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The National Institute of Standards and Technology asked the Council to conduct a study building on its 2008 Strategic Plan for the National Earthquake Hazards Reduction Program, established by Congress in 1977. A committee was established with representatives of all relevant disciplines, and this is its report. Among the matters it deals with are earthquake risk and hazard, measuring disaster resilience, advanced national seismic systems, techniques for evaluating and retrofitting existing buildings, and costing the road map elements. It is not indexed. Annotation ©2011 Book News, Inc. , Portland, OR (booknews. com)
Today's world of rapid social, technological, and behavioral change provides new opportunities for communications with few limitations of time and space. Through these communications, people leave behind an ever-growing collection of traces of their daily activities, including digital footprints provided by text, voice, and other modes of communication. Meanwhile, new techniques for aggregating and evaluating diverse and multimodal information sources are available to security services that must reliably identify communications indicating a high likelihood of future violence. In the context of this changed and changing world of communications and behavior, the Board on Behavioral, Cognitive, and Sensory Sciences of the National Research Council presents this volume of three papers as one portion of the vast subject of threatening communications and behavior. The papers review the behavioral and social sciences research on the likelihood that someone who engages in abnormal and/or threatening communications will actually then try to do harm. The focus is on how the scientific knowledge can inform and advance future research on threat assessments, in part by considering the approaches and techniques used to analyze communications and behavior in the dynamic context of today's world. The papers in the collection were written within the context of protecting high-profile public figures from potential attach or harm. The research, however, is broadly applicable to U.S. national security including potential applications for analysis of communications from leaders of hostile nations and public threats from terrorist groups. This work highlights the complex psychology of threatening communications and behavior, and it offers knowledge and perspectives from multiple domains that contribute to a deeper understanding of the value of communications in predicting and preventing violent behaviors.
As the United States continues to be a nation of immigrants and their children, the nation's school systems face increased enrollments of students whose primary language is not English. With the 2001 reauthorization of the Elementary and Secondary Education Act (ESEA) in the No Child Left Behind Act (NCLB), the allocation of federal funds for programs to assist these students to be proficient in English became formula-based: 80 percent on the basis of the population of children with limited English proficiency1 and 20 percent on the basis of the population of recently immigrated children and youth. Title III of NCLB directs the U.S. Department of Education to allocate funds on the basis of the more accurate of two allowable data sources: the number of students reported to the federal government by each state education agency or data from the American Community Survey (ACS). The department determined that the ACS estimates are more accurate, and since 2005, those data have been basis for the federal distribution of Title III funds. Subsequently, analyses of the two data sources have raised concerns about that decision, especially because the two allowable data sources would allocate quite different amounts to the states. In addition, while shortcomings were noted in the data provided by the states, the ACS estimates were shown to fluctuate between years, causing concern among the states about the unpredictability and unevenness of program funding. In this context, the U.S. Department of Education commissioned the National Research Council to address the accuracy of the estimates from the two data sources and the factors that influence the estimates. The resulting book also considers means of increasing the accuracy of the data sources or alternative data sources that could be used for allocation purposes.
Over the last 25 years life expectancy at age 50 in the U.S. has been rising but at a slower pace than in many other high-income countries such as Japan and Australia. This difference is particularly notable given that the U.S. spends more on health care than any other nation. Concerned about this divergence the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries the nation's history of heavy smoking is a major reason why lifespans in the U.S. fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact cancer detection and survival appear to be better in the U.S. than in most other high-income nations and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance while lung cancer deaths are a reliable marker of the damage from smoking no clear-cut marker exists for obesity physical inactivity social integration or other risks considered in this book. Moreover evaluation of these risk factors is based on observational studies which -- unlike randomized controlled trials -- are subject to many biases.
Starting in 1990, the Department of Health and Human Services (HHS) has issued a national agenda aimed at improving the health of all Americans over the 10-year span. At the request of HHS, the IOM identified a set of leading health indicators that could be used by Healthy People 2020 and developed a conceptual framework within which the topics, indicators, and objectives would be developed or selected.
