadrangle, Wisconsin/Michigan. Final report

International Nuclear Information System (INIS)

1978-04-01

Data obtained from a high sensitivity airborne radiometric and magnetic survey of Iron Mountain Quadrangle in Wisconsin/Michigan are presented. All data are presented as corrected profiles of all radiometric variables, magnetic data, radar and barometric altimeter data, air temperature and airborne Bismuch contributions. Radiometric data presented are corrected for Compton Scatter, altitude dependence and atmospheric Bismuth. These data are also presented on microfiche, and digital magnetic tapes. In addition, anomaly maps and interpretation maps are presented relating known geology or soil distribution to the corrected radiometric/magnetic data

Aerial gamma ray and magnetic survey: Eau Claire Quadrangle, Wisconsin/Minnesota. Final report

International Nuclear Information System (INIS)

1978-04-01

Data obtained from a high sensitivity airborne radiometric and magnetic survey of the Eau Claire Quadrangle in Wisconsin/Minnesota are presented. All data are presented as corrected profiles of all radiometric variables, magnetic data, radar and barometric altimeter data, air temperature and airborne Bismuth contributions. Radiometric data presented are corrected for Compton Scatter, altitude dependence and atmospheric Bismuth. These data are also presented on microfiche, and digital magnetic tapes. In addition, anomaly maps and interpretation maps are presented relating known geology or soil distribution to the corrected radiometric/magnetic data

Reduced rates of controlled-release fertilizer lower potential nitrogen leaching from a Wisconsin bare-root tree nursery

Science.gov (United States)

Ryosuke Fujinuma; Nick J. Balster; Hyung-Kyung. Lee

2011-01-01

Controlled-release fertilizer (CRF) typically increases nitrogen (N) fertilizer uptake and lowers N lost from the rooting zone via leaching. However, questions remain as to whether lower rates of CRF could further increase this efficiency, especially in sandy bare-root nurseries in Wisconsin. We hypothesized that: 1) a reduced CRF application at 60 percent of the...

Health for All - Italia, an informative health system

Directory of Open Access Journals (Sweden)

Marzia Loghi

2008-06-01

Full Text Available

Background: On ISTAT website the informative system Health for All – Italia is available. It collects indicators on health coming from various sources to make up a basis for constructing an organic and joint framework on the country’s health reality. The system includes more than 4000 indicators about: demographic and socioeconomic context; causes of death; life styles; disease prevention; chronic and infectious diseases; disability; health status and life expectancy; health facilities; hospital discharges by diagnosis; health care resources. The database-related software was developed by the World Health Organization to make it easier for any user to access the information available either as tables, graphs and territorial maps.

Methods: The system has been built considering data coming from different sources and using, if possible, the same definitions, classifications and desegregations. Time series goes from 1980 to the last year available (which can differ among the different sources. Indicators are calculated by provinces (if possible, regions, big areas and Italy. In order to compare indicators over time and space, standardised rates are calculated, using the same population reference. For each indicator metadata are available to give users additional notes necessary to correctly read and use the data, and publications or internet websites to examine more in-depth the argument.

Results: Different kind of users find Health for All – Italia very useful for their aims: students, researchers, doctors, socio-sanitary operators, policy makers. Some examples of official reports from public institutions are briefly described in the paper.

Conclusions: The increasing number of users of Health for All – Italia make necessary the online version and an English version for international comparisons.

42 CFR 438.242 - Health information systems.

Science.gov (United States)

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Health information systems. 438.242 Section 438.242... Measurement and Improvement Standards § 438.242 Health information systems. (a) General rule. The State must ensure, through its contracts, that each MCO and PIHP maintains a health information system that collects...

A Case for Open Network Health Systems: Systems as Networks in Public Mental Health.

Science.gov (United States)

Rhodes, Michael Grant; de Vries, Marten W

2017-01-08

Increases in incidents involving so-called confused persons have brought attention to the potential costs of recent changes to public mental health (PMH) services in the Netherlands. Decentralized under the (Community) Participation Act (2014), local governments must find resources to compensate for reduced central funding to such services or "innovate." But innovation, even when pressure for change is intense, is difficult. This perspective paper describes experience during and after an investigation into a particularly violent incident and murder. The aim was to provide recommendations to improve the functioning of local PMH services. The investigation concluded that no specific failure by an individual professional or service provider facility led to the murder. Instead, also as a result of the Participation Act that severed communication lines between individuals and organizations, information sharing failures were likely to have reduced system level capacity to identify risks. The methods and analytical frameworks employed to reach this conclusion, also lead to discussion as to the plausibility of an unconventional solution. If improving communication is the primary problem, non-hierarchical information, and organizational networks arise as possible and innovative system solutions. The proposal for debate is that traditional "health system" definitions, literature and narratives, and operating assumptions in public (mental) health are 'locked in' constraining technical and organization innovations. If we view a "health system" as an adaptive system of economic and social "networks," it becomes clear that the current orthodox solution, the so-called integrated health system, typically results in a "centralized hierarchical" or "tree" network. An overlooked alternative that breaks out of the established policy narratives is the view of a 'health systems' as a non-hierarchical organizational structure or 'Open Network.' In turn, this opens new technological and

Mobile health information system: a mobile app. to aid health ...

African Journals Online (AJOL)

Mobile health information system: a mobile app. to aid health workers relate health information. ... Global Journal of Mathematical Sciences ... phones in delivering vital health information and effective fieldwork reporting is of significance.

The 2016 groundwater flow model for Dane County, Wisconsin

Science.gov (United States)

Parsen, Michael J.; Bradbury, Kenneth R.; Hunt, Randall J.; Feinstein, Daniel T.

2016-01-01

A new groundwater flow model for Dane County, Wisconsin, replaces an earlier model developed in the 1990s by the Wisconsin Geological and Natural History Survey (WGNHS) and the U.S. Geological Survey (USGS). This modeling study was conducted cooperatively by the WGNHS and the USGS with funding from the Capital Area Regional Planning Commission (CARPC). Although the overall conceptual model of the groundwater system remains largely unchanged, the incorporation of newly acquired high-quality datasets, recent research findings, and improved modeling and calibration techniques have led to the development of a more detailed and sophisticated model representation of the groundwater system. The new model is three-dimensional and transient, and conceptualizes the county’s hydrogeology as a 12-layer system including all major unlithified and bedrock hydrostratigraphic units and two high-conductivity horizontal fracture zones. Beginning from the surface down, the model represents the unlithified deposits as two distinct model layers (1 and 2). A single layer (3) simulates the Ordovician sandstone and dolomite of the Sinnipee, Ancell, and Prairie du Chien Groups. Sandstone of the Jordan Formation (layer 4) and silty dolostone of the St. Lawrence Formation (layer 5) each comprise separate model layers. The underlying glauconitic sandstone of the Tunnel City Group makes up three distinct layers: an upper aquifer (layer 6), a fracture feature (layer 7), and a lower aquifer (layer 8). The fracture layer represents a network of horizontal bedding-plane fractures that serve as a preferential pathway for groundwater flow. The model simulates the sandstone of the Wonewoc Formation as an upper aquifer (layer 9) with a bedding-plane fracture feature (layer 10) at its base. The Eau Claire aquitard (layer 11) includes shale beds within the upper portion of the Eau Claire Formation. This layer, along with overlying bedrock units, is mostly absent in the preglacially eroded valleys along

Risk analysis and guidelines for harvest activities in wisconsin oak timberlands to minimize oak wilt threat

Science.gov (United States)

Jennifer Juzwik; Jane Cummings-Carlson; Kyoko Scanlon

2010-01-01

Oaks (Quercus spp.) are an important species group in the forests of Wisconsin. The State’s timberland typed as oak-hickory forest was estimated at 2.9 million acres in 1996. Growing stock volume for red oak was estimated at 2.4 billion cubic feet, whereas select white oak volume was estimated to be 927 million cubic feet. Oak wilt, the oak disease...

Pulmonary Blastomycosis in Vilas County, Wisconsin: Weather, Exposures and Symptoms

Directory of Open Access Journals (Sweden)

Dennis J. Baumgardner

2015-01-01

Full Text Available Purpose: Blastomycosis is a serious fungal infection contracted by inhalation of Blastomyces spores from the environment. Case occurrence in dogs in Vilas County, Wisconsin, has been associated with antecedent weather. We aimed to explore the effects of weather on the occurrence of human pulmonary blastomycosis in this area, and update exposure factors and symptoms since last published reports. Methods: Mandatory case reports were reviewed. Chi-square test was used for categorical data of exposures, comparing 1979–1996 (n=101 versus 1997–June 2013 (n=95. Linear regression was used to model local weather data (available 1990–2013; n=126; Southern Oscillation Index (SOI, North Atlantic Oscillation Index (NAOI, and Wisconsin River water discharge (WRD from the adjacent county (all available for 1984–2013; n=174; and case counts of known onset by warm (April–September and cold (October–March 6-month periods. Results: Distribution of pulmonary blastomycosis cases did not vary by season. Environmental exposures for the 1997–June 2013 group (mean age 45, 59% male were: residence(76%, excavation (42% and gardening (31%, all similar to the 1979–1996 group. Fishing (23% vs. 37%; P=0.09 and hunting (15% vs. 26%; P=0.13 exposures were less common in 1997–June 2013, but not significantly different. Overall, 69% of cases recalled some prior soil-disturbing activities. Considering the 6-month warm/cold periods, 19% of variation is explained by a direct relationship with total precipitation from two periods prior (P=0.005. There was no association of case occurrence with SOI, NAOI or WRD. Estimated annual incidence of blastomycosis for 1997–June 2013 was 27/100,000 compared with 44/100,000 for 1984–1996. Several symptoms were significantly less frequent in 2002–June 2013 compared to earlier years. Conclusions: As with dogs, human pulmonary blastomycosis occurrence is partially determined by antecedent precipitation. It is unclear if

Intelligent Integrated System Health Management

Science.gov (United States)

Figueroa, Fernando

2012-01-01

Intelligent Integrated System Health Management (ISHM) is the management of data, information, and knowledge (DIaK) with the purposeful objective of determining the health of a system (Management: storage, distribution, sharing, maintenance, processing, reasoning, and presentation). Presentation discusses: (1) ISHM Capability Development. (1a) ISHM Knowledge Model. (1b) Standards for ISHM Implementation. (1c) ISHM Domain Models (ISHM-DM's). (1d) Intelligent Sensors and Components. (2) ISHM in Systems Design, Engineering, and Integration. (3) Intelligent Control for ISHM-Enabled Systems

Veneto Region, Italy. Health system review.

