scholarly journals Whitewater Rafting and Kayaking Deaths in Colorado: Increasing Preventative Measures by Understanding Risk Factors

2018 ◽  
Vol 8 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Jarod Murdoch ◽  
Leon K. Kelly
Keyword(s):  
El Paso ◽  
The United States ◽  
Preventative Measures ◽  
Upper Limit ◽  
Risk Of Mortality ◽  
Or Practice ◽  
Whitewater Rafting ◽  
Unsafe Behaviors ◽  
Selling Point ◽  
The Individual

Introduction Whitewater rafting and kayaking are popular, adventurous excursions that are provided along various rivers throughout the United States. We expect that certain individuals' comorbid medical conditions may increase the risk of mortality by preventing them from being physically able to avoid inadvertently entering the water and subsequently rescue themselves. Methods Retrospective data were collected from 11 El Paso County, Colorado coroner cases from 2014–2017 in which the individual was whitewater rafting or kayaking and drowning was determined to be the primary cause of death. Results Health characteristics and autopsy findings of several of these individuals revealed that a significant number of these individuals were overweight or obese (90.9%), with 70% of these individuals also demonstrating cardiomegaly on examination. Of the cases studied, 81.8% of individuals had little to no experience with whitewater rafting or kayaking and 45% were under the influence of marijuana or alcohol based on toxicology studies. Discussion While a major selling point for whitewater excursions are the perceived risks they offer, our review suggests that certain individuals demonstrate increased health risks, have little to no experience with whitewater rafting or kayaking, or practice unsafe behaviors that may increase chance of injury and death. Efforts have been made to reduce risks associated with whitewater rafting and kayaking; however, further risk can be mitigated by excluding those who may be under the influence of alcohol or drugs, implementing more stringent health requirements, and setting an upper limit of difficulty of rapids based on an individual's previous experience.

Characterization of Drayage Activities in the Paso Del Norte Airshed

2019 ◽  
Vol 2673 (9) ◽  
pp. 202-213
Author(s):  
Rohit Jaikumar ◽  
Reza Farzaneh ◽  
Tara Ramani ◽  
Jeremy Johnson
Keyword(s):  
Air Quality ◽  
El Paso ◽  
The United States ◽  
Activity Measurement ◽  
Level Information ◽  
Drayage Trucks ◽  
Urbanized Areas ◽  
Paso Del Norte ◽  
Air Quality Planning ◽  
The Individual

The overall objective of the study was to characterize drayage truck activity and associated emissions in the Paso del Norte region, which is the binational region covering El Paso in Texas and Ciudad Juárez in Mexico. Drayage trucks are a significant source of emissions in the Paso del Norte airshed. The region faces air quality problems and characterizing the unique operational and emission characteristics of drayage vehicles can better support regional air quality planning. In this study, the global positioning system and portable activity measurement system units were fitted to a sample of drayage trucks operating in the El Paso region. The resulting data were analyzed to generate trip-level information on truck activity, along with key parameters, such as speeds, origin, destination, and length. The individual trip information was also used to identify key freight corridors and to estimate emissions associated with drayage activity. The study dataset showed that the Ysleta-Zaragoza International Bridge is the most utilized by the trucks. The facilities visited in the United States tended to be more clustered closer to this bridge, in less urbanized areas, while facilities visited in Mexico tended to be more spread out geographically. Corridor truck volumes and emissions were plotted on maps to visualize emission impacts of drayage trucks, with urbanized areas and areas close to border bridges likely most affected because of higher volumes and emissions. The findings from the study provide an understanding of air quality impacts of drayage trucks in the Paso del Norte airshed.

scholarly journals A Brief Review of Intimate Partner Violence in the United States: Nature, Correlates, and Proposed Preventative Measures

