TY - BOOK AU - National Research Council TI - Research Training in the Biomedical, Behavioral, and Clinical Research Sciences SN - DO - 10.17226/12983 PY - 2011 UR - https://nap.nationalacademies.org/catalog/12983/research-training-in-the-biomedical-behavioral-and-clinical-research-sciences PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Education AB - Comprehensive research and a highly-trained workforce are essential for the improvement of health and health care both nationally and internationally. During the past 40 years the National Research Services Award (NRSA) Program has played a large role in training the workforce responsible for dramatic advances in the understanding of various diseases and new insights that have led to more effective and targeted therapies. In spite of this program, the difficulty obtaining jobs after the postdoc period has discouraged many domestic students from pursuing graduate postdoc training. In the United States, more than 50 percent of the postdoc workforce is made up of individuals who obtained their Ph.D.s from other countries. Indeed, one can make a strong argument that the influx of highly trained and creative foreigners has contributed greatly to U.S. science over the past 70 years. Research Training in the Biomedical, Behavioral, and Clinical Research Sciences discusses a number of important issues, including: the job prospects for postdocs completing their training; questions about the continued supply of international postdocs in an increasingly competitive world; the need for equal, excellent training for all graduate students who receive NIH funding; and the need to increase the diversity of trainees. The book recommends improvements in minority recruiting, more rigorous and extensive training in the responsible conduct of research and ethics, increased emphasis on career development, more attention to outcomes, and the requirement for incorporating more quantitative thinking in the biomedical curriculum. ER - TY - BOOK AU - National Research Council A2 - Baruch Fischhoff A2 - Cherie Chauvin TI - Intelligence Analysis: Behavioral and Social Scientific Foundations SN - DO - 10.17226/13062 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13062/intelligence-analysis-behavioral-and-social-scientific-foundations PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Conflict and Security Issues AB - 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. ER - TY - BOOK AU - National Research Council TI - Protecting the Frontline in Biodefense Research: The Special Immunizations Program SN - DO - 10.17226/13112 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13112/protecting-the-frontline-in-biodefense-research-the-special-immunizations-program PB - The National Academies Press CY - Washington, DC LA - English KW - Conflict and Security Issues AB - The U.S. Army's Special Immunizations Program is an important component of an overall biosafety program for laboratory workers at risk of exposure to hazardous pathogens. The program provides immunizations to scientists, laboratory technicians and other support staff who work with certain hazardous pathogens and toxins. Although first established to serve military personnel, the program was expanded through a cost-sharing agreement in 2004 to include other government and civilian workers, reflecting the expansion in biodefense research in recent years. Protecting the Frontline in Biodefense Research examines issues related to the expansion of the Special Immunizations Program, considering the regulatory frameworks under which the vaccines are administered, how additional vaccines might be considered for inclusion in the Program, and factors that might influence the development and manufacturing of vaccines for the Special Immunizations Program. ER - TY - BOOK AU - National Research Council A2 - Thomas M. Cook A2 - Janet L. Norwood A2 - Daniel L. Cork TI - Change and the 2020 Census: Not Whether But How SN - DO - 10.17226/13135 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13135/change-and-the-2020-census-not-whether-but-how PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Surveys and Statistics AB - Sponsored by the Census Bureau and charged to evaluate the 2010 U.S. census with an eye toward suggesting research and development for the 2020 census, the Panel to Review the 2010 Census uses this first interim report to suggest general priorities for 2020 research. Although the Census Bureau has taken some useful organizational and administrative steps to prepare for 2020, the panel offers three core recommendations, and suggests the Census Bureau take and assertive, aggressive approach to 2020 planning rather than casting possibilities purely as hypothetical. The first recommendation on research and development suggests four broad topic areas for research early in the decade. Second, the report suggest that the Bureau take an aggressive, assertive posture toward research in these priority areas. Third, it identifies the setting of bold goals as essential to underscoring the need for serious reengineering and building commitment to change. ER - TY - BOOK AU - National Research Council TI - Wireless Technology Prospects and Policy Options SN - DO - 10.17226/13051 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13051/wireless-technology-prospects-and-policy-options PB - The National Academies Press CY - Washington, DC LA - English KW - Computers and Information Technology AB - 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. ER - TY - BOOK AU - Institute of Medicine TI - The Future of