Science.gov (United States)

Toniolo, Franco; Mantoan, Domenico; Maresso, Anna

2012-01-01

The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. This HiT is one of the first to be written on a subnational level of government and focuses on the Veneto Region of northern Italy. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The Veneto Region is one of Italy's richest regions and the health of its resident population compares favourably with other regions in Italy. Life expectancy for both men and women, now at 79.1 and 85.2 years, respectively, is slightly higher than the national average, while mortality rates are comparable to national ones. The major causes of death are tumours and cardiovascular diseases. Under Italy's National Health Service, the organization and provision of health care is a regional responsibility and regions must provide a nationally defined (with regional input) basic health benefit package to all of their citizens; extra services may be provided if budgets allow. Health care is mainly financed by earmarked central and regional taxes, with regions receiving their allocated share of resources from the National Health Fund. Historically, health budget deficits have been a major problem in most Italian regions, but since the early 2000s the introduction of efficiency measures and tighter procedures on financial management have contributed to a significant decrease in the Veneto Regions health budget deficit.The health system is governed by the Veneto Region government (Giunta) via the Departments of Health and Social Services, which receive technical support from a single General Management Secretariat. Health care is

Mapping Health Needs to Support Health System Management in Poland

Science.gov (United States)

Holecki, Tomasz; Romaniuk, Piotr; Woźniak-Holecka, Joanna; Szromek, Adam R.; Syrkiewicz-Świtała, Magdalena

2018-01-01

In Poland, following the example of other EU countries, the first maps of health needs prepared by the Ministry of Health were presented in 2016. The maps constitute a foundation for rational decision-making in the management of health care resources, being potentially useful for all actors in health system. This refers in particular to the institutions responsible for distribution of funds and contracting health service, but also for decision-makers, who determine the scope of funds to be utilized in the health system, or the structure of benefits provided to patients. Service providers are also addressees of the maps, to give them a basis for planning future activities. The article presents a structured assessment of the current state of affairs, based on recent experience and sets out likely directions for the development of health needs in mapping in Poland in the future. We discuss the criticism addressed toward maps by representatives of various groups acting in health care. It includes the lack of recognition of some of the key health needs, or wrong emphases, where much more attention is paid to the recognition of current resources in the health system, instead of making prognoses regarding the future developments of health needs. Nonetheless, we find that this instrument is potentially of high usability, in case of elimination of the existing weaknesses. PMID:29662876

Strengthening Governance in Health Systems for Reproductive ...

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

Home · What we do ... As a result, Pakistan's health system has suffered and health service delivery has worsened. ... This four-year project aims to strengthen health systems governance for reproductive health and rights in Pakistan.

Health-system strengthening and tuberculosis control.

Science.gov (United States)

Atun, Rifat; Weil, Diana E C; Eang, Mao Tan; Mwakyusa, David

2010-06-19

Weak health systems are hindering global efforts for tuberculosis care and control, but little evidence is available on effective interventions to address system bottlenecks. This report examines published evidence, programme reviews, and case studies to identify innovations in system design and tuberculosis control to resolve these bottlenecks. We outline system bottlenecks in relation to governance, financing, supply chain management, human resources, health-information systems, and service delivery; and adverse effects from rapid introduction of suboptimum system designs. This report also documents innovative solutions for disease control and system design. Solutions pursued in individual countries are specific to the nature of the tuberculosis epidemic, the underlying national health system, and the contributors engaged: no one size fits all. Findings from countries, including Bangladesh, Cambodia, India, Tanzania, Thailand, and Vietnam, suggest that advances in disease control and system strengthening are complementary. Tuberculosis care and control are essential elements of health systems, and simultaneous efforts to innovate systems and disease response are mutually reinforcing. Highly varied and context-specific responses to tuberculosis show that solutions need to be documented and compared to develop evidence-based policies and practice. Copyright 2010 Elsevier Ltd. All rights reserved.

The public health system in England

National Research Council Canada - National Science Library

Hunter, David J; Marks, Linda; Smith, Katherine E

2010-01-01

.... The Public Health System in England offers a wide-ranging, provocative and accessible assessment of challenges confronting a public health system, exploring how its parameters have shifted over time...

Pinpointing the Deficit in Executive Functions in Adolescents with Dyslexia Performing the Wisconsin Card Sorting Test: An ERP Study

Science.gov (United States)

Horowitz-Kraus, Tzipi

2014-01-01

Adolescents with dyslexia exhibit well-established impairments in executive abilities. The Wisconsin card sorting test (WCST) is an executive test that yields surprisingly inconsistent results with this population. The current study aimed to shed light on the contradictory findings in the literature regarding the performance levels by individuals…

Health system vision of iran in 2025.

Science.gov (United States)

Rostamigooran, N; Esmailzadeh, H; Rajabi, F; Majdzadeh, R; Larijani, B; Dastgerdi, M Vahid

2013-01-01

Vast changes in disease features and risk factors and influence of demographic, economical, and social trends on health system, makes formulating a long term evolutionary plan, unavoidable. In this regard, to determine health system vision in a long term horizon is a primary stage. After narrative and purposeful review of documentaries, major themes of vision statement were determined and its context was organized in a work group consist of selected managers and experts of health system. Final content of the statement was prepared after several sessions of group discussions and receiving ideas of policy makers and experts of health system. Vision statement in evolutionary plan of health system is considered to be :"a progressive community in the course of human prosperity which has attained to a developed level of health standards in the light of the most efficient and equitable health system in visionary region(1) and with the regarding to health in all policies, accountability and innovation". An explanatory context was compiled either to create a complete image of the vision. Social values and leaders' strategic goals, and also main orientations are generally mentioned in vision statement. In this statement prosperity and justice are considered as major values and ideals in society of Iran; development and excellence in the region as leaders' strategic goals; and also considering efficiency and equality, health in all policies, and accountability and innovation as main orientations of health system.

Role Expectations for School Library Media Specialists: A Collective Case Study of Two Medium-Sized Wisconsin School Districts

Science.gov (United States)

Lea, Mark Keith

2013-01-01

During this period of radical change in the field of information technology there is evidence of confusion about the role of school library media specialists in the implementation, and the administration of emerging information technologies in Wisconsin public schools. This study sought to answer the question what is the role of the school library…

Local health systems in 21st century: who cares?-An exploratory study on health system governance in Amsterdam.

Science.gov (United States)

Plochg, T; Delnoij, D M J; Hogervorst, W V G; van Dijk, P; Belleman, S; Klazinga, N S

2006-10-01

There is a growing awareness that there should be a public health perspective to health system governance. Its intrinsic population health orientation provides the ultimate ground for determining the health needs and governing collaborative care arrangements within which these needs can be met. Notwithstanding differences across countries, population health concerns are not central to European health reforms. Governments currently withdraw leaving governance roles to care providers and/or financiers. Thereby, incentives that trigger the uptake of a public health perspective are often ignored. In this study we addressed this issue in the city of Amsterdam. Using a qualitative study design, we explored whether there is a public health perspective to the governance practices of the municipality and the major sickness fund in Amsterdam. And if so, what the scope of this perspective is. And if not, why not. Findings indicate that the municipality has a public health perspective to local health system governance, but its scope is limited. The municipality facilitates rather than governs health care provision in Amsterdam. Furthermore, the sickness fund runs major financial risks when adapting a public health perspective. It covers an insured population that partly overlaps the Amsterdam population. Returns on investments in population health are therefore uncertain, as competitors would also profit from the sickness fund's investments. The local health system in Amsterdam is not consistently aligned to the health needs of the Amsterdam population. The Amsterdam case is not unique and general consequences for local health system governance are discussed.

Complex Messages in Long-Term Monitoring of Regal Fritillary (Speyeria idalia (Lepidoptera: Nymphalidae in the State of Wisconsin, USA, 1988–2015

Directory of Open Access Journals (Sweden)

Ann B. Swengel

2017-01-01

Full Text Available The regal fritillary (“regal” (Speyeria idalia is endangered in Wisconsin, USA, and declining and at risk range-wide. During 1988–2015, we surveyed 24 known regal sites and >100 areas of potential habitat in Wisconsin. We recorded 9037 individuals in 742.7 km on the peak survey per year at occupied sites. At six sites surveyed over 5–25 years, we found regal fritillaries in only one year, mostly in the latter half of the study. The three populations in the state with more favorable trends than the median had a never-burned refugium and/or infrequent fire management. They also all had substantial amounts of grazing, haying, and/or mowing managements. Sites with trends below the regional median trend had frequent or moderate fire management, and either a diminishing never-burned refugium or none at all. Regal populations at sites with ≤15 ha of grassland have become undetectable. Nonetheless, Hogback, a slightly larger than 15 ha site, had the most favorable trend, a significant increase. Nearly all Wisconsin Regal populations known before 1990 declined to consistent non-findability, even though these were conserved sites. More favorable trends at more recently discovered populations may be attributable to species-specific habitat management protocols implemented in the 1990s. Two sites with better than median long-term trends represent the longest consistent land ownership of known Regal populations in the state. This wide range of population outcomes illustrates both the need for long-term monitoring and the challenges of explaining the outcomes. Despite evidence of increasing Regal dispersal, this species remains very localized, indicating the unsuitability of the wider landscape as regal habitat. The number of significantly declining or no longer detectable populations in Wisconsin indicates an ever more adverse landscape for this species. Sites will need to have habitat characteristics that are ever more optimal in a wide range of

Mobile health monitoring system for community health workers

CSIR Research Space (South Africa)

Sibiya, G

2014-09-01

Full Text Available of hypertension as it provides real time information and eliminates the need to visit a healthcare facility to take blood pressure readings. Our proposed mobile health monitoring system enables faster computerization of data that has been recorded... pressure, heart rate and glucose readings. These reading closely related to most common NCDs. D. Feedback to health worker and the subject of care Community health workers are often not professionally trained on health. As a result they are not expected...

Wisconsin Card Sorting Test performance and impulsivity in patients with temporal lobe epilepsy: suicidal risk and suicide attempts.

