153 research outputs found
THE DEVELOPMENT OF A COMMUNITY INFORMED CUMULATIVE STRESSORS AND RESILIENCY INDEX (CSRI) TO EXAMINE ENVIRONMENTAL HEALTH DISPARITIES AND DISEASE RISK IN SOUTH CAROLINA
Communities with environmental justice (EJ) issues usually have disparities in exposure to chemical and non-chemical stressors and health status compared to other communities without underlying EJ issues. Improving cumulative risk assessment (CRA) screening tools and models can provide the necessary information needed to reduce health disparities and create more resilient communities. To address these gaps in EJ science, this dissertation has three specific aims: 1) Identify perceptions of environmental and resilience factors that may influence health among African-Americans in North Charleston, South Carolina (SC) (Study 1), 2) Develop a Cumulative Stressors and Resiliency Index (CSRI) used to rank risk in SC (Study 2), and 3) Examine associations between CSRI scores and risk of asthma hospitalizations/emergency department (ED) visits in SC (Study 3).
Community stakeholders (N=18) participated in key-informant interviews and completed a 26-item paper survey in study one. Interviews were transcribed and coded, while mode, frequencies, and percentages were calculated for each indicator based on its ability to influence health. Statistical tests performed in study two included a Principal Component Analysis (PCA), one-way analysis of variance (ANOVA), and linear regression performed in SAS Enterprise Guide 7.1. Choropleth maps were also developed in ArcMap 10.5. We concluded by calculating descriptive statistics by Environmental Affairs (EA) region, Spearman’s rank-order correlation, one-way ANOVA, and negative binomial regression analyses in study three.
Many of the indicators (61%) were rated as extremely high priority items and included environmental hazards, sociodemographic attributes, and factors that may influence resiliency. CSRI scores ranged from 7.4 – 64.0 with a mean score of 29.1. Statistically significant differences in CSRI scores were evident by EA region (p <0.0001) and a one-unit increase in the percentage of non-white populations per census tract projected to increase CSRI scores by roughly 6.1%. The CSRI was not able to predict risk of asthma hospitalizations/ED visits as hypothesized.
Overall, we demonstrated that identifying and addressing chemical and non-chemical stressors and resiliency gaps in areas impacted by environmental injustice may lead to overall improvements in community resilience. We anticipate this work will be used as a blueprint to build more resilient and equitable communities in SC
Contabilidad de gestión presupuestaria: Análisis del costo en la adopción de decisiones en metas de venta en la empresa Cediasa, periodo 2013 a travez de su estructura de costo utilizando el método de costos
En el presente trabajo de investigación se analizó alternativas de decisión en relación a metas en ventas que la empresa CEDIASA debe realizar, para aumentar su utilidades, utilizando el método Costo - Beneficio, con la información de su estructura de costo del año 2013 así como el desarrollo de un caso práctico donde se puedan establecer el beneficio que espera la empresa.
El método utilizado para esta investigación fue bibliográfico, se investigo en diversos libros y manuales de costos, así como se indago información en internet.
Cabe mencionar que las alternativas de decisiones en el área de venta son de suma importancia ya que este cumple con la función de resguardar los activos líquidos de la entidad.
Lo que nos plantea el informe de los tipos de decisiones que toman las empresas pueden ser: Decisiones programadas, decisiones no programadas, toma estratégicas de decisiones, toma de decisiones para el control administrativo, toma de decisiones para el control operativo.
El análisis de la estructura de costo de la empresa CEDIASA, a través del método costo – beneficio, permite plantear alternativas de ventas donde la empresa puede generar utilidades de acuerdo a sus objetivos y metas en relación a sus ventas y determinar así su punto de equilibrio donde pueda cubrir tanto costos totales y su beneficio deseado brindado, una garantía razonable en la eficiencia y eficacia de las operaciones y confiabilidad de la información
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Artificial magma program: Report on workshop held in Oak Ridge, Tennessee on March 29-30, 1994
A workshop was organized and conducted in Oak Ridge, Tennessee, on March 29 and 30, 1994, to evaluate the use of in situ vitrification (ISV) technology to produce large silicate melts that would serve as analogs for natural magmas for the study of magmatic properties and processes. ISV technology would permit experiments to test hypotheses or provide new data that cannot be tested or obtained through bench-top experimentation or the study of natural systems. The scale of ISV melts is intermediate between that of natural lava lakes and laboratory crucible experiments, with melt volumes from 15 to 300 m{sup 3} easily obtained. This approach permits investigation of dynamic processes which operate on scales difficult to simulate through bench-top experimentation and that are not amenable to direct observation or control in natural systems (e.g., degassing, convection, and crystal settling). Several aspects of the ISV process make it uniquely applicable for the study of magma systems. The process produces {open_quotes}containerless{close_quotes} silicate melts, which permits development of important analog components of natural magma systems including: partial melt zones, stopping, contact metamorphic haloes, and {open_quotes}hydrothermal{close_quotes} fluids. The lack of a melt {open_quotes}container{close_quotes} also enables use of standard field-scale geophysical instrumentation for studying the seismic and electrical properties of the melt and host materials. In addition, volatile and particulate emissions from the melt can be sampled using methods that avoid reaction with, and contamination by, host rocks. The consensus of the group was that the use of melts generated by ISV technology provided unique opportunities to advance the understanding of magmas and magmatic processes and warranted development of a proposal
