Destination Area: Global Systems Science (GSS)

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https://hdl.handle.net/10919/78630

GSS fosters transdisciplinary study of the dynamic interplay between natural and social systems. Faculty in this area collaborate to discover creative solutions to critical social problems emergent from human activity and environmental change, in areas such as freshwater and coastal water systems, rural environments, infectious disease, and food production and safety. Work in this area also embraces equity in the human condition by seeking the equitable distribution and availability of physical safety and well-being, psychological well-being, respect for human dignity, and access to crucial material and social resources throughout the world’s diverse communities.

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Public, animal, and environmental health implications of aquaculture
Garrett, E. Spencer; dos Santos, Carlos Lima; Jahncke, Michael L. (1997-10)
Aquaculture is important to the United States and the world's fishery system. Both import and export markets for aquaculture products will expand and increase as research begins to remove physiologic and other animal husbandry barriers. Overfishing of wild stock will necessitate supplementation and replenishment through aquaculture. The aquaculture industry must have a better understanding of the impact of the ''shrouded'' public and animal health issues: technology ignorance, abuse, and neglect. Cross-pollination and cross-training of public health and aquaculture personnel in the effect of public health, animal health, and environmental health on aquaculture are also needed. Future aquaculture development programs require an integrated Gestalt public health approach to ensure that aquaculture does not cause unacceptable risks to public or environmental health and negate the potential economic and nutritional benefits of aquaculture.
Campylobacter jejuni - An emerging foodborne pathogen
Altekruse, Sean Fitzgerald; Stern, N. J.; Fields, P. I.; Swerdlow, David L. (1999-01)
Campylobacter jejuni is the most commonly reported bacterial cause of foodborne infection in the United States. Adding to the human and economic costs are chronic sequelae associated with C. jejuni infection-Guillain-Barre syndrome and reactive arthritis. In addition, an increasing proportion of human infections caused by C. jejuni are resistant to antimicrobial therapy. Mishandling of raw poultry and consumption of undercooked poultry are the major risk factors for human campylobacteriosis. Efforts to prevent human illness are needed throughout each link in the food chain.
Choosing a Sustainable Future: SANREM CRSP 1999 Annual Report
Cason, K. (ed.) (Watkinsville, Ga.: SANREM CRSP, 2000)
This document describes the progress of the SANREM CRSP for the period June 1, 1999 to May 31, 2000.
From Landscapes to Waterscapes: A PSE for Landuse Change Analysis
Rubin, E.J.; Diet, R.; Chanat, J.; Speir, C.; Dymond, Randel L.; Lohani, Vinod K.; Kibler, David F.; Bosch, D. D.; Shaffer, Clifford A.; Ramakrishnan, Naren; Watson, Layne T. (Department of Computer Science, Virginia Polytechnic Institute & State University, 2000)
We describe the design and implementation of L2W — a problem solving environment (PSE) for landuse change analysis. L2W organizes and unifies the diverse collection of software typically associated with ecosystem models (hydrological, economic, and biological). It provides a web-based interface for potential watershed managers and other users to explore meaningful alternative land development and management scenarios and view their hydrological, ecological, and economic impacts. A prototype implementation for the Upper Roanoke River Watershed in Southwest Virginia, USA is described.
Delayed Medical Care After Diagnosis in a US National Probability Sample of Persons Infected With Human Immunodeficiency Virus
Turner, Barbara J.; Cunningham, William E.; Duan, Naihua; Andersen, Ronald M.; Shapiro, Martin F.; Bozzette, Samuel A.; Nakazono, Terry; Morton, Sally C.; Crystal, Steven; St. Clair, Patti; Stein, Michael; Zierler, Sally (AMA, 2000-09-25)
Objective: To identify health care and patient factors associated with delayed initial medical care for human immunodeficiency virus (HIV) infection. Design: Survey of a national probability sample of persons with HIV in care. Setting: Medical practices in the contiguous United States. Patients: Cohort A (N = 1540) was diagnosed by February 1993 and was in care within 3 years; cohort B (N = 1960) was diagnosed by February 1995 and was in care within 1 year of diagnosis. Main Outcome Measure: More than 3- or 6-month delay. Results: Delay of more than 3 months occurred for 29% of cohort A (median, 1 year) and 17% of cohort B. Having a usual source of care at diagnosis reduced delay, with adjusted odds ratios (ORs) of 0.61 (95% confidence interval [CI], 0.48-0.77) in cohort A and 0.70 (95% CI, 0.50-0.99) in cohort B. Medicaid coverage at diagnosis showed lower adjusted ORs of delay compared with private insurance (cohort A: adjusted OR, 0.52; 95% CI, 0.30-0.92; cohort B: adjusted OR, 0.48; 95% CI, 0.27-0.85). Compared with whites, Latinos had 53% and 95% higher adjusted ORs of delay (P<.05) in cohorts A and B, respectively, and African Americans had a higher adjusted OR in cohort A (1.56; 95% CI, 1.19-2.04). The health care factors showed similar effects on delay of greater than 6 months. Conclusions: Medicaid insurance and a usual source of care were protective against delay after HIV diagnosis. After full adjustment, delay was still greater for Latinos and, to a lesser extent, African Americans compared with whites.