Science.gov (United States)

Garcia Espinosa, Arlety; Andrade Machado, René; Borges González, Susana; García González, María Eugenia; Pérez Montoto, Ariadna; Toledo Sotomayor, Guillermo

2010-01-01

The goal of the study described here was to determine if executive dysfunction and impulsivity are related to risk for suicide and suicide attempts in patients with temporal lobe epilepsy. Forty-two patients with temporal lobe epilepsy were recruited. A detailed medical history, neurological examination, serial EEGs, Mini-International Neuropsychiatric Interview, executive function, and MRI were assessed. Multiple regression analysis was carried out to examine predictive associations between clinical variables and Wisconsin Card Sorting Test measures. Patients' scores on the Risk for Suicide Scale (n=24) were greater than 7, which means they had the highest relative risk for suicide attempts. Family history of psychiatric disease, current major depressive episode, left temporal lobe epilepsy, and perseverative responses and total errors on the Wisconsin Card Sorting Test increased by 6.3 and 7.5 suicide risk and suicide attempts, respectively. Executive dysfunction (specifically perseverative responses and more total errors) contributed greatly to suicide risk. Executive performance has a major impact on suicide risk and suicide attempts in patients with temporal lobe epilepsy. 2009 Elsevier Inc. All rights reserved.

A cost-benefit analysis of Wisconsin's screening, brief intervention, and referral to treatment program: adding the employer's perspective.

Science.gov (United States)

Quanbeck, Andrew; Lang, Katharine; Enami, Kohei; Brown, Richard L

2010-02-01

A previous cost-benefit analysis found Screening, Brief Intervention, and Referral to Treatment (SBIRT) to be cost-beneficial from a societal perspective. This paper develops a cost-benefit model that includes the employer's perspective by considering the costs of absenteeism and impaired presenteeism due to problem drinking. We developed a Monte Carlo simulation model to estimate the costs and benefits of SBIRT implementation to an employer. We first presented the likely costs of problem drinking to a theoretical Wisconsin firm that does not currently provide SBIRT services. We then constructed a cost-benefit model in which the firm funds SBIRT for its employees. The net present value of SBIRT adoption was computed by comparing costs due to problem drinking both with and without the program. When absenteeism and impaired presenteeism costs were considered from the employer's perspective, the net present value of SBIRT adoption was $771 per employee. We concluded that implementing SBIRT is cost-beneficial from the employer's perspective and recommend that Wisconsin employers consider covering SBIRT services for their employees.

Integrated System Health Management Development Toolkit

Science.gov (United States)

Figueroa, Jorge; Smith, Harvey; Morris, Jon

2009-01-01

This software toolkit is designed to model complex systems for the implementation of embedded Integrated System Health Management (ISHM) capability, which focuses on determining the condition (health) of every element in a complex system (detect anomalies, diagnose causes, and predict future anomalies), and to provide data, information, and knowledge (DIaK) to control systems for safe and effective operation.

A Descriptive Analysis of Tactical Casualty Care Interventions Performed by Law Enforcement Personnel in the State of Wisconsin, 2010-2015.

Science.gov (United States)

Stiles, Chad M; Cook, Christopher; Sztajnkrycer, Matthew D

2017-06-01

Introduction Based upon military experience, law enforcement has developed guidelines for medical care during high-threat conditions. The purpose of the current study was to provide a descriptive analysis of reported outcomes of law enforcement medical interventions. This was a descriptive analysis of a convenience sample of cases submitted to the Wisconsin Tactical Medicine Initiative (Wisconsin USA), after the provision of successful patient care, between January 2010 and December 2015. The study was reviewed by the Mayo Foundation Institutional Review Board (Rochester, Minnesota USA) and deemed exempt. Nineteen agencies submitted information during the study period. Of the 56 episodes of care reported, four (7.1%) cases involved care provided to injured officers while 52 (92.9%) involved care to injured civilians, including suspects. In at least two cases, on-going threats existed during the provision of medical care to an injured civilian. Law enforcement rendered care prior to Emergency Medical Services (EMS) arrival in all but two cases. The current case series demonstrates the life-saving potential for law enforcement personnel trained and equipped under current Tactical Combat Casualty Care (TCCC)/ Committee on Tactical Emergency Casualty Care (C-TECC) tactical casualty care guidelines. Although originally developed to save the lives of wounded combat personnel, in the civilian sector, the training appears more likely to save victims rather than law enforcement personnel. Stiles CM , Cook C , Sztajnkrycer MD . A descriptive analysis of tactical casualty care interventions performed by law enforcement personnel in the State of Wisconsin, 2010-2015. Prehosp Disaster Med. 2017;32(3):284-288.

Reliability of a Novel Social Activity Questionnaire: Perceived Social Support and Verbal Interaction in the Wisconsin Registry for Alzheimer's Prevention.

Science.gov (United States)

Zuelsdorff, Megan L; Koscik, Rebecca L; Okonkwo, Ozioma C; Peppard, Paul E; Hermann, Bruce P; Sager, Mark A; Johnson, Sterling C; Engelman, Corinne D

2018-02-01

Social activity is associated with healthy aging and preserved cognition. Such activity includes a confluence of social support and verbal interaction, each influencing cognition through rarely parsed, mechanistically distinct pathways. We created a novel verbal interaction measure for the Wisconsin Registry for Alzheimer's Prevention (WRAP) and assessed reliability of resultant data, a first step toward mechanism-driven examination of social activity as a modifiable predictor of cognitive health. Two WRAP subsamples completed a test-retest study to determine 8-week stability ( n = 107) and 2-year stability ( n = 136) of verbal interaction, and 2-year stability of perceived social support. Reliability was determined using quadratic-weighted kappa, percent agreement, or correlation coefficients. Reliability was fair to almost perfect. The association between social support and interaction quantity decreased with age. Social activity data demonstrate moderate to excellent temporal stability. Moreover, in older individuals, social support and verbal interaction represent two distinct dimensions of social activity.

Advancing Health Literacy Measurement: A Pathway to Better Health and Health System Performance

Science.gov (United States)

Pleasant, Andrew

2014-01-01

The concept of health literacy initially emerged and continues to gain strength as an approach to improving health status and the performance of health systems. Numerous studies clearly link low levels of education, literacy, and health literacy with poor health, poor health care utilization, increased barriers to care, and early death. However, theoretical understandings and methods of measuring the complex social construct of health literacy have experienced a continual evolution that remains incomplete. As a result, the seemingly most-cited definition of health literacy proposed in the now-decade-old Institute of Medicine report on health literacy is long overdue for updating. Such an effort should engage a broad and diverse set of health literacy researchers, practitioners, and members of the public in creating a definition that can earn broad consensus through validation testing in a rigorous scientific approach. That effort also could produce the basis for a new universally applicable measure of health literacy. Funders, health systems, and policymakers should reconsider their timid approach to health literacy. Although the field and corresponding evidence base are not perfect, health literacy—especially when combined with a focus on prevention and integrative health—is one of the most promising approaches to advancing public health. PMID:25491583

The 3D Elevation Program: summary for Wisconsin

Science.gov (United States)

Carswell, William J.

2013-01-01

Elevation data are essential to a broad range of applications, including forest resources management, wildlife and habitat management, national security, recreation, and many others. For the State of Wisconsin, elevation data are critical for agriculture and precision farming, natural resources conservation, flood risk management, infrastructure and construction management, water supply and quality, and other business uses. Today, high-quality light detection and ranging (lidar) data are the sources for creating elevation models and other elevation datasets. Federal, State, and local agencies work in partnership to (1) replace data, on a national basis, that are (on average) 30 years old and of lower quality and (2) provide coverage where publicly accessible data do not exist. A joint goal of State and Federal partners is to acquire consistent, statewide coverage to support existing and emerging applications enabled by lidar data. The new 3D Elevation Program (3DEP) initiative, managed by the U.S. Geological Survey (USGS), responds to the growing need for high-quality topographic data and a wide range of other three-dimensional representations of the Nation’s natural and constructed features.

Software for Intelligent System Health Management

Science.gov (United States)

Trevino, Luis C.

2004-01-01

This viewgraph presentation describes the characteristics and advantages of autonomy and artificial intelligence in systems health monitoring. The presentation lists technologies relevant to Intelligent System Health Management (ISHM), and some potential applications.

Dual-Use Aspects of System Health Management

Science.gov (United States)

Owens, P. R.; Jambor, B. J.; Eger, G. W.; Clark, W. A.

1994-01-01

System Health Management functionality is an essential part of any space launch system. Health management functionality is an integral part of mission reliability, since it is needed to verify the reliability before the mission starts. Health Management is also a key factor in life cycle cost reduction and in increasing system availability. The degree of coverage needed by the system and the degree of coverage made available at a reasonable cost are critical parameters of a successful design. These problems are not unique to the launch vehicle world. In particular, the Intelligent Vehicle Highway System, commercial aircraft systems, train systems, and many types of industrial production facilities require various degrees of system health management. In all of these applications, too, the designers must balance the benefits and costs of health management in order to optimize costs. The importance of an integrated system is emphasized. That is, we present the case for considering health management as an integral part of system design, rather than functionality to be added on at the end of the design process. The importance of maintaining the system viewpoint is discussed in making hardware and software tradeoffs and in arriving at design decisions. We describe an approach to determine the parameters to be monitored in any system health management application. This approach is based on Design of Experiments (DOE), prototyping, failure modes and effects analyses, cost modeling and discrete event simulation. The various computer-based tools that facilitate the approach are discussed. The approach described originally was used to develop a fault tolerant avionics architecture for launch vehicles that incorporated health management as an integral part of the system. Finally, we discuss generalizing the technique to apply it to other domains. Several illustrations are presented.

Health and health-care systems in southeast Asia: diversity and transitions.