Nursing: Leading Change, Advancing Health SN - DO - 10.17226/12956 PY - 2011 UR - https://nap.nationalacademies.org/catalog/12956/the-future-of-nursing-leading-change-advancing-health PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Education AB - The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles—including limits on nurses' scope of practice—should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. ER - TY - BOOK AU - Institute of Medicine TI - For the Public's Health: Revitalizing Law and Policy to Meet New Challenges SN - DO - 10.17226/13093 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13093/for-the-publics-health-revitalizing-law-and-policy-to-meet PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - The Robert Wood Johnson Foundation asked the Institute of Medicine (IOM) to examine three topics in relation to public health: measurement, the law, and funding. IOM prepared a three book series-one book on each topic-that contain actionable recommendations for public health agencies and other stakeholders that have roles in the health of the U.S population. For the Public's Health: Revitalizing Law and Policy to Meet New Challenges is the second in the For the Public Health's Series, and reflects on legal and public policy reform on three levels: first, laws that establish the structure, duties, and authorities of public health departments; second, the use of legal and policy tools to improve the public's health; and third, the health effects of laws and policies from other sectors in and outside government. The book recommends that states enact legislation with appropriate funding to ensure that all public health departments have the mandate and the capacity to effectively deliver the Ten Essential Public Health Services. The book also recommends that states revise their laws to require public health accreditation for state and local health departments through the Public Health Accreditation Board accreditation process. The book urges government agencies to familiarize themselves with the public health and policy interventions at their disposal that can influence behavior and more importantly change conditions-social, economic, and environmental-to improve health. Lastly, the IOM encourages government and private-sector stakeholders to consider health in a wide range of policies (a health in all policies approach) and to evaluate the health effects and costs of major legislation. This book, as well as the other two books in the series, is intended to inform and help federal, state, and local governments, public health agencies, clinical care organizations, the private sector, and community-based organizations. ER - TY - BOOK AU - Institute of Medicine AU - National Research Council TI - Improving Access to Oral Health Care for Vulnerable and Underserved Populations SN - DO - 10.17226/13116 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13116/improving-access-to-oral-health-care-for-vulnerable-and-underserved-populations PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations. ER - TY - BOOK AU - Institute of Medicine TI - Advancing Oral Health in America SN - DO - 10.17226/13086 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13086/advancing-oral-health-in-america PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Though it is highly preventable, tooth decay is a common chronic disease both in the United States and worldwide. Evidence shows that decay and other oral diseases may be associated with adverse pregnancy outcomes, respiratory disease, cardiovascular disease, and diabetes. However, individuals and many health care professionals remain unaware of the risk factors and preventive approaches for many oral diseases. They do not fully appreciate how oral health affects overall health and well-being. In Advancing Oral Health in America, the Institute of Medicine (IOM) highlights the vital role that the Department of Health and Human Services (HHS) can play in improving oral health and oral health care in the United States. The IOM recommends that HHS design an oral health initiative which has clearly articulated goals, is coordinated effectively, adequately funded and has high-level accountability. In addition, the IOM stresses three key areas needed for successfully maintaining oral health as a priority issue: strong leadership, sustained interest, and the involvement of multiple stakeholders from both the public and private sectors. Advancing Oral Health in America provides practical recommendations that the Department of Health and Human Services can use to improve oral health care in America. The report will serve as a vital resource for federal health agencies, health care professionals, policy makers, researchers, and public and private health organizations. ER - TY - BOOK AU - Transportation Research Board AU - National Research Council TI - The Effects of Commuting on Pilot Fatigue SN - DO - 10.17226/13201 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13201/the-effects-of-commuting-on-pilot-fatigue PB - The National Academies Press CY - Washington, DC LA - English KW - Transportation and Infrastructure KW - Behavioral and Social Sciences AB - Nearly everyone experiences fatigue, but some professions—such as aviation, medicine and the military—demand alert, precise, rapid, and well-informed decision making and communication with little margin for error. The potential for fatigue to negatively affect human performance is well established. Concern about this potential in the aviation context extends back decades, with both airlines and pilots