4,311 research outputs found
\u3ci\u3eUrophora Affinis\u3c/i\u3e and \u3ci\u3eU. Quadrifasciata\u3c/i\u3e (Diptera: Tephritidae) Released and Monitored by USDA, APHIS, PPQ as Biological Control Agents of Spotted and Diffuse Knapweed
USDA, APHIS, PPQ has distributed the seedhead gall flies Urophora affinis and U. quadrifasciata (Diptera: Tephritidae) as classical biological agents of the introduced weeds spotted and diffuse knapweed (Centaurea maculosa and C. diffusa, respectively) (Asteraceae) in the United States. From 1987 to 1996, Urophora spp. have been released in 97 counties in 14 midwestern and western states. Established populations of U. affinis and U. quadrifasciata are confirmed in 85 and 95 counties, respectively, among all 14 states. These include the first reports of successful establishment of Urophora spp. in Arizona (two counties), Colorado (eight counties), Michigan (one county), Minnesota (six counties), Nebraska (four counties), Nevada (two counties), North Dakota (one county), South Dakota (four counties), Utah (three counties), and Wisconsin (two counties). The first confirmed establishment of U. quadrifasciata in Indiana and Michigan is also reported
Valuing Options in California Water Markets: A Laboratory Investigation
Risk and reliability dominate water supply discussions in the arid western United States. In the past, water managers built additional storage to mitigate supply risk. The optimal, least expensive storage sites have now been taken, and there are strong, environmental objections to new facilities. Reliability of existing supplies is further diminished due to concerns about endangered species and global climate change. Thus water agencies increasingly turn to contractual mechanisms such as dry-year options to manage supply risk in advance of need. However, although a few water agencies across the West have implemented dry-year options, sufficient data for conventional econometric analysis do not yet exist. We thus utilize experimental economics to analyze the effect of annual dry-year options on water markets. How do market structure (competitive versus market power) and option contract availability affect water price and allocation within a market? Experiment participants trade stochastic realizations of water in a non-uniform double auction parameterized to resemble the California water market. We find that realized gains from trade are on average higher when options can be traded, by 11% in competitive markets and by 21% in dominant buyer markets. Findings in this analysis may assist policymakers in preparing for the next multi-year drought in California.Resource /Energy Economics and Policy,
Responses and relationship dynamics of men and their spouses during active surveillance for prostate cancer: health literacy as an inquiry framework
BACKGROUND: Early stage prostate cancer patients may be allocated to active surveillance, where the condition is observed over time with no intervention. Living with a cancer diagnosis may impose stress on both the men and their spouses. In this study we explore whether the scores of and verbal responses to a Health Literacy Questionnaire can be used to identify individuals in need of information and support and to reveal differences in perception and understanding in health related situations within couples. METHODS: We used the nine-domain Health Literacy Questionnaire (HLQ) as a framework to explore health literacy in eight couples where the men were on active surveillance for prostate cancer progression. Scores were calculated for each domain for both individuals. For each couple differences in scores were also calculated and related to the informants\u27 self-reported experiences and reflections in relation to participating in an active surveillance program. Also an inductive analysis was performed to identify themes in the responses and these themes were compared to those of HLQ. RESULTS: The men tended to score higher than their spouses. There was no consistent relation between scores and the reported experiences and reflections. However, some interesting patterns emerged, e.g. in two of the three couples with the largest within couple differences in HLQ scores, responses revealed discrepancies in how the men and their spouses perceived their situation. Also, three themes emerged which related to six of the HLQ domains, i.e. involvement of spouses and other people around the men; support from and interaction with healthcare professionals; and use of the Internet for information retrieval. CONCLUSIONS: Using the HLQ as an interview framework provided insight into the differences within couples and provided new perspectives on their experiences, including their contact with health professionals and the patient-spouse interaction when dealing with prostate cancer. The HLQ used as a dialogue tool may be an adjunct to assist healthcare providers to understand the need for support and information of men with prostate cancer on active surveillance and the dynamics within couples
\u3ci\u3eUrophora Affinis\u3c/i\u3e and \u3ci\u3eU. Quadrifasciata\u3c/i\u3e (Diptera: Tephritidae) Released and Monitored by USDA, APHIS, PPQ as Biological Control Agents of Spotted and Diffuse Knapweed
USDA, APHIS, PPQ has distributed the seedhead gall flies Urophora affinis and U. quadrifasciata (Diptera: Tephritidae) as classical biological agents of the introduced weeds spotted and diffuse knapweed (Centaurea maculosa and C. diffusa, respectively) (Asteraceae) in the United States. From 1987 to 1996, Urophora spp. have been released in 97 counties in 14 midwestern and western states. Established populations of U. affinis and U. quadrifasciata are confirmed in 85 and 95 counties, respectively, among all 14 states. These include the first reports of successful establishment of Urophora spp. in Arizona (two counties), Colorado (eight counties), Michigan (one county), Minnesota (six counties), Nebraska (four counties), Nevada (two counties), North Dakota (one county), South Dakota (four counties), Utah (three counties), and Wisconsin (two counties). The first confirmed establishment of U. quadrifasciata in Indiana and Michigan is also reported
An Analysis of the Status of Undergraduate Transportation Management Education in the United States