2015 ◽  
Vol 9 (2) ◽  
pp. 127-134 ◽  
Author(s):  
Pamela C. Regan ◽  
Ramani S. Durvasula
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Domestic Abuse ◽  
Significant Proportion ◽  
The United States ◽  
Intimate Partner ◽  
Relationship Type ◽  
Biological Sex ◽  
Preventative Measures ◽  
The Individual

Aggression and violence are themes which characterize a significant proportion of many close romantic relationships. Both women and men may find themselves caught in a web of intimate terror – controlled, manipulated, and hurt by a coercive and violent partner. In this brief review article, we summarize existing literature on the form of intimate partner violence known as coercive controlling violence (CCV), domestic abuse, or intimate terrorism. We begin by discussing the nature and consequences of CCV relationships. Personal or individual (e.g., biological sex, age, immigrant status, socioeconomic status, attitudes and beliefs, mental health and psychopathology), relational or interpersonal (e.g., relationship type, relationship satisfaction), and environmental (e.g., economic strain, social isolation) risk factors associated with the occurrence of domestic abuse are identified. Finally, potential preventative measures at the individual, interpersonal, and sociocultural level that may serve to reduce the likelihood of this pernicious interpersonal phenomenon are considered.

‘A Routh O’ Auld Nick-Nackets’ – the antiquarian collection of John Rae

2015 ◽  
Vol 36-37 (1) ◽  
pp. 163-183
Author(s):  
Paul Taylor
Keyword(s):  
United States ◽  
Nineteenth Century ◽  
Social Context ◽  
Moral Education ◽  
The United States ◽  
Representative Case ◽  
National Museums ◽  
The Individual ◽  
The University

John Rae, a Scottish antiquarian collector and spirit merchant, played a highly prominent role in the local natural history societies and exhibitions of nineteenth-century Aberdeen. While he modestly described his collection of archaeological lithics and other artefacts, principally drawn from Aberdeenshire but including some items from as far afield as the United States, as a mere ‘routh o’ auld nick-nackets' (abundance of old knick-knacks), a contemporary singled it out as ‘the best known in private hands' (Daily Free Press 4/5/91). After Rae's death, Glasgow Museums, National Museums Scotland, the University of Aberdeen Museum and the Pitt Rivers Museum in Oxford, as well as numerous individual private collectors, purchased items from the collection. Making use of historical and archive materials to explore the individual biography of Rae and his collection, this article examines how Rae's collecting and other antiquarian activities represent and mirror wider developments in both the ‘amateur’ antiquarianism carried out by Rae and his fellow collectors for reasons of self-improvement and moral education, and the ‘professional’ antiquarianism of the museums which purchased his artefacts. Considered in its wider nineteenth-century context, this is a representative case study of the early development of archaeology in the wider intellectual, scientific and social context of the era.

Hospice Care in the United States: The Process Begins

1983 ◽  
Vol 13 (2) ◽  
pp. 159-171 ◽  
Author(s):  
Robert W. Buckingham
Keyword(s):  
Home Care ◽  
Hospice Care ◽  
Care Facility ◽  
The United States ◽  
Considerable Change ◽  
Educational Institutions ◽  
Hospice Movement ◽  
Treatment Equipment ◽  
Centered Care ◽  
The Individual

The hospice concept represents a return to humanistic medicine, to care within the patient's community, for family-centered care, and the view of the patient as a person. Medical, governmental, and educational institutions have recognized the profound urgency for the advocacy of the hospice concept. As a result, a considerable change in policy and attitude has occurred. Society is re-examining its attitudes toward bodily deterioration, death, and decay. As the hospice movement grows, it does more than alter our treatment of the dying. Hospices and home care de-escalate the soaring costs of illness by reducing the individual and collective burdens borne by all health insurance policyholders. Because hospices and home care use no sophisticated, diagnostic treatment equipment, their overhead is basically for personal care and medication. Also, the patient is permitted to die with dignity. Studies indicated that the patient of a hospice program will not experience the anxiety, helplessness, inadequacy, and guilt as will an acute care facility patient. Consequently, a hospice program can relieve family members and loved ones of various psychological disorders.