agreeing that fatigue is a safety concern. A more recent consideration is whether and how pilot commuting, conducted in a pilot's off-duty time, may affect fatigue during flight duty. In summer 2010 the U.S. Congress directed the Federal Aviation Administration (FAA) to update the federal regulations that govern pilot flight and duty time, taking into account recent research related to sleep and fatigue. As part of their directive, Congress also instructed FAA to have the National Academy of Sciences conduct a study on the effects of commuting on pilot fatigue. The Effects of Commuting on Pilot Fatigue reviews research and other information related to the prevalence and characteristics of commuting; to the science of sleep, fatigue, and circadian rhythms; to airline and regulatory oversight policies; and to pilot and airline practices. The Effects of Commuting on Pilot Fatigue discusses the policy, economic, and regulatory issues that affect pilot commuting, and outlines potential next steps, including recommendations for regulatory or administrative actions, or further research by the FAA. ER - TY - BOOK AU - National Research Council TI - Opportunities in Protection Materials Science and Technology for Future Army Applications SN - DO - 10.17226/13157 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13157/opportunities-in-protection-materials-science-and-technology-for-future-army-applications PB - The National Academies Press CY - Washington, DC LA - English KW - Engineering and Technology KW - Conflict and Security Issues AB - Armor plays a significant role in the protection of warriors. During the course of history, the introduction of new materials and improvements in the materials already used to construct armor has led to better protection and a reduction in the weight of the armor. But even with such advances in materials, the weight of the armor required to manage threats of ever-increasing destructive capability presents a huge challenge. Opportunities in Protection Materials Science and Technology for Future Army Applications explores the current theoretical and experimental understanding of the key issues surrounding protection materials, identifies the major challenges and technical gaps for developing the future generation of lightweight protection materials, and recommends a path forward for their development. It examines multiscale shockwave energy transfer mechanisms and experimental approaches for their characterization over short timescales, as well as multiscale modeling techniques to predict mechanisms for dissipating energy. The report also considers exemplary threats and design philosophy for the three key applications of armor systems: (1) personnel protection, including body armor and helmets, (2) vehicle armor, and (3) transparent armor. Opportunities in Protection Materials Science and Technology for Future Army Applications recommends that the Department of Defense (DoD) establish a defense initiative for protection materials by design (PMD), with associated funding lines for basic and applied research. The PMD initiative should include a combination of computational, experimental, and materials testing, characterization, and processing research conducted by government, industry, and academia. ER - TY - BOOK AU - National Research Council TI - Achieving Nutrient and Sediment Reduction Goals in the Chesapeake Bay: An Evaluation of Program Strategies and Implementation SN - DO - 10.17226/13131 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13131/achieving-nutrient-and-sediment-reduction-goals-in-the-chesapeake-bay PB - The National Academies Press CY - Washington, DC LA - English KW - Environment and Environmental Studies KW - Earth Sciences AB - The Chesapeake Bay is North America's largest and most biologically diverse estuary, as well as an important commercial and recreational resource. However, excessive amounts of nitrogen, phosphorus, and sediment from human activities and land development have disrupted the ecosystem, causing harmful algae blooms, degraded habitats, and diminished populations of many species of fish and shellfish. In 1983, the Chesapeake Bay Program (CBP) was established, based on a cooperative partnership among the U.S. Environmental Protection Agency (EPA), the state of Maryland, and the commonwealths of Pennsylvania and Virginia, and the District of Columbia, to address the extent, complexity, and sources of pollutants entering the Bay. In 2008, the CBP launched a series of initiatives to increase the transparency of the program and heighten its accountability and in 2009 an executive order injected new energy into the restoration. In addition, as part of the effect to improve the pace of progress and increase accountability in the Bay restoration, a two-year milestone strategy was introduced aimed at reducing overall pollution in the Bay by focusing on incremental, short-term commitments from each of the Bay jurisdictions. The National Research Council (NRC) established the Committee on the Evaluation of Chesapeake Bay Program Implementation for Nutrient Reduction in Improve Water Quality in 2009 in response to a request from the EPA. The committee was charged to assess the framework used by the states and the CBP for tracking nutrient and sediment control practices that are implemented in the Chesapeake Bay watershed and to evaluate the two-year milestone strategy. The committee was also to assess existing adaptive management strategies and to recommend improvements that could help CBP to meet its nutrient and sediment reduction goals. The