This paper examines 170 of the non-engineering undergraduate degrees in the fields of supply chain management, logistics, and transportation, including joint majors, present within universities in the United States. The curriculum for each degree was evaluated to determine the extent to which the students were taught transportation and related courses. Each university’s website was also examined to catalog additional best practices in education, such as required internships, used to support teaching transportation outside of formal classroom instruction
Comparative Effects of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) on Blood Pressure in Patients with Hypertension
Background
Nonsteroidal anti-inflammatory drugs (NSAIDs) may disrupt control of blood pressure in hypertensive patients and increase their risk of morbidity, mortality, and the costs of care. The objective of this study was to examine the association between incident use of NSAIDs and blood pressure in patients with hypertension. Methods
We conducted a retrospective cohort study of adult hypertensive patients to determine the effects of their first prescription for NSAID on systolic blood pressure and antihypertensive drug intensification. Data were collected from an electronic medical record serving an academic general medicine practice in Indianapolis, Indiana, USA. Using propensity scores to minimize bias, we matched a cohort of 1,340 users of NSAIDs with 1,340 users of acetaminophen. Propensity score models included covariates likely to affect blood pressure or the use of NSAIDs. The study outcomes were the mean systolic blood pressure measurement after starting NSAIDs and changes in antihypertensive therapy. Results
Compared to patients using acetaminophen, NSAID users had a 2 mmHg increase in systolic blood pressure (95% CI, 0.7 to 3.3). Ibuprofen was associated with a 3 mmHg increase in systolic blood pressure compared to naproxen (95% CI, 0.5 to 4.6), and a 5 mmHg increase compared to celecoxib (95% CI, 0.4 to 10). The systolic blood pressure increase was 3 mmHg in a subgroup of patients concomitantly prescribed angiotensin converting enzyme inhibitors or calcium channel blockers and 6 mmHg among those prescribed a beta-adrenergic blocker. Blood pressure changes in patients prescribed diuretics or multiple antihypertensives were not statistically significant. Conclusion
Compared to acetaminophen, incident use of NSAIDs, particularly ibuprofen, is associated with a small increase in systolic blood pressure in hypertensive patients. Effects in patients prescribed diuretics or multiple antihypertensives are negligible
Theory for polymer coils with necklaces of micelles
If many micelles adsorb onto the same polymer molecule then they are said to
form a necklace. A minimal model of such a necklace is proposed and shown to be
almost equivalent to a 1-dimensional fluid with nearest-neighbour interactions.
The thermodynamic functions of this fluid are obtained and then used to predict
the change in the critical micellar concentration of the surfactant in the
presence of the polymer. If the amount of polymer is not too large there are
two critical micellar concentrations, one for micelles in necklaces and one for
free micelles.Comment: 12 pages, 5 figure
Community health workers adherence to referral guidelines: evidence from studies introducing RDTs in two malaria transmission settings in Uganda.
BACKGROUND: Many malaria-endemic countries have implemented national community health worker (CHW) programmes to serve remote populations that have poor access to malaria diagnosis and treatment. Despite mounting evidence of CHWs' ability to adhere to malaria rapid diagnostic tests (RDTs) and treatment guidelines, there is limited evidence whether CHWs adhere to the referral guidelines and refer severely ill children for further management. In southwest Uganda, this study examined whether CHWs referred children according to training guidelines and described factors associated with adherence to the referral guideline. METHODS: A secondary analysis was undertaken of data collected during two cluster-randomized trials conducted between January 2010 and July 2011, one in a moderate-to-high malaria transmission setting and the other in a low malaria transmission setting. All CHWs were trained to prescribe artemisinin-based combination therapy (ACT) and recognize symptoms in children that required immediate referral to the nearest health centre. Intervention arm CHWs had additional training on how to conduct an RDT; CHWs in the control arm used a presumptive diagnosis for malaria using clinical signs and symptoms. CHW treatment registers were reviewed to identify children eligible for referral according to training guidelines (temperature of ≥38.5 °C), to assess whether CHWs adhered to the guidelines and referred them. Factors associated with adherence were examined with logistic regression models. RESULTS: CHWs failed to refer 58.8% of children eligible in the moderate-to-high transmission and 31.2% of children in the low transmission setting. CHWs using RDTs adhered to the referral guidelines more frequently than CHWs not using RDTs (moderate-to-high transmission: 50.1 vs 18.0%, p = 0.003; low transmission: 88.5 vs 44.1%, p < 0.001). In both settings, fewer than 20% of eligible children received pre-referral treatment with rectal artesunate. Children who were prescribed ACT were very unlikely to be referred in both settings (97.7 and 73.3% were not referred in the moderate-to-high and low transmission settings, respectively). In the moderate-to-high transmission setting, day and season of visit were also associated with the likelihood of adherence to the referral guidelines, but not in the low transmission setting. CONCLUSIONS: CHW adherence to referral guidelines was poor in both transmission settings. However, training CHWs to use RDT improved correct referral of children with a high fever compared to a presumptive diagnosis using sign and symptoms. As many countries scale up CHW programmes, routine monitoring of reported data should be examined carefully to assess whether CHWs adhere to referral guidelines and take remedial actions where required
Rational policymaking during a pandemic
Policymaking during a pandemic can be extremely challenging. As COVID-19 is a new disease and its global impacts are unprecedented, decisions are taken in a highly uncertain, complex, and rapidly changing environment. In such a context, in which human lives and the economy are at stake, we argue that using ideas and constructs from modern decision theory, even informally, will make policymaking a more responsible and transparent process
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