We are what we eat. That old expression seems particularly poignant every time we have our blood drawn for a routine physical to check our cholesterol levels. And it's not just what we eat that affects our health. Whole ranges of behaviors ultimately make a difference in how we feel and how we maintain our health. Lifestyle choices have enormous impact on our health and well-being. But how do we communicate the language of good health so that it is uniformly received -- and accepted -- by people from different cultures and backgrounds?

Take, for example, the case of a 66-year-old Latina. She has been told by her doctor that she should have a mammogram, but her sense of fatalism tells her that it is better not to know if anything is wrong. To know that something is wrong will cause her distress, and this may well lead to even more health problems. Before she leaves her doctor's office, she has decided not to have a mammogram -- that is, until her doctor points out that having one is a way to take care of herself so that she can continue to take care of her family. In this way the decision to have a mammogram feels like a positive step.

Public health communicators and health professionals face dilemmas like this every day. Speaking of Health looks at the challenges of delivering important messages to different audiences. Using case studies in the areas of diabetes, mammography, and mass communication campaigns, it examines the ways in which messages must be adapted to the unique informational needs of their audiences if they are to have any real impact.

Speaking of Health looks at basic theories of communication and behavioral change and focuses on where they apply and where they donot. By suggesting creative strategies and guidelines for speaking to diverse audiences now and in the future, the Institute of Medicine seeks to take health communication into the twenty-first century. In an age in which we are inundated by multiple messages every day, this book will be a critical tool for all who are interested in communicating with diverse communities about health issues.

In situ bioremediation--the use of microorganisms for on-site removal of contaminants--is potentially cheaper, faster, and safer than conventional cleanup methods. But in situ bioremediation is also clouded in uncertainty, controversy, and mistrust.
This volume from the National Research Council provides direction for decisionmakers and offers detailed and readable explanations of
the processes involved in in situ bioremediation,
circumstances in which it is best used, and
methods of measurement, field testing, and modeling to evaluate the results of bioremediation projects.
Bioremediation experts representing academic research, field practice, regulation, and industry provide accessible information and case examples; they explore how in situ bioremediation works, how it has developed since its first commercial use in 1972, and what research and education efforts are recommended for the future. The volume includes a series of perspective papers.
The book will be immediately useful to policymakers, regulators, bioremediation practitioners and purchasers, environmental groups, concerned citizens, faculty, and students.

Best Available and Safest Technologies for Offshore Oil and Gas Operations: Options for Implementation explores a range of options for improving the implementation of the U.S. Department of the Interior's congressional mandate to require the use of best available and safety technologies in offshore oil and gas operations. In the Outer Continental Shelf Lands Act, Congress directs the Secretary of the Interior to regulate oil and gas operations in federal waters. The act mandates that the Secretary "shall require, on all new drilling and production operations and, wherever practicable, on existing operations, the use of the best available and safest technologies which the Secretary determines to be economically feasible, wherever failure of equipment would have a significant effect on safety, health, or the environment, except where the Secretary determines that the incremental benefits are clearly insufficient to justify the incremental costs of utilizing such technologies." This report, which was requested by Department of the Interior's Bureau of Safety and Environmental Enforcement (BSEE), also reviews options and issues that BSEE is already considering to improve implementation of the best available and safest technologies requirement. Table of Contents Front Matter BEST AVAILABLE AND SAFEST TECHNOLOGIES FOR OFFSHORE OIL AND GAS OPERATIONS: OPTIONS FOR IMPLEMENTATION Summary 1 Introduction 2 Processes for Identifying Technologies 3 Processes for Evaluating and Developing Technologies 4 Implementation Mechanisms References Appendix A: Statement of Task Appendix B: Lessons from Other Organizations for Best Available and Safest Technologies Implementation Study Committee Biographical Information

The Grand Canyon Monitoring and Research Center began long-term planning at its inception and, in May 1997, produced a Long-Term Monitoring and Research Strategic Plan that was adopted by stakeholder groups (the Adaptive Management Work Group and the Technical Work Group) later that year. The Center then requested the National Research Council's (NRC) Water Science and Technology Board to evaluate this plan.