Sustainable Use of Land and Resources: SANREM CRSP 2000 Annual Report
Cason, K. (ed.) (Watkinsville, Ga.: SANREM CRSP, 2001)
This document describes the progress of the SANREM CRSP for the period June 1, 2000 through May 31, 2001.
Saving a river: Why do local governments matter?
Rola, Agnes C.; Tabien, C. (College, Laguna, Philippines: University of the Philippines Los Baños. School of Environmental Science and Management, 2001)
This paper evaluates the sufficiency and local implementation of river management laws in the Philippines. The assessment is that although there are enough policies and regulations, they are not adequately implemented at the local level because the LGUs do not have the necessary ordinances to implement national policies effectively. The authors suggest how market-based instruments to can be developed and implemented to improve river management, using a river in Lantapan, Bukidnon as a case study.
Expenditures for the Care of HIV-Infected Patients in the Era of Highly Active Antiretroviral Therapy
Bozzette, Samuel A.; Joyce, Geoffrey; McCaffrey, Daniel F.; Leibowitz, Arleen A.; Morton, Sally C.; Berry, Sandra H.; Rastegar, Afshin; Timberlake, David; Shapiro, Martin F.; Goldman, Dana P. (NEJM Group, 2001-03-15)
Background: The introduction of expensive but very effective antiviral medications has led to questions about the effects on the total use of resources for the care of patients with human immunodeficiency virus (HIV) infection. We examined expenditures for the care of HIV-infected patients since the introduction of highly active antiretroviral therapy. Methods: We interviewed a random sample of 2864 patients who were representative of all American adults receiving care for HIV infection in early 1996, and followed them for up to 36 months. We estimated the average expenditure per patient per month on the basis of self-reported information about care received. Results: The mean expenditure was $1,792 per patient per month at base line, but it declined to $1,359 for survivors in 1997, since the increases in pharmaceutical expenditures were smaller than the reductions in hospital costs. Use of highly active antiretroviral therapy was independently associated with a reduction in expenditures. After adjustments for the interview date, clinical status, and deaths, the estimated annual expenditure declined from $20,300 per patient in 1996 to $18,300 in 1998. Expenditures among subgroups of patients varied by a factor of as much as three. Pharmaceutical costs were lowest and hospital costs highest among underserved groups, including blacks, women, and patients without private insurance. Conclusions: The total cost of care for adults with HIV infection has declined since the introduction of highly active antiretroviral therapy. Expenditures have increased for medications but have declined for other services. However, there are large variations in expenditures across subgroups of patients. (N Engl J Med 2001;344:817-23.)
Use of Mental Health and Substance Abuse Treatment Services Among Adults With HIV in the United States
Burnam, M. Audrey; Bing, Eric G.; Morton, Sally C.; Sherbourne, Cathy Donald; Fleishman, John A.; London, Andrew S.; Vitiello, Benedetto; Stein, Michael; Bozzette, Samuel A.; Shapiro, Martin F. (AMA, 2001-08)
Background: The need for mental health and substance abuse services is great among those with human immunodeficiency virus (HIV), but little information is available on services used by this population or on individual factors associated with access to care. Methods: Data are from the HIV Cost and Services Utilization Study, a national probability survey of 2864 HIV-infected adults receiving medical care in the United States in 1996. We estimated 6-month use of services for mental health and substance abuse problems and examined socioeconomic, HIV illness, and regional factors associated with use. Results: We estimated that 61.4% of 231 400 adults under care for HIV used mental health or substance abuse services: 1.8% had hospitalizations, 3.4% received residential substance abuse treatment, 26.0% made individual mental health specialty visits, 15.2% had group mental health treatment, 40.3% discussed emotional problems with medical providers, 29.6% took psychotherapeutic medications, 5.6% received outpatient substance abuse treatment, and 12.4% participated in substance abuse self-help groups. Socioeconomic factors commonly associated with poorer access to health services predicted lower likelihood of using mental health outpatient care, but greater likelihood of receiving substance abuse treatment services. Those with less severe HIV illness were less likely to access services. Persons living in the Northeast were more likely to receive services. Conclusions: The magnitude of mental health and substance abuse care provided to those with known HIV infection is substantial, and challenges to providers should be recognized. Inequalities in access to care are evident, but differ among general medical, specialty mental health, and substance abuse treatment sectors.