committee did not attempt to identify every possible strategy that could be implemented but instead focused on approaches that are not being implemented to their full potential or that may have substantial, unrealized potential in the Bay watershed. Because many of these strategies have policy or societal implications that could not be fully evaluated by the committee, the strategies are not prioritized but are offered to encourage further consideration and exploration among the CBP partners and stakeholders. ER - TY - BOOK AU - National Research Council TI - Achieving High-Performance Federal Facilities: Strategies and Approaches for Transformational Change SN - DO - 10.17226/13140 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13140/achieving-high-performance-federal-facilities-strategies-and-approaches-for-transformational PB - The National Academies Press CY - Washington, DC LA - English KW - Engineering and Technology AB - The design, construction, operation, and retrofit of buildings is evolving in response to ever-increasing knowledge about the impact of indoor environments on people and the impact of buildings on the environment. Research has shown that the quality of indoor environments can affect the health, safety, and productivity of the people who occupy them. Buildings are also resource intensive, accounting for 40 percent of primary energy use in the United States, 12 percent of water consumption, and 60 percent of all non-industrial waste. The processes for producing electricity at power plants and delivering it for use in buildings account for 40 percent of U.S. greenhouse gas emissions. The U.S. federal government manages approximately 429,000 buildings of many types with a total square footage of 3.34 billion worldwide, of which about 80 percent is owned space. More than 30 individual departments and agencies are responsible for managing these buildings. The characteristics of each agency's portfolio of facilities are determined by its mission and its programs. In 2010, GSA's Office of Federal High-Performance Green Buildings asked the National Academies to appoint an ad hoc committee of experts to conduct a public workshop and prepare a report that identified strategies and approaches for achieving a range of objectives associated with high-performance green federal buildings. Achieving High-Performance Federal Facilities identifies examples of important initiatives taking place and available resources. The report explores how these examples could be used to help make sustainability the preferred choice at all levels of decision making. Achieving High-Performance Federal Facilities can serve as a valuable guide federal agencies with differing missions, types of facilities, and operating procedures. ER - TY - BOOK AU - National Research Council TI - Materials Needs and R&D Strategy for Future Military Aerospace Propulsion Systems SN - DO - 10.17226/13144 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13144/materials-needs-and-rd-strategy-for-future-military-aerospace-propulsion-systems PB - The National Academies Press CY - Washington, DC LA - English KW - Engineering and Technology KW - Space and Aeronautics AB - The ongoing development of military aerospace platforms requires continuous technology advances in order to provide the nation's war fighters with the desired advantage. Significant advances in the performance and efficiency of jet and rocket propulsion systems are strongly dependent on the development of lighter more durable high-temperature materials. Materials development has been significantly reduced in the United States since the early 1990s, when the Department of Defense (DOD), the military services, and industry had very active materials development activities to underpin the development of new propulsion systems. This resulted in significant improvements in all engine characteristics and established the United States in global propulsion technology. Many of the significant advances in aircraft and rocket propulsion have been enabled by improved materials and, materials manufacturing processes. To improve efficiency further, engine weight must be reduced while preserving thrust. Materials Needs and Research and Development Strategy for Future Military Aerospace Propulsion Systems examines whether current and planned U.S. efforts are sufficient to meet U.S. military needs while keeping the U.S. on the leading edge of propulsion technology. This report considers mechanisms for the timely insertion of materials in propulsion systems and how these mechanisms might be improved, and describes the general elements of research and development strategies to develop materials for future military aerospace propulsion systems. The conclusions and recommendations asserted in this report will enhance the efficiency, level of effort, and impact of DOD materials development activities. ER - TY - BOOK AU - National Research Council TI - Animal Models for Assessing Countermeasures to Bioterrorism Agents SN - DO - 10.17226/13233 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13233/animal-models-for-assessing-countermeasures-to-bioterrorism-agents PB - The National Academies Press CY - Washington, DC LA - English KW - Biology and Life Sciences KW - Food and Nutrition KW - Conflict and Security Issues AB - The Transformational Medical Technologies (TMT) has been a unique component of the U.S. Department of Defense (DoD) medical biodefense efforts since 2006. Its mission is to advance countermeasure research and development in support of the broader goal of the DoD to