The Blast Mitigation for Structures Program (BMSP) is a research and development activity conducted by the Defense Threat Reduction Agency (DTRA) to improve the performance of buildings that are targets of terrorist attack. The primary goal of the BMSP is to reduce loss of life and injuries to the occupants of these buildings through the development of innovative techniques for new structures and retrofitting existing facilities. The committee's findings and recommendations are contained in this initial assessment report.

A number of trends and forces are converging to require change in the National Oceanic and Atmospheric Administration's (NOAA) nautical charting mission. The most salient among these are changes in customer requirements, with a growing demand for customized and digital nautical information products; a changing customer base that encompasses uses of nautical charts in conjunction with coastal management, regulation, and development activities; and advances in technologies both for acquiring survey data and for structuring, displaying, analyzing, and disseminating nautical information. This volume assesses the needs of users of nautical information; reviews existing and emerging technologies; and examines major issues associated with information acquisition, chart preparation, and dissemination. The book addresses user requirements for improved nautical chart products, as well as technical and programmatic issues relating to the need for and provision of nautical information. Table of Contents Front Matter Executive Summary 1 Overview of the Nautical Information System 2 User Needs for Nautical Information 3 Filling the Data Base: Data Collection 4 The Digital Nautical Data Base: From Paper Charts to Electronic Charts and Beyond 5 Nautical Information as a Component of a Marine Geographic Information System 6 Nautical Information Products and Their Dissemination: Toward a New Way of Doing Business 7 Resource Constraints: Removing the Barriers 8 Conclusions and Recommendations Appendix A: Biographies of Committee Members Appendix B: Other Agencies Appendix C-1: Nautical Chart and Information Survey Appendix C-2: Responses to Survey Appendix D: Workshop on the Future Needs of Users for Nautical Information Appendix E: Principles of Benefit-Cost Analysis Applied to Surveys Appendix F: U.S. Army Corps of Engineers Appendix G: Examples of Uses of Data by State Environmental Agencies Appendix H: A National Coastal Zone (Shoreline) Data Base

This book reviews the uses and abuses of microsimulation models--large, complex models that produce estimates of the effects on program costs and who would gain and who would lose from proposed changes in government policies ranging from health care to welfare to taxes. Volume 1 is designed to guide future investment in modeling and analysis capability on the part of government agencies that produce policy estimates. It will inform congressional and executive decision makers about the strengths and weaknesses of models and estimates and will interest social scientists in the potential of microsimulation techniques for basic and applied research as well as policy uses. The book concludes that a "second revolution" is needed to improve the quality of microsimulation and other policy analysis models and the estimates they produce, with a special emphasis on systematic validation of models and communication of validation results to decision makers.

According to surveys, the public believes the chickens it is buying are wholesome. Poultry Inspection: The Basis for a Risk-Assessment Approach looks at current inspection procedures to determine how effective the Food Safety Inspection Service is in finding dangerous levels of contaminants and disease-producing microorganisms. The book first describes the history behind the current system, noting that the amount of poultry inspected has increased dramatically while techniques and regulations have remained constant since 1968. The steps involved in an inspection are then described, followed by a discussion of alternative and innovative inspection procedures. It then provides a risk-assessment model for poultry, including submodels for each stage of processing. Risk assessment is used to protect health, establish priorities, identify problems, and set acceptable levels of risk. The model is applied both to microbiological hazards and to chemical contaminants.

