Washoe County Travel Characteristics Study, 2005

2013 ◽  
Author(s):  
Stacey Bricka ◽  
Ramon Dickerson
Keyword(s):  
2010 ◽  
Vol 96 (1) ◽  
pp. 20-29
Author(s):  
Jerry C. Calvanese

ABSTRACT Study Objective: The purpose of this study was to obtain data on various characteristics of peer reviews. These reviews were performed for the Nevada State Board of Medical Examiners (NSBME) to assess physician licensees' negligence and/or incompetence. It was hoped that this data could help identify and define certain characteristics of peer reviews. Methods: This study examined two years of data collected on peer reviews. The complaints were initially screened by a medical reviewer and/or a committee composed of Board members to assess the need for a peer review. Data was then collected from the peer reviews performed. The data included costs, specialty of the peer reviewer, location of the peer reviewer, and timeliness of the peer reviews. Results: During the two-year study, 102 peer reviews were evaluated. Sixty-nine percent of the peer-reviewed complaints originated from civil malpractice cases and 15% originated from complaints made by patients. Eighty percent of the complaint physicians were located in Clark County and 12% were located in Washoe County. Sixty-one percent of the physicians who performed the peer reviews were located in Washoe County and 24% were located in Clark County. Twelve percent of the complaint physicians were in practice in the state for 5 years or less, 40% from 6 to 10 years, 20% from 11 to 15 years, 16% from 16 to 20 years, and 13% were in practice 21 years or more. Forty-seven percent of the complaint physicians had three or less total complaints filed with the Board, 10% had four to six complaints, 17% had 7 to 10 complaints, and 26% had 11 or more complaints. The overall quality of peer reviews was judged to be good or excellent in 96% of the reviews. A finding of malpractice was found in 42% of the reviews ordered by the medical reviewer and in 15% ordered by the Investigative Committees. There was a finding of malpractice in 38% of the overall total of peer reviews. The total average cost of a peer review was $791. In 47% of the peer reviews requested, materials were sent from the Board to the peer reviewer within 60 days of the original request and 33% took more than 120 days for the request to be sent. In 48% of the reviews, the total time for the peer review to be performed by the peer reviewer was less than 60 days. Twenty seven percent of the peer reviews took more than 120 days to be returned. Conclusion: Further data is needed to draw meaningful conclusions from certain peer review characteristics reported in this study. However, useful data was obtained regarding timeliness in sending out peer review materials, total times for the peer reviews, and costs.


Geophysics ◽  
2005 ◽  
Vol 70 (3) ◽  
pp. B1-B9 ◽  
Author(s):  
John D. Skalbeck ◽  
Robert E. Karlin ◽  
Lisa Shevenell ◽  
Michael C. Widmer

The concurrent development of the Steamboat Hills geothermal area for power production and the adjacent alluvial aquifers for drinking water in Washoe County, Nevada, necessitates a good understanding of the hydrogeologic connection between these water resources. The problem is that adequate characterization of the subsurface geologic structure is not possible with existing geologic data. This need prompted us to construct a detailed 3D representation of the subsurface geologic structure based on 2.75D forward modeling of 11 gravity and aeromagnetic profiles constrained by geologic data and physical (density, magnetic susceptibility, remanent magnetic) properties. Potential-fields modeling results provided greater definition of the alluvial basins, and when combined with well-log data, yield an overall basin volume surrounding Steamboat Hills that is 64% greater than the volume derived from well-log data alone. A representation of the geothermal reservoir, consisting of altered granodiorite and metamorphic rocks, illustrates that the flow of thermal water is fault controlled. The model also suggests that thermal water may upflow along an unexplored fault flanking western Steamboat Hills. North-trending faults that conduct thermal water from the geothermal system to the alluvial aquifer appear to be zones of altered volcanics that produce subtle aeromagnetic anomalies.


2021 ◽  
Author(s):  
Heather Kerwin ◽  
Rex Briggs ◽  
Sameer Nair-Desai ◽  
Andrew Gorzalski ◽  
Mark Pandori ◽  
...  

Understanding the rate and clinical features associated with vaccine breakthrough infections (VBT) is of critical public health importance. Recent evidence on VBT in Barnstable County, Massachusetts, has prompted guidance on masking for vaccinated individuals in areas of high community-level transmission. Additional data is needed to better understand the prevalence and rate of VBT infections. Using detailed disease investigation data from Washoe County, Nevada we sought to assess the rate of symptomatic infection and serious illness among VBT cases compared to non-vaccinated individuals with COVID-19. From February 12 - July 29, 2021, the Washoe County Health District identified and traced 6,128 out of 6,399 reported cases across the sample period. 338 (5.5%) of all cases were identified as breakthrough infections, and 289 (86%) vaccinated individuals had symptomatic infections. Severe clinical outcomes were infrequent with 17 hospitalizations (5% of VBT) and no deaths. Cycle threshold values were not statistically different between vaccinated and unvaccinated individuals.


2007 ◽  
Vol 82 (5) ◽  
pp. 415-420 ◽  
Author(s):  
Paul Geffner ◽  
Si Frazier ◽  
Ann Frazier
Keyword(s):  

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