Psychiatric Disorders and Drug Use Among Human Immunodeficiency Virus–Infected Adults in the United States
Bing, Eric G.; Burnam, M. Audrey; Longshore, Douglas; Fleishman, John A.; Sherbourne, Cathy Donald; London, Andrew S.; Turner, Barbara J.; Eggan, Ferd; Beckman, Robin; Vitiello, Benedetto; Morton, Sally C.; Orlando, Maria; Bozzette, Samuel A.; Ortiz-Barron, Lucila; Shapiro, Martin F. (AMA, 2001-08)
Background: There have been no previous nationally representative estimates of the prevalence of mental disorders and drug use among adults receiving care for human immunodeficiency virus (HIV) disease in the United States. It is also not known which clinical and sociodemographic factors are associated with these disorders. Subjects and Methods: We enrolled a nationally representative probability sample of 2864 adults receiving care for HIV in the United States in 1996. Participants were administered a brief structured psychiatric instrument that screened for psychiatric disorders (major depression, dysthymia, generalized anxiety disorders, and panic attacks) and drug use during the previous 12 months. Sociodemographic and clinical factors associated with screening positive for any psychiatric disorder and drug dependence were examined in multivariate logistic regression analyses. Results: Nearly half of the sample screened positive for a psychiatric disorder, nearly 40% reported using an illicit drug other than marijuana, and more than 12% screened positive for drug dependence during the previous 12 months. Factors independently associated with screening positive for a psychiatric disorder included number of HIV-related symptoms, illicit drug use, drug dependence, heavy alcohol use, and being unemployed or disabled. Factors independently associated with screening positive for drug dependence included having many HIV-related symptoms, being younger, being heterosexual, having frequent heavy alcohol use, and screening positive for a psychiatric disorder. Conclusions: Many people infected with HIV may also have psychiatric and/or drug dependence disorders. Clinicians may need to actively identify those at risk and work with policymakers to ensure the availability of appropriate care for these treatable disorders.
Managing Shrub-Infested, Postmined Pasturelands With Goats and Cattle. Part II, Effects on Forage Biomass, Nutritive Values, and Animal Performance
Abaye, Azenegashe Ozzie; Webb, D. Matthew; Zipper, Carl E.; Luginbuhl, Jean-Marie; Teutsch, Christopher D. (Virginia Cooperative Extension, 2001-12-09)
Reclamation of mined lands in the Appalachian coal region has resulted in the successful establishment and utilization of pasture for beef cattle production. Research goals were to determine the effects of mixed grazing of goats with cattle on forage biomass, forage nutritive quality, and animal performance. The three treatments included an ungrazed control, cattle grazing alone, and mixed grazing goats with cattle.
Why watershed-based water management makes sense
Francisco, H. (Makati City, Philippines: Philippine Institute for Development Studies, 2002)
The alarming increase in the scarcity of water in various parts of the world has focused global attention on the need for a stronger and more appropriate water resource management solution. With about 166 million people in 18 countries suffering from water scarcity and about 270 million in 11 countries having "water stresses" conditions (World Bank 2002), it becomes imperative for nations to come up with more focused and direct measures that would address and stem this resource scarcity.
Goals and Conditions for a Sustainable World
Cairns, John Jr. (Ethics in Science and Environmental Politics, 2002)
This book is a collection of John Cairns, Jr.'s papers, articles, and commentaries focusing primarily on goals and conditions needed to achieve the sustainable use of the planet.
Politics and water policy: A Southern Africa example
Nicol, A.; Mtisi, S. (Brighton, U.K.: Kensington Press, 2003)
Drawing on fieldwork from the Sustainable Livelihoods in Southern Africa programme - largely undertaken in Zimbabwe, with some additional material from South Africa and Mozambique - this article examines the politics surrounding water resources and policy change in southern Africa. It outlines the policy contexts of water reforms in the three countries. The article then investigates: the process of institution-building accompanying water policy reform and resulting complex and politicised institutional layering; the contested meanings attached to water by different stakeholders and their implications for new institutions and decision-making processes; and the significance of the "grey area" between domestic and commercial water usage to an understanding of the role of water in household livelihoods. It draws some conclusions as to possible policy development and implementation options that could address these critical issues.
Eco-Ethics and Sustainability Ethics (part 1)
Cairns, John Jr. (Ethics in Science and Environmental Politics, 2003)
This book is part one of a collection of John Cairns, Jr's papers and articles highlighting the importance of eco-ethics and sustainability ethics in protecting the biospheric life support system.