Science.gov (United States)

Chongsuvivatwong, Virasakdi; Phua, Kai Hong; Yap, Mui Teng; Pocock, Nicola S; Hashim, Jamal H; Chhem, Rethy; Wilopo, Siswanto Agus; Lopez, Alan D

2011-01-29

Southeast Asia is a region of enormous social, economic, and political diversity, both across and within countries, shaped by its history, geography, and position as a major crossroad of trade and the movement of goods and services. These factors have not only contributed to the disparate health status of the region's diverse populations, but also to the diverse nature of its health systems, which are at varying stages of evolution. Rapid but inequitable socioeconomic development, coupled with differing rates of demographic and epidemiological transitions, have accentuated health disparities and posed great public health challenges for national health systems, particularly the control of emerging infectious diseases and the rise of non-communicable diseases within ageing populations. While novel forms of health care are evolving in the region, such as corporatised public health-care systems (government owned, but operating according to corporate principles and with private-sector participation) and financing mechanisms to achieve universal coverage, there are key lessons for health reforms and decentralisation. New challenges have emerged with rising trade in health services, migration of the health workforce, and medical tourism. Juxtaposed between the emerging giant economies of China and India, countries of the region are attempting to forge a common regional identity, despite their diversity, to seek mutually acceptable and effective solutions to key regional health challenges. In this first paper in the Lancet Series on health in southeast Asia, we present an overview of key demographic and epidemiological changes in the region, explore challenges facing health systems, and draw attention to the potential for regional collaboration in health. Copyright © 2011 Elsevier Ltd. All rights reserved.

Management Matters: A Leverage Point for Health Systems Strengthening in Global Health

Directory of Open Access Journals (Sweden)

Elizabeth H. Bradley

2015-07-01

Full Text Available Despite a renewed focus in the field of global health on strengthening health systems, inadequate attention has been directed to a key ingredient of high-performing health systems: management. We aimed to develop the argument that management – defined here as the process of achieving predetermined objectives through human, financial, and technical resources – is a cross-cutting function necessary for success in all World Health Organization (WHO building blocks of health systems strengthening. Management within health systems is particularly critical in low-income settings where the efficient use of scarce resources is paramount to attaining health goals. More generally, investments in management capacity may be viewed as a key leverage point in grand strategy, as strong management enables the achievement of large ends with limited means. We also sought to delineate a set of core competencies and identify key roles to be targeted for management capacity building efforts. Several effective examples of management interventions have been described in the research literature. Together, the existing evidence underscores the importance of country ownership of management capacity building efforts, which often challenge the status quo and thus need country leadership to sustain despite inevitable friction. The literature also recognizes that management capacity efforts, as a key ingredient of effective systems change, take time to embed, as new protocols and ways of working become habitual and integrated as standard operating procedures. Despite these challenges, the field of health management as part of global health system strengthening efforts holds promise as a fundamental leverage point for achieving health system performance goals with existing human, technical, and financial resources. The evidence base consistently supports the role of management in performance improvement but would benefit from additional research with improved

78 FR 53727 - Notice of Public Meeting of the Wisconsin Advisory Committee for Fact Finding on Hate Crimes in...

Science.gov (United States)

2013-08-30

... Gill, Sikh Student Association--UW Madison Elana Kohn-Oren, Director, Jewish Community Relations Council Ibrahim Saeed, Ph.D., Islamic Center of Madison Steve Starkey, Executive Director, OutReach Panel 3 4:55 p.m. to 6:05 p.m. James L. Santelle, U.S. Attorney for the Eastern District of Wisconsin...

An assessment of interactions between global health initiatives and country health systems.

Science.gov (United States)

Samb, Badara; Evans, Tim; Dybul, Mark; Atun, Rifat; Moatti, Jean-Paul; Nishtar, Sania; Wright, Anna; Celletti, Francesca; Hsu, Justine; Kim, Jim Yong; Brugha, Ruairi; Russell, Asia; Etienne, Carissa

2009-06-20

Since 2000, the emergence of several large disease-specific global health initiatives (GHIs) has changed the way in which international donors provide assistance for public health. Some critics have claimed that these initiatives burden health systems that are already fragile in countries with few resources, whereas others have asserted that weak health systems prevent progress in meeting disease-specific targets. So far, most of the evidence for this debate has been provided by speculation and anecdotes. We use a review and analysis of existing data, and 15 new studies that were submitted to WHO for the purpose of writing this Report to describe the complex nature of the interplay between country health systems and GHIs. We suggest that this Report provides the most detailed compilation of published and emerging evidence so far, and provides a basis for identification of the ways in which GHIs and health systems can interact to mutually reinforce their effects. On the basis of the findings, we make some general recommendations and identify a series of action points for international partners, governments, and other stakeholders that will help ensure that investments in GHIs and country health systems can fulfil their potential to produce comprehensive and lasting results in disease-specific work, and advance the general public health agenda. The target date for achievement of the health-related Millennium Development Goals is drawing close, and the economic downturn threatens to undermine the improvements in health outcomes that have been achieved in the past few years. If adjustments to the interactions between GHIs and country health systems will improve efficiency, equity, value for money, and outcomes in global public health, then these opportunities should not be missed.

Health record systems that meet clinical needs

Directory of Open Access Journals (Sweden)

Gabriella Negrini

2012-10-01

Full Text Available Introduction Increased attention has recently been focused on health record systems as a result of accreditation programs, a growing emphasis on patient safety, and the increase in lawsuits involving allegations of malpractice. Health-care professionals frequently express dissatisfaction with the health record systems and complain that the data included are neither informative nor useful for clinical decision making. This article reviews the main objectives of a hospital health record system, with emphasis on its roles in communication and exchange among clinicians, patient safety, and continuity of care, and asks whether current systems have responded to the recent changes in the Italian health-care system.Discussion If health records are to meet the expectations of all health professionals, the overall information need must be carefully analyzed, a common data set must be created, and essential specialist contributions must be defined. Working with health-care professionals, the hospital management should define how clinical information is to be displayed and organized, identify a functionally optimal layout, define the characteristics of ongoing patient assessment in terms of who will be responsible for these activities and how often they will be performed. Internet technology can facilitate data retrieval and meet the general requirements of a paper-based health record system, but it must also ensure focus on clinical information, business continuity, integrity, security, and privacy.Conclusions The current health records system needs to be thoroughly revised to increase its accessibility, streamline the work of health-care professionals who consult it, and render it more useful for clinical decision making—a challenging task that will require the active involvement of the many professional classes involved.

Impacts of Mechanical Macrophyte Removal Devices on Sediment Scouring in Littoral Habitats: II. Experimental Operation in the Littoral Zone of Eau Galle Reservoir, Wisconsin

National Research Council Canada - National Science Library

James, William F; Wright, David I; Barko, John W; Eakin, Harry L

2006-01-01

... in Eau Galle Reservoir, Wisconsin. Mechanical macrophyte removal devices are an attractive, low-cost means of removing macrophytes in specific areas without herbicides or repeated mechanical harvesting...

Assimilation and health service utilization of Korean immigrant women.

Science.gov (United States)

Son, Juyeon

2013-11-01

In this case study, I present descriptive findings with regard to immigrant incorporation and health service utilization. Using focus groups and survey of Korean immigrant women in Wisconsin, I examine whether the ways in which they adapt to the U.S. society is relevant to their health services utilization and the alternatives they seek when available health services are less than satisfactory. The findings suggest that adherence to Korean identity appears to be associated with health service utilization. This is evident in the immigrants' evaluation of the U.S. health services as compared to those of Korea, and the consideration given by these immigrants to seeking health services in Korea instead of the United States. Such concerns on the part of these immigrants have important implications for health researchers, as they highlight the significance of immigrants' transnational experiences and their sense of personal agency in the use of health care.

United Kingdom (England): Health system review.

Science.gov (United States)

Boyle, Seán

2011-01-01

The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. Various indicators show that the health of the population has improved over the last few decades. However, inequalities in health across socioeconomic groups have been increasing since the 1970s. The main diseases affecting the population are circulatory diseases, cancer, diseases of the respiratory system and diseases of the digestive system. Risk factors such as the steadily rising levels of alcohol consumption, the sharp increases in adult and child obesity and prevailing smoking levels are among the most pressing public health concerns, particularly as they reflect the growing health inequalities among different socioeconomic groups. Health services in England are largely free at the point of use. The NHS provides preventive medicine, primary care and hospital services to all those ordinarily resident. Over 12% of the population is covered by voluntary health insurance schemes, known in the United Kingdom as private medical insurance (PMI), which mainly provides access to acute elective care in the private sector. Responsibility for publicly funded health care rests with the Secretary of State for Health, supported by the Department of Health. The Department operates at a regional level through 10 strategic health authorities (SHAs), which are responsible for ensuring the quality and performance of local health services within their geographic area. Responsibility for commissioning health services at the local level lies with 151 primary care

Understanding Barriers to Participation in Cost-Share Programs For Pollinator Conservation by Wisconsin (USA) Cranberry Growers.

Science.gov (United States)

Gaines-Day, Hannah R; Gratton, Claudio

2017-08-01

The expansion of modern agriculture has led to the loss and fragmentation of natural habitat, resulting in a global decline in biodiversity, including bees. In many countries, farmers can participate in cost-share programs to create natural habitat on their farms for the conservation of beneficial insects, such as bees. Despite their dependence on bee pollinators and the demonstrated commitment to environmental stewardship, participation in such programs by Wisconsin cranberry growers has been low. The objective of this study was to understand the barriers that prevent participation by Wisconsin cranberry growers in cost-share programs for on-farm conservation of native bees. We conducted a survey of cranberry growers (n = 250) regarding farming practices, pollinators, and conservation. Although only 10% of growers were aware of federal pollinator cost-share programs, one third of them were managing habitat for pollinators without federal aid. Once informed of the programs, 50% of growers expressed interest in participating. Fifty-seven percent of growers manage habitat for other wildlife, although none receive cost-share funding to do so. Participation in cost-share programs could benefit from outreach activities that promote the programs, a reduction of bureaucratic hurdles to participate, and technical support for growers on how to manage habitat for wild bees.

Understanding Barriers to Participation in Cost-Share Programs For Pollinator Conservation by Wisconsin (USA Cranberry Growers

Directory of Open Access Journals (Sweden)

Hannah R. Gaines-Day

2017-08-01

Full Text Available The expansion of modern agriculture has led to the loss and fragmentation of natural habitat, resulting in a global decline in biodiversity, including bees. In many countries, farmers can participate in cost-share programs to create natural habitat on their farms for the conservation of beneficial insects, such as bees. Despite their dependence on bee pollinators and the demonstrated commitment to environmental stewardship, participation in such programs by Wisconsin cranberry growers has been low. The objective of this study was to understand the barriers that prevent participation by Wisconsin cranberry growers in cost-share programs for on-farm conservation of native bees. We conducted a survey of cranberry growers (n = 250 regarding farming practices, pollinators, and conservation. Although only 10% of growers were aware of federal pollinator cost-share programs, one third of them were managing habitat for pollinators without federal aid. Once informed of the programs, 50% of growers expressed interest in participating. Fifty-seven percent of growers manage habitat for other wildlife, although none receive cost-share funding to do so. Participation in cost-share programs could benefit from outreach activities that promote the programs, a reduction of bureaucratic hurdles to participate, and technical support for growers on how to manage habitat for wild bees.