The Insidious Momentum of American Mass Incarceration

2020 ◽  
Author(s):  
Franklin E. Zimring
Keyword(s):  
United States ◽  
Public Policy ◽  
Twentieth Century ◽  
Mass Incarceration ◽  
The United States ◽  
Next Generation ◽  
Single Generation ◽  
American Life ◽  
Peak Rate ◽  
Or Practice

The phenomenal growth of penal confinement in the United States in the last quarter of the twentieth century is still a public policy mystery. Why did it happen when it happened? What explains the unprecedented magnitude of prison and jail expansion? Why are the current levels of penal confinement so very close to the all-time peak rate reached in 2007? What is the likely course of levels of penal confinement in the next generation of American life? Are there changes in government or policy that can avoid the prospect of mass incarceration as a chronic element of governance in the United States? This study is organized around four major concerns: What happened in the 33 years after 1973? Why did these extraordinary changes happen in that single generation? What is likely to happen to levels of penal confinement in the next three decades? What changes in law or practice might reduce this likely penal future?

Racial and Sex Disparities in Trauma Outcomes Based on Geographical Region

2020 ◽  
pp. 000313482096006
Author(s):  
William Q. Duong ◽  
Areg Grigorian ◽  
Cyrus Farzaneh ◽  
Jeffry Nahmias ◽  
Theresa Chin ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Trauma Patients ◽  
Improvement Program ◽  
Trauma Outcomes ◽  
Risk Of Death ◽  
Hospital Access ◽  
Risk Of Mortality ◽  
Sex Disparities ◽  
Male Patients

Objectives Disparities in outcomes among trauma patients have been shown to be associated with race and sex. The purpose of this study was to analyze racial and sex mortality disparities in different regions of the United States, hypothesizing that the risk of mortality among black and Asian trauma patients, compared to white trauma patients, will be similar within all regions in the United States. Methods The Trauma Quality Improvement Program (2010-2016) was queried for adult trauma patients, separating by U.S. Census regions. Multivariable logistic regression analyses were performed for each region, controlling for known predictors of morbidity and mortality in trauma. Results Most trauma patients were treated in the South (n = 522 388, 40.7%). After risk adjustment, black trauma patients had a higher associated risk of death in all regions, except the Northeast, compared to white trauma patients. The highest associated risk of death for blacks (vs. whites) was in the Midwest (odds ratio [OR] 1.30, P < .001). Asian trauma patients only had a higher associated risk of death in the West (OR 1.39, P < .001). Male trauma patients, compared to women, had an increased associated risk of mortality in all four regions. Discussion This study found major differences in outcomes among different races within different regions of the United States. There was also both an increased rate and associated risk of mortality for male patients in all regions. Future prospective studies are needed to identify what regional differences in trauma systems including population density, transport times, hospital access, and other trauma resources explain these findings.

Medicaid Not Required to Fund Medically Necessary Abortions

1980 ◽  
Vol 1 (8) ◽  
pp. 3-6
Author(s):  
George J. Annas
Keyword(s):  
United States ◽  
Law Enforcement ◽  
United States Supreme Court ◽  
The United States ◽  
United States Constitution ◽  
Medical Procedures ◽  
Poor Women ◽  
Law Enforcement Agency ◽  
The Individual ◽  
Joint Resolution

In an extraordinary and highly controversial 5-4 decision, the United States Supreme Court decided on June 30, 1980, that the United States Constitution does not require either the federal government or the individual states to fund medically necessary abortions for poor women who qualify for Medicaid.At issue in this case is the constitutionality of the Hyde Amendment. The applicable 1980 version provides:|N]one of the funds provided by this joint resolution shall be used to perform abortions except where the life of the mother would be endangered if the fetus were carried to term; or except for such medical procedures necessary for the victims of rape or incest when such rape or incest has been reported promptly to a law enforcement agency or public health service, (emphasis supplied)

