scholarly journals Research to Move Toward Evidence-Based Recommendations for Lead Service Line Disclosure Policies in Home Buying and Home Renting Scenarios

2019 ◽  
Vol 16 (6) ◽  
pp. 963
Author(s):  
Hang Lu ◽  
Rainer Romero-Canyas ◽  
Sofia Hiltner ◽  
Tom Neltner ◽  
Lindsay McCormick ◽  
...  
Keyword(s):  
Perceived Risk ◽  
Tap Water ◽  
Experimental Studies ◽  
The United States ◽  
Test Results ◽  
Service Line ◽  
Lead Pipes ◽  
Water Test ◽  
Lead Levels ◽  
Home Buying

Lead service lines (LSLs)—lead pipes connecting the water main under the street to a building’s plumbing—contribute an estimated 50% to 75% of lead in tap water when they are present. Although Congress banned lead in plumbing materials in 1986, over 6 million LSLs remain in homes across the United States today. This paper summarizes three different home buying or renting scenario-based experimental studies used to evaluate disclosure styles, to assess if these influenced respondents’ perceived risk of the LSL in a home, and their willingness to act. In renting scenarios, having landlords disclose the presence of an LSL, but also provide water test results showing lead levels below the EPA’s lead action level resulted in lower levels of perceived risk, and of willingness to act. In seller-disclosure home buying scenarios, levels of perceived risk and willingness to act were consistently high, and three different disclosure styles did not differentially influence those outcomes. In home inspector-disclosure home buying scenarios, levels of perceived risk and willingness to act were high, but having explicit recommendations to replace LSLs and/or information about risk did not further influence those outcomes. In some cases, including the specific recommendations backfired. Implications for policy and regulation are discussed.

scholarly journals The Identification and Synthesis of Lead Apatite Minerals Formed in Lead Water Pipes

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Jeremy D. Hopwood ◽  
Glyn R. Derrick ◽  
David R. Brown ◽  
Christopher D. Newman ◽  
John Haley ◽  
...  
Keyword(s):  
Tap Water ◽  
Unit Cell ◽  
Water Pipes ◽  
Lead Pipe ◽  
Cell Dimensions ◽  
Lead Pipes ◽  
Lead Levels ◽  
The Uk ◽  
Unit Cell Dimensions ◽  
Calcium Lead

Phosphate is added to drinking water in the UK to minimise the release of lead from lead water pipes. The phosphate encourages the formation of insoluble lead apatites on the walls of the pipe. Hydroxylpyromorphite Pb5(PO4)3OH is the lead apatite that is most often used to model lead levels in tap water; however, its presence has not been confirmed. Our aims were to identify the lead pipe apatite and synthesise it. The synthetic mineral would then be used in future solubility studies to produce better predictions of lead levels in tap water. XRD and FTIR were used to characterise the minerals on a range of lead pipes. Pyromorphite and hydroxylpyromorphite were absent and instead a range of mixed calcium lead apatites were present. For every five lead ions in the general formula Pb5(PO4)3X between one and two ions were replaced with calcium and there was evidence of substitution ofPO43-by eitherCO32-orHPO42-. Calcium lead apatites with similar unit cell dimensions to those found on lead water pipes were then synthesised. The calcium : lead ratio in these reaction mixtures was in excess of 500 : 1 and the resulting crystals were shown by TEM to be nanosized rods and flakes. The synthetic apatites that most closely resembled the unit cell dimensions of the apatites on lead water pipes were shown to be Pb3.4Ca1.3(PO4)3Cl0.03OH0.97, Pb3.6Ca1.2(PO4)3Cl0.07OH0.93, and Pb3.6Ca1.2(PO4)3Cl0.27OH0.73.

