scholarly journals Dioxin and furan blood lipid concentrations in populations living near four wood treatment facilities in the United States

2009 ◽  
Author(s):  
C. Wu ◽  
L. Tam ◽  
J. Clark ◽  
P. Rosenfeld
2020 ◽  
Vol 66 (2) ◽  
pp. S12
Author(s):  
Rachel Alinsky ◽  
Scott Hadland ◽  
Pamela Matson ◽  
Magdalena Cerda ◽  
Brendan Saloner

2021 ◽  
pp. 089011712110625
Author(s):  
Lillian M. Kent ◽  
Paul M. Rankin ◽  
Darren P. Morton ◽  
Rebekah M. Rankin ◽  
Roger L. Greenlaw ◽  
...  

Purpose Lifestyle modification programs have been shown to effectively treat chronic disease. The Coronary Health Improvement Program has been delivered by both paid professional and unpaid volunteer facilitators. This study compared participant outcomes of each mode in the United States. Design Pre-/post-analysis of CHIP interventions delivered between 1999 and 2012. Setting Professional-delivered programs in Rockford Illinois 1999-2004 and volunteer-delivered programs across North America 2005-2012. Subjects Adults ≥21 years (professional programs N = 3158 34.3% men, mean age = 54.0 ± 11.4 years; volunteer programs N = 7115 33.4% men, mean age = 57.4 ± 13.0 years). Measures Body mass index, blood pressure (systolic and diastolic), blood lipid profile (total cholesterol, high-density lipoprotein, triglycerides, low-density lipoprotein), and fasting plasma glucose. Analysis Analysis of Covariance, with adjustment for age, gender, BMI change and baseline biometric and effect sizes. Results The professional-delivered programs achieved significantly greater reductions in BMI (.4%, P < .001) and HDL (1.9%, P < .001) and the volunteer-delivered programs achieved greater reductions in SBP (1.4%, P < .001), DBP (1.1%, P < .001), TC (1.4%, P = .004), LDL (2.3%, P < .001), TG (4.0%, P = .006), and FPG (2.7%, P < .001). However, the effect size differences between the groups were minimal (Cohen’s d .1-.2). Conclusions Lifestyle modification programs have been shown to effectively treat chronic disease. The Complete Health Improvement Program (CHIP) lifestyle intervention has been delivered by both paid professional and unpaid volunteer facilitators. This study compared selected chronic disease biometric outcomes of participants in each mode in the United States. It found volunteer-delivered programs do not appear to be any less effective than programs delivered by paid professionals, which is noteworthy as volunteers may provide important social capital in the combat of chronic disease.


2021 ◽  
Vol 186 (Supplement_2) ◽  
pp. 61-67
Author(s):  
Emily R Latimer ◽  
Christopher A Parker ◽  
Pauline A Swiger

ABSTRACT Introduction The European SARS-CoV-2 (COVID-19) outbreak threatened military beneficiaries receiving care outside of the United States. Military treatment facilities located outside the United States were the first to respond to the pandemic, requiring immediate action to establish novel protocols. The purpose of this case series is to describe challenges, solutions, and future recommendations during a pandemic response at three small naval military treatment facilities located outside the continental United States (OCONUS). Results The analysis and discussion reviews challenges in information processing, communication methods and patterns, process changes, actions for staff protection, and change fatigue experienced during this time. Conclusions Recommendations for future work include filling the gaps in the evidence for a prolonged pandemic response and crisis management, such as the current SARS-CoV-2 pandemic, including best practices to communicate, maintain staff resilience, and manage or mitigate associated prolonged stress and uncertainty.


Author(s):  
William Greenman ◽  
Kimberly Cole

Abstract In the United States, mixed-waste is typically defined as waste that contains both radioactive constituents and non-radioactive constituents that pose a threat to human health or the environment (hazardous waste). Prior to 1986 the U.S. Nuclear Regulatory Commission (NRC) had sole regulatory authority over mixed-waste because of its radioactive constituents. In 1986, however, the U.S. Environmental Protections Agency (EPA) was granted regulatory authority over the hazardous constituents in mixed-waste; and, a system of dual regulation was created. Dual regulation of mixed-waste by the EPA and the NRC has caused significant problems for the regulated community. The burden of dual regulation has contributed to the slow development of treatment technologies, and to the overall lack of treatment capacity available to U.S generators of mixed-waste. This paper reviews the requirements that the EPA and the NRC mandate with regard to mixed-waste generation, treatment and disposal; and it explores technical impacts of those requirements as they relate to generators, treatment facilities and the public.


2021 ◽  
Vol 26 (6) ◽  
pp. 127-144
Author(s):  
Anne Hobbs ◽  
Marta Dzieniszewska

Abstract Delinquent youths often do not receive the opportunity to be mentored. This is especially true for youths who have committed serious law violations or are detained for multiple law violations. In the United States, youths with the most serious offenses are often committed to detention, or rehabilitation, or treatment centers. Since 2011, the Juvenile Reentry Mentoring Project (JRMP) has matched mentors to youths detained in Nebraska Detention, and Treatment Facilities. The Nebraska Youth Rehabilitation, and Treatment Centers (YRTCs), specifically, are for youths with the highest level of needs and who have exhausted all other programs available in the community. From 2011 through February 2020, the JRMP developed as an evidence informed model for mentoring juveniles with the highest level of need and the most serious law violations. The onset of the COVID-19 pandemic disproportionately impacted youths in detention and treatment centers, and mentoring programs such as the JRMP adapted to continue to meet existing and emerging needs of youths. The aim of this article is to report on the evidence-based development of the JRMP and the adaptations that were necessary for it to continue to operate during COVID-19. We close with recommendations and lessons learned from the pandemic and ways that programs can resist a return to the status quo.


2020 ◽  
Vol 67 (4) ◽  
pp. 542-549 ◽  
Author(s):  
Rachel H. Alinsky ◽  
Scott E. Hadland ◽  
Pamela A. Matson ◽  
Magdalena Cerda ◽  
Brendan Saloner

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