- Table View
- List View
Many organizations are making focused efforts to prevent obesity. To achieve their goals, accelerate their progress, and sustain their success, the assistance of many other individuals and groups--not all of them with a singular focus on obesity prevention--will be essential. In October 2011 the Institute of Medicine held a workshop that provided an opportunity for obesity prevention groups to hear from and hold discussions with many of these potential allies in obesity prevention. They explored common ground for joint activities and mutual successes and lessons learned from efforts at aligning diverse groups with goals in common.
Science at the U.S. Geological Survey (USGS) is intrinsically global, and from early in its history, the USGS has successfully carried out international projects that serve U.S. national interests and benefit the USGS domestic mission. Opportunities abound for the USGS to strategically pursue international science in the next 5-10 years that bears on growing worldwide problems having direct impact on the United States--climate and ecosystem changes, natural disasters, the spread of invasive species, and diminishing natural resources, to name a few. Taking a more coherent, proactive agency approach to international science--and building support for international projects currently in progress-would help the USGS participate in international science activities more effectively.
New research opportunities to advance hydrologic sciences promise a better understanding of the role of water in the Earth system that could help improve human welfare and the health of the environment. Reaching this understanding will require both exploratory research to better understand how the natural environment functions, and problem-driven research, to meet needs such as flood protection, supply of drinking water, irrigation, and water pollution. Collaboration among hydrologists, engineers, and scientists in other disciplines will be central to meeting the interdisciplinary research challenges outline in this report. New technological capabilities in remote sensing, chemical analysis, computation, and hydrologic modeling will help scientists leverage new research opportunities.
The Global Positioning System (GPS) has revolutionized the measurement of position, velocity, and time. It has rapidly evolved into a worldwide utility with more than a billion receiver sets currently in use that provide enormous benefits to humanity: improved safety of life, increased productivity, and wide-spread convenience. Global Navigation Satellite Systems summarizes the joint workshop on Global Navigation Satellite Systems held jointly by the U.S. National Academy of Engineering and the Chinese Academy of Engineering on May 24-25, 2011 at Hongqiao Guest Hotel in Shanghai, China. "We have one world, and only one set of global resources. It is important to work together on satellite navigation. Competing and cooperation is like Yin and Yang. They need to be balanced," stated Dr. Charles M. Vest, President of the National Academy of Engineering, in the workshop's opening remarks. Global Navigation Satellite Systems covers the objectives of the workshop, which explore issues of enhanced interoperability and interchangeability for all civil users aimed to consider collaborative efforts for countering the global threat of inadvertent or illegal interference to GNSS signals, promotes new applications for GNSS, emphasizing productivity, safety, and environmental protection. The workshop featured presentations chosen based on the following criteria: they must have relevant engineering/technical content or usefulness; be of mutual interest; offer the opportunity for enhancing GNSS availability, accuracy, integrity, and/or continuity; and offer the possibility of recommendations for further actions and discussions. Global Navigation Satellite Systems is an essential report for engineers, workshop attendees, policy makers, educators, and relevant government agencies.
During the past decade and a half, the National Research Council, through its Committee on National Statistics, has carried out a number of studies on the application of statistical methods to improve the testing and development of defense systems. These studies were intended to provide advice to the Department of Defense (DOD), which sponsored these studies. The previous studies have been concerned with the role of statistical methods in testing and evaluation, reliability practices, software methods, combining information, and evolutionary acquisition. Industrial Methods for the Effective Testing and Development of Defense Systems is the latest in a series of studies, and unlike earlier studies, this report identifies current engineering practices that have proved successful in industrial applications for system development and testing. This report explores how developmental and operational testing, modeling and simulation, and related techniques can improve the development and performance of defense systems, particularly techniques that have been shown to be effective in industrial applications and are likely to be useful in defense system development. In addition to the broad issues, the report identifies three specific topics for its focus: finding failure modes earlier, technology maturity, and use of all relevant information for operational assessments.