Dormancy-breaking Studies on Echinacea angustifolia

HortScience ◽  
1998 ◽  
Vol 33 (3) ◽  
pp. 456f-457 ◽  
Author(s):  
Ali O. Sari ◽  
Mario R. Morales ◽  
James E. Simon
Keyword(s):  
Native Americans ◽  
Seed Germination ◽  
Tap Water ◽  
The United States ◽  
Market Demand ◽  
Dormancy Breaking ◽  
Echinacea Angustifolia ◽  
Native Populations ◽  
Percent Germination ◽  
Dry Heating

Echinacea is a medicinal plant native to North America. It was used extensively by native Americans in the treatment of their ailments. It is presently one of the most popular medicinal plants in the United States. Its popularity has created a large market demand for the roots and foliage of the plant. The gathering of echinacea from the wild is leading to the reduction of native populations and the destruction of its genetic diversity. Cultivation of medicinal echinaceas is hindered by a low seed germination. Dormancy breaking studies were done on freshly harvested seeds of Echinacea angustifolia. Seed lots were placed under light at a constant temperature of 25 °C and at alternate temperatures of 25/15 °C for 14/10 h, respectively. Germination was more rapid and uniform and percent germination higher at 25 °C than at 25/15 °C. Seed tap-water soaking, dry heating, and sharp heating alteration did not increase germination. The application of 1.0 mM ethephon (2-chloroethylphosphoric acid) increased seed germination to 94% at 25 °C and 86% at 25/15 °C. Untreated seeds gave 65% germination at 25 °C and 11% at 25/15 °C. The application of 2500 mg·L–1 and 3500 mg·L–1 of GA to dry seeds and 2500 mg·L–1 to seeds that have been soaked under tap water and then dried increased germination to 82%, 83%, and 83% at 25 °C and 64%, 78%, and 64% at 25/15 °C, respectively.

Family Influences on Youth Offending

2018 ◽  
pp. 377-403
Author(s):  
Abigail A. Fagan ◽  
Kristen M. Benedini
Keyword(s):  
Life Course ◽  
Family Environment ◽  
Parenting Practices ◽  
Experimental Studies ◽  
The United States ◽  
Parental Violence ◽  
Youth Delinquency ◽  
The Impact ◽  
Children’S Exposure

This chapter reviews the degree to which empirical evidence demonstrates that families influence youth delinquency. Because they are most likely to be emphasized in life-course theories, this chapter focuses on parenting practices such as parental warmth and involvement, supervision and discipline of children, and child maltreatment. It also summarizes literature examining the role of children's exposure to parental violence, family criminality, and young (teenage) parents in affecting delinquency. Because life-course theories are ideally tested using longitudinal data, which allow examination of, in this case, the impact of parenting practices on children's subsequent behaviors, this chapter focuses on evidence generated from prospective studies conducted in the United States and other countries. It also discusses findings from experimental studies designed to reduce youth substance use and delinquency by improving the family environment.

scholarly journals Reserved Bed Program Reduces Neurosciences Intensive Care Unit Capacity Strain: An Implementation Study

Neurosurgery ◽  
2019 ◽  
Vol 86 (1) ◽  
pp. 132-138
Author(s):  
Christopher D Shank ◽  
Nicholas J Erickson ◽  
David W Miller ◽  
Brittany F Lindsey ◽  
Beverly C Walters
Keyword(s):  
Intensive Care ◽  
Economies Of Scale ◽  
Negative Impact ◽  
The United States ◽  
Fiscal Year ◽  
Implementation Study ◽  
Service Line ◽  
Hospital Units ◽  
Significant Negative Impact ◽  
Operational Issues

