New from the National Academies Press

Nurturing and Sustaining Effective Programs in Science Education for Grades K-8: Building a Village in California: Summary of a Convocation

Thu, 5 Nov 2009 17:00:02 EST

K-8 science education in California (as in many other parts of the country) is in a state of crisis. K-8 students in California spend too little time studying science, many of their teachers are not well prepared in the subject, and the support system for science instruction has deteriorated. A proliferation of overly detailed standards and poorly conceived assessments has trivialized science education. And all these problems are likely to intensify: an ongoing fiscal crisis in the state threatens further cutbacks, teacher and administrator layoffs, and less money for professional development.

A convocation held on April 29-30, 2009, sought to confront the crisis in California science education, particularly at the kindergarten through eighth grade level. The convocation, summarized in this volume, brought together key stakeholders in the science education system to enable and facilitate an exploration of ways to more effectively, efficiently, and collectively support, sustain, and communicate across the state concerning promising research and practices in K-8 science education and how such programs can be nurtured by communities of stakeholders.

Integrative Medicine and the Health of the Public: A Summary of the February 2009 Summit

Wed, 4 Nov 2009 17:00:01 EST

The last century witnessed dramatic changes in the practice of health care, and coming decades promise advances that were not imaginable even in the relatively recent past. Science and technology continue to offer new insights into disease pathways and treatments, as well as mechanisms of protecting health and preventing disease. Genomics and proteomics are bringing personalized risk assessment, prevention, and treatment options within reach; health information technology is expediting the collection and analysis of large amounts of data that can lead to improved care; and many disciplines are contributing to a broadening understanding of the complex interplay among biology, environment, behavior, and socioeconomic factors that shape health and wellness.

On February 25 - 27, 2009, the Institute of Medicine (IOM) convened the Summit on Integrative Medicine and the Health of the Public in Washington, DC. The summit brought together more than 600 scientists, academic leaders, policy experts, health practitioners, advocates, and other participants from many disciplines to examine the practice of integrative medicine, its scientific basis, and its potential for improving health. This publication summarizes the background, presentations, and discussions that occurred during the summit.

Assessing and Improving Value in Cancer Care: Workshop Summary

Wed, 4 Nov 2009 17:00:01 EST

Unlike many other areas in health care, the practice of oncology presents unique challenges that make assessing and improving value especially complex. First, patients and professionals feel a well-justified sense of urgency to treat for cure, and if cure is not possible, to extend life and reduce the burden of disease. Second, treatments are often both life sparing and highly toxic. Third, distinctive payment structures for cancer medicines are intertwined with practice. Fourth, providers often face tremendous pressure to apply the newest technologies to patients who fail to respond to established treatments, even when the evidence supporting those technologies is incomplete or uncertain, and providers may be reluctant to stop toxic treatments and move to palliation, even at the end of life. Finally, the newest and most novel treatments in oncology are among the most costly in medicine.

This volume summarizes the results of a workshop that addressed these issues from multiple perspectives, including those of patients and patient advocates, providers, insurers, health care researchers, federal agencies, and industry. Its broad goal was to describe value in oncology in a complete and nuanced way, to better inform decisions regarding developing, evaluating, prescribing, and paying for cancer therapeutics.

Spectrum Management for Science in the 21st Century

Tue, 3 Nov 2009 17:00:01 EST

Radio observations of the cosmos are gathered by geoscientists using complex earth-orbiting satellites and ground-based equipment, and by radio astronomers using large ground-based radio telescopes. Signals from natural radio emissions are extremely weak, and the equipment used to measure them is becoming ever-more sophisticated and sensitive.

The radio spectrum is also being used by radiating, or "active," services, ranging from aircraft radars to rapidly expanding consumer services such as cellular telephones and wireless internet. These valuable active services transmit radio waves and thereby potentially interfere with the receive-only, or "passive," scientific services. Transmitters for the active services create an artificial "electronic fog" which can cause confusion, and, in severe cases, totally blinds the passive receivers.

Both the active and the passive services are increasing their use of the spectrum, and so the potential for interference, already strong, is also increasing. This book addresses the tension between the active services' demand for greater spectrum use and the passive users' need for quiet spectrum. The included recommendations provide a pathway for putting in place the regulatory mechanisms and associated supporting research activities necessary to meet the demands of both users.