Carcinoma of the tongue in Norway and Wisconsin. I

International Nuclear Information System (INIS)

Vermund, H.

1982-01-01

The records of 503 patients with carcinoma of the tongue diagnosed between 1958 and 1972 were reviewed. The preponderance of tongue carcinoma among men was confirmed both in The Norwegian Radium Hospital (NRH) and the University of Wisconsin Hospitals (UW), but it was relatively more frequent among women in NRH and in UW than in southern Europe. More women had on presentation less advanced tumors at NRH than at UW. The incidence of tongue carcinoma in Norway increased steadily with age for both sexes. The sex ratio did not change in Norway such as in England, Canada and the United States. Tumor of the posterior one-third of the tongue was relatively infrequent in women both in NRH and UW, in agreement with reports from other countries. The length of survival was analysed and no significant sex difference was demonstrated. The younger patients had less advanced tumors and a better prognosis. (Auth.)

High power ICRH experiments on the Wisconsin levitated octupole

International Nuclear Information System (INIS)

Strait, E.J.; Fortgang, C.M.; Twichell, J.C.; Dexter, R.N.; Sprott, J.C.; Barter, J.D.

1980-12-01

Preliminary ICRH experiments have begun on the Wisconsin Levitated Octupole. In order to study heating, energy confinement, and high β plasmas, a 1.8 to 3 MHz oscillator and antenna have been installed. The oscillator and antenna have been installed. The oscillator is capable of delivering 2 MW of RF power for 10 msec, and to date up to 0.5 MW has been coupled into the plasma. At a density of approx. 6 x 10 12 cm -3 , T/sub e/ reaches a maximum of 30 eV as measured by Langmuir probes and VUV spectroscopy. Charge exchange measurements of T/sub i/ show Maxwellian components at 95 and 190 eV, with an energy confinement time of approx. 1 msec. Electron energy confinement is limited by impurity radiation, and several methods of impurity control are being tested. Current experiments also include direct measurement of the RF electric field, antenna loading measurements, variation of the oscillator frequency, and ohmic heating of the electrons

X-33/RLV System Health Management/Vehicle Health Management

Science.gov (United States)

Mouyos, William; Wangu, Srimal

1998-01-01

To reduce operations costs, Reusable Launch Vehicles (RLVS) must include highly reliable robust subsystems which are designed for simple repair access with a simplified servicing infrastructure, and which incorporate expedited decision-making about faults and anomalies. A key component for the Single Stage To Orbit (SSTO) RLV system used to meet these objectives is System Health Management (SHM). SHM incorporates Vehicle Health Management (VHM), ground processing associated with the vehicle fleet (GVHM), and Ground Infrastructure Health Management (GIHM). The primary objective of SHM is to provide an automated and paperless health decision, maintenance, and logistics system. Sanders, a Lockheed Martin Company, is leading the design, development, and integration of the SHM system for RLV and for X-33 (a sub-scale, sub-orbit Advanced Technology Demonstrator). Many critical technologies are necessary to make SHM (and more specifically VHM) practical, reliable, and cost effective. This paper will present the X-33 SHM design which forms the baseline for the RLV SHM, and it will discuss applications of advanced technologies to future RLVs. In addition, this paper will describe a Virtual Design Environment (VDE) which is being developed for RLV. This VDE will allow for system design engineering, as well as program management teams, to accurately and efficiently evaluate system designs, analyze the behavior of current systems, and predict the feasibility of making smooth and cost-efficient transitions from older technologies to newer ones. The RLV SHM design methodology will reduce program costs, decrease total program life-cycle time, and ultimately increase mission success.

Health Information Systems

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

the technology and expertise to process and share ... services. GEHS supports efforts that reach beyond healthcare institutions to capture evidence ... Health information systems are a foundation for quality care, and can increase accountability ...

African Health Systems Initiative (AHSI) | IDRC - International ...

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

The African Health Systems Initiative (AHSI) is a 10-year Canadian International ... for strengthening African-led health systems and human resources for health. ... IDRC congratulates first cohort of Women in Climate Change Science Fellows.

Croatia: health system review.

Science.gov (United States)

Džakula, Aleksandar; Sagan, Anna; Pavić, Nika; Lonćčarek, Karmen; Sekelj-Kauzlarić, Katarina

2014-01-01

Croatia is a small central European country on the Balkan peninsula, with a population of approximately 4.3 million and a gross domestic product (GDP) of 62% of the European Union (EU) average (expressed in purchasing power parity; PPP) in 2012. On 1 July 2013, Croatia became the 28th Member State of the EU. Life expectancy at birth has been increasing steadily in Croatia (with a small decline in the years following the 1991 to 1995 War of Independence) but is still lower than the EU average. Prevalence of overweight and obesity in the population has increased during recent years and trends in physical inactivity are alarming. The Croatian Health Insurance Fund (CHIF), established in 1993, is the sole insurer in the mandatory health insurance (MHI) system that provides universal health coverage to the whole population. The ownership of secondary health care facilities is distributed between the State and the counties. The financial position of public hospitals is weak and recent reforms were aimed at improving this. The introduction of concessions in 2009 (public private partnerships whereby county governments organize tenders for the provision of specific primary health care services) allowed the counties to play a more active role in the organization, coordination and management of primary health care; most primary care practices have been privatized. The proportion of GDP spent on health by the Croatian government remains relatively low compared to western Europe, as does the per capita health expenditure. Although the share of public expenditure as a proportion of total health expenditure (THE) has been decreasing, at around 82% it is still relatively high, even by European standards. The main source of the CHIFs revenue is compulsory health insurance contributions, accounting for 76% of the total revenues of the CHIF, although only about a third of the population (active workers) is liable to pay full health care contributions. Although the breadth and scope

Efficiency performance of China's health care delivery system.

Science.gov (United States)

Zhang, Luyu; Cheng, Gang; Song, Suhang; Yuan, Beibei; Zhu, Weiming; He, Li; Ma, Xiaochen; Meng, Qingyue

2017-07-01

Improving efficiency performance of the health care delivery system has been on the agenda for the health system reform that China initiated in 2009. This study examines the changes in efficiency performance and determinants of efficiency after the reform to provide evidence to assess the progress of the reform from the perspective of efficiency. Descriptive analysis, Data Envelopment Analysis, the Malmquist Index, and multilevel regressions are used with data from multiple sources, including the World Bank, the China Health Statistical Yearbook, and routine reports. The results indicate that over the last decade, health outcomes compared with health investment were relatively higher in China than in most other countries worldwide, and the trend was stable. The overall efficiency and total factor productivity increased after the reform, indicating that the reform was likely to have had a positive impact on the efficiency performance of the health care delivery system. However, the health care delivery structure showed low system efficiency, mainly attributed to the weakened primary health care system. Strengthening the primary health care system is central to enhancing the future performance of China's health care delivery system. Copyright © 2017 John Wiley & Sons, Ltd.

Understanding and valuing the broader health system benefits of Uganda's national Human Resources for Health Information System investment.

Science.gov (United States)

Driessen, Julia; Settle, Dykki; Potenziani, David; Tulenko, Kate; Kabocho, Twaha; Wadembere, Ismail

2015-08-31

To address the need for timely and comprehensive human resources for health (HRH) information, governments and organizations have been actively investing in electronic health information interventions, including in low-resource settings. The economics of human resources information systems (HRISs) in low-resource settings are not well understood, however, and warrant investigation and validation. This case study describes Uganda's Human Resources for Health Information System (HRHIS), implemented with support from the US Agency for International Development, and documents perceptions of its impact on the health labour market against the backdrop of the costs of implementation. Through interviews with end users and implementers in six different settings, we document pre-implementation data challenges and consider how the HRHIS has been perceived to affect human resources decision-making and the healthcare employment environment. This multisite case study documented a range of perceived benefits of Uganda's HRHIS through interviews with end users that sought to capture the baseline (or pre-implementation) state of affairs, the perceived impact of the HRHIS and the monetary value associated with each benefit. In general, the system appears to be strengthening both demand for health workers (through improved awareness of staffing patterns) and supply (by improving licensing, recruitment and competency of the health workforce). This heightened ability to identify high-value employees makes the health sector more competitive for high-quality workers, and this elevation of the health workforce also has broader implications for health system performance and population health. Overall, it is clear that HRHIS end users in Uganda perceived the system to have significantly improved day-to-day operations as well as longer term institutional mandates. A more efficient and responsive approach to HRH allows the health sector to recruit the best candidates, train employees in

HealthStyles: a new psychographic segmentation system for health care marketers.

Science.gov (United States)

Endresen, K W; Wintz, J C

1988-01-01

HealthStyles is a new psychographic segmentation system specifically designed for the health care industry. This segmentation system goes beyond traditional geographic and demographic analysis and examines health-related consumer attitudes and behaviors. Four statistically distinct "styles" of consumer health care preferences have been identified. The profiles of the four groups have substantial marketing implications in terms of design and promotion of products and services. Each segment of consumers also has differing expectations of physician behavior.

Relationships among walleye population characteristics and genetic diversity in northern Wisconsin Lakes

Science.gov (United States)

Waterhouse, Matthew D.; Sloss, Brian L.; Isermann, Daniel A.