protect warfighters from emerging infectious diseases and future genetically engineered biological weapons. The TMT, using advanced science and technology approaches, focused on the development of roadspectrum countermeasures that target common host and pathogen pathways or enhance the host's immune response. Many of these pathogens are lethal or cause such debilitating diseases in humans that it is ethically inappropriate to test the efficacy of these countermeasures in human volunteers. In lieu of human participants, these products may be tested in animals and approved for human use under the provisions of the Food and Drug Administration (FDA)'s 2002 Animal Rule. The reliance on animal models for the development and licensure of medical countermeasures against biothreats is challenging for a number of reasons. The ad hoc Committee on Animal Models for Assessing Countermeasures to Bioterrorism Agents prepared a consensus report that would address the challenges stemming from developing and testing medical countermeasures against biothreat agents in animal models. Animal Models for Assessing Countermeasures to Bioterrorism Agents evaluates how well the existing TMT-employed or candidate animal models reflect the pathophysiology, clinical picture, and treatment of human disease as related to the agents of interest. The report addresses the process and/or feasibility of developing new animal models for critical biodefense research, placing emphasis on the need for a robust and expeditious validation process in terms of the FDA's Animal Rule. The report also evaluates alternatives to the use of animal models based on the premise of the Three Rs. ER - TY - BOOK AU - National Research Council TI - Health Care Comes Home: The Human Factors SN - DO - 10.17226/13149 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13149/health-care-comes-home-the-human-factors PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Behavioral and Social Sciences AB - In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers. ER - TY - BOOK AU - National Research Council TI - Feasibility of Using Mycoherbicides for Controlling Illicit Drug Crops SN - DO - 10.17226/13278 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13278/feasibility-of-using-mycoherbicides-for-controlling-illicit-drug-crops PB - The National Academies Press CY - Washington, DC LA - English KW - Agriculture AB - The control of illicit-drug trafficking and drug use is a difficult and complex process that involves a variety of prevention, control, treatment, and law enforcement strategies. Eradication strategies for controlling illicit-drug crops are used to target the beginning of the drug-supply chain by preventing or reducing crop yields. Mycoherbicides have been proposed as an eradication tool to supplement the current methods of herbicide spraying, mechanical removal, and manual destruction of illicit-drug crops. Some people regard them as preferable to chemical herbicides for controlling illicit-drug crops because of their purported specificity to only one plant species or a few closely related species. As living microorganisms, they have the potential to provide long-term control if they can persist in the environment and affect later plantings. Research on mycoherbicides against illicit-drug crops has focused on three pathogens: Fusarium oxysporum f.sp. cannabis for cannabis (Cannabis sativa), F. oxysporum f.sp. erythroxyli for coca (Erythroxylum coca and E. novogranatense), and Crivellia papaveracea or Brachycladium papaveris (formerly known as Pleospora papaveracea and Dendryphion penicillatum, respectively) for opium poppy (Papaver somniferum). Feasibility of Using Mycoherbicides for Controlling Illicit Drug Crops addresses issues about the potential use of the proposed mycoherbicides: their effectiveness in eradicating their target plants; the feasibility of their large-scale industrial manufacture and delivery; their potential spread and persistence in the environment; their pathogenicity and toxicity to nontarget organisms, including other plants, fungi, animals, and humans; their potential for mutation and resulting effects on target plants and nontarget organisms; and research and development needs. On the basis of its review, the report concludes that the available data are insufficient to determine the effectiveness of the specific fungi proposed as mycoherbicides to combat illicit-drug crops or to determine their potential effects on nontarget plants, microorganisms, animals, humans, or the environment. However, the committee offers an assessment of what can and cannot be determined at the present time regarding each of the issues raised in the statement of task. ER - TY - BOOK AU - National Research Council TI - Guide for the Care and Use of Laboratory Animals: Eighth Edition SN - DO - 10.17226/12910 PY - 2011 UR - https://nap.nationalacademies.org/catalog/12910/guide-for-the-care-and-use-of-laboratory-animals-eighth PB - The National Academies Press CY - Washington, DC LA - English KW - Biology and Life Sciences KW - Agriculture AB - A respected resource for decades, the Guide for the Care and Use of Laboratory Animals has been updated by a committee of experts, taking into consideration input from the scientific and laboratory animal communities and the public at large. The Guide incorporates new scientific information on common laboratory animals, including aquatic species, and includes extensive references. It is organized around major components of animal use: Key concepts of animal care and use. The Guide sets the framework for the