Nonfatal Injuries And Illnesses Among State And Local Government Workers

The scope of the Survey of Occupational Injuries and Illnesses was expanded with the 2008 survey to cover a more complete section of the U.S. economy: state and local government workers. Prior to the publication of the 2008 survey results, data users commonly requested information about industries in the public sector. Estimates covering nearly 18.5 million state and local government workers show that these public sector employees experienced a higher incidence rate of work-related injuries and illnesses than their private industry counterparts.This Spotlight on Statistics compares characteristics of injury and illness cases in state and local government with those in private industry, highlighting incidence rate trends in selected state and local government industries and examining injury and illness rates and cases that occurred in state and local government workplaces in 2011

A New Rehabilitation Method for Stroke Patients: A Comparative Study between the Pasta Matrix Reaching Task and the Novel Reaching Task

Stroke is a leading cause of disability worldwide. To promote better outcome for stroke survivors, scientists use animal models to understand basic mechanisms of stroke, rehabilitation, and recovery. Rodent models have revealed that skilled reach training (e.g., coordinated use of digits and limbs) promotes improved functional outcome following stroke. The single-pellet task (SPT) is widely used in rats; however, it can be an insensitive measure in other species, such as mice. The pasta matrix task (PMT) has been effectively implemented in mice; however, the task is limited by its required strength component. This study introduces a novel-reaching task aimed at overcoming the limitations of established tasks. Mice were trained on the PMT, SPT, or the novel task to establish the skill and determine the efficacy of each task. The novel task proved to be difficult for the mice, with performance levels reaching an overall average of 18.5%. After 20 days of training, performance did not reach an asymptotic level. Performance on the PMT and SPT resembled established levels of successful acquisition. Multiple modifications of the novel-reaching task apparatus were explored. Though a poor assessment tool, we believe the novel-reaching task may be particularly useful as a rehabilitative strategy due to the complexity of reach it promotes, which should stimulate high levels of neural plasticity. Findings from this study highlight the importance of drawing comparisons across reaching tasks and caution comparing different task results to one other. A follow-up study is underway whereby each task is compared for its rehabilitative benefits

Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT

Objective To explore mediated effects of Mindfulness-Based Cognitive Therapy-“Taking it Further” (MBCT-TiF) on mental well-being through changes in mindfulness, self-compassion, and decentering. Method A secondary analysis of an RCT using simple mediation, with 164 graduates of MBCT and mindfulness-based stress reduction (MBSR), was implemented whereby MBCT-TiF (vs ongoing mindfulness practice; OMP) was the independent variable; changes in mindfulness, self-compassion, and decentering during the intervention were the mediators; and mental well-being at post-intervention, whilst controlling for baseline, was the dependent variable. Secondary outcomes included psychological quality of life, depression, and anxiety. Results Compared to OMP, MBCT-TiF experienced significant improvements in mental well-being through changes in all three mediators (mindfulness: ab = 0.11 [0.03, 0.25]; decentering: ab = 0.16 [0.05, 0.33]; self-compassion: ab = 0.07 [0.01, 0.18]). A similar pattern was demonstrated for depression, but only mindfulness and decentering mediated effects on psychological quality of life and anxiety. Conclusion The findings provide preliminary support for all three mediators in driving change in mental well-being in a sample of MBCT/MBSR graduates. Future work must be theory-driven and powered to test all mediators in parallel and alongside other potential mediators (e.g., equanimity) to further understand independent contributions and interacting effects. Trial registration: ClinicalTrials.gov identifier: NCT05154266

Retrospective Study of Healthcare Resources Developed for Patients by Interprofessional Teams

Wayne State University (WSU) emphasizes the importance of interdisciplinary education by having students participate in an Interprofessional Team Visit (IPTV) program. A 60-minute virtual visit is conducted to assess adults aged over 50 years within the Detroit Metropolitan Area (Metro Detroit) community. This project was designed to prepare healthcare students in evaluating the mental, physical, and social health aspects of assigned patients based on specific disciplinary assessments. Upon completion of assessments, the interdisciplinary team provided the patient with resources based on the team and the patient\u27s agreed-upon area of concern. Twenty-eight IPTV teams, consisting of a medical and occupational therapy student and a healthcare professional student from another discipline studying at WSU, were randomly created. The IPTV resource guides created by each team were reviewed and sorted into two categories based on the health or social need of the individual patient. The data identified three main areas of interest, which included medication management, diet and exercise plans, and the use of technology to stay connected to medical professionals, friends, and family. The purpose of this report is to assess the IPTV program’s findings and analyze patients’ concerns based on health or social needs and the resources presented to them

Socioeconomic status and cigarette expenditure among US households: results from 2010 to 2015 Consumer Expenditure Survey