The Causes and Impacts of Neglected Tropical and Zoonotic Diseases: Opportunities for Integrated Intervention Strategiesby Institute of Medicine of the National Academies
Neglected tropical diseases (NTDs) afflict more than 1.4 billion people, many of whom live on less than $1.25 a day. While there are effective ways to manage NTDs, policy-makers and funders have only recently begun to recognize the economic and public health importance of controlling NTDs. The IOM's Forum on Microbial Threats held a workshop September 21-22, 2010, to discuss the science of and policy surrounding NTDs.
Demographic changes, immigration, economic upheavals, and changing societal mores are creating new and altered structures, processes, and relationships in American families today. As families undergo rapid change, family science is at the brink of a new and exciting integration across methods, disciplines, and epistemological perspectives. The purpose of The Science of Research on Families: A Workshop, held in Washington, DC, on July 13-14, 2010, was to examine the broad array of methodologies used to understand the impact of families on children's health and development. It sought to explore individual disciplinary contributions and the ways in which different methodologies and disciplinary perspectives could be combined in the study of families. Toward an Integrated Science of Research on Families documents the information presented in the workshop presentations and discussions. The report explores the idea of family research as being both basic and applied, offering opportunities for learning as well as intervention. It discusses research as being most useful when organized around particular problems, such as obesity or injury prevention. Toward an Integrated Science of Research on Families offers a problem-oriented approach that can guide a broad-based research program that extends across funders, institutions, and scientific disciplines.
Authorized by Children's Health Insurance Program Reauthorization Act of 2009, this study evaluates the strengths and limitations of data sets currently used to measure health and health care quality for children and adolescents and demonstrates how the consistency and rigor of measurement methods are directly associated with the quality of the data collected. The Institute of Medicine committee report offers recommendations to state and federal agencies for enhancing the timeliness, quality, and public transparency of information about child and adolescent health care services. The CD-ROM compiles sources of population health data and administrative data. Annotation ©2012 Book News, Inc. , Portland, OR (booknews. com)
The United States has jurisdiction over 3.4 million square miles of ocean in its exclusive economic zone, a size exceeding the combined land area of the 50 states. This expansive marine area represents a prime national domain for activities such as maritime transportation, national security, energy and mineral extraction, fisheries and aquaculture, and tourism and recreation. However, it also carries with it the threat of damaging and outbreaks of waterborne pathogens. The 2010 Gulf of Mexico Deepwater Horizon oil spill and the 2011 Japanese earthquake and tsunami are vivid reminders that ocean activities and processes have direct human implications both nationally and worldwide, understanding of the ocean system is still incomplete, and ocean research infrastructure is needed to support both fundamental research and societal priorities. Given current struggles to maintain, operate, and upgrade major infrastructure elements while maintaining a robust research portfolio, a strategic plan is needed for future investments to ensure that new facilities provide the greatest value, least redundancy, and highest efficiency in terms of operation and flexibility to incorporate new technological advances. Critical Infrastructure for Ocean Research and Societal Needs in 2030 identifies major research questions anticipated to be at the forefront of ocean science in 2030 based on national and international assessments, input from the worldwide scientific community, and ongoing research planning activities. This report defines categories of infrastructure that should be included in planning for the nation's ocean research infrastructure of 2030 and that will be required to answer the major research questions of the future. Critical Infrastructure for Ocean Research and Societal Needs in 2030 provides advice on the criteria and processes that could be used to set priorities for the development of new ocean infrastructure or replacement of existing facilities. In addition, this report recommends ways in which the federal agencies can maximize the value of investments in ocean infrastructure.
At a time when scientific and technological competence is vital to the nation's future, the weak performance of U.S. students in science reflects the uneven quality of current science education. Although young children come to school with innate curiosity and intuitive ideas about the world around them, science classes rarely tap this potential. Many experts have called for a new approach to science education, based on recent and ongoing research on teaching and learning. In this approach, simulations and games could play a significant role by addressing many goals and mechanisms for learning science: the motivation to learn science, conceptual understanding, science process skills, understanding of the nature of science, scientific discourse and argumentation, and identification with science and science learning. To explore this potential, Learning Science: Computer Games, Simulations, and Education, reviews the available research on learning science through interaction with digital simulations and games. It considers the potential of digital games and simulations to contribute to learning science in schools, in informal out-of-school settings, and everyday life. The book also identifies the areas in which more research and research-based development is needed to fully capitalize on this potential. Learning Science will guide academic researchers; developers, publishers, and entrepreneurs from the digital simulation and gaming community; and education practitioners and policy makers toward the formation of research and development partnerships that will facilitate rich intellectual collaboration. Industry, government agencies and foundations will play a significant role through start-up and ongoing support to ensure that digital games and simulations will not only excite and entertain, but also motivate and educate.