The Cooperative Threat Reduction (CTR) Program was created in 1991 as a set of support activities assisting the Former Soviet Union states in securing and eliminating strategic nuclear weapons and the materials used to create them. The Program evolved as needs and opportunities changed: Efforts to address biological and chemical threats were added, as was a program aimed at preventing cross-border smuggling of weapons of mass destruction. CTR has traveled through uncharted territory since its inception, and both the United States and its partners have taken bold steps resulting in progress unimagined in initial years. Over the years, much of the debate about CTR on Capitol Hill has concerned the effective use of funds, when the partners would take full responsibility for the efforts, and how progress, impact, and effectiveness should be measured. Directed by Congress, the Secretary of Defense completed a report describing DoD's metrics for the CTR Program (here called the DoD Metrics Report) in September 2010 and, as required in the same law, contracted with the National Academy of Sciences to review the metrics DoD developed and identify possible additional or alternative metrics, if necessary. Improving Metrics for the DoD Cooperative Threat Reduction Program provides that review and advice. Improving Metrics for the DoD Cooperative Threat Reduction Program identifies shortcomings in the DoD Metrics Report and provides recommendations to enhance DoD's development and use of metrics for the CTR Program. The committee wrote this report with two main audiences in mind: Those who are mostly concerned with the overall assessment and advice, and those readers directly involved in the CTR Program, who need the details of the DoD report assessment and of how to implement the approach that the committee recommends.
The development and application of regulatory science - which FDA has defined as the science of developing new tools, standards, and approaches to assess the safety, efficacy, quality, and performance of FDA-regulated products - calls for a well-trained, scientifically engaged, and motivated workforce. FDA faces challenges in retaining regulatory scientists and providing them with opportunities for professional development. In the private sector, advancement of innovative regulatory science in drug development has not always been clearly defined, well coordinated, or connected to the needs of the agency. As a follow-up to a 2010 workshop, the IOM held a workshop on September 20-21, 2011, to provide a format for establishing a specific agenda to implement the vision and principles relating to a regulatory science workforce and disciplinary infrastructure as discussed in the 2010 workshop.
Barriers to Integrating Crisis Standards of Care Principles into International Disaster Response Plansby Institute of Medicine Bruce M. Altevogt Clare Stroud Board on Health Sciences Policy Forum on Medical and Public Health Preparedness for Catastrophic Events Theresa Wizemann
When a nation or region prepares for public health emergencies such as a pandemic influenza, a large-scale earthquake, or any major disaster scenario in which the health system may be destroyed or stressed to its limits, it is important to describe how standards of care would change due to shortages of critical resources. At the 17th World Congress on Disaster and Emergency Medicine, the IOM Forum on Medical and Public Health Preparedness sponsored a session that focused on the promise of and challenges to integrating crisis standards of care principles into international disaster response plans.
Lightweighting is a concept well known to structural designers and engineers in all applications areas, from laptops to bicycles to automobiles to buildings and airplanes. Reducing the weight of structures can provide many advantages, including increased energy efficiency, better design, improved usability, and better coupling with new, multifunctional features. While lightweighting is a challenge in commercial structures, the special demands of military vehicles for survivability, maneuverability and transportability significantly stress the already complex process. Application of Lightweighting Technology to Military Vehicles, Vessels, and Aircraft assesses the current state of lightweighting implementation in land, sea, and air vehicles and recommends ways to improve the use of lightweight materials and solutions. This book considers both lightweight materials and lightweight design; the availability of lightweight materials from domestic manufacturers; and the performance of lightweight materials and their manufacturing technologies. It also considers the "trade space"--that is, the effect that use of lightweight materials or technologies can have on the performance and function of all vehicle systems and components. This book also discusses manufacturing capabilities and affordable manufacturing technology to facilitate lightweighting. Application of Lightweighting Technology to Military Vehicles, Vessels, and Aircraft will be of interest to the military, manufacturers and designers of military equipment, and decision makers.
"The blowout of the Macondo well on April 20, 2010, led to enormous consequences for the individuals involved in the drilling operations, and for their families. Eleven workers on the Deepwater Horizon drilling rig lost their lives and 16 others were seriously injured. There were also enormous consequences for the companies involved in the drilling operations, to the Gulf of Mexico environment, and to the economy of the region and beyond. The flow continued for nearly 3 months before the well could be completely killed, during which time, nearly 5 million barrels of oil spilled into the gulf. Macondo Well-Deepwater Horizon Blowout examines the causes of the blowout and provides a series of recommendations, for both the oil and gas industry and government regulators, intended to reduce the likelihood and impact of any future losses of well control during offshore drilling. According to this report, companies involved in offshore drilling should take a "system safety" approach to anticipating and managing possible dangers at every level of operation -- from ensuring the integrity of wells to designing blowout preventers that function under all foreseeable conditions-- in order to reduce the risk of another accident as catastrophic as the Deepwater Horizon explosion and oil spill. In addition, an enhanced regulatory approach should combine strong industry safety goals with mandatory oversight at critical points during drilling operations. Macondo Well-Deepwater Horizon Blowout discusses ultimate responsibility and accountability for well integrity and safety of offshore equipment, formal system safety education and training of personnel engaged in offshore drilling, and guidelines that should be established so that well designs incorporate protection against the various credible risks associated with the drilling and abandonment process. This book will be of interest to professionals in the oil and gas industry, government decision makers, environmental advocacy groups, and others who seek an understanding of the processes involved in order to ensure safety in undertakings of this nature. "--Publisher's description.
