Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Martikainen A[original query] |
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Implementation research to address the United States health disadvantage: Report of a National Heart, Lung, and Blood Institute Workshop
Engelgau MM , Narayan KMV , Ezzati M , Salicrup LA , Belis D , Aron LY , Beaglehole R , Beaudet A , Briss PA , Chambers DA , Devaux M , Fiscella K , Gottlieb M , Hakkinen U , Henderson R , Hennis AJ , Hochman JS , Jan S , Koroshetz WJ , Mackenbach JP , Marmot MG , Martikainen P , McClellan M , Meyers D , Parsons PE , Rehnberg C , Sanghavi D , Sidney S , Siega-Riz AM , Straus S , Woolf SH , Constant S , Creazzo TL , de Jesus JM , Gavini N , Lerner NB , Mishoe HO , Nelson C , Peprah E , Punturieri A , Sampson U , Tracy RL , Mensah GA . Glob Heart 2018 13 (2) 65-72 Four decades ago, U.S. life expectancy was within the same range as other high-income peer countries. However, during the past decades, the United States has fared worse in many key health domains resulting in shorter life expectancy and poorer health-a health disadvantage. The National Heart, Lung, and Blood Institute convened a panel of national and international health experts and stakeholders for a Think Tank meeting to explore the U.S. health disadvantage and to seek specific recommendations for implementation research opportunities for heart, lung, blood, and sleep disorders. Recommendations for National Heart, Lung, and Blood Institute consideration were made in several areas including understanding the drivers of the disadvantage, identifying potential solutions, creating strategic partnerships with common goals, and finally enhancing and fostering a research workforce for implementation research. Key recommendations included exploring why the United States is doing better for health indicators in a few areas compared with peer countries; targeting populations across the entire socioeconomic spectrum with interventions at all levels in order to prevent missing a substantial proportion of the disadvantage; assuring partnership have high-level goals that can create systemic change through collective impact; and finally, increasing opportunities for implementation research training to meet the current needs. Connecting with the research community at large and building on ongoing research efforts will be an important strategy. Broad partnerships and collaboration across the social, political, economic, and private sectors and all civil society will be critical-not only for implementation research but also for implementing the findings to have the desired population impact. Developing the relevant knowledge to tackle the U.S. health disadvantage is the necessary first step to improve U.S. health outcomes. |
Intake belt air safety by the numbers
Martikainen A , Dougherty H . Saf Sci 2014 62 130-135 Due to prior major accidents in the United States underground coal mines, regulations concerning use of intake belt air were changed in 2008. Several safety requirements were introduced to combat the most acknowledged risk of using belt air; conveyor belt flammability. However, use of belt air increases airflow at the face area, which results in improved methane control. A definitive connection between belt air use and accident occurrence has not been established. Also, the frequency of belt air ventilation violations and their relation to other ventilation violations is not known, so reliable weighing of the benefits and risks is difficult. Based on data from 98 reports on underground belt entry fires the relationship among belt fires, ignitions, explosions, fatalities, and injury information was analyzed. Ignitions and explosions due to lack of ventilating air are much more common than belt fires. The number of injuries and fatalities resulting from these incidents far outnumbers those related to belt fires. Belt air related issues were further studied by researching an MSHA violations database. The number of belt air standard violations was expected to be significant enough to show the need to restrict its use. However, this was not found. It was concluded that because methane explosions and ignitions result in a much larger number of accidents, injuries, and fatalities, the benefit of additional air supplied to the face surpasses the risk of belt fires. Also, data showed that mines using belt air were not at greater risk than mines not using belt air. |
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