Sociocultural Data to Accomplish Department of Defense Missions: Toward a Unified Social Framework summarizes presentations and discussions that took place on August 16-17, 2010, at a National Research Council public workshop sponsored by the Office of Naval Research. The workshop addressed the variables and complex interaction of social and cultural factors that influence human behavior, focusing on potential applications to the full spectrum of military operations. The workshop's keynote address by Major General Michael T. Flynn, U.S. Army, provided critical context about the cultural situation and needs of the military operating in Afghanistan. Additional presentations were divided into four panels to address the diverse missions encountered by the U.S. military worldwide. The workshop concluded with a final panel to discuss the strengths and weaknesses of different methods of acquiring and using relevant data and knowledge to accomplish these missions. The panel topics and presenters are listed below: Conflict Is Local: Mapping the Sociocultural Terrain David Kennedy, Hsinchun Chen, and Kerry Patton Bridging Sociocultural Gaps in Cooperative Relationships Robert Rubinstein, Alan Fiske, and Donal Carbaugh Building Partner Capacity with Sociocultural Awareness Jeffrey Sanchez-Burks and Shinobu Kitayama The Art of Sociocultural Persuasion Jeanne Brett, James Dillard, and Brant R. Burleson Tools, Methods, Frameworks, and Models Mark Bevir, Laura A. McNamara, Robert G. Sargent, and Jessica Glicken Turnley
Public Response to Alerts and Warnings on Mobile Devices: Summary of a Workshop on Current Knowledge and Research Gapsby National Research Council of the National Academies
This book presents a summary of the Workshop on Public Response to Alerts and Warnings on Mobile Devices: Current Knowledge and Research Gaps, held April 13 and 14, 2010, in Washington, D.C., under the auspices of the National Research Council's Committee on Public Response to Alerts and Warnings on Mobile Devices: Current Knowledge and Research Needs. The workshop was structured to gather inputs and insights from social science researchers, technologists, emergency management professionals, and other experts knowledgeable about how the public responds to alerts and warnings, focusing specifically on how the public responds to mobile alerting.
Following several years of testing and evaluation, the American Community Survey (ACS) was launched in 2005 as a replacement for the census "long form," used to collect detailed social, economic, and housing data from a sample of the U.S. population as part of the decennial census. During the first year of the ACS implementation, the Census Bureau collected data only from households. In 2006 a sample of group quarters (GQs) -- such as correctional facilities, nursing homes, and college dorms -- was added to more closely mirror the design of the census long-form sample. The design of the ACS relies on monthly samples that are cumulated to produce multiyear estimates based on 1, 3, and 5 years of data. The data published by the Census Bureau for a geographic area depend on the area's size. The multiyear averaging approach enables the Census Bureau to produce estimates that are intended to be robust enough to release for small areas, such as the smallest governmental units and census block groups. However, the sparseness of the GQ representation in the monthly samples affects the quality of the estimates in many small areas that have large GQ populations relative to the total population. The Census Bureau asked the National Research Council to review and evaluate the statistical methods used for measuring the GQ population. This book presents recommendations addressing improvements in the sample design, sample allocation, weighting, and estimation procedures to assist the Census Bureau's work in the very near term, while further research is conducted to address the underlying question of the relative importance and costs of the GQ data collection in the context of the overall ACS design.
HIV Screening and Access to Care: Health Care System Capacity for Increased HIV Testing and Provision of Careby Institute of Medicine of the National Academies
Increased HIV screening may help identify more people with the disease, but there may not be enough resources to provide them with the care they need. The IOM Committee on HIV Screening and Access to Care concludes that more practitioners must be trained in HIV/AIDS care and treatment and their hospitals, clinics, and health departments must receive sufficient funding to meet a growing demand for care.
Problems contacting emergency services and delayed assistance are not unusual when incidents occur in rural areas, and the consequences can be devastating, particularly with mass casualty incidents. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop to examine the current capabilities of emergency response systems and the future opportunities to improve mass casualty response in rural communities.