A Discussion of Ismail K. White and Chryl N. Laird’s Steadfast Democrats: How Social Forces Shape Black Political Behavior

2021 ◽  
Vol 19 (1) ◽  
pp. 209-210
Author(s):  
Michael Leo Owens
Keyword(s):  
African American ◽  
African Americans ◽  
Political Behavior ◽  
Democratic Party ◽  
The United States ◽  
Social Forces ◽  
Individual Level ◽  
The Individual ◽  
Behavioral Norm ◽  
Black Political Behavior

Charge: As Ismail K. White and Chryl N. Laird note, collectively more than 80% of African Americans self-identify as Democrats according to surveys, and no Republican presidential candidate has won more than 13% of the Black vote since 1968. This is true despite the fact that at the individual level many African Americans are increasingly politically moderate and even conservative. Against this backdrop, what explains the enduring nature of African American support for the Democratic Party? In Steadfast Democrats: How Social Forces Shape Black Political Behavior, White and Laird answer this question by developing the concept of “racialized social constraint,” a unifying behavioral norm meant to empower African Americans as a group and developed through a shared history of struggle against oppression and for freedom and equality. White and Laird consider the historical development of this norm, how it is enforced, and its efficacy both in creating party loyalty and as a path to Black political power in the United States. On the cusp of perhaps the most consequential presidential election in American history, one for which African American turnout was crucial, we asked a range of leading political scientists to assess the relative strengths, weaknesses, and ramifications of this argument.

scholarly journals US Rural Surgeons Leading During COVID-19: Where Are They Now?

2020 ◽  
pp. 000313482096005
Author(s):  
Michael Sarap ◽  
Julie Conyers ◽  
Crystal Cunningham ◽  
Adam Deutchman ◽  
Glenn Levine ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Social Lives ◽  
The Individual

Rural surgeons from disparate areas of the United States report on the effects of the COVID-19 pandemic in their communities as the virus has spread across the country. The pandemic has brought significant changes to the professional, economic, and social lives of the individual surgeons and their communities.

scholarly journals Analysis of Severe Injuries in Crashes Involving Large Trucks Using K-Prototypes Clustering-Based GBDT Model

Safety ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 32
Author(s):  
Syed As-Sadeq Tahfim ◽  
Chen Yan
Keyword(s):  
Injury Severity ◽  
Unobserved Heterogeneity ◽  
The United States ◽  
Clustering Methods ◽  
Severe Injuries ◽  
Traffic Crash ◽  
Crash Data ◽  
Boosted Decision Trees ◽  
The Individual ◽  
Crash Characteristics

The unobserved heterogeneity in traffic crash data hides certain relationships between the contributory factors and injury severity. The literature has been limited in exploring different types of clustering methods for the analysis of the injury severity in crashes involving large trucks. Additionally, the variability of data type in traffic crash data has rarely been addressed. This study explored the application of the k-prototypes clustering method to countermeasure the unobserved heterogeneity in large truck-involved crashes that had occurred in the United States between the period of 2016 to 2019. The study segmented the entire dataset (EDS) into three homogeneous clusters. Four gradient boosted decision trees (GBDT) models were developed on the EDS and individual clusters to predict the injury severity in crashes involving large trucks. The list of input features included crash characteristics, truck characteristics, roadway attributes, time and location of the crash, and environmental factors. Each cluster-based GBDT model was compared with the EDS-based model. Two of the three cluster-based models showed significant improvement in their predicting performances. Additionally, feature analysis using the SHAP (Shapley additive explanations) method identified few new important features in each cluster and showed that some features have a different degree of effects on severe injuries in the individual clusters. The current study concluded that the k-prototypes clustering-based GBDT model is a promising approach to reveal hidden insights, which can be used to improve safety measures, roadway conditions and policies for the prevention of severe injuries in crashes involving large trucks.

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