Gangrena de Fournier
El actual trabajo de titulación presentó una revisión de literatura y análisis de caso clínico correspondiente a la gangrena de Fournier. Se compendia información vigente de contenido epidemiológico, etiopatogénico, de diagnóstico y tratamiento de dicha entidad, permitiendo así entrelazar dicho contenido con el caso clínico analizado. Se toma en consideración el caso de un paciente de 39 años de edad sin antecedentes de importancia quien inicialmente acude a casa de salud por presentar dolor abdominal y edema testicular de 13 días de evolución previo a su ingreso. Al momento de su hospitalización, paciente es valorado, se realizan exámenes complementarios y de imagen, y es catalogado como choque séptico de partes blandas, gangrena de Fournier vs fasceitis necrotizante, disfunción orgánica múltiple (coagulación, metabólico, hepático), trombocitopenia e hiponatremia. Se realizó limpieza quirúrgica por varias ocasiones, además de inicio de transferencia para Hospital de tercer nivel pero no se tuvo respuesta acertada, por lo que se instauró antibiótico terapia dirigida, agresiva y de amplio espectro, corticoide, sedoanalgesia, fluido terapia y ventilación mecánica previamente, obteniendo resultados favorables, concluyendo que a pesar de que el paciente se encontraba en un Hospital de segundo nivel y no se contaba con los requerimientos necesarios para el control apropiado del desarrollo de la enfermedad, los médicos en conjunto supieron brindar de forma oportuna el tratamiento adecuado para obtener la evolución favorable y exitosa del paciente.The current degree work presented a review of the literature and clinical case analysis corresponding to Fournier's gangrene. Current information on epidemiological, etiopathogenic, diagnostic and treatment content of said entity was summarized, thus allowing interlacing of said content with the clinical case analyzed. The case of a 39 - year - old patient with no history of importance who initially goes to a health house for presenting abdominal pain and testicular edema of 13 days before admission is considered. At the time of hospitalization, the patient is assessed, complementary and imaging tests are performed, and it is classified as septic soft tissue shock, Fournier gangrene vs necrotizing fasciitis, multiple organ diffusion (coagulation, metabolic, hepatic), thrombocytopenia and hyponatremia. Surgical cleaning was performed several times, in addition to the start of transfer to the third level Hospital but there was nosuccessful response, so antibiotics were directed, aggressive and broad - spectrum therapy, corticosteroid, sedoanalgesia, fluid therapy and mechanical ventilation previously, obtaining favorable results, concluding that although the patient was in a second level Hospital and did not have the requirements for the appropriate control of the development of the disease, the doctors as a whole knew how to provide the treatment in a timely manner suitable to obtain the favorable and successful evolution of the patient
Spatial disparity in the distribution of superfund sites in South Carolina: an ecological study
BACKGROUND: According to the US Environmental Protection Agency (EPA), Superfund is a federal government program implemented to clean up uncontrolled hazardous waste sites. Twenty-six sites in South Carolina (SC) have been included on the National Priorities List (NPL), which has serious human health and environmental implications. The purpose of this study was to assess spatial disparities in the distribution of Superfund sites in SC. METHODS: The 2000 US census tract and block level data were used to generate population characteristics, which included race/ethnicity, socioeconomic status (SES), education, home ownership, and home built before 1950. Geographic Information Systems (GIS) were used to map Superfund facilities and develop choropleth maps based on the aforementioned sociodemographic variables. Spatial methods, including mean and median distance analysis, buffer analysis, and spatial approximation were employed to characterize burden disparities. Regression analysis was performed to assess the relationship between the number of Superfund facilities and population characteristics. RESULTS: Spatial coincidence results showed that of the 29.5% of Blacks living in SC, 55.9% live in Superfund host census tracts. Among all populations in SC living below poverty (14.2%), 57.2% were located in Superfund host census tracts. Buffer analyses results (0.5mi, 1.0mi, 5.0mi, 0.5km, 1.0km, and 5.0km) showed a higher percentage of Whites compared to Blacks hosting a Superfund facility. Conversely, a slightly higher percentage of Blacks hosted (30.2%) a Superfund facility than those not hosting (28.8%) while their White counterparts had more equivalent values (66.7% and 67.8%, respectively). Regression analyses in the reduced model (Adj. R(2) = 0.038) only explained a small percentage of the variance. In addition, the mean distance for percent of Blacks in the 90th percentile for Superfund facilities was 0.48mi. CONCLUSION: Burden disparities exist in the distribution of Superfund facilities in SC at the block and census tract levels across varying levels of demographic composition for race/ethnicity and SES
Understanding the Challenges of Reducing Cancer in Appalachia: Addressing a Place-Based Health Disparity Population