The U.S. intelligence community (IC) is a complex human enterprise whose success depends on how well the people in it perform their work. Although often aided by sophisticated technologies, these people ultimately rely on their own intellect to identify, synthesize, and communicate the information on which the nation's security depends. The IC's success depends on having trained, motivated, and thoughtful people working within organizations able to understand, value, and coordinate their capabilities. Intelligence Analysis provides up-to-date scientific guidance for the intelligence community (IC) so that it might improve individual and group judgments, communication between analysts, and analytic processes. The papers in this volume provide the detailed evidentiary base for the National Research Council's report, Intelligence Analysis for Tomorrow: Advances from the Behavioral and Social Sciences. The opening chapter focuses on the structure, missions, operations, and characteristics of the IC while the following 12 papers provide in-depth reviews of key topics in three areas: analytic methods, analysts, and organizations. Informed by the IC's unique missions and constraints, each paper documents the latest advancements of the relevant science and is a stand-alone resource for the IC's leadership and workforce. The collection allows readers to focus on one area of interest (analytic methods, analysts, or organizations) or even one particular aspect of a category. As a collection, the volume provides a broad perspective of the issues involved in making difficult decisions, which is at the heart of intelligence analysis.
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review--guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
HIV Screening and Access to Care: Exploring the Impact of Policies on Access to and Provision of HIV Careby Institute of Medicine of the National Academies
With the widespread use of highly active anti-retroviral treatment (HAART), HIV has become a chronic, rather than a fatal, disease. But for their treatment to succeed, patients require uninterrupted care from a health care provider and uninterrupted access to anti-HIV medications. The IOM identifies federal, state, and private health insurance policies that inhibit HIV-positive individuals from initiating or continuing their care.
Health literacy is the degree to which one can understand and make decisions based on health information. Nearly 90 million adults in the United States have limited health literacy. While poor health literacy spans all demographics, rates of low health literacy are disproportionately higher among those with lower socioeconomic status, limited education, or limited English proficiency, as well as among the elderly and individuals with mental or physical disabilities. Studies have shown that there is a correlation between low health literacy and poor health outcomes. In 2010, President Obama signed the Affordable Care Act designed to extend access to health care coverage to millions of Americans who have been previously uninsured. Many of the newly eligible individuals who should benefit most from the ACA, however, are least prepared to realize those benefits as a result of low health literacy. They will face significant challenges understanding what coverage they are eligible for under the ACA, making informed choices about the best options for themselves and their families, and completing the enrollment process. Health Literacy Implications for Health Care Reformexplores opportunities to advance health literacy in association with the implementation of health care reform. The report focuses on building partnerships to advance the field of health literacy by translating research findings into practical strategies for implementation, and on educating the public, press, and policymakers regarding issues of health literacy.
The use of radio-frequency communication--commonly referred to as wireless communication--is becoming more pervasive as well as more economically and socially important. Technological progress over many decades has enabled the deployment of several successive generations of cellular telephone technology, which is now used by many billions of people worldwide; the near-universal addition of wireless local area networking to personal computers; and a proliferation of actual and proposed uses of wireless communications. The flood of new technologies, applications, and markets has also opened up opportunities for examining and adjusting the policy framework that currently governs the management and use of the spectrum and the institutions involved in it, and models for allocating spectrum and charging for it have come under increasing scrutiny. Yet even as many agree that further change to the policy framework is needed, there is debate about precisely how the overall framework should be changed, what trajectory its evolution should follow, and how dramatic or rapid the change should be. Many groups have opinions, positions, demands, and desires related to these questions--reflecting multiple commercial, social, and political agendas and a mix of technical, economic, and social perspectives. The development of technologies and associated policy and regulatory regimes are often closely coupled, an interplay apparent as early as the 1910s, when spectrum policy emerged in response to the growth of radio communications. As outlined in this report, current and ongoing technological advances suggest the need for a careful reassessment of the assumptions that inform spectrum policy in the United States today. This book seeks to shine a spotlight on 21st-century technology trends and to outline the implications of emerging technologies for spectrum management in ways that the committee hopes will be useful to those setting future spectrum policy.