Assessments, understood as tools for tracking what and how well students have learned, play a critical role in the classroom. Developing Assessments for the Next Generation Science Standards develops an approach to science assessment to meet the vision of science education for the future as it has been elaborated in A Framework for K-12 Science Education (Framework) and Next Generation Science Standards (NGSS). These documents are brand new and the changes they call for are barely under way, but the new assessments will be needed as soon as states and districts begin the process of implementing the NGSS and changing their approach to science education. The new Framework and the NGSS are designed to guide educators in significantly altering the way K-12 science is taught. The Framework is aimed at making science education more closely resemble the way scientists actually work and think, and making instruction reflect research on learning that demonstrates the importance of building coherent understandings over time. It structures science education around three dimensions - the practices through which scientists and engineers do their work, the key crosscutting concepts that cut across disciplines, and the core ideas of the disciplines - and argues that they should be interwoven in every aspect of science education, building in sophistication as students progress through grades K-12. Developing Assessments for the Next Generation Science Standards recommends strategies for developing assessments that yield valid measures of student proficiency in science as described in the new Framework. This report reviews recent and current work in science assessment to determine which aspects of the Framework's vision can be assessed with available techniques and what additional research and development will be needed to support an assessment system that fully meets that vision. The report offers a systems approach to science assessment, in which a range of assessment strategies are designed to answer different kinds of questions with appropriate degrees of specificity and provide results that complement one another. Developing Assessments for the Next Generation Science Standards makes the case that a science assessment system that meets the Framework's vision should consist of assessments designed to support classroom instruction, assessments designed to monitor science learning on a broader scale, and indicators designed to track opportunity to learn. New standards for science education make clear that new modes of assessment designed to measure the integrated learning they promote are essential. The recommendations of this report will be key to making sure that the dramatic changes in curriculum and instruction signaled by Framework and the NGSS reduce inequities in science education and raise the level of science education for all students.

Flexible electronics describes circuits that can bend and stretch, enabling significant versatility in applications and the prospect of low-cost manufacturing processes. They represent an important technological advance, in terms of their performance characteristics and potential range of applications, ranging from medical care, packaging, lighting and signage, consumer electronics and alternative energy (especially solar energy.) What these technologies have in common is a dependence on efficient manufacturing that currently requires improved technology, processes, tooling, and materials, as well as ongoing research. Seeking to capture the global market opportunity in flexible electronics, major U.S. competitors have initiated dedicated programs that are large in scope and supported with significant government funding to develop and acquire these new technologies, refine them, and ultimately manufacture them within their national borders. These national and regional investments are significantly larger than U.S. investment and more weighted toward later stage applied research and development. The Flexible Electronics Opportunity examines and compares selected innovation programs both foreign and domestic, and their potential to advance the production of flexible electronics technology in the United States. This report reviews the goals, concept, structure, operation, funding levels, and evaluation of foreign programs similar to major U.S. programs, e.g., innovation awards, S&T parks, and consortia. The report describes the transition of flexible electronics research into products and to makes recommendations to improve and to develop U.S. programs. Through an examination of the role of research consortia around the world to advance flexible electronics technology, the report makes recommendations for steps that the U.S. might consider to develop a robust industry in the United States. Significant U.S. expansion in the market for flexible electronics technologies is not likely to occur in the absence of mechanisms to address investment risks, the sharing of intellectual property, and the diverse technology requirements associated with developing and manufacturing flexible electronics technologies. The Flexible Electronics Opportunity makes recommendations for collaboration among industry, universities, and government to achieve the critical levels of investment and the acceleration of new technology development that are needed to catalyze a vibrant flexible electronics industry. Table of Contents Front Matter Executive Summary 1 Flexible Electronics and the Manufacturing Challenge 2 Assessing the Potential of Flexible Electronics 3 Government Promotional Efforts 4 The Emerging Competitive Landscape 5 European Initiatives 6 East Asia 7 United States 8 Findings and Recommendations Bibliography

In response to HUD's request, the NRC assembled a panel of experts, the Committee for Oversight and Assessment of the Partnership for Advancing Technology in Housing, under the auspices of the Board on Infrastructure and the Constructed Environment. Over an initial term of three years, the committee was asked to review and comment on the following aspects of the PATH program: overall goals; proposed approach to meeting the goals and the likelihood of achieving them; and measurements of progress toward achieving the goals.