humane care and use of laboratory animals. Animal care and use program. The Guide discusses the concept of a broad Program of Animal Care and Use, including roles and responsibilities of the Institutional Official, Attending Veterinarian and the Institutional Animal Care and Use Committee. Animal environment, husbandry, and management. A chapter on this topic is now divided into sections on terrestrial and aquatic animals and provides recommendations for housing and environment, husbandry, behavioral and population management, and more. Veterinary care. The Guide discusses veterinary care and the responsibilities of the Attending Veterinarian. It includes recommendations on animal procurement and transportation, preventive medicine (including animal biosecurity), and clinical care and management. The Guide addresses distress and pain recognition and relief, and issues surrounding euthanasia. Physical plant. The Guide identifies design issues, providing construction guidelines for functional areas; considerations such as drainage, vibration and noise control, and environmental monitoring; and specialized facilities for animal housing and research needs. The Guide for the Care and Use of Laboratory Animals provides a framework for the judgments required in the management of animal facilities. This updated and expanded resource of proven value will be important to scientists and researchers, veterinarians, animal care personnel, facilities managers, institutional administrators, policy makers involved in research issues, and animal welfare advocates. ER - TY - BOOK AU - National Research Council TI - Reference Manual on Scientific Evidence: Third Edition SN - DO - 10.17226/13163 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13163/reference-manual-on-scientific-evidence-third-edition PB - The National Academies Press CY - Washington, DC LA - English KW - Policy for Science and Technology KW - Biology and Life Sciences KW - Behavioral and Social Sciences AB - The Reference Manual on Scientific Evidence, Third Edition, assists judges in managing cases involving complex scientific and technical evidence by describing the basic tenets of key scientific fields from which legal evidence is typically derived and by providing examples of cases in which that evidence has been used. First published in 1994 by the Federal Judicial Center, the Reference Manual on Scientific Evidence has been relied upon in the legal and academic communities and is often cited by various courts and others. Judges faced with disputes over the admissibility of scientific and technical evidence refer to the manual to help them better understand and evaluate the relevance, reliability and usefulness of the evidence being proffered. The manual is not intended to tell judges what is good science and what is not. Instead, it serves to help judges identify issues on which experts are likely to differ and to guide the inquiry of the court in seeking an informed resolution of the conflict. The core of the manual consists of a series of chapters (reference guides) on various scientific topics, each authored by an expert in that field. The topics have been chosen by an oversight committee because of their complexity and frequency in litigation. Each chapter is intended to provide a general overview of the topic in lay terms, identifying issues that will be useful to judges and others in the legal profession. They are written for a non-technical audience and are not intended as exhaustive presentations of the topic. Rather, the chapters seek to provide judges with the basic information in an area of science, to allow them to have an informed conversation with the experts and attorneys. ER - TY - BOOK AU - Institute of Medicine TI - Climate Change, the Indoor Environment, and Health SN - DO - 10.17226/13115 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13115/climate-change-the-indoor-environment-and-health PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Environment and Environmental Studies KW - Engineering and Technology AB - The indoor environment affects occupants' health and comfort. Poor environmental conditions and indoor contaminants are estimated to cost the U.S. economy tens of billions of dollars a year in exacerbation of illnesses like asthma, allergic symptoms, and subsequent lost productivity. Climate change has the potential to affect the indoor environment because conditions inside buildings are influenced by conditions outside them. Climate Change, the Indoor Environment, and Health addresses the impacts that climate change may have on the indoor environment and the resulting health effects. It finds that steps taken to mitigate climate change may cause or exacerbate harmful indoor environmental conditions. The book discusses the role the Environmental Protection Agency (EPA) should take in informing the public, health professionals, and those in the building industry about potential risks and what can be done to address them. The study also recommends that building codes account for climate change projections; that federal agencies join to develop or refine protocols and testing standards for evaluating emissions from materials, furnishings, and appliances used in buildings; and that building weatherization efforts include consideration of health effects. Climate Change, the Indoor Environment, and Health is written primarily for the EPA and other federal agencies, organizations, and researchers with interests in public health; the environment; building design, construction, and operation; and climate issues. ER -