A Transportation Research Program for Mitigating and Adapting to Climate Change and Conserving Energy Special Report 299

Mon, 2 Nov 2009 17:00:02 EST

In reviewing proposals for transportation research programs as part of reauthorizing the federal surface transportation program, the Transportation Research Board recognized a gap: no proposals explicitly addressed research to mitigate GHG emissions and energy consumption attributable to passenger and freight travel or to adapt to climate change. A Transportation Research Program for Mitigating and Adapting to Climate Change and Conserving Energy is the product of a study to suggest research programs to fill this and other perceived gaps.

Specifically, this book identifies research needs with regard to policies and strategies relating to the use of the transportation system and to assist infrastructure owners in adapting to climate change; focuses on research programs that could provide guidance to officials at all levels responsible for policies that affect the use of surface transportation infrastructure and its operation, maintenance, and construction; and aims to help officials begin to adapt the infrastructure to climate changes that are already occurring or that are expected to occur in the next several decades.

An Assessment of NASA's National Aviation Operations Monitoring Service

Mon, 2 Nov 2009 17:00:02 EST

The National Research Council of the National Academies was requested by the National Aeronautics and Space Administration (NASA) to perform an independent assessment of NASA's National Aviation Operations Monitoring Service (NAOMS) project, which was a survey administered to pilots from April 2001 through December 2004.

The NRC reviewed various aspects of the NAOMS project, including the survey methodology, and conducted a limited analysis of the publicly available survey data. An Assessment of NASA's National Aviation Operations Monitoring Service presents the resulting analyses and findings.

A Review of the NIOSH Roadmap for Research on Asbestos Fibers and Other Elongate Mineral Particles

Mon, 2 Nov 2009 17:00:02 EST

Although asbestos is no longer mined in the United States, prior and ongoing exposures to asbestos continue to contribute to respiratory diseases, including mesothelioma, lung cancer, and asbestosis. To examine ongoing issues and concerns in this field, the National Institute for Occupational Safety and Health (NIOSH) drafted a research roadmap, Asbestos Fibers and Other Elongated Mineral Particles: State of the Science and Roadmap for Research, that provides an overview of the state of the science and a plan for future research in areas including toxicology, mineralogy, epidemiology, and exposure assessment.

The focus of the proposed research is on clarifying the relationship between human health effects and the physical and chemical characteristics of a wide range of elongate mineral particles. In 2008, NIOSH asked the Institute of Medicine and the National Research Council to form a committee to provide a review of the scientific and technical quality of the January 2009 draft NIOSH Roadmap document. The present volume provides the committee's assessment of the Roadmap and recommendations for strengthening its utility for NIOSH, other federal agencies, the private sector, and other stakeholders.

Reengineering the Survey of Income and Program Participation

Fri, 30 Oct 2009 17:00:02 EST

Beginning in 2006, the Census Bureau embarked on a program to reengineer the Survey of Income and Program Participation (SIPP) to reduce its costs and improve data quality and timeliness. The Bureau also requested the National Academies to consider the advantages and disadvantages of strategies for linking administrative records and survey data, taking account of the accessibility of relevant administrative records, the operational feasibility of linking, the quality and usefulness of the linked data, and the ability to provide access to the linked data while protecting the confidentiality of individual respondents.
In response, this volume first examines the history of SIPP and reviews the survey's purpose, value, strengths, and weaknesses. The book examines alternative uses of administrative records in a reengineered SIPP and, finally, considers innovations in SIPP design and data collection, including the proposed use of annual interviews with an event history calendar.

Nanotechnology in Food Products: Workshop Summary

Fri, 30 Oct 2009 17:00:02 EST

In the food industry, scientists are exploring the potential of nanotechnology to enhance the flavor and other sensory characteristics of foods, introduce antibacterial nanostructures into food packaging and encapsulate and deliver nutrients directly into targeted tissues, among other applications.

However, as with any new technology, along with the benefits, there is the potential for unanticipated adverse effects. There is still a great deal to learn about any health outcomes related to introducing nanosized materials into foods and food packaging materials. Developing nanotechnology into a safe, effective tool for use in food science and technology will require addressing these and other questions. Assuring consumer confidence will be equally important to the success of this new emerging technology.

The Institute of Medicine held a one-day workshop, summarized in this volume, to further explore the use of nanotechnology in food. Specifically, the workshop was organized around three primary topic areas: (1) the application of nanotechnology to food products; (2) the safety and efficacy of nanomaterials in food products; and (3) educating and informing consumers about the applications of nanotechnology to food products.