2014-01-01

The maintenance of genetic integrity is an important goal of fisheries management, yet little is known regarding the effects of management actions (e.g., stocking, harvest regulations) on the genetic diversity of many important fish species. Furthermore, relationships between population characteristics and genetic diversity remain poorly understood. We examined relationships among population demographics (abundance, recruitment, sex ratio, and mean age of the breeding population), stocking intensity, and genetic characteristics (heterozygosity, effective number of alleles, allelic richness, Wright's inbreeding coefficient, effective population size [Ne], mean d2 [a measure of inbreeding], mean relatedness, and pairwise population ΦST estimates) for 15 populations of Walleye Sander vitreus in northern Wisconsin. We also tested for potential demographic and genetic influences on Walleye body condition and early growth. Combinations of demographic variables explained 47.1–79.8% of the variation in genetic diversity. Skewed sex ratios contributed to a reduction in Ne and subsequent increases in genetic drift and relatedness among individuals within populations; these factors were correlated to reductions in allelic richness and early growth rate. Levels of inbreeding were negatively related to both age-0 abundance and mean age, suggesting Ne was influenced by recruitment and generational overlap. A negative relationship between the effective number of alleles and body condition suggests stocking affected underlying genetic diversity of recipient populations and the overall productivity of the population. These relationships may result from poor performance of stocked fish, outbreeding depression, or density-dependent factors. An isolation-by-distance pattern of genetic diversity was apparent in nonstocked populations, but was disrupted in stocked populations, suggesting that stocking affected genetic structure. Overall, demographic factors were related to genetic

Fellowship Program in Health System Improvement: A novel approach integrating leadership development and patient-centred health system transformation.

Science.gov (United States)

Philippon, Donald J; Montesanti, Stephanie; Stafinski, Tania

2018-03-01

This article highlights a novel approach to professional development, integrating leadership, development and patient-centred health system transformation in the new Fellowship Program in Health System Improvement offered by the School of Public Health at the University of Alberta. Early assessment of the program is also provided.

Integrating landscape system and meta-ecosystem frameworks to advance the understanding of ecosystem function in heterogeneous landscapes: An analysis on the carbon fluxes in the Northern Highlands Lake District (NHLD) of Wisconsin and Michigan.

Science.gov (United States)

Yang, Haile; Chen, Jiakuan

2018-01-01

The successful integration of ecosystem ecology with landscape ecology would be conducive to understanding how landscapes function. There have been several attempts at this, with two main approaches: (1) an ecosystem-based approach, such as the meta-ecosystem framework and (2) a landscape-based approach, such as the landscape system framework. These two frameworks are currently disconnected. To integrate these two frameworks, we introduce a protocol, and then demonstrate application of the protocol using a case study. The protocol includes four steps: 1) delineating landscape systems; 2) classifying landscape systems; 3) adjusting landscape systems to meta-ecosystems and 4) integrating landscape system and meta-ecosystem frameworks through meta-ecosystems. The case study is the analyzing of the carbon fluxes in the Northern Highlands Lake District (NHLD) of Wisconsin and Michigan using this protocol. The application of this protocol revealed that one could follow this protocol to construct a meta-ecosystem and analyze it using the integrative framework of landscape system and meta-ecosystem frameworks. That is, one could (1) appropriately describe and analyze the spatial heterogeneity of the meta-ecosystem; (2) understand the emergent properties arising from spatial coupling of local ecosystems in the meta-ecosystem. In conclusion, this protocol is a useful approach for integrating the meta-ecosystem framework and the landscape system framework, which advances the describing and analyzing of the spatial heterogeneity and ecosystem function of interconnected ecosystems.

New Reforms to the Health System

OpenAIRE

Tran Dai, Candice; Duchâtel, Mathieu

2012-01-01

Based on:– Li Ling, “Successful reform of the health system hangs on two key elements,” Zhongguo jingyingbao (China Management News), 18 April 2009.– Li Hongmei, Li Xiaohong, Wang Junping, “Ten experts comment on the new reform of the health system: Providing better and cheaper access to medical care,” Renmin ribao (People’s Daily), 15 April 2009.– Yao Qi, “The new reform of the health system must first and foremost compensate for the shortcomings in the local hospitals,” Yangcheng wanbao (Ya...

United States of America: health system review.

Science.gov (United States)

Rice, Thomas; Rosenau, Pauline; Unruh, Lynn Y; Barnes, Andrew J; Saltman, Richard B; van Ginneken, Ewout

2013-01-01

This analysis of the United States health system reviews the developments in organization and governance, health financing, health-care provision, health reforms and health system performance. The US health system has both considerable strengths and notable weaknesses. It has a large and well-trained health workforce, a wide range of high-quality medical specialists as well as secondary and tertiary institutions, a robust health sector research program and, for selected services, among the best medical outcomes in the world. But it also suffers from incomplete coverage of its citizenry, health expenditure levels per person far exceeding all other countries, poor measures on many objective and subjective measures of quality and outcomes, an unequal distribution of resources and outcomes across the country and among different population groups, and lagging efforts to introduce health information technology. It is difficult to determine the extent to which deficiencies are health-system related, though it seems that at least some of the problems are a result of poor access to care. Because of the adoption of the Affordable Care Act in 2010, the United States is facing a period of enormous potential change. Improving coverage is a central aim, envisaged through subsidies for the uninsured to purchase private insurance, expanded eligibility for Medicaid (in some states) and greater protection for insured persons. Furthermore, primary care and public health receive increased funding, and quality and expenditures are addressed through a range of measures. Whether the ACA will indeed be effective in addressing the challenges identified above can only be determined over time. World Health Organization 2013 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies).

The health and health system of South Africa: historical roots of current public health challenges.

Science.gov (United States)

Coovadia, Hoosen; Jewkes, Rachel; Barron, Peter; Sanders, David; McIntyre, Diane

2009-09-05

The roots of a dysfunctional health system and the collision of the epidemics of communicable and non-communicable diseases in South Africa can be found in policies from periods of the country's history, from colonial subjugation, apartheid dispossession, to the post-apartheid period. Racial and gender discrimination, the migrant labour system, the destruction of family life, vast income inequalities, and extreme violence have all formed part of South Africa's troubled past, and all have inexorably affected health and health services. In 1994, when apartheid ended, the health system faced massive challenges, many of which still persist. Macroeconomic policies, fostering growth rather than redistribution, contributed to the persistence of economic disparities between races despite a large expansion in social grants. The public health system has been transformed into an integrated, comprehensive national service, but failures in leadership and stewardship and weak management have led to inadequate implementation of what are often good policies. Pivotal facets of primary health care are not in place and there is a substantial human resources crisis facing the health sector. The HIV epidemic has contributed to and accelerated these challenges. All of these factors need to be addressed by the new government if health is to be improved and the Millennium Development Goals achieved in South Africa.

Embedding health literacy into health systems: a case study of a regional health service.

Science.gov (United States)

Vellar, Lucia; Mastroianni, Fiorina; Lambert, Kelly

2017-12-01

Objective The aim of the present study was to describe how one regional health service the Illawarra Shoalhaven Local Health District embedded health literacy principles into health systems over a 3-year period. Methods Using a case study approach, this article describes the development of key programs and the manner in which clinical incidents were used to create a health environment that allows consumers the right to equitably access quality health services and to participate in their own health care. Results The key outcomes demonstrating successful embedding of health literacy into health systems in this regional health service include the creation of a governance structure and web-based platform for developing and testing plain English consumer health information, a clearly defined process to engage with consumers, development of the health literacy ambassador training program and integrating health literacy into clinical quality improvement processes via a formal program with consumers to guide processes such as improvements to access and navigation around hospital sites. Conclusions The Illawarra Shoalhaven Local Health District has developed an evidence-based health literacy framework, guided by the core principles of universal precaution and organisational responsibility. Health literacy was also viewed as both an outcome and a process. The approach taken by the Illawarra Shoalhaven Local Health District to address poor health literacy in a coordinated way has been recognised by the Australian Commission on Safety and Quality in Health Care as an exemplar of a coordinated approach to embed health literacy into health systems. What is known about the topic? Poor health literacy is a significant national concern in Australia. The leadership, governance and consumer partnership culture of a health organisation can have considerable effects on an individual's ability to access, understand and apply the health-related information and services available to them

Effects of N-Acetylcysteine Addition to University of Wisconsin Solution on the Rate of Ischemia-Reperfusion Injury in Adult Orthotopic Liver Transplant.

Science.gov (United States)

Aliakbarian, Mohsen; Nikeghbalian, Saman; Ghaffaripour, Sina; Bahreini, Amin; Shafiee, Mohammad; Rashidi, Mohammad; Rajabnejad, Yaser

2017-08-01

One of the main concerns in liver transplant is the prolonged ischemia time, which may lead to primary graft nonfunction or delayed function. N-acetylcysteine is known as a hepato-protective agent in different studies, which may improve human hepatocyte viability in steatotic donor livers. This study investigated whether N-acetylcysteine can decrease the rate of ischemia-reperfusion syndrome and improve short-term outcome in liver transplant recipients. This was a double-blind, randomized, control clinical trial of 115 patients. Between April 2012 and January 2013, patients with orthotopic liver transplant were randomly divided into 2 groups; in 49 cases N-acetylcysteine was added to University of Wisconsin solution as the preservative liquid (experimental group), and in 66 cases standard University of Wisconsin solution was used (control group). We compared postreperfusion hypotension, inotrope requirement before and after portal reperfusion, intermittent arterial blood gas analysis and potassium measurement, pathological review of transplanted liver, in-hospital complications, morbidity, and mortality. There was no significant difference between the groups regarding time to hepatic artery reperfusion, hospital stay, vascular complications, inotrope requirement before and after portal declamping, and blood gas analysis. Hypotension after portal reperfusion was significantly more common in experimental group compared with control group (P = .005). Retransplant and in-hospital mortality were comparable between the groups. Preservation of the liver inside Univer-sity of Wisconsin solution plus N-acetylcysteine did not change the rate of ischemia reperfusion injury and short-term outcome in liver transplant recipients.

The impact of mHealth interventions on health systems: a systematic review protocol.

Science.gov (United States)

Fortuin, Jill; Salie, Faatiema; Abdullahi, Leila H; Douglas, Tania S

2016-11-25

Mobile health (mHealth) has been described as a health enabling tool that impacts positively on the health system in terms of improved access, quality and cost of health care. The proposed systematic review will examine the impact of mHealth on health systems by assessing access, quality and cost of health care as indicators. The systematic review will include literature from various sources including published and unpublished/grey literature. The databases to be searched include: PubMed, Cochrane Library, Google Scholar, NHS Health Technology Assessment Database and Web of Science. The reference lists of studies will be screened and conference proceedings searched for additional eligible reports. Literature to be included will have mHealth as the primary intervention. Two authors will independently screen the search output, select studies and extract data; discrepancies will be resolved by consensus and discussion with the assistance of the third author. The systematic review will inform policy makers, investors, health professionals, technologists and engineers about the impact of mHealth in strengthening the health system. In particular, it will focus on three metrics to determine whether mHealth strengthens the health system, namely quality of, access to and cost of health care services. Systematic review registration: PROSPERO CRD42015026070.