Abstract BACKGROUND Neurosciences intensive care units (NICUs) provide institutional centers for specialized care. Despite a demonstrable reduction in morbidity and mortality, NICUs may experience significant capacity strain with resulting supraoptimal utilization and diseconomies of scale. We present an implementation study in the recognition and management of capacity strain within a large NICU in the United States. Excessive resource demand in an NICU creates significant operational issues. OBJECTIVE To evaluate the efficacy of a Reserved Bed Pilot Program (RBPP), implemented to maximize economies of scale, to reduce transfer declines due to lack of capacity, and to increase transfer volume for the neurosciences service-line. METHODS Key performance indicators (KPIs) were created to evaluate RBPP efficacy with respect to primary (strategic) objectives. Operational KPIs were established to evaluate changes in operational throughput for the neurosciences and other service-lines. For each KPI, pilot-period data were compared to the previous fiscal year. RESULTS RBPP implementation resulted in a significant increase in accepted transfer volume to the neurosciences service-line (P = .02). Transfer declines due to capacity decreased significantly (P = .01). Unit utilization significantly improved across service-line units relative to theoretical optima (P < .03). Care regionalization was achieved through a significant reduction in “off-service” patient placement (P = .01). Negative externalities were minimized, with no significant negative impact in the operational KPIs of other evaluated service-lines (P = .11). CONCLUSION Capacity strain is a significant issue for hospital units. Reducing capacity strain can increase unit efficiency, improve resource utilization, and augment service-line throughput. RBPP implementation resulted in a significant improvement in service-line operations, regional access to care, and resource efficiency, with minimal externalities at the institutional level.

scholarly journals Under-Sink Activated Carbon Water Filters Effectively Remove Lead from Private Well Water for over Six Months

Water ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3584
Author(s):  
Riley Mulhern ◽  
Jacqueline MacDonald Gibson
Keyword(s):  
Activated Carbon ◽  
Blood Lead ◽  
The United States ◽  
Well Water ◽  
Point Of Use ◽  
Metals Removal ◽  
Lead Levels ◽  
Minimal Data ◽  
Water Filters ◽  
Private Wells

Children who rely on private well water in the United States have been shown to be at greater risk of having elevated blood lead levels. Evidence-based solutions are needed to prevent drinking water lead exposure among private well users, but minimal data are available regarding the real-world effectiveness of available interventions like point-of-use water treatment for well water. In this study, under-sink activated carbon block water filters were tested for lead and other heavy metals removal in an eight-month longitudinal study in 17 homes relying on private wells. The device removed 98% of all influent lead for the entirety of the study, with all effluent lead levels less than 1 µg/L. Profile sampling in a subset of homes showed that the faucet fixture is a significant source of lead leaching where well water is corrosive. Flushing alone was not capable of reducing first-draw lead to levels below 1 µg/L, but the under-sink filter was found to increase the safety and effectiveness of faucet flushing. The results of this study can be used by individual well users and policymakers alike to improve decision-making around the use of under-sink point-of-use devices to prevent disproportionate lead exposures among private well users.

scholarly journals Blood lead level and risk of hypertension in the United States National Health and Nutrition Examination Survey 1999–2016

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Man Fung Tsoi ◽  
Chris Wai Hang Lo ◽  
Tommy Tsang Cheung ◽  
Bernard Man Yung Cheung
Keyword(s):  
Blood Pressure ◽  
Lead Exposure ◽  
Blood Lead Level ◽  
Lead Level ◽  
Blood Lead ◽  
The United States ◽  
Study Data ◽  
Blood Lead Levels ◽  
Environmental Lead ◽  
Lead Levels

AbstractLead is a heavy metal without a biological role. High level of lead exposure is known to be associated with hypertension, but the risk at low levels of exposure is uncertain. In this study, data from US NHANES 1999–2016 were analyzed. Adults with blood lead and blood pressure measurements, or self-reported hypertension diagnosis, were included. If not already diagnosed, hypertension was defined according to the AHA/ACC 2017 hypertension guideline. Results were analyzed using R statistics version 3.5.1 with sample weight adjustment. Logistic regression was used to study the association between blood lead level and hypertension. Odds ratio (OR) and 95% confidence interval (95% CI) were estimated. Altogether, 39,477 participants were included. Every doubling in blood lead level was associated with hypertension (OR [95%CI] 1.45 [1.40–1.50]), which remained significant after adjusting for demographics. Using quartile 1 as reference, higher blood lead levels were associated with increased adjusted odds of hypertension (Quartile 4 vs. Quartile 1: 1.22 [1.09–1.36]; Quartile 3 vs. Quartile 1: 1.15 [1.04–1.28]; Quartile 2 vs. Quartile 1: 1.14 [1.05–1.25]). In conclusion, blood lead level is associated with hypertension in the general population with blood lead levels below 5 µg/dL. Our findings suggest that reducing present levels of environmental lead exposure may bring cardiovascular benefits by reducing blood pressure.

