Overall health in the U.S. is a mixed bag, with life expectancy and healthy life expectancy on the rise, while morbidity and chronic disability accounting for nearly half of the nation's health burden and the U.S. finding itself falling behind other wealthy nation's progress in public health.
Researchers noted that, "The gap between life expectancy and [healthy life expectancy], a measure of the expected number of healthy years that an individual loses to disability--increased from 9.4 years to 10.1 years. In other words, individuals in the United States are living longer but are not necessarily in good health."
Researchers parsed the Global Burden of Disease 2010 Study for 187 countries from 1990 to 2010 to analyze 291 diseases and injuries, 1,160 sequelae and 67 risk factors or clusters of risk factors for the U.S. and 33 other economically developed countries.
--U.S. life expectancy for both sexes combined rose from 75.2 years in 1990 to 78.2 years in 2010, while healthy life expectancy rose from 65.8 years to 68.1 years;
--Diseases and injuries that cost the most years of lost life were ischemic heart disease, lung cancer, stroke, chronic obstructive pulmonary disease and road injury. Age-standardized years of lost life rose for Alzheimer's, drug use disorders, chronic kidney disease, kidney cancer and falls;
--Diseases with the largest number of years living with disability included low back pain, major depressive disorder, other musculoskeletal disorders, neck pain and anxiety disorders;
--The leading risk factors related to disability-adjusted life years were dietary risks, tobacco smoking, high body mass index, high blood pressure, high fasting plasma glucose, physical inactivity, and alcohol use.
Compared to other economically developed nations, from 1990 to 2010, the U.S. rank for the age-standardized death rate changed from 18th to 27th, for the age-standardized years of lost life rank fell from 23rd to 28th, for the age-standardized years of living with disability fell from fifth to sixth, life expectancy at birth fell from 20th to 27th, and healthy life expectancy fell from 14th to 26th.
One in 4 physicians and medical students correctly answered a single question testing their ability to correctly interpret the false positive rate of a diagnostic test result, a research letter found.
The researchers replicated a 1978 study by asking a convenience sample of physicians, house officers, and students the same question: “If a test to detect a disease whose prevalence is 1/1,000 has a false positive rate of 5%, what is the chance that a person found to have a positive result actually has the disease, assuming you know nothing about the person’s symptoms or signs?”
The convenience sample at a Boston-area hospital assessed answers of 24 attending physicians, 26 house officers, 10 medical students, and 1 retired physician, across a range of clinical specialties. Results appeared online April 21 at JAMA Internal Medicine.
Only 14 doctors and students provided the correct answer of 2%. The most common answer was 95% (27 respondents). Among the range of answers, from 0.005% to 96%, the median was 66%, which authors noted is 33 times larger than the true answer.
Responses in the replication study were not significantly different from the 11 of 60 correct responses (18%) in the original study. Also, in both studies the most common answer was 95%. Respondents often knew to compute positive predictive value but accounted for prevalence incorrectly.
The researchers noted that understanding positive predictive value “is particularly important when screening for unlikely conditions, where even nominally sensitive and specific tests can be diagnostically uninformative.”
The authors suggested incorporating aids into ordering software, and even using point-of-care tools like smartphones. They also suggested revising premedical education standards to incorporate training in statistics instead of calculus, which is seldom used in clinical practice.
In an accompanying editor’s note, Joseph S. Ross, MD, MPH, ACP Member, noted that disease prevalence matters for testing, as does test sensitivity and specificity.
“The persistent inability of physicians to reliably manage this cognitive exercise implies that our educational programs need to do a better job at teaching numeracy skills,” he wrote. “Because imprecise diagnostic decision making is leading to excessive testing, patient harm, and excessively costly care, we must raise the bar and master these cognitive skills.”
We love seeing things in collections. Sometimes I feel like seeing things with other things somehow gives it so much more meaning, it seems a story is created. So, we decided to put together a collection from our Instagram!
This collection is exteriors! Houses from around our beautiful city, Portland, to be exact. Portland is filled with so many charming houses. It’s one of the things I first fell in love with about this town. If you know Adored Vintage, you know that we love old homes as much as old clothes. Just like clothes, they have so much time and history. I always wonder about the secrets an old house holds.