Immigration enforcement is carried out by a complex legal and administrative system, operating under frequently changing legislative mandates and policy guidance, with authority and funding spread across several agencies in two executive departments and the courts. The U.S. Department of Homeland Security (DHS) is responsible for conducting immigration enforcement both at the border and in the United States; the U.S. Department of Justice (DOJ) is responsible for conducting immigration removal procedures and criminal trials and for prosecuting people charged with immigration-related crimes. DOJ confronts at least five technical challenges to modeling its resource needs for immigration enforcement that are specific to the immigration enforcement system. Despite the inherent limitations, budgeting for immigration enforcement can be improved by changing the method for budgeting. Budgeting for Immigration Enforcement addresses how to improve budgeting for the federal immigration enforcement system, specifically focusing on the parts of that system that are operated and funded by the U.S. Department of Justice (DOJ). The report recommends that DOJ establish policy-level procedures to plan and coordinate policy planning and implementation to improve performance of the immigration enforcement system. The report also recommends that DOJ and DHS accelerate their design of an integrated capacity to track cases and project immigration enforcement activity. Policy makers and others who are interested in how the nation's immigration enforcement system is organized and operates also will find it useful.
Research in the Life Sciences with Dual Use Potential: An International Faculty Development Project on Education About the Responsible Conduct of Scienceby Committee on Developing a Framework for an International Faculty Development Project on Education about Research in the Life Sciences Dual Use Potential
In many countries, colleges and universities are where the majority of innovative research is done; in all cases, they are where future scientists receive both their initial training and their initial introduction to the norms of scientific conduct regardless of their eventual career paths. Thus, institutions of higher education are particularly relevant to the tasks of education on research with dual use potential, whether for faculty, postdoctoral researchers, graduate and undergraduate students, or technical staff. Research in the Life Sciences with Dual Use Potential describes the outcomes of the planning meeting for a two-year project to develop a network of faculty who will be able to teach the challenges of research in the life sciences with dual use potential. Faculty will be able to incorporate such concepts into their teaching and research through exposure to the tenets of responsible conduct of research in active learning teaching methods. This report is intended to provide guidelines for that effort and to be applicable to any country wishing to adopt this educational model that combines principles of active learning and training with attention to norms of responsible science. The potential audiences include a broad array of current and future scientists and the policymakers who develop laws and regulations around issues of dual use.
Advances in biomedical research have increased our understanding of the complex nature of disease and the interaction of multiple molecular pathways involved in cancer. Combining investigational products early in their development is thought to be a promising strategy for identifying effective therapies. The IOM's National Cancer Policy Forum held a workshop to discuss challenges and identify potential solutions to improve collaboration and advance the development of combination investigational cancer therapies.
The demand for health care is growing as the nation ages and seeks to provide coverage for the millions of Americans who lack health insurance. At the same time, escalating costs have led to a variety of initiatives to make the delivery of health care more effective and efficient. The allied health workforce is critical to the success of these efforts. The IOM held a workshop May 9-10, 2011, to examine the current allied health care workforce and consider how it can contribute to improving health care access, quality, and effectiveness.
The initial sequencing of the human genome, carried out by an international group of experts, took 13 years and $2.7 billion to complete. In the decade since that achievement, sequencing technology has evolved at such a rapid pace that today a consumer can have his or her entire genome sequenced by a single company in a matter of days for less than $10,000, though the addition of interpretation may extend this timeframe. Given the rapid technological advances, the potential effect on the lives of patients, and the increasing use of genomic information in clinical care, it is important to address how genomics data can be integrated into the clinical setting. Genetic tests are already used to assess the risk of breast and ovarian cancers, to diagnose recessive diseases such as cystic fibrosis, to determine drug dosages based on individual patient metabolism, and to identify therapeutic options for treating lung and breast tumors, melanoma, and leukemia. With these issues in mind and considering the potential impact that genomics information can have on the prevention, diagnosis, and treatment of disease, the Roundtable on Translating Genomic-Based Research for Health hosted a workshop on July 19, 2011, to highlight and identify the challenges and opportunities in integrating large-scale genomic information into clinical practice. Integrating Large-Scale Genomic Information into Clinical Practice summarizes the speaker presentations and the discussions that followed them. This report focuses on several key topics, including the analysis, interpretation, and delivery of genomic information plus workforce, ethical, and legal issues.