Calcium and vitamin D are essential nutrients for the human body. Establishing the levels of these nutrients that are needed by the North American population is based on the understanding of the health outcomes that calcium and vitamin D affect. It is also important to establish how much of each nutrient may be "too much." Dietary Reference Intakes for Calcium and Vitamin D provides reference intake values for these two nutrients. The report updates the DRI values defined in Dietary Reference Intakes for Calcium, Phosphorous, Magnesium, Vitamin D, and Fluoride, the 1997 study from the Institute of Medicine. This 2011 book provides background information on the biological functions of each nutrient, reviews health outcomes that are associated with the intake of calcium and vitamin D, and specifies Estimated Average Requirements and Recommended Dietary Allowances for both. It also identifies Tolerable Upper Intake Levels, which are levels above wish the risk for harm may increase. The book includes an overview of current dietary intake in the U.S. and Canada, and discusses implications of the study. A final chapter provides research recommendations. The DRIs established in this book incorporate current scientific evidence about the roles of vitamin D and calcium in human health and will serve as a valuable guide for a range of stakeholders including dietitians and other health professionals, those who set national nutrition policy, researchers, the food industry, and private and public health organizations and partnerships.
Combustion has provided society with most of its energy needs for millennia, from igniting the fires of cave dwellers to propelling the rockets that traveled to the Moon. Even in the face of climate change and the increasing availability of alternative energy sources, fossil fuels will continue to be used for many decades. However, they will likely become more expensive, and pressure to minimize undesired combustion by-products (pollutants) will likely increase. The trends in the continued use of fossil fuels and likely use of alternative combustion fuels call for more rapid development of improved combustion systems. In January 2009, the Multi-Agency Coordinating Committee on Combustion Research (MACCCR) requested that the National Research Council (NRC) conduct a study of the structure and use of a cyberinfrastructure (CI) for combustion research. The charge to the authoring committee of Transforming Combustion Research through Cyberinfrastructure was to: identify opportunities to improve combustion research through computational infrastructure (CI) and the potential benefits to applications; identify necessary CI elements and evaluate the accessibility, sustainability, and economic models for various approaches; identify CI that is needed for education in combustion science and engineering; identify human, cultural, institutional, and policy challenges and how other fields are addressing them. Transforming Combustion Research through Cyberinfrastructure also estimates the resources needed to provide stable, long-term CI for research in combustion and recommends a plan for enhanced exploitation of CI for combustion research.
This volume highlights the papers presented at the National Academy of Engineering's 2010 U.S. Frontiers of Engineering Symposium. Every year, the symposium brings together 100 outstanding young leaders in engineering to share their cutting-edge research and technical work. The 2010 symposium was held September 23 - 25, and hosted by IBM at the IBM Learning Center in Armonk, New York. Speakers were asked to prepare extended summaries of their presentations, which are reprinted here. The intent of this book is to convey the excitement of this unique meeting and to highlight cutting-edge developments in engineering research and technical work.
Through an examination of case studies, agency briefings, and existing reports, and drawing on personal knowledge and direct experience, the Committee on Assessment of Impediments to Interagency Cooperation on Space and Earth Science Missions found that candidate projects for multiagency collaboration in the development and implementation of Earth-observing or space science missions are often intrinsically complex and, therefore costly, and that a multiagency approach to developing these missions typically results in additional complexity and cost. Advocates of collaboration have sometimes underestimated the difficulties and associated costs and risks of dividing responsibility and accountability between two or more partners; they also discount the possibility that collaboration will increase the risk in meeting performance objectives. This committee's principal recommendation is that agencies should conduct Earth and space science projects independently unless: It is judged that cooperation will result in significant added scientific value to the project over what could be achieved by a single agency alone; or Unique capabilities reside within one agency that are necessary for the mission success of a project managed by another agency; or The project is intended to transfer from research to operations necessitating a change in responsibility from one agency to another during the project; or There are other compelling reasons to pursue collaboration, for example, a desire to build capacity at one of the cooperating agencies. Even when the total project cost may increase, parties may still find collaboration attractive if their share of a mission is more affordable than funding it alone. In these cases, alternatives to interdependent reliance on another government agency should be considered. For example, agencies may find that buying services from another agency or pursuing interagency coordination of spaceflight data collection is preferable to fully interdependent cooperation.
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