Mycobacterial aerosols and respiratory disease
Falkinham, Joseph O. III (2003-07)
Environmental opportunistic mycobacteria, including Mycobacterium avium, M. terrae, and the new species M. immunogenum, have been implicated in outbreaks of hypersensitivity pneumonitis or respiratory problems in a wide variety of settings. One common feature of the outbreaks has been exposure to aerosols. Aerosols have been generated from metalworking fluid during machining and grinding operations as well as from indoor swimming pools, hot tubs, and water-damaged buildings. Environmental opportunistic mycobacteria are present in drinking water, resistant to disinfection, able to provoke inflammatory reactions, and readily aerosolized. In all outbreaks, the water sources of the aerosols were disinfected. Disinfection may select for the predominance and growth of mycobacteria. Therefore, mycobacteria may be responsible, in part, for many outbreaks of hypersensitivity pneumonitis and other respiratory problems in the workplace and home.
Transmission patterns of smallpox: systematic review of natural outbreaks in Europe and North America since World War II
Bhatnagar, Vibha; Stoto, Michael A.; Morton, Sally C.; Boer, Rob; Bozzette, Samuel A. (BMC, 2006-05-05)
Background: Because smallpox (variola major) may be used as a biological weapon, we reviewed outbreaks in post-World War II Europe and North America in order to understand smallpox transmission patterns. Methods: A systematic review was used to identify papers from the National Library of Medicine, Embase, Biosis, Cochrane Library, Defense Technical Information Center, WorldCat, and reference lists of included publications. Two authors reviewed selected papers for smallpox outbreaks. Results: 51 relevant outbreaks were identified from 1,389 publications. The median for the effective first generation reproduction rate (initial R) was 2 (range 0–38). The majority outbreaks were small (less than 5 cases) and contained within one generation. Outbreaks with few hospitalized patients had low initial R values (median of 1) and were prolonged if not initially recognized (median of 3 generations); outbreaks with mostly hospitalized patients had higher initial R values (median 12) and were shorter (median of 3 generations). Index cases with an atypical presentation of smallpox were less likely to have been diagnosed with smallpox; outbreaks in which the index case was not correctly diagnosed were larger (median of 27.5 cases) and longer (median of 3 generations) compared to outbreaks in which the index case was correctly diagnosed (median of 3 cases and 1 generation). Conclusion: Patterns of spread during Smallpox outbreaks varied with circumstances, but early detection and implementation of control measures is a most important influence on the magnitude of outbreaks. The majority of outbreaks studied in Europe and North America were controlled within a few generations if detected early.
Improved pasture resources in the Madiama Commune of Mali, West Africa: Working with women groups at the village level
El Hadj, Meriam; Abaye, Azenegashe Ozzie; Moore, Keith M. (2007)
The objectives of this project were to evaluate the chemical characteristics (crude protein, in vitro dry matter digestibility, fiber, etc.) of ensiled vs. fresh C. tora, examine the effect of additives (water or honey) and other forages (grasses) on the quality of the ensiled material, and provide feed during the dry season.
Livestock's long shadow: Environmental issues and options: A workshop
Osofsky, Steven A. (2007)
Livestock's long shadow takes into account the livestock sector's direct impacts, plus the environmental effects of related land use changes and production of the feed crops animals consume. It finds that expanding population and incomes worldwide, along with changing food preferences, are stimulating a rapid increase in demand for meat, milk and eggs, while globalization is boosting trade in both inputs and outputs.
Mathematical Modeling of Irreversible Electroporation for Treatment Planning
Edd, Jon F.; Davalos, Rafael V. (Sage, 2007-08)
Irreversible Electroporation (IRE) is a new drug-free method to ablate undesirable tissue of particular use in cancer therapy. IRE achieves cell death within the targeted tissue through a series of electric pulses that elevate the transmembrane potentials to an extent that permanently damages the lipid bilayers throughout the treated region. Although the IRE procedure is easy to perform, treatment planning is complicated by the fact that the electric field distribution within the tissue, the greatest single factor controlling the extents of IRE, depends non-trivially on the electrode configuration, pulse parameters and any tissue heterogeneities. To address this difficulty, we instruct on how to properly model IRE and discuss the benefit of modeling in designing treatment protocols. The necessary theoretical basis is introduced and discussed through the detailed analysis of two classic dual-electrode configurations from electrochemotherapy: coaxial disk electrodes and parallel needle electrodes. Dimensionless figures for these cases are also provided that allow cell constants, treated areas, and the details of heating to be determined for a wide range of conditions, for uniform tissues, simply by plugging in the appropriate physical property values and pulse parameters such as electrode spacing, size, and pulse amplitude. Complexities, such as heterogeneous tissues and changes in conductivity due to electroporation, are also discussed. The synthesis of these details can be used directly by surgeons in treatment planning. Irreversible electroporation is a promising new technique to treat cancer in a targeted manner without the use of drugs; however, it does require a detailed understanding of how electric currents flow within biological tissues. By providing the understanding and tools necessary to design an IRE protocol, this study seeks to facilitate the translation of this new and exciting cancer therapy into clinical practice.

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