Implementation of the Affordable Care Act (ACA) of 2010 will result in significant changes to the U.S. health care system. Among its many provisions, the ACA will extend access to health care coverage to millions of Americans who have been previously uninsured. Many of the newly eligible health insurance consumers will be individuals of low health literacy, some speakers of English and others more comfortable using languages other than English. Health insurance terms such as "deductible," "co-insurance," and "out-of-pocket limit" are difficult to communicate even to those with moderate-to-high levels of health literacy and so health exchanges will face challenges as they attempt to communicate to the broader community. In addition to having to convey some of these basic, and yet complex, principles of insurance, state exchanges will be attempting to adapt to the many changes to enrollment and eligibility brought about by ACA. The Institute of Medicine (IOM) convened the Roundtable on Health Literacy that brings together leaders from the federal government, foundations, health plans, associations, and private companies to discuss challenges facing health literacy practice and research and to identify approaches to promote health literacy in both the public and private sectors. The roundtable sponsored a workshop in Washington, DC, on July 19, 2011, that focused on ways in which health literacy can facilitate state health insurance exchange communication with potential enrollees. The roundtable's workshop focused on four topics: (1) lessons learned from existing state insurance exchanges; (2) the impact of state insurance exchanges on consumers; (3) the relevance of health literacy to health insurance exchanges; and (4) current best practices in developing materials and communicating with consumers. Facilitating State Health Exchange Communication Through the Use of Health Literate Practices summarizes the presentations and discussion that occurred during the workshop. The report provides an overview of health insurance exchanges, presents evidence on the extent to which consumers understand underlying health insurance concepts, and describes the relevancy of health literacy to health insurance reform and how health literacy interventions can facilitate the implementation of health insurance reforms. The report also provides a review of best practices in developing materials and communicating with consumers, and concludes with reflections on the workshop presentations and discussions by members of the roundtable and its chair. Further information is provided in the appendixes, the workshop agenda (Appendix A), workshop speaker biosketches (Appendix B), and testimony provided by the organization America's Health Insurance Plans (AHIP) (Appendix C).
Measuring the social and economic costs of violence can be difficult, and most estimates only consider direct economic effects, such as productivity loss or the use of health care services. Communities and societies feel the effects of violence through loss of social cohesion, financial divestment, and the increased burden on the healthcare and justice systems. Initial estimates show that early violence prevention intervention has economic benefits. The IOM Forum on Global Violence Prevention held a workshop to examine the successes and challenges of calculating direct and indirect costs of violence, as well as the potential cost-effectiveness of intervention.
An estimated 8.8 million people fell ill with tuberculosis (TB) in 2010 and 1.4 million died from the disease. Although antibiotics to treat TB were developed in the 1950s and are effective against a majority of TB cases, resistance to these antibiotics has emerged over the years, resulting in the growing spread of multidrug-resistant (MDR) TB. Due to challenges in timely and accurate diagnosis of drug-resistant TB, length and tolerability of treatment regimens, and expense of second-line anti-TB drugs, effectively controlling the disease requires complex public health interventions. The IOM Forum on Drug Discovery, Development, and Translation held three international workshops to gather information from local experts around the world on the threat of drug resistant TB and how the challenges it presents can be met. Workshops were held in South Africa and Russia in 2010. The third workshop was held April 18-19, 2011, in New Delhi, India, in collaboration with the Indian National Science Academy and the Indian Council of Medical Research. The aim of the workshop was to highlight key challenges to controlling the spread of drug-resistant strains of TB in India and to discuss strategies for advancing and integrating local and international efforts to prevent and treat drug-resistant TB. This document summarizes the workshop.
Early childhood care and education (ECCE) settings offer an opportunity to provide children with a solid beginning in all areas of their development. The quality and efficacy of these settings depend largely on the individuals within the ECCE workforce. Policy makers need a complete picture of ECCE teachers and caregivers in order to tackle the persistent challenges facing this workforce. The IOM and the National Research Council hosted a workshop to describe the ECCE workforce and outline its parameters. Speakers explored issues in defining and describing the workforce, the marketplace of ECCE, the effects of the workforce on children, the contextual factors that shape the workforce, and opportunities for strengthening ECCE as a profession.