Budget-makers and health care systems.

Science.gov (United States)

White, Joseph

2013-10-01

Health programs are shaped by the decisions made in budget processes, so how budget-makers view health programs is an important part of making health policy. Budgeting in any country involves its own policy community, with key players including budgeting professionals and political authorities. This article reviews the typical pressures on and attitudes of these actors when they address health policy choices. The worldview of budget professionals includes attitudes that are congenial to particular policy perspectives, such as the desire to select packages of programs that maximize population health. The pressures on political authorities, however, are very different: most importantly, public demand for health care services is stronger than for virtually any other government activity. The norms and procedures of budgeting also tend to discourage adoption of some of the more enthusiastically promoted health policy reforms. Therefore talk about rationalizing systems is not matched by action; and action is better explained by the need to minimize blame. The budget-maker's perspective provides insight about key controversies in healthcare policy such as decentralization, competition, health service systems as opposed to health insurance systems, and dedicated vs. general revenue finance. It also explains the frequency of various "gaming" behaviors. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts.

Science.gov (United States)

Zhang, Xiulan; Bloom, Gerald; Xu, Xiaoxin; Chen, Lin; Liang, Xiaoyun; Wolcott, Sara J

2014-08-26

This paper explores the evolution of schemes for rural finance in China as a case study of the long and complex process of health system development. It argues that the evolution of these schemes has been the outcome of the response of a large number of agents to a rapidly changing context and of efforts by the government to influence this adaptation process and achieve public health goals. The study draws on several sources of data including a review of official policy documents and academic papers and in-depth interviews with key policy actors at national level and at a sample of localities. The study identifies three major transition points associated with changes in broad development strategy and demonstrates how the adaptation of large numbers of actors to these contextual changes had a major impact on the performance of the health system. Further, it documents how the Ministry of Health viewed its role as both an advocate for the interests of health facilities and health workers and as the agency responsible for ensuring that government health system objectives were met. It is argued that a major reason for the resilience of the health system and its ability to adapt to rapid economic and institutional change was the ability of the Ministry to provide overall strategy leadership. Additionally, it postulates that a number of interest groups have emerged, which now also seek to influence the pathway of health system development. This history illustrates the complex and political nature of the management of health system development and reform. The paper concludes that governments will need to increase their capacity to analyze the health sector as a complex system and to manage change processes.

[The Health Plan for Catalonia: an instrument to transform the health system].

Science.gov (United States)

Constante i Beitia, Carles

2015-11-01

The Department of Health of the Generalitat in Catalonia periodically draws up the Health Plan, which is the strategic document that brings together the reference framework for initiatives concerning public health in terms of the Catalan health administration. The 2011-2015 version of the Health Plan incorporates key care and system governance-related elements, which, in conjunction with health goals, make up the complete picture of what the health system in Catalonia should look like until 2015. The Plan was drawn up at a time when the environmental conditions were extremely particular, given the major economic crisis that began in 2007. This has meant that the system has been forced to address public health problems using a significant reduction in the economic resources available, while aiming to maintain the level of care provided, both quantitatively and qualitatively, and preserve the sustainability of the system whose defining traits are its universality, equity and the wide range of services on offer. The Health Plan focuses on three areas of action, 9 major courses of action and 32 strategic projects designed to respond to new social needs: addressing the most common health issues, comprehensive care for chronic patients and organizational modernization. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

THE E-HEALTH SYSTEMS IN POLAND

Directory of Open Access Journals (Sweden)

Zdzisław PÓLKOWSKI

2013-11-01

Full Text Available Information Technologies are disruptive technologies that have caused major changes in health system in Poland. Current digital economy is driven by modern information and new IT tools, which offer hospitals, doctors and patient access to any type of information, regardless of its form of existence, storage type or geographical location. These tools encourage the development of new activities, health services. The purpose of this article is to analyze the the current state of development of e-services in Poland in the context of nowadays health system. In the first part of the paper, the authors present various programmes, which enable the access to the medical services and patients’ data online. The next part of the paper is devoted to examining the technical aspects of the said programmes and presenting their advantages as well as the areas which might be improved.The last part of the work will be focused on the websites of the selected health institutions. According to the authors, WWW services provide much information on how the process of computer systems are being implemented, what data the services include and the capacity of the equipment as well as the software, human resources and the knowledge in this sphere. Moreover this section highlights the latest trends in e-health with particular emphasis on aspects such as the use of private and public cloud computer and t heir integration with web sites of health institutions. This study brings its contribution to the understanding of the change of health system in Poland behavior by using a new perspective e-health systems and IT tools above by doctors, officers and patients.

Development, succession, and stand dynamics of upland oak forests in the Wisconsin Driftless Area: Implications for oak regeneration and management

Science.gov (United States)

Megan L. Buchanan; Kurt F. Kipfmueller; Anthony W. D' Amato

2017-01-01

Throughout the deciduous forests of the eastern United States, oak (Quercus) regeneration has declined in stands historically dominated by oak species. In the Wisconsin Driftless Area, the level of decline in oak regeneration is variable and influenced by stand structural development, historical disturbance regime, abiotic site characteristics, and...

Geographic Information Systems: A Primer

Science.gov (United States)

1990-10-01

Albert Bargeski Page Building 1 2001 Wisconsin Ave., N.W. Washington, DC 20235 (202) 673-5594 DATA: Physical Biological Chemical National Technical...Information Systems Proceedings. ’an Francisco, CA, Oct. 26-30. ASPRS and ACSM. Vol. 1. pp. 1’ - 147. John, N. 1982. Megatrends - Ten New Directions

A Case for Open Network Health Systems: Systems as Networks in Public Mental Health

Directory of Open Access Journals (Sweden)

Michael Grant Rhodes

2017-03-01

Full Text Available Increases in incidents involving so-called confused persons have brought attention to the potential costs of recent changes to public mental health (PMH services in the Netherlands. Decentralized under the (Community Participation Act (2014, local governments must find resources to compensate for reduced central funding to such services or “innovate.” But innovation, even when pressure for change is intense, is difficult. This perspective paper describes experience during and after an investigation into a particularly violent incident and murder. The aim was to provide recommendations to improve the functioning of local PMH services. The investigation concluded that no specific failure by an individual professional or service provider facility led to the murder. Instead, also as a result of the Participation Act that severed communication lines between individuals and organizations, information sharing failures were likely to have reduced system level capacity to identify risks. The methods and analytical frameworks employed to reach this conclusion, also lead to discussion as to the plausibility of an unconventional solution. If improving communication is the primary problem, non-hierarchical information, and organizational networks arise as possible and innovative system solutions. The proposal for debate is that traditional “health system” definitions, literature and narratives, and operating assumptions in public (mental health are ‘locked in’ constraining technical and organization innovations. If we view a “health system” as an adaptive system of economic and social “networks,” it becomes clear that the current orthodox solution, the so-called integrated health system, typically results in a “centralized hierarchical” or “tree” network. An overlooked alternative that breaks out of the established policy narratives is the view of a ‘health systems’ as a non-hierarchical organizational structure or �

Integrating ICTs within health systems | IDRC - International ...

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

2016-06-10

Jun 10, 2016 ... But for too long, ICT and health system researchers have worked in isolation ... be used to enable the governance and functioning of health systems in ... most African countries adopted direct payment for health services as the ...

Fast neutron dosimetry. Progress report, July 1, 1978-June 30, 1979. Wisconsin Medical Physics report No. WMP-109

International Nuclear Information System (INIS)

Attix, F.H.

1979-01-01

Research activities relating to neutron dosimetry at the University of Wisconsin conducted between 1961 and 1979 are comprehensively reviewed. Former principal investigators discuss the activities and accomplishments which occurred during their tenure, and the current principal investigator discusses future plans. Seven reprints of papers dealing with specific aspects of the program are included in the report, but have not been indexed separately

Health at the center of health systems reform: how philosophy can inform policy.

Science.gov (United States)

Sturmberg, Joachim P; Martin, Carmel M; Moes, Mark M

2010-01-01

Contemporary views hold that health and disease can be defined as objective states and thus should determine the design and delivery of health services. Yet health concepts are elusive and contestable. Health is neither an individual construction, a reflection of societal expectations, nor only the absence of pathologies. Based on philosophical and sociological theory, empirical evidence, and clinical experience, we argue that health has simultaneously objective and subjective features that converge into a dynamic complex-adaptive health model. Health (or its dysfunction, illness) is a dynamic state representing complex patterns of adaptation to body, mind, social, and environmental challenges, resulting in bodily homeostasis and personal internal coherence. The "balance of health" model-emergent, self-organizing, dynamic, and adaptive-underpins the very essence of medicine. This model should be the foundation for health systems design and also should inform therapeutic approaches, policy decision-making, and the development of emerging health service models. A complex adaptive health system focused on achieving the best possible "personal" health outcomes must provide the broad policy frameworks and resources required to implement people-centered health care. People-centered health systems are emergent in nature, resulting in locally different but mutually compatible solutions across the whole health system.

Evaluation of mechanisms that might control transport of wastewater contaminants in bedrock multi-aquifer systems

Science.gov (United States)

Ongoing research has identified infectious human enteric viruses in the Madison, Wisconsin, public supply wells that draw water from a deep, confined sandstone aquifer. These viruses most likely originate from leaking sanitary sewers and are a potential human health risk. Due to a relatively short (...

Environmental health risk assessment: Energy systems

International Nuclear Information System (INIS)

Krewski, D.; Somers, E.; Winthrop, S.O.

1984-01-01

Most industrialized nations have come to rely on a variety of systems for energy production, both of a conventional and non-conventional nature. In the paper, the spectrum of energy systems currently in use in Canada is outlined along with their potential health risks. Several examples of environmental health studies involving both outdoor and indoor air pollution related to energy production in Canada are reported. The limitations of current technologies for assessing health risks are discussed and possible approaches to managing energy related health risks are indicated. (author)

Identification and phylogenetic analysis of Dirofilaria ursi (Nematoda: Filarioidea) from Wisconsin black bears (Ursus americanus) and its Wolbachia endosymbiont.