The science of animal nutrition has made significant advances in the past century. In looking back at the discoveries of the 20th century, we can appreciate the tremendous impact that animal nutrition has had on our lives. From the discovery of vitamins and the sweeping shift in the use of oilseeds to replace animal products as dietary protein sources for animals during the war times of the 1900s-to our integral understanding of nutrients as regulators of gene expression today-animal nutrition has been the cornerstone for scientific advances in many areas.
At the milestone of their 70th year of service to the nation, the National Research Council's (NRC) Committee on Animal Nutrition (CAN) sought to gain a better understanding of the magnitude of recent discoveries and directions in animal nutrition for the new century we are embarking upon. With financial support from the NRC, the committee was able to organize and host a symposium that featured scientists from many backgrounds who were asked to share their ideas about the potential of animal nutrition to address current problems and future challenges.

Ocean harvests have plateaued worldwide and many important commercial stocks have been depleted. This has caused great concern among scientists, fishery managers, the fishing community, and the public. This book evaluates the major models used for estimating the size and structure of marine fish populations (stock assessments) and changes in populations over time. It demonstrates how problems that may occur in fisheries data--for example underreporting or changes in the likelihood that fish can be caught with a given type of gear--can seriously degrade the quality of stock assessments. The volume makes recommendations for means to improve stock assessments and their use in fishery management.

Major benefits to system architecture would result if cooling systems for components could be eliminated without compromising performance. This book surveys the state-of-the-art for the three major wide bandgap materials (silicon carbide, nitrides, and diamond), assesses the national and international efforts to develop these materials, identifies the technical barriers to their development and manufacture, determines the criteria for successfully packaging and integrating these devices into existing systems, and recommends future research priorities. Table of Contents Front Matter Executive Summary Backgorund State of the Art of Wide Bandgap Materials Device Physics: Behavior at Elevated Temperatures Generic Technical Issues Associated with Materials for High-Temperatures... High-Temperature Electronic Packaging Device Testing for High-Temperature Electronic Materials Conclusions and Recommendations References Appendix A: Silicon as a High-Temperature Material Appendix B: Gallium Arsenide as a High Temperature Material Appendix C: High-Temperature Microwave Devices Appendix D: Biographical Sketches of Committee Members

Mandated standards used for vehicle airbags, International Organization for Standards (ISO) standards adopted for photographic film, de facto standards for computer software--however they arise, standards play a fundamental role in the global marketplace. Standards, Conformity Assessment, and Trade provides a comprehensive, up-to-date analysis of the link between standards, product testing and certification, and U.S. economic performance. The book includes recommendations for streamlining standards development, increasing the efficiency of product testing and certification, and promoting the success of U.S. exports in world markets. The volume offers a critical examination of organizations involved in standards and identifies the urgent improvements needed in the U.S. system for conformity assessment, in which adherence to standards is assessed and certified. Among other key issues, the book explores the role of government regulation, laboratory accreditation, and the overlapping of multiple quality standards in product development and manufacturing. In one of the first treatments of this subject, Standards, Conformity Assessment, and Trade offers a unique and highly valuable analysis of the impact of standards and conformity assessment on global trade.