The Necromancers no longer need Valkyrie to be their Death Bringer, and that's a Good Thing, there's just one catch. There's a reason the Necromancers don't need her any more - because they've found their Death Bringer already, the person who will dissolve the doors between life and death. And that's a very, very Bad Thing. . .
In a magical realm, three teenage girls-Jade, Opal, and Amber-are chosen to fulfill an ancient prophecy. Although they meet as strangers, they must learn to trust one another with their lives as they embark on an epic journey, armed only with magical stones and one another. On the day of their fourteenth birthday, they set out on a quest that will require them to overcome heinous enemies-like the ferocious raptors, birds of prey that feast on fear; and the torturous Ghibduls, who inflict pain for sport and theater-in an effort to save an enchanted yet threatened land called Fairytale. Along the way, they encounter miraculous horses that have the gift of reading their riders' thoughts; the brave Adrien of Rivebel, who captures the heart of one of the girls; and Oonagh, the girls' childlike guide, living in the remote crystalline grotto, who will advise them on their course. At the same time, in a parallel world, a young girl named Joa fights for her life in a hospital bed in Paris. While she is dreaming, her thoughts transport her to an unknown realm where three young heroines fight a spectacular battle. Their success or failure will determine the fate of Fairytale.
Graham, the extraordinary creative force who ranks with Picasso and Stravinsky, broke traditional molds and ultimately changed the way we look at the world. Blood Memory invites readers to explore her phenomenal life and highlights the unforgettable images that encompass her work. 100 photographs.
The greatest of all state secrets is how leaders make and implement decisions affecting millions of lives. This book explains the foreign policy-making process of the U. S. Government, particularly the State Department. It vividly describes the colorful personalities who have held the highest posts and the battles that have pitted agencies, individuals, and ideologies against each other. The book probes the reasons for the relative decline of the State Department and the rise of the National Security Council staff and White House advisors. It shows how each president organizes the foreign policy system in his own way and why,in the aftermath of the policy-making revolution spawned by Henry Kissinger, the structure has increasingly broken down or interfered with successful decision making. Tracing the development of the diplomatic apparatus throughout American history, Secrets of State demonstrates how foreign policy rose from a neglected corner to become the primary preoccupation of U. S. leaders faced with the growing complexities of international crises. Much of the book concentrates on the present, including the types of people involved in the glamorous foreign policy process, how the system shapes them, why some people succeed, and why many more of them fail. Included is a detailed analysis of why the Carter and Reagan administrations, despite their sharp political differences, made many of the same mistakes in such crisis areas as Central America and the Middle East. About the Author: Barry Rubin is a Council on Foreign Affairs Fellow and a Senior Fellow at the Georgetown University Center for Strategic and International Studies. He is the author of Paved with Good Intentions: The American Experience and Iran.
Master the basics of the English language with BASIC GRAMMAR AND USAGE! Covering the important rules of grammar, usage, and syntax, this developmental English book provides you with clear explanations and numerous examples to help you succeed. Exercises help you strengthen your grammar and the book-specific website has grammar reviews that ensure that you master the material.
During the Depression, a young Memphis boy trains his pet duck to do tricks in the fountain of a grand hotel and ends up becoming the Duck Master of the Peabody Hotel.
Select your download format based upon: 1) how you want to read your book, and 2) compatibility with your reading tool. For more details, visit the Formats page under the Getting Started tab.See and hear words read aloud
- DAISY Text - See words on the screen and hear words being read aloud with the text-to-speech voice installed on your reading tool. Navigate by page, chapter, section, and more. Can also be used in audio-only mode. Compatible with many reading tools, including Bookshare’s free reading tools.
- DAISY Text with Images - Similar to DAISY Text with the addition of images within the Text. Your reading tool must support images.
- Read Now with Bookshare Web Reader - Read and see images directly from your Internet browser without downloading! Text-to-speech voicing and word highlighting are available on Google Chrome (extension installation required). Other browsers can be used with limited features. Learn more
- DAISY Audio - Listen to books in audio-only mode with the high-quality Kendra voice by Ivona pre-installed. Navigate by page, chapter, section, and more. Must be used with a DAISY Audio compatible reading tool.
- MP3 - Listen to books in audio-only mode with the high-quality Kendra voice by Ivona pre-installed. Navigate using tracks. Can be used with any MP3 player.
- BRF (Braille Ready Format) - Read with any BRF compatible refreshable braille display; navigate using the search or find feature.
- DAISY Text - Read with any DAISY 3.0 compatible refreshable braille display, navigate by page, chapter, section, and more.
- Embossed Braille - Use Bookshare’s DAISY Text or BRF formats to generate embossed braille.