Aging and Older Men: Thoughts, Reflections and Issues: Introduction

Efforts across many fields engaged in addressing the population of aging in this country have tended to create a nearly homogenous cohort that often does not recognize the heterogeneity of aging across gender, race, ethnicity, geography, socioeconomic status, cultural and sexual orientation. The diversity within aging members of our society brings about many variations and unique issues that need to be recognized and explored by policy makers and practitioners. Among these is aging related to gender, which has tended to pay much less attention to men than women. Content analysis of journals and texts on aging has revealed a significant lack of content on men, in particular, aging and elderly men (Kosberg, 2002; Tobin, 1997)

Human Development and Resources Use in the Coastal Zone: Influences on Human Health

Coastal watersheds and nearshore marine areas are the most valuable and dynamic places on Earth. Human population growth is great in these regions, which are home to some of the most sensitive habitats in the world. Coastal areas provide more than half of the overall service value derived from the global environment (Costanza et al., 1997). Natural (e.g., hurricanes and tsunamis) and human pressures on this environment require it to constantly adjust. More than any other area, the global coast has defined the progress of human culture and continues to be a singular influence in how humans connect to the world around them. For these reasons and others, the global coast should be a central focus in the environmental management decisions of governments at all levels. However, increasingly, we have come to understand that allowing the degradation and broad-scale change in coastal systems has another consequence—our own health

The Beautiful Flag of the Union

https://digitalcommons.library.umaine.edu/mmb-vp/1083/thumbnail.jp

Debris/ice/TPS assessment and integrated photographic analysis for Shuttle Mission STS-56

The Debris Team developed and implemented measures to control damage from debris in the Shuttle operational environment and to make the control measures a part of routine launch flows. These measures include engineering surveillance during vehicle processing and closeout operations, facility and flight hardware inspections before and after launch, and photographic analysis of mission events. Photographic analyses of mission imagery from launch, on-orbit, and landing provide significant data in verifying proper operation of systems and evaluating anomalies. In addition to the Kennedy Space Center (KSC) Photo/Video Analysis, reports from JSC, MSFC, and Rockwell International--Downey are also included in this document to provide an integrated assessment of the mission

Statistics of heart failure and mechanical circulatory support in 2020

Heart failure is increasing in prevalence, with approximately 26 million patients affected worldwide. This represents a significant cause of morbidity and mortality. Statistics regarding heart failure patient age, hospitalization likelihood, and mortality differ significantly by country. Heart failure patients are typically classified by ejection fraction, with distinct phenotypes associated with reduced ejection fraction (rEF) or preserved ejection fraction (pEF). Heart failure has a significant financial impact related to hospitalization, medication, and procedural expenses. The costs of heart failure also extend to the reduced quality of life conferred by heart failure symptoms. Management of heart failure includes a variety of interventions, including mechanical circulatory support (MCS). MCS, including left ventricular assist devices (LVADs), right ventricular assist devices (RVADs) and extracorporeal membrane oxygenation (ECMO), has been a means of managing end stage heart failure. Given the relative scarcity of transplant organs, the utilization of MCS, particularly as a bridge to transplantation (BTT) has grown significantly. In this review, we discuss statistics related to heart failure and MCS. We evaluate how patients are classified and examine global trends and regional differences. We then address MCS therapies, the costs associated with heart failure, the impact of heart failure on patient quality of life, and data regarding morbidity and mortality

Debris/ice/TPS assessment and integrated photographic analysis of Shuttle mission STS-68

A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-68. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs, nomographs, and infrared scanner data during cryogenic loading of the vehicle followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report-documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-68, and the resulting effect on the Space Shuttle Program

World Trade Flows, 1970-1992, with Production and Tariff Data

This paper describes two databases dealing with world bilateral trade flows: the World Trade Database (WTDB) assembled by Statistics Canada, which contains bilateral trade flows for all countries over 1970-1992, classified according to the Standard International Trade Classification, Revision 2 (with some modification); and the Compatible Trade and Production (COMTAP) database assembled by the Organization for Economic Cooperation and Development (OECD), which contains production of manufactured goods in OECD countries and bilateral trade flows between these countries and all their trading partners over 1970-1985, classified according to the International Standard Industrial Classification, Revision 2. These databases are available to academic users on the CD-ROM. Also contained on the CD-ROM is information on country factor endowments, tariff and non-tariff barriers for selected countries, and input-output tables for the United Kingdom and the United States. The WTDB database is made available under a license with Statistics Canada, the terms of which are described herein, and the COMTAP database is made available by permission of the OECD. A revised version of this data set is available on CD-ROM.

Debris/ice/TPS assessment and integrated photographic analysis for Shuttle Mission STS-62

A pre-launch debris inspection of the pad and Shuttle vehicle was conducted on 2 March 1994. The detailed walkdown of Launch Pad 39B and MLP-1 also included the primary flight elements OV-102 Columbia (16th flight), ET-62 (LWT 55), and BI-064 SRB's. There were no significant facility or vehicle anomalies. After the launch on March 4th, a debris inspection of Pad 39B was performed. Damage to the pad overall was minimal. On-orbit photographs taken by the flight crew and two films from the ET/ORB umbilical cameras of the External Tank after separation from the Orbiter revealed no major damage or lost flight hardware that would have been a safety of flight concern. Orbiter performance on final approach appeared normal. Infrared imagery of landing gear deployment showed the loss of thermal barrier from the nose gear wheel well. The missing thermal barrier material was not recovered. The Solid Rocket Boosters were inspected at Hanger AF after retrieval. Both frustums had a combined total of 44 MSA-2 debonds over fasteners. Significant amounts of BTA had been applied to closeouts on the RH frustum, forward skirt, and aft skirt. Hypalon paint was blistered/missing over the areas were the BTA had been applied. The underlying BTA was not sooted (IFA STS-62-B-1). Investigation of this condition has concluded there was insufficient heat rates to cause blistering of the Hypalon until late in the ascent phase. A post landing inspection of OV-102 was conducted after the landing at KSC. The Orbiter TPS sustained a total of 97 hits, of which 16 had a major dimension of 1 inch or larger. The Orbiter lower surface had a total of 36 hits, of which 7 had a major dimension of 1 inch or larger. Based on these numbers and comparison to statistics from previous missions of similar configuration, both the total number of debris hits and the number of hits 1 inch or larger was less than average. Six thermal barriers, total size approximately 36 in. x 3 in. x 1.5 in., and one corner tile piece 4 in. x 4 in., were missing from the nose landing gear doors. Runway infrared cameras recorded these objects falling from the Orbiter when the nose landing gear doors were opened on final approach. A search of the area under the flight path failed to recover the missing thermal batteries, which may be submerged in the large body of water south of the runway. The cause for the loss of the material was attributed to the way the substrate was prepared for bonding at the vendor. Orbiter post landing microchemical sample results revealed a variety of residuals in the Orbiter window samples. These were attributed to SRB BSM exhaust, Orbiter TPS, window protective covers and processing, natural landing site products, and paints/primers from various sources. The residual sampling data do not indicate a single source of damaging debris and all of these materials have been documented previously in analyses for post landing sample reports. Data from residual sampling also showed no trends when compared to previous mission data. A total of ten Post Launch Anomalies, including one IFA, were observed during the STS-62 mission assessment