Microwaves can be effectively used in the processing of industrial materials under a wide range of conditions. However, microwave processing is complex and multidisciplinary in nature, and a high degree of technical knowledge is needed to determine how, when, and where the technology can be most profitably utilized. This book assesses the potential of microwave technology for industrial applications, reviews the latest equipment and processing methods, and identifies both the gaps in understanding of microwave processing technology and the promising development opportunities that take advantage of this new technology's unique performance characteristics. Table of Contents FRONT MATTER EXECUTIVE SUMMARY INTRODUCTION MICROWAVE FUNDAMENTALS MICROWAVE SYSTEM INTEGRATION APPLICATION CRITERIA MICROWAVE APPLICATIONS CONCLUSIONS AND RECOMMENDATIONS REFERENCES APPENDIX

This book reviews the effects on health of fluoride ingested from various sources. Those health effects reviewed include dental fluorosis; bone fracture; effects on renal, reproductive, and gastrointestinal systems; and genotoxicity and carcinogenicity. The book also reviews the Environmental Protection Agency's current drinking-water standard for fluoride and considers future research needs.

Over the last 100 years, sea level has risen approximately 12 centimeters and is expected to continue rising at an even faster rate. This situation has serious implications for human activity along our coasts. In this book, geological and coastal engineering experts examine recent sea level trends and project changes over the next 100 years, anticipating shoreline response to changing sea level and the consequences for coastal development and uses. Scenarios for future sea level rise and several case studies are presented.

Proper formulation of diets for horses depends on adequate knowledge of their nutrient requirements. These requirements depend on the breed and age of the horse and whether it is exercising, pregnant, or lactating. A great deal of new information has been accumulated since the publication 17 years ago of the last edition of Nutrient Requirements of Horses. This new edition features a detailed review of scientific literature, summarizing all the latest information, and provides a new set of requirements based on revised data. Also included is updated information on the composition of feeds, feed additives, and other compounds routinely fed to horses. The effects of physiological factors, such as exercise, and environmental factors, such as temperature and humidity, are covered, as well. Nutrient Requirements of Horses also contains information on several nutritional and metabolic diseases that horses often have. Designed primarily as a reference, both practical and technical, Nutrient Requirements of Horses is intended to ensure that the diets of horses and other equids contain adequate amounts of nutrients and that the intakes of certain nutrients are not so excessive that they inhibit performance or impair health. This book is primarily intended for animal nutritionists, veterinarians, and other scientists; however, individual horse owners and managers will also find some of this material useful. Professors who teach graduate courses in animal nutrition will find Nutrient Requirements of Horses beneficial as a textbook.

Prudent Practices in the Laboratory-the book that has served for decades as the standard for chemical laboratory safety practice-now features updates and new topics. This revised edition has an expanded chapter on chemical management and delves into new areas, such as nanotechnology, laboratory security, and emergency planning. Developed by experts from academia and industry, with specialties in such areas as chemical sciences, pollution prevention, and laboratory safety, Prudent Practices in the Laboratory provides guidance on planning procedures for the handling, storage, and disposal of chemicals. The book offers prudent practices designed to promote safety and includes practical information on assessing hazards, managing chemicals, disposing of wastes, and more. Prudent Practices in the Laboratory will continue to serve as the leading source of chemical safety guidelines for people working with laboratory chemicals: research chemists, technicians, safety officers, educators, and students. Table of Contents Front Matter 1 The Culture of Laboratory Safety 2 Environmental Health and Safety Management System 3 Emergency Planning 4 Evaluating Hazards and Assessing Risks in the Laboratory 5 Management of Chemicals 6 Working with Chemicals 7 Working with Laboratory Equipment 8 Management of Waste 9 Laboratory Facilities 10 Laboratory Security 11 Safety Laws and Standards Pertinent to Laboratories Bibliography APPENDIXES Appendix A: OSHA Laboratory Standard Appendix B: Statement of Task Appendix C: Committee Member Biographies Index