scholarly journals Numerical and Experimental Investigation on Concrete Splitting Failure of Anchor Channels

CivilEng ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 502-522
Author(s):  
Anton Bogdanić ◽  
Daniele Casucci ◽  
Joško Ožbolt
Keyword(s):  
Construction Industry ◽  
Failure Mode ◽  
Current Trend ◽  
The United States ◽  
Embedment Depth ◽  
Test Results ◽  
Concrete Members ◽  
Splitting Failure ◽  
Edge Distance ◽  
Numerical Parametric Study

Concrete splitting failure due to tension load can occur when fastening systems are located close to an edge or corner of a concrete member, especially in thin members. This failure mode has not been extensively investigated for anchor channels. Given the current trend in the construction industry towards more slender concrete members, this failure mode will become more and more relevant. In addition, significantly different design rules in the United States and Europe indicate the need for harmonization between codes. Therefore, an extensive numerical parametric study was carried out to evaluate the influence of member thickness, edge distance, and anchor spacing on the capacity of anchor channels in uncracked and unreinforced concrete members. One of the main findings was that the characteristic edge distance depends on the member thickness and can be larger than 3hef (hef = embedment depth) for thin members. Based on the numerical and experimental test results, modifications of the design recommendations for the splitting failure mode are proposed. Overall, the authors recommend performing the splitting verification separately from the concrete breakout to design anchor channels in thin members more accurately.

A Nationwide Survey of COVID-19 Testing in LGBTQ+ Populations in the United States

2021 ◽  
pp. 003335492110181
Author(s):  
Richard J. Martino ◽  
Kristen D. Krause ◽  
Marybec Griffin ◽  
Caleb LoSchiavo ◽  
Camilla Comer-Carruthers ◽  
...  
Keyword(s):  
United States ◽  
Gay Men ◽  
Antibody Test ◽  
Nationwide Survey ◽  
The United States ◽  
Sociodemographic Characteristics ◽  
Full Time ◽  
Test Results ◽  
Antibody Testing ◽  
And Gender

Objectives Lesbian, gay, bisexual, transgender, or queer and questioning (LGBTQ+) people and populations face myriad health disparities that are likely to be evident during the COVID-19 pandemic. The objectives of our study were to describe patterns of COVID-19 testing among LGBTQ+ people and to differentiate rates of COVID-19 testing and test results by sociodemographic characteristics. Methods Participants residing in the United States and US territories (N = 1090) aged ≥18 completed an internet-based survey from May through July 2020 that assessed COVID-19 testing and test results and sociodemographic characteristics, including sexual orientation and gender identity (SOGI). We analyzed data on receipt and results of polymerase chain reaction (PCR) and antibody testing for SARS-CoV-2 and symptoms of COVID-19 in relation to sociodemographic characteristics. Results Of the 1090 participants, 182 (16.7%) received a PCR test; of these, 16 (8.8%) had a positive test result. Of the 124 (11.4%) who received an antibody test, 45 (36.3%) had antibodies. Rates of PCR testing were higher among participants who were non–US-born (25.4%) versus US-born (16.3%) and employed full-time or part-time (18.5%) versus unemployed (10.8%). Antibody testing rates were higher among gay cisgender men (17.2%) versus other SOGI groups, non–US-born (25.4%) versus US-born participants, employed (12.6%) versus unemployed participants, and participants residing in the Northeast (20.0%) versus other regions. Among SOGI groups with sufficient cell sizes (n > 10), positive PCR results were highest among cisgender gay men (16.1%). Conclusions The differential patterns of testing and positivity, particularly among gay men in our sample, confirm the need to create COVID-19 public health messaging and programming that attend to the LGBTQ+ population.