Objectives To examine (1) the association between household socioeconomic status (SES) and whether a household spends money on cigarettes and (2) socioeconomic variations in proportion of total household expenditure spent on cigarettes among smoking households. Methods We pooled data from six consecutive years, 2010–2015, of the Consumer Expenditure Interview Survey. The interviews involved a structured questionnaire about household income, demographics and expenditures including expenditure on cigarettes. Households that reported cigarette expenditure in the previous 3 months were distinguished as smoking households. SES indicators were household poverty status, education and occupation of the head of household. Logistic regression was used to assess the association of household smoking status with SES. Fractional logistic regression was used to assess the association of cigarette expenditure as a proportion of total household expenditure with SES. The analysis sample size was 39 218. Results The probability of spending money on cigarettes was higher among lower SES households. Households in poverty compared with those above 300% of poverty threshold had 1.86 (95% CI 1.61 to 2.16), households headed by a person with less than high school education compared with those headed by a person with at least a bachelor’s degree had 3.37 (95% CI 2.92 to 3.89) and households headed by a blue-collar work compared with those headed by a person in a managerial occupation had 1.45 (95% CI 1.26 to 1.66) higher odds of spending money on cigarettes. Similarly, the proportion of total household expenditure spent on cigarettes was higher among lower SES smoking households. Conclusion Lower SES households are more likely to spend money on cigarettes and spend a larger proportion of their total expenditure on cigarettes. We recommend strategies effective in reducing smoking among low SES smokers

How High? Trends in Cannabis Use Prior to First Admission to Inpatient Psychiatry in Ontario, Canada, between 2007 and 2017

Objectives: To examine the trends in cannabis use within 30 days of first admission to inpatient psychiatry in Ontario, Canada, between 2007 and 2017, and the characteristics of persons reporting cannabis use. Methods: A retrospective cross-sectional analysis was conducted for first-time admissions to nonforensic inpatient psychiatric beds in Ontario, Canada, between January 1, 2007, and December 31, 2017, using data from the Ontario Mental Health Reporting System (N = 81,809). Results: Across all years, 20.1% of patients reported cannabis use within 30 days of first admission. Use increased from 16.7% in 2007 to 25.9% in 2017, and the proportion with cannabis use disorders increased from 3.8% to 6.0%. In 2017, 47.9% of patients aged 18 to 24 and 39.2% aged 25 to 34 used cannabis, representing absolute increases of 8.3% and 10.7%, respectively. Increases in cannabis use were found across almost all diagnostic groups, with the largest increases among patients with personality disorders (15% increase), schizophrenia or other psychotic disorders (14% increase), and substance use disorders (14% increase). A number of demographic and clinical factors were significantly associated with cannabis use, including interactions between schizophrenia and gender (area under the curve = 0.88). Conclusions: As medical cannabis policies in Canada have evolved, cannabis use reported prior to first admission to inpatient psychiatry has increased. The findings of this study establish a baseline for evaluating the impact of changes in cannabis-related policies in Ontario on cannabis use prior to admission to inpatient psychiatry

The Impact of Body Mass Index and Sociodemographic Factors on Moderate-to-Vigorous Physical Activity and Sedentary Behaviors of Women With Young Children: A Cross-Sectional Examination

OBJECTIVES: Moderate-to-vigorous physical activity provides multiple benefits to women after childbirth. To achieve these benefits, the recommendation that adults obtain, 150 min of moderate-to-vigorous physical activity per week and reduce sedentary behaviors, also applies to women in the post-partum phase of the life span. However, research examining the moderate-to-vigorous physical activity and sedentary behaviors of women with young children (0-2 years) is limited. A greater understanding of these behaviors from a nationally representative sample is needed. Therefore, the primary objective of this study was to determine the levels of moderate-to-vigorous physical activity and sedentary behaviors of a nationally representative sample of women with young children within the United States. A secondary objective was to examine the influence of body mass index and sociodemographic factors on these behaviors. METHODS: Cross-sectional data from four cycles of the National Health and Nutrition Examination Survey (2007-2008, 2009-2010, 2011-2012, and 2013-2014) were used for analysis. Descriptive statistics were calculated and a generalized linear model was used to investigate associations between mean minutes of moderate-to-vigorous physical activity, sedentary activity, body mass index, and sociodemographic variables. DISCUSSION: Women with young children (n = 477) obtained 634 min in moderate-to-vigorous physical activity per week and this was positively associated with having a higher income (p \u3c 0.001) and the number of children in the home (p \u3c 0.001). In total, 62% of women were meeting the World Health Organization guidelines for aerobic activity. Lower odds of achieving guidelines was associated with being Black (p = 0.004), Mexican American (p = 0.009), or married (p = 0.042) compared with being White or not married. Finally, women accumulated ~5 h of sedentary activity per day, with higher levels associated with race (p = 0.005), education (p = 0.022), and number of children within the home (p \u3c 0.001). Research efforts should continue to focus on strategies to help non-adhering women with young children achieve the physical activity recommendations and reduce time spent in sedentary behaviors

Mindfulness skills and experiential avoidance as therapeutic mechanisms for treatment-resistant depression through mindfulness-based cognitive therapy and lifestyle modification