Letter from Mark Nolting’s desk: Dear Safari Traveler, 2014 is here and we are in full swing with new and repeat clients, assisting them with their safari plans. A new year is always a great time to reflect on the past and make plans for the future. The Africa Adventure Company
We love working with families and helping them design their dream safaris for multi-generational trips. Travel+Leisure has recognized us in the prestigious World’s Best Awards (safari outfitter to plan family safaris) and in their A-List for a 5th year in a row. Also chosen 11 years in a row as one of
Photo Competition – Portfolio of Photos – East Africa Chris Swindal, a repeat AAC client has traveled throughout East and Southern Africa on several safaris. “As much fun as it is trying to photograph these amazing and majestic creatures, it doesn’t compare to the experience of spending time with them in their
We feature four “Signature Safaris” to Zimbabwe, Tanzania, Rwanda & Uganda, and Botswana. Top quality guides lead these trips to Africa’s Top Wildlife Countries! 15-Day Zimbabwe “Eyes on Elephant” Priced – $10,995.00 This safari highlights the extraordinary guides in Zimbabwe who will lead you on this signature trip. Experience Northern
For those who wish to focus on capturing the scenery and wildlife in the various parks and private concessions of East and Southern Africa, a private safari is highly recommended! Ideal for the kind of experience YOU want, visiting the parks and reserves YOU wish to see most, and traveling
Congratulations to our Tanzania Guides of 2013! Ephata Lotashu (left) and Hillary Mandia (right) are the two winners. – by: Top Naturalist Guide Emmanuel Mkenda
Every year we look forward to the latest “Top 100 Hotels” list in Conde Nast and Travel+Leisure to see if our favorite exclusive camps and lodges have been discovered by other travelers. We still have found a few hidden gems for our clients! Below are recommendations to explore in 2014. DumaTau
Africa Adventure Company is proud to celebrate 28 years in business where we have been recognized as experts in Africa. More and more of our repeat clients have become passionate about photography and want a private guide that can help improve their skills. We are experts in matching your desired experiences
E lena Theodosiou – Tanzania was truly a revelation for me – having had the privilege of being on safari before the sheer scope of the parks and theabundance of th e wildlife was incredible. We were lucky enough to see the migration of the wildebeest and three river crossings!
Tanzania Scholarships: We have an education fund for over 35 children of the Tanzania guides who take our clients on safari. Kenya Schools and Scholarships: AAC has an ongoing sponsorship commitment of four years for high school students at the Moi High School near Tsavo (Kenya). We also sponsor a Maasai Camp assistant
AMIT BAJAJ ADVOCATE: Supreme Court stays section 62(5) of Punjab VAT Act, 2005-No need to pre-deposit 25% for filing appeal
Supreme Court stays section 62(5) of Punjab VAT Act, 2005-No need to pre-deposit 25% for filing appeal
In a very important case namely Dishnet Wireless Ltd vs The Commercial Tax Officer SLP No. 37727/2013 and in WP(c) No. 69 of 2014 namely Amrit Banaspati Limited vs State of Punjab Supreme Court has granted stay on the operation and implementation of section 62(5) of Punjab VAT Act, 2005.
Section 62(5) of Punjab VAT Act, 2005 requires pre-deposit of 25% of additional demand before hearing any appeal under the Punjab VAT Act, 2005. This is a very harsh provision as it restricts the statutory right of appeal.
" No appleal shall be entertained, unless such appeal is accompanied by satisfactory proof of the prior minimum payment of twenty-five per cent of the total amount of additional demand, penalty and interest, if any.
Explanation:- For the purposes of this sub-section "additional demand" means any tax imposed as a result of any order passed under any of the provisions of this Act or the rules made thereunder or under the Central Sales Tax Act, 1956 (Act No. 74 of 1956)"
After the above stay order of Supreme Court now there is no need to deposit 25% of additional demand before filing any appeal under Punjab VAT Act, 2005 and CST Act, 1956
Welcome clarification by CBDT on TCS on Cash Sale. CBDT vide Circular No. 23/2016 dt. 24 June 2016 has clarified on FAQs of stakeholde...
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Following on from my last post on how to add shared libraries to Linux's system library path I wanted to share a related tip on system-wide environment variables.
Common reasons for doing this are setting your locale, setting the location of a Java installation or specifying the character set that your database is using (if you use Oracle then that would be the NLS_LANG environment variable). Debian actually has a policy against system-wide environment variables stating "a program must not depend on environment variables to get reasonable defaults" and suggests that all programs should have wrapper shell scripts to set the relevant variables.
Ignoring this sound advice I tried adding them to /etc/profile but this didn't work when ssh was used from a remote machine to execute some commands (I was using Capistrano).
I couldn't find a complete way to do it (it wasn't picked up by any start scripts in /etc/init.d) but I achieved the most success by placing my variables in /etc/environment:
sorry if this information doesn't still work, I posted this back in 2007 and I've not used Ubuntu for the past year.