scholarly journals Prediction of seasonal patterns of porcine reproductive and respiratory syndrome virus RNA detection in the U.S. swine industry

2020 ◽  
Vol 32 (3) ◽  
pp. 394-400
Author(s):  
Giovani Trevisan ◽  
Leticia C. M. Linhares ◽  
Bret Crim ◽  
Poonam Dubey ◽  
Kent J. Schwartz ◽  
...  
Keyword(s):  
Robust Regression ◽  
Historical Data ◽  
The United States ◽  
Respiratory Syndrome Virus ◽  
Seasonal Patterns ◽  
Test Results ◽  
Swine Industry ◽  
Cyclic Pattern ◽  
Rna Detection ◽  
Virus Rna

We developed a model to predict the cyclic pattern of porcine reproductive and respiratory syndrome virus (PRRSV) RNA detection by reverse-transcription real-time PCR (RT-rtPCR) from 4 major swine-centric veterinary diagnostic laboratories (VDLs) in the United States and to use historical data to forecast the upcoming year’s weekly percentage of positive submissions and issue outbreak signals when the pattern of detection was not as expected. Standardized submission data and test results were used. Historical data (2015–2017) composed of the weekly percentage of PCR-positive submissions were used to fit a cyclic robust regression model. The findings were used to forecast the expected weekly percentage of PCR-positive submissions, with a 95% confidence interval (CI), for 2018. During 2018, the proportion of PRRSV-positive submissions crossed 95% CI boundaries at week 2, 14–25, and 48. The relatively higher detection on week 2 and 48 were mostly from submissions containing samples from wean-to-market pigs, and for week 14–25 originated mostly from samples from adult/sow farms. There was a recurring yearly pattern of detection, wherein an increased proportion of PRRSV RNA detection in submissions originating from wean-to-finish farms was followed by increased detection in samples from adult/sow farms. Results from the model described herein confirm the seasonal cyclic pattern of PRRSV detection using test results consolidated from 4 VDLs. Wave crests occurred consistently during winter, and wave troughs occurred consistently during the summer months. Our model was able to correctly identify statistically significant outbreak signals in PRRSV RNA detection at 3 instances during 2018.

scholarly journals The Value of Cognitive Pretesting: Improving Validity and Revealing Blind Spots through the Development of a Newborn Screening Parent Experiences Survey

2021 ◽  
Vol 7 (3) ◽  
pp. 41
Author(s):  
Norma-Jean Simon ◽  
Anne Atkins ◽  
Brianne Miller ◽  
Natasha Bonhomme ◽  
Beth Tarini
Keyword(s):  
Newborn Screening ◽  
The United States ◽  
True Positive ◽  
Test Results ◽  
Parent Experiences ◽  
Survey Questions ◽  
Study Team ◽  
Ages And Stages Questionnaires ◽  
Cognitive Pretesting ◽  
Blind Spots

Surveys are used to gather a range of data on newborn screening (NBS) processes. We describe the development of a survey about parents’ NBS experiences, in the United States, informed by cognitive pretest interviews among parents with varying NBS test results (true-positive, false-positive, normal). Cognitive pretest interviews were conducted following a semi-structured script and notes were taken to identify problematic survey items. The study team met weekly to discuss pretest feedback, draft changes, and generate revised items. Pretests indicated that parent experiences with NBS are varied and NBS screening procedures are not well understood. Substantial modifications were made to survey questions concerning NBS testing and result communication. Pretesters often associated NBS with other tests/exams/scales—APGAR scores, Ages and Stages questionnaires, and genetic testing during pregnancy. Some pretesters recalled receiving NBS blood spot results during their hospital admission, an uncommon practice, and few recalled knowing results would be provided to them or their pediatrician in the first few weeks of life. Thorough explanations regarding NBS procedures and expectations were embedded within the survey to enhance and improve interpretation of survey questions. Future NBS experience surveys should utilize cognitive pretesting to capture divergent experiences and improve response validity.

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