Background/objective: The COVID-19 pandemic and consequent physical distancing has made it difficult to provide care for those with Treatment-Resistant Depression (TRD). As a secondary analysis of a clinical trial, the aim of this study was to explore potential mechanisms through which three online-delivered approaches, added to treatment as usual, improve depressive symptoms in TRD patients. Methods: The three approaches included (a) Minimal Lifestyle Intervention (MLI), (b) Mindfulness-Based Cognitive Therapy (MBCT), and (c) Lifestyle Modification Program (LMP). Sixty-six participants with TRD completed assessments pre-post intervention (mindfulness skills [FFMQ]; self-compassion [SCS]; and experiential avoidance [AAQ-II]) and pre-intervention to follow-up (depressive symptoms [BDI-II]). Data were analyzed using within-subjects regression models to test mediation. Results: Mindfulness skills mediated the effect of MBCT on depressive symptoms (ab = −4.69, 95% CI = −12.93 to−0.32), whereas the lack of experiential avoidance mediated the effect of LMP on depressive symptoms (ab = −3.22, 95% CI = −7.03 to−0.14). Conclusion: Strengthening mindfulness skills and decreasing experiential avoidance may promote recovery in patients with TRD, MBCT, and LMP have demonstrated that they may help increase mindfulness skills and decrease experiential avoidance, respectively. Future work will need to unpick the components of these interventions to help isolate active ingredients and increase optimization

Recency of Faulting and Subsurface Architecture of the San Diego Bay Pull-Apart Basin, California, USA

In Southern California, plate boundary motion between the North American and Pacific plates is distributed across several sub-parallel fault systems. The offshore faults of the California Continental Borderland (CCB) are thought to accommodate ∼10–15% of the total plate boundary motion, but the exact distribution of slip and the mechanics of slip partitioning remain uncertain. The Newport-Inglewood-Rose Canyon fault is the easternmost fault within the CCB whose southern segment splays out into a complex network of faults beneath San Diego Bay. A pull-apart basin model between the Rose Canyon and the offshore Descanso fault has been used to explain prominent fault orientations and subsidence beneath San Diego Bay; however, this model does not account for faults in the southern portion of the bay or faulting east of the bay. To investigate the characteristics of faulting and stratigraphic architecture beneath San Diego Bay, we combined a suite of reprocessed legacy airgun multi-channel seismic profiles and high-resolution Chirp data, with age and lithology controls from geotechnical boreholes and shallow sub-surface vibracores. This combined dataset is used to create gridded horizon surfaces, fault maps, and perform a kinematic fault analysis. The structure beneath San Diego Bay is dominated by down-to-the-east motion on normal faults that can be separated into two distinct groups. The strikes of these two fault groups can be explained with a double pull-apart basin model for San Diego Bay. In our conceptual model, the western portion of San Diego Bay is controlled by a right-step between the Rose Canyon and Descanso faults, which matches both observations and predictions from laboratory models. The eastern portion of San Diego Bay appears to be controlled by an inferred step-over between the Rose Canyon and San Miguel-Vallecitos faults and displays distinct fault strike orientations, which kinematic analysis indicates should have a significant component of strike-slip partitioning that is not detectable in the seismic data. The potential of a Rose Canyon-San Miguel-Vallecitos fault connection would effectively cut the stepover distance in half and have important implications for the seismic hazard of the San Diego-Tijuana metropolitan area (population ∼3 million people)

Análise técnica e econômica do equipamento Stump Harvester

Orientador: Prof. Dr. Ricardo Anselmo MalinovskiMonografia (graduação) - Universidade Federal do Paraná,Setor de Ciências Agrárias, Curso de Engenharia Florestal.Resumo: As atividades de colheita florestal comumente geram uma grande quantidade de resíduos em plantios florestais de Pinus spp. e Eucalyptus spp, prejudicando as operações silviculturais. Dentre todos os tipos de resíduos florestais, os tocos constituem um grande dificultador das operações de implantação florestal como subsolagem, fertilização, plantio e manutenção. A redução da qualidade das operações pode levar à uma redução na área de efetivo plantio, reduzindo o número de árvores plantadas por hectare e subutilizando o sítio. Diante disso, buscam-se alternativas para remoção e aproveitamento de resíduos florestais. Quanto a remoção de tocos, uma alternativa atual é o equipamento stump harvester que consiste em um implemento específico para a remoção de tocos montado em uma escavadeira hidráulica. Diante disso, o presente trabalho avaliou técnica e economicamente o equipamento stump harvester para a reforma e realinhamento de plantios de Pinus taeda e Eucalyptus dunnii em uma empresa florestal do norte de Santa Catarina. Foram avaliados a produtividade, custos, receitas e indicadores econômicos no intuito de avaliar a viabilidade do investimento no equipamento. Como resultado de produtividade obteve-se uma média de 3,88 e 3,19 tocos/min para o Pinus taeda e Eucalyptus dunnii, respectivamente. O custo de remoção foi calculado em 1.521,47 R$/ha para o Pinus taeda e 1.778,72 R$/ha para o Eucalyptus dunnii. Foram estimadas diversas situações de aumento de receitas com a utilização do equipamento. Quando utilizado somente para fins de reforma e realinhamento o uso do equipamento é inviável a uma taxa mínima de atratividade de 10%. Recomenda-se, entretanto, a quantificação e qualificação do material extraído para a produção de biomassa, pois, segundo literatura especializada, existe um grande potencial energético nesse material