Surrounded by Science: Learning Science in Informal Environments

Fri, 30 Oct 2009 17:00:02 EST

Practitioners in informal science settings--museums, after-school programs, science and technology centers, media enterprises, aquariums, zoos, and botanical gardens--are interested in finding out what learning looks like, how to measure it, and what they can do to ensure that people of all ages, from different backgrounds and cultures, have a positive learning experience.

Surrounded by Science: Learning Science in Informal Environments, is designed to make that task easier. Based on the National Research Council study, Learning Science in Informal Environments: People, Places, and Pursuits, this book is a tool that provides case studies, illustrative examples, and probing questions for practitioners. In short, this book makes valuable research accessible to those working in informal science: educators, museum professionals, university faculty, youth leaders, media specialists, publishers, broadcast journalists, and many others.

Frontiers in Crystalline Matter: From Discovery to Technology

Thu, 29 Oct 2009 17:00:01 EST

For much of the past 60 years, the U.S. research community dominated the discovery of new crystalline materials and the growth of large single crystals, placing the country at the forefront of fundamental advances in condensed-matter sciences and fueling the development of many of the new technologies at the core of U.S. economic growth. The opportunities offered by future developments in this field remain as promising as the achievements of the past. However, the past 20 years have seen a substantial deterioration in the United States' capability to pursue those opportunities at a time when several European and Asian countries have significantly increased investments in developing their own capacities in these areas. This book seeks both to set out the challenges and opportunities facing those who discover new crystalline materials and grow large crystals and to chart a way for the United States to reinvigorate its efforts and thereby return to a position of leadership in this field.

Technology, Policy, Law, and Ethics Regarding U.S. Acquisition and Use of Cyberattack Capabilities

Wed, 28 Oct 2009 17:00:01 EST

The United States is increasingly dependent on information and information technology for both civilian and military purposes, as are many other nations. Although there is a substantial literature on the potential impact of a cyberattack on the societal infrastructure of the United States, little has been written about the use of cyberattack as an instrument of U.S. policy.
Cyberattacks--actions intended to damage adversary computer systems or networks--can be used for a variety of military purposes. But they also have application to certain missions of the intelligence community, such as covert action. They may be useful for certain domestic law enforcement purposes, and some analysts believe that they might be useful for certain private sector entities who are themselves under cyberattack. This report considers all of these applications from an integrated perspective that ties together technology, policy, legal, and ethical issues.
Focusing on the use of cyberattack as an instrument of U.S. national policy, Technology, Policy, Law and Ethics Regarding U.S. Acquisition and Use of Cyberattack Capabilities explores important characteristics of cyberattack. It describes the current international and domestic legal structure as it might apply to cyberattack, and considers analogies to other domains of conflict to develop relevant insights. Of special interest to the military, intelligence, law enforcement, and homeland security communities, this report is also an essential point of departure for nongovernmental researchers interested in this rarely discussed topic.

Fostering Visions for the Future: A Review of the NASA Institute for Advanced Concepts

Fri, 23 Oct 2009 17:00:02 EST

The NASA Institute for Advanced Concepts (NIAC) was formed in 1998 to provide an independent source of advanced aeronautical and space concepts that could dramatically impact how NASA develops and conducts its missions. Until the program's termination in August 2007, NIAC provided an independent open forum, a high-level point of entry to NASA for an external community of innovators, and an external capability for analysis and definition of advanced aeronautics and space concepts to complement the advanced concept activities conducted within NASA. Throughout its 9-year existence, NIAC inspired an atmosphere for innovation that stretched the imagination and encouraged creativity.

As requested by Congress, this volume reviews the effectiveness of NIAC and makes recommendations concerning the importance of such a program to NASA and to the nation as a whole, including the proper role of NASA and the federal government in fostering scientific innovation and creativity and in developing advanced concepts for future systems. Key findings and recommendations include that in order to achieve its mission, NASA must have, and is currently lacking, a mechanism to investigate visionary, far-reaching advanced concepts. Therefore, a NIAC-like entity should be reestablished to fill this gap.

Protecting and Accessing Data from the Survey of Earned Doctorates: A Workshop Summary

Thu, 22 Oct 2009 17:00:02 EST

The Survey of Earned Doctorates (SED) collects data on the number and characteristics of individuals receiving research doctoral degrees from all accredited U.S. institutions. The results of this annual survey are used to assess characteristics and trends in doctorate education and degrees. This information is vital for education and labor force planners and researchers in the federal government and in academia.