I'll try to get a virtualised version of the latest Ubuntu running and see if I can figure it out...
Thanks, this solved my problem, in which capistrano was unable to find bundle. Ruby was installed in a custom location whose path was set in /etc/profile. This was not being picked up in a non-interactive remote ssh shell. Moving the PATH to /etc/environment solved the problem.
We have had a Humax 9200T PVR for quite some time now and occasionally we have wanted a more portable copy (think DVD) of a particular programme that we have recorded.
If you flip down the right-hand panel you will notice an unlabelled standard USB B socket. It's by the use of this socket that you can stream recorded programmes off the Humax and onto a PC ready for converting to a DVD (or just watching on the PC).
Get a regular USB lead with an 'A' type plug on one end, and a 'B' type plug on the other. Plug the 'B' end into the Humax, and the 'A' into any USB socket on your PC. Your PC should now 'find' the Humax and request to install the drivers, I let mine 'auto-search' and it found and installed the drivers just fine (I think they also might be packaged in the Humax E-Linker software installation).
Once the Humax is correctly attached, run the E-Linker software and choose to 'connect'. If everything is successful you be given a file listing on the righthand side - probably giving you options of Pictures & MP3. Change the drive letter in the drop-down box on the top-right and you should now see a listing of all your recorded programs.
Select the one that you want to transfer and click the button in the middle with an arrow pointing from right to left. Now the tricky part: wait, and wait, and wait, etc. On my rather old laptop (with USB1.1 I might add) it took over 24 hours to transfer a two hour program. It may be quicker with a USB2.0 PC but I had problems getting our Acer Aspire One to connect to the Humax correctly.
Once the transfer has completed you will be left with the program as a ".ts" file - this is an MPEG2 file but with "transport stream" encoding, exactly the same format as the file came over the air to your Humax in the first place. Many players and DVD burning software know how to deal with this format, but if not you can simply convert it to a regular MPEG2 video file with something like HDTVtoMPEG2
I've had continual problems with my Humax hanging in the middle of transfers. Have you had any similar problems?
No but then again I'm not sure if that because I'm using a pretty old laptop via USB1. Our Acer Aspire One (USB2) sees the Humax fine, but the E-Linker software can't connect at all.
You need to set the hummy into manual search from the installation menu. Transfers are noticably faster too, think it's to do with the fact that in manual search mode the hummy's inputs are disabled.
Out of the box, the Dropwizard auth module comes with OAuth and Basic Authentication. The documentation for implementing the related Authenticator and Authorizer is simple enough to follow, but there wasn’t much about how to implement an alternative mechanism for authentication, which I needed to do.
It turned out to be fairly fairly straightforward to write a new AuthFilter which used a non standard header for authorisation. I based the implementation on the existing OAuthCredentialAuthFilter filter. I just had to change the getCredentials header to read the header value I wanted to use.
I created an Authorizer implementation as per the user guide, annotated some resource methods with @RolesAllowed and even remembered to register the RolesAllowedDynamicFeature. However on testing and on running the application, DropWizard appeared to be checking the role membership BEFORE authenticating. Resulting in a 403 access denied, as the roles had not been loaded.
Time for some head scratching, debugging, and trying to register things in different order (no change) until I remembered noticing this line at the top of the AuthFilter I based mine on:
That's right…You get FREE GROUND SHIPPING to any U.S. shipping address. So you can spend your money on our fun party items instead of getting them to you!
We love to thank our customers for ordering from Bachelorette Superstore, so we put a little something in every order that leaves our warehouse.
Are you ready to try something different? Or maybe you’re looking for a way to spice up your bachelorette party drinks, but don’t want to break the bank for special ingredients. You’re in luck! Below are 3 different ways to try 3 liquors you probably already have at home. Try any one (or all) of these delicious libations on your next girls night out!
Who doesn’t love a good Vodka martini? I know I do, but for a party I would love to give one of the following drinks a taste. They all sound delicious, and will make for a lively party cocktail!
Any one of these fabulous cocktails will liven up any party. Of course, if you’re throwing a bachelor or bachelorette party, they’ll serve up nicely in any of our wide variety of cups, goblets, or shot glasses! Shop our drinkware
This entry was posted in Bachelor, Bachelorette Cocktail Supplies, Bachelorette Party, Bachelorette Party Accessories, Bachelorette Party Planning, New & Exciting, Party Planning on February 28, 2017 by Tiffany Freitag.