The Appalachian region of the United States has long been recognized for its poor economic and social indicators. Only during the past decade have multi-state data become more accessible to describe the regions’ poor health status and resulting outcomes. A recent community-based participatory study engaged rural Appalachians to describe “what makes Appalachia different?” from other geographic areas and cultural groups in the United States and identify those characteristics that influence the region’s health. This article summarizes the community interpretation of these findings
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The potential for criticality following disposal of uranium at low-level waste facilities: Uranium blended with soil
The purpose of this study was to evaluate whether or not fissile uranium in low-level-waste (LLW) facilities can be concentrated by hydrogeochemical processes to permit nuclear criticality. A team of experts in hydrology, geology, geochemistry, soil chemistry, and criticality safety was formed to develop achievable scenarios for hydrogeochemical increases in concentration of special nuclear material (SNM), and to use these scenarios to aid in evaluating the potential for nuclear criticality. The team`s approach was to perform simultaneous hydrogeochemical and nuclear criticality studies to (1) identify some achievable scenarios for uranium migration and concentration increase at LLW disposal facilities, (2) model groundwater transport and subsequent concentration increase via sorption or precipitation of uranium, and (3) evaluate the potential for nuclear criticality resulting from potential increases in uranium concentration over disposal limits. The analysis of SNM was restricted to {sup 235}U in the present scope of work. The outcome of the work indicates that criticality is possible given established regulatory limits on SNM disposal. However, a review based on actual disposal records of an existing site operation indicates that the potential for criticality is not a concern under current burial practices
Being overburdened and medically underserved: assessment of this double disparity for populations in the state of Maryland
Environmental justice research has shown that many communities of color and low-income persons are differentially burdened by noxious land uses including Toxic Release Inventory (TRI) facilities. However, limited work has been performed to assess how these populations tend to be both overburdened and medically underserved. We explored this “double disparity” for the first time in Maryland. We assessed spatial disparities in the distribution of TRI facilities in Maryland across varying levels of sociodemographic composition using 2010 US Census Health Professional Shortage Area (HPSA) data. Univariate and multivariate regression in addition to geographic information systems (GIS) were used to examine relationships between sociodemographic measures and location of TRI facilities. Buffer analysis was also used to assess spatial disparities. Four buffer categories included: 1) census tracts hosting one or more TRI facilities; 2) tracts located more than 0 and up to 0.5 km from the closest TRI facility; 3) tracts located more than 0.5 km and up to 1 km from a TRI facility; and 4) tracts located more than 1 km and up to 5 km from a TRI facility. We found that tracts with higher proportions of non-white residents and people living in poverty were more likely to be closer to TRI facilities. A significant increase in income was observed with an increase in distance between a census tract and the closest TRI facility. In general, percent non-white was higher in HPSA tracts that host at least one TRI facility than in non-HPSA tracts that host at least one TRI facility. Additionally, percent poverty, unemployment, less than high school education, and homes built pre-1950 were higher in HPSA tracts hosting TRI facilities than in non-HPSA tracts hosting TRI facilities. We found that people of color and low-income groups are differentially burdened by TRI facilities in Maryland. We also found that both low-income groups and persons without a high school education are both overburdened and medically underserved. The results of this study provide insight into how state agencies can better address the double disparity of disproportionate environmental hazards and limited access to health care resources facing vulnerable communities in Maryland.https://doi.org/10.1186/1476-069X-13-2
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Dynamic Response of Single Crystalline Copper Subjected to Quasi-Isentropic, Gas-Gun Driven Loading
A transmission electron microscopy study of quasi-isentropic gas-gun loading (peak pressures between 18 GPa and 52 GPa) of [001] monocrystalline copper was carried out. The defect substructures at these different pressures were analyzed. Current experimental evidence suggests a deformation substructure that transitions from slip to twinning, where twinning occurs at the higher pressures ({approx}52 GPa), and heavily dislocated laths and dislocation cells take place at the intermediate and lower pressures. Evidence of stacking faults at the intermediate pressures was also found. Dislocation cell sizes decreased with increasing pressure and increased with distance away from the surface of impact. The results from the quasi-isentropic experiments are compared with that of flyer-plate and laser shock experiments carried out by Cao et al. [1] and Schneider et al. [2], respectively. The Preston-Tonks-Wallace and Zerilli-Armstrong constitutive descriptions are used to model both isentropic and shock compression experiments and predict the pressure at which the slip-twinning transition occurs in both cases. Both models predict a higher transition for isentropic then for shock experiments, and indeed, that twinning should not take place in the ICE experiments at the pressures investigated
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