Science.gov (United States)

Michalski, Michelle L; Bain, Odile; Fischer, Kerstin; Fischer, Peter U; Kumar, Sanjay; Foster, Jeremy M

2010-04-01

Dirofilaria ursi is a filarial nematode of American black bears (Ursus americanus Pallas, 1780) that is vectored by black flies (Simuliidae) in many parts of the United States. In northwestern Wisconsin, the prevalence of microfilaremic bears during the fall hunting season was 21% (n = 47). Unsheathed blood microfilariae from Wisconsin bears possess characters consistent with the original description of D. ursi, as do adult worms observed histologically and grossly. Immunohistochemistry was used to identify the Wolbachia endosymbiont in the hypodermis and lateral cords of an adult female D. ursi. Amplification of wsp, gatB, coxA, fbpA, and ftsZ bacterial sequences from parasite DNA confirmed the presence of Wolbachia, and molecular phylogenetic analysis of the Wolbachia ftsZ gene groups the endosymbiont with Wolbachia from D. immitis and D. repens. Phylogenetic analysis of D. ursi 5s rDNA sequence confirms the morphological observations grouping this parasite as a member of Dirofilaria, and within the Dirofilaria - Onchocerca clade of filarial nematodes. This is the first report of Wolbachia characterization and molecular phylogeny information for D. ursi.

The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems

Directory of Open Access Journals (Sweden)

Menizibeya Osain Welcome

2011-01-01

Full Text Available Objectives : As an important element of national security, public health not only functions to provide adequate and timely medical care but also track, monitor, and control disease outbreak. The Nigerian health care had suffered several infectious disease outbreaks year after year. Hence, there is need to tackle the problem. This study aims to review the state of the Nigerian health care system and to provide possible recommendations to the worsening state of health care in the country. To give up-to-date recommendations for the Nigerian health care system, this study also aims at reviewing the dynamics of health care in the United States, Britain, and Europe with regards to methods of medical intelligence/surveillance. Materials and Methods : Databases were searched for relevant literatures using the following keywords: Nigerian health care, Nigerian health care system, and Nigerian primary health care system. Additional keywords used in the search were as follows: United States (OR Europe health care dynamics, Medical Intelligence, Medical Intelligence systems, Public health surveillance systems, Nigerian medical intelligence, Nigerian surveillance systems, and Nigerian health information system. Literatures were searched in scientific databases Pubmed and African Journals OnLine. Internet searches were based on Google and Search Nigeria. Results : Medical intelligence and surveillance represent a very useful component in the health care system and control diseases outbreak, bioattack, etc. There is increasing role of automated-based medical intelligence and surveillance systems, in addition to the traditional manual pattern of document retrieval in advanced medical setting such as those in western and European countries. Conclusion : The Nigerian health care system is poorly developed. No adequate and functional surveillance systems are developed. To achieve success in health care in this modern era, a system well grounded in routine

[Corruption and health care system].

Science.gov (United States)

Marasović Šušnjara, Ivana

2014-06-01

Corruption is a global problem that takes special place in health care system. A large number of participants in the health care system and numerous interactions among them provide an opportunity for various forms of corruption, be it bribery, theft, bureaucratic corruption or incorrect information. Even though it is difficult to measure the amount of corruption in medicine, there are tools that allow forming of the frames for possible interventions.

Insurer Provide Rating Software and Competitive Advantage: An Evaluation Based on BOP Insurance Applications at Wisconsin Agencies

OpenAIRE

Thomas A. Aiuppa; William E. Wehrs

1993-01-01

This research examines whether a competitive advantage exists for insurers which provide independent agencies with rating software to generate price quotes. Data relative to the Business Owners line of insurance were collected from several Wisconsin agencies which represent several BOP insurers, some of which provide software for rating BOP applications. The results indicate that providing rating software did not increase insurers’ business volumes, but may decrease their underwriting costs. ...

Effects of urbanization on streamflow, sediment loads, and channel morphology in Pheasant Branch Basin near Middleton, Wisconsin

Science.gov (United States)

Krug, W.R.; Goddard, G.L.

1986-01-01

A 5-year, data-collection and modeling study was conducted on Pheasant Branch basin in and near Middleton, Wisconsin. The objectives of the study were to: (1) describe the streamflow characteristics, sediment transport, and stream-channel morphology in the Pheasant Branch basin; and (2) relate the above factors to changes caused by urbanization and project the effect of urbanization on the hydrology and channel morphology of the study area.

Portable Health Algorithms Test System

Science.gov (United States)

Melcher, Kevin J.; Wong, Edmond; Fulton, Christopher E.; Sowers, Thomas S.; Maul, William A.

2010-01-01

A document discusses the Portable Health Algorithms Test (PHALT) System, which has been designed as a means for evolving the maturity and credibility of algorithms developed to assess the health of aerospace systems. Comprising an integrated hardware-software environment, the PHALT system allows systems health management algorithms to be developed in a graphical programming environment, to be tested and refined using system simulation or test data playback, and to be evaluated in a real-time hardware-in-the-loop mode with a live test article. The integrated hardware and software development environment provides a seamless transition from algorithm development to real-time implementation. The portability of the hardware makes it quick and easy to transport between test facilities. This hard ware/software architecture is flexible enough to support a variety of diagnostic applications and test hardware, and the GUI-based rapid prototyping capability is sufficient to support development execution, and testing of custom diagnostic algorithms. The PHALT operating system supports execution of diagnostic algorithms under real-time constraints. PHALT can perform real-time capture and playback of test rig data with the ability to augment/ modify the data stream (e.g. inject simulated faults). It performs algorithm testing using a variety of data input sources, including real-time data acquisition, test data playback, and system simulations, and also provides system feedback to evaluate closed-loop diagnostic response and mitigation control.

Dealing with Health and Health Care System Challenges in China: assessing health determinants and health care reforms

NARCIS (Netherlands)

H. Zhang (Hao)

2017-01-01

markdownabstractThis dissertation investigates the challenges faced by China around 2010 in two domains – population health and the health care system. Specifically, chapters 2 and 3 are devoted to health challenges, explaining the female health disadvantage in later life and assessing the effect

[The health system of Brazil].

Science.gov (United States)

Montekio, Víctor Becerril; Medina, Guadalupe; Aquino, Rosana

2011-01-01

This paper describes the Brazilian health system, which includes a public sector covering almost 75% of the population and an expanding private sector offering health services to the rest of the population. The public sector is organized around the Sistema Único de Saúde (SUS) and it is financed with general taxes and social contributions collected by the three levels of government (federal, state and municipal). SUS provides health care through a decentralized network of clinics, hospitals and other establishments, as well as through contracts with private providers. SUS is also responsible for the coordination of the public sector. The private sector includes a system of insurance schemes known as Supplementary Health which is financed by employers and/or households: group medicine (companies and households), medical cooperatives, the so called Self-Administered Plans (companies) and individual insurance plans.The private sector also includes clinics, hospitals and laboratories offering services on out-of-pocket basis mostly used by the high-income population. This paper also describes the resources of the system, the stewardship activities developed by the Ministry of Health and other actors, and the most recent policy innovations implemented in Brazil, including the programs saúde da Familia and Mais Saúde.

Rethinking health systems strengthening: key systems thinking tools and strategies for transformational change.

Science.gov (United States)

Swanson, R Chad; Cattaneo, Adriano; Bradley, Elizabeth; Chunharas, Somsak; Atun, Rifat; Abbas, Kaja M; Katsaliaki, Korina; Mustafee, Navonil; Mason Meier, Benjamin; Best, Allan

2012-10-01

While reaching consensus on future plans to address current global health challenges is far from easy, there is broad agreement that reductionist approaches that suggest a limited set of targeted interventions to improve health around the world are inadequate. We argue that a comprehensive systems perspective should guide health practice, education, research and policy. We propose key 'systems thinking' tools and strategies that have the potential for transformational change in health systems. Three overarching themes span these tools and strategies: collaboration across disciplines, sectors and organizations; ongoing, iterative learning; and transformational leadership. The proposed tools and strategies in this paper can be applied, in varying degrees, to every organization within health systems, from families and communities to national ministries of health. While our categorization is necessarily incomplete, this initial effort will provide a valuable contribution to the health systems strengthening debate, as the need for a more systemic, rigorous perspective in health has never been greater.

Pilot Test and Evaluation of a System of Computer-Managed Instruction.

Science.gov (United States)

Spuck, Dennis W.; Bozeman, William C.

1978-01-01

The Wisconsin System for Instructional Management (WIS SIM) was evaluated on three dimensions (functioning, utilization, and effects) and the information gathered was classified into three types--actual, perceptual, and judgmental. The test demonstrates that a system supportive of an individualized system of education can be designed, developed,…

Rating the Efficiency of Regional Health Systems and Compulsory Health Insurance

Directory of Open Access Journals (Sweden)

Tatyana Nikolayevna Russkikh

2015-12-01

Full Text Available In the face of increasing of the regional differentiation of the health systems and compulsory health insurance, the comparative analysis and efficiency assessment of their performance in the context of the subjects of the Russian Federation becomes particularly relevant. Therefore, the research is focused on the regional health systems and compulsory health insurance (CHI, and the subject matter of the study is the analysis of the system performance. In the article, the comparative analysis of the authors’ approaches to the formation of efficiency criteria of the performance of regional health systems and CHI, as well as to the development of a typology of the constituent entities of the Russian Federation based on these criteria is conducted. The authors propose a system of indicators to measure the economic, medical and social efficiency of the systems under consideration. Moreover, a set of indicators of economic efficiency forms two groups of indicators. The first group of indicators reflects the financial performance, and the second — the structural efficiency. A methodological approach to the formation of the rating for subjects of the Russian Federation according to the levels of efficiency, based on the procedures of cluster analysis and fuzzy mathematics are developed. A feature of the proposed approach to the construction of a typology of the subjects in terms of efficiency is the introduction of a reference subject with the national average performance indicators system that allows to qualitatively assess the effectiveness of regional health systems and CHI by comparing them with the «reference subject». The results of the empirical research have indicated a high differentiation of the subjects of the Russian Federation in terms of economic efficiency, have allowed to identify the subjects-outsiders. The theoretical and practical results can be used for the rational choice of priorities of the state policy in the field of the