The outlook for women with breast cancer has improved in recent years. Due to the combination of improved treatments and the benefits of mammography screening, breast cancer mortality has decreased steadily since 1989. Yet breast cancer remains a major problem, second only to lung cancer as a leading cause of death from cancer for women. To date, no means to prevent breast cancer has been discovered and experience has shown that treatments are most effective when a cancer is detected early, before it has spread to other tissues. These two facts suggest that the most effective way to continue reducing the death toll from breast cancer is improved early detection and diagnosis. Building on the 2001 report Mammography and Beyond, this new book not only examines ways to improve implementation and use of new and current breast cancer detection technologies but also evaluates the need to develop tools that identify women who would benefit most from early detection screening. Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis encourages more research that integrates the development, validation, and analysis of the types of technologies in clinical practice that promote improved risk identification techniques. In this way, methods and technologies that improve detection and diagnosis can be more effectively developed and implemented. Table of Contents Front Matter Executive Summary 1 Introduction 2 Benefits and Limitations of Mammography 3 Improving Breast Cancer Screening Services 4 Understanding Breast Cancer Risk 5 Biologically-Based Technologies 6 The Necessary Environment for Research and Development 7 Translating New Technologies into Improved Patient Outcomes 8 Recommendations Appendix A: Breast Cancer Technology Overview Appendix B: Workshop Agendas Appendix C: ROC Analysis: Key Statistical Tool for Evaluating Detection Technologies Appendix D: Common Weaknesses in Study Designs Glossary Index

It has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as opposed to increased unit prices of existing services. And an even more fundamental question is the degree to which the increased spending actually has purchased improved health. "Accounting for Health and Health Care" addresses both these issues. The government agencies responsible for measuring unit prices for medical services have taken steps in recent years that have greatly improved the accuracy of those measures. Nonetheless, this book has several recommendations aimed at further improving the price indices.

The National Academies' National Research Council undertook this study in response to a request from the Under Secretary of Energy to provide strategic advice on how the Department of Energy could improve its Environmental Quality R&D portfolio. The committee recommends that DOE develop strategic goals and objectives for its EQ business line that explicitly incorporate a more comprehensive, long-term view of its EQ responsibilities. For example, these goals and objectives should emphasize long-term stewardship and the importance of limiting contamination and materials management problems, including the generation of wastes and contaminated media, in ongoing and future DOE operations.

Despite the strong safety record of the national airspace system, serious disruptions occasionally occur, often as a result of outdated or failed equipment. Under these circumstances, safety relies on the skills of the controllers and pilots and on reducing the number of aircraft in the air. The current and growing pressures to increase the capacity to handle a greater number of flights has led to a call for faster and more powerful equipment and for equipment that can take over some of the tasks now being performed by humans. Increasing the role of automation in air traffic control may provide a more efficient system, but will human controllers be able to effectively take over when problems occur? This comprehensive volume provides a baseline of knowledge about the capabilities and limitations of humans relative to the variety of functions performed in air traffic control. It focuses on balancing safety with the expeditious flow of air traffic, identifying lessons from past air accidents. The book discusses * The function of the national airspace system and the procedures for hiring, training, and evaluating controllers. * Decisionmaking, memory, alertness, vigilance, sleep patterns during shift work, communication, and other factors in controllers' performance. * Research on automation and human factors in air traffic control and incorporation of findings into the system. * The Federal Aviation Administration's management of the air traffic control system and its dual mandate to promote safety and the development of air commerce. This book also offers recommendations for evaluation the human role in automated air traffic control systems and for managing the introduction of automation into current facilities and operations. It will be of interest to anyone concerned about air safety--policymakers, regulators, air traffic managers and controllers, airline officials, and passenger advocates.

This book responds to the call for a clear description of the role of basic science in meeting societal needs. It gives examples of societal benefits of atomic, molecular, and optical (AMO) science in a number of key areas, including industrial technology, information technology, energy, global change, defense, health and medical technology, space technology, and transportation. This volume highlights the role of lasers in trapping, cooling, and manipulating individual atoms and molecules to make possible ultraprecise atomic clocks, structural engineering at the atomic level (nanotechnology), and new approaches to the study of deoxyribonucleic acid (DNA). AMO science is shown to be a field that is both an intellectually important basic science and a powerful enabling science that supports many other areas of science and technology.