To protect the confidentiality of data, new and more stringent procedures were implemented for the 2006 SED data released in 2007. These procedures suppressed many previously published data elements. The organizations and institutions that had previously relied on these data to assess progress in measure of achievement and equality suddenly found themselves without a yardstick with which to measure progress.

Several initiatives were taken to address these concerns, including the workshop summarized in this volume. The goal of the workshop was to address the appropriateness of the decisions that SRS made and to help the agency and data users consider future actions that might permit release of useful data while protecting the confidentiality of the survey responses.

Improving State Voter Registration Databases Final Report

Thu, 22 Oct 2009 17:00:02 EST

Improving State Voter Registration Databases outlines several actions that are needed to help make voter registration databases capable of sharing information within state agencies and across state lines. These include short-term changes to improve education, dissemination of information, and administrative processes, and long-term changes to make improvements in data collection and entry, matching procedures, and ensure privacy and security.

School Meals: Building Blocks for Healthy Children

Thu, 22 Oct 2009 17:00:02 EST

Ensuring that the foods provided to children in schools are consistent with current dietary recommendations is an important national focus. Various laws and regulations govern the operation of school meal programs. In 1995, Nutrition Standards and Meal Requirements were put in place to ensure that all meals offered would be high in nutritional quality.

School Meals: Building Blocks For Healthy Children reviews and provides recommendations to update the nutrition standard and the meal requirements for the National School Lunch Program and School Breakfast Program. The recommendations reflect new developments in nutrition science, increase the availability of key food groups in the school meal programs, and allow these programs to better meet the nutritional needs of children, foster healthy eating habits, and safeguard children's health.

School Meals sets standards for menu planning that focus on food groups, calories, saturated fat, and sodium and that incorporate Dietary Guidelines for Americans and the Dietary Reference Intakes. This book will be used as a guide for school food authorities, food producers, policy leaders, state/local government and parents.

Combating Tobacco Use in Military and Veteran Populations

Thu, 22 Oct 2009 17:00:02 EST

The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.

Childhood Obesity Prevention in Texas: Workshop Summary

Wed, 21 Oct 2009 17:00:02 EST

Childhood Obesity Prevention in Texas summarizes the information gathered at a workshop held February 5-6, 2009, in Austin, Texas. At this workshop, committee members met with Texas lawmakers, public officials, and community leaders to exchange ideas and to view first-hand strategies that are being implemented effectively at the state and local levels to prevent and reverse childhood obesity.

Texas leaders at the workshop expressed the strong belief that the state's economic vitality and security depend on the health of its population. Accordingly, the state is no longer simply describing the personal, community, and financial costs of its obesity crisis; it is taking proactive steps to address the problem through strategic initiatives. An overarching strategy is to address obesity by targeting the state's youth, in whom it may be possible to instill healthy behaviors and lifestyles to last a lifetime. A guiding principle of these efforts is that they should be evidence based, community specific, sustainable, cost-effective, and supported by effective partnerships. Moreover, the goal is for the responsibility to be broadly shared by individuals, families, communities, and the public and private sectors.

Community Perspectives on Obesity Prevention in Children: Workshop Summary

Wed, 21 Oct 2009 17:00:02 EST

As the public health threat of childhood obesity has become clear, the issue has become the focus of local, state, and national initiatives. Many of these efforts are centered on the community environment in recognition of the role of environmental factors in individual behaviors related to food and physical activity. In many communities, for example, fresh produce is not available or affordable, streets and parks are not amenable to exercise, and policies and economic choices make fast food cheaper and more convenient than healthier alternatives.

Community efforts to combat obesity vary in scope and scale; overall, however, they remain fragmented, and little is known about their effectiveness. At the local level, communities are struggling to determine which obesity prevention programs to initiate and how to evaluate their impact.

In this context, the Institute of Medicine held two workshops to inform current work on obesity prevention in children through input from individuals who are actively engaged in community- and policy-based obesity prevention programs. Community perspectives were elicited on the challenges involved in undertaking policy and programmatic interventions aimed at preventing childhood obesity, and on approaches to program implementation and evaluation that have shown promise. Highlights of the workshop presentations and discussions are presented in this volume.

Revisiting the Department of Defense SBIR Fast Track Initiative

Wed, 21 Oct 2009 17:00:02 EST

In October 1995, the Department of Defense launched a Fast Track initiative to attract new firms and encourage commercialization of Small Business Innovation Research (SBIR) funded technologies throughout the department. The goal of the Fast Track initiative is to help close the funding gap that can occur between Phase I and II of the SBIR program. The Fast Track initiative seeks to address the gap by providing expedited review and essentially continuous funding from Phase I to Phase II, as long as applying firms can demonstrate that they have obtained third-party financing for their technology. Another program initiative, Phase II Enhancement, was launched in 1999 to concentrate SBIR funds on those R&D projects most likely to result in viable new products that the Department of Defense and others will buy.

The current volume evaluates the two SBIR Program initiatives--Fast Track and Phase II Enhancement--and finds that both programs are effective. Ninety percent of Fast Track and 95 percent of Phase II Enhancement reported satisfaction with their decision. This book identifies the successes and remaining shortcomings of the programs, providing recommendations to address these issues.

Hidden Costs of Energy: Unpriced Consequences of Energy Production and Use

Tue, 20 Oct 2009 17:00:02 EST

Despite the many benefits of energy, most of which are reflected in energy market prices, the production, distribution, and use of energy causes negative effects. Many of these negative effects are not reflected in energy market prices. When market failures like this occur, there may be a case for government interventions in the form of regulations, taxes, fees, tradable permits or other instruments that will motivate recognition of these external or hidden costs.

Hidden Costs of Energy defines and evaluates key external costs and benefits that are associated with the production, distribution, and use of energy, but not reflected in market prices. In aggregate, the damage estimates presented here are substantial, and reflect damages from air pollution associated with electricity generation, motor vehicle transportation, and heat generation. The book also considers other effects not quantified in dollar amounts, such as damages from climate change, effects of some air pollutants such as mercury, and risks to national security.

While not a comprehensive guide to policy, this analysis indicates that major initiatives to further reduce other emissions, improve energy efficiency, or shift to a cleaner electricity-generating mix could substantially reduce the damages of external effects. A first step in minimizing the adverse consequences of new energy technologies is to better understand these external effects and damages. Hidden Costs of Energy will therefore be a vital informational tool for government policy makers, scientists, and economists in even the earliest stages of research and development on energy technologies.

Final Report from the NRC Committee on the Review of the Louisiana Coastal Protection and Restoration (LACPR) Program

Fri, 16 Oct 2009 17:00:02 EST

The U.S. Army Corps of Engineers released the Louisiana Coastal Protection and Restoration (LACPR) draft final technical report in March, 2009. In response to federal legislation, the Corps had to analyze hurricane protection, and design and present a full range of measures to protect against a storm equivalent to a category 5 hurricane. The request included measures for flood control, coastal restoration, and hurricane protection, and stipulated close coordination with the State of Louisiana and its appropriate agencies.

This is the second and final report from the National Research Council (NRC) Committee on the Review of the Louisiana Coastal Protection and Restoration (LACPR) Program. The committee was charged to review two draft reports from the LACPR team and to assess the hurricane risk reduction framework, alternatives for flood control, storm protection, coastal restoration, and risk analysis. This report presents this committee's review and advice for improvements of the LACPR March 2009 draft final technical report.

Transforming Agricultural Education for a Changing World

Fri, 16 Oct 2009 17:00:02 EST

During the next ten years, colleges of agriculture will be challenged to transform their role in higher education and their relationship to the evolving global food and agricultural enterprise. If successful, agriculture colleges will emerge as an important venue for scholars and stakeholders to address some of the most complex and urgent problems facing society.

Such a transformation could reestablish and sustain the historical position of the college of agriculture as a cornerstone institution in academe, but for that to occur, a rapid and concerted effort by our higher education system is needed to shape their academic focus around the reality of issues that define the world's systems of food and agriculture and to refashion the way in which they foster knowledge of those complex systems in their students. Although there is no single approach to transforming agricultural education, a commitment to change is imperative.

Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence

Thu, 15 Oct 2009 17:00:01 EST

Data suggest that exposure to secondhand smoke can result in heart disease in nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other public places. The effect of legislation to ban smoking and its effects on the cardiovascular health of nonsmoking adults, however, remains a question.

Secondhand Smoke Exposure and Cardiovascular Effects reviews available scientific literature to assess the relationship between secondhand smoke exposure and acute coronary events. The authors, experts in secondhand smoke exposure and toxicology, clinical cardiology, epidemiology, and statistics, find that there is about a 25 to 30 percent increase in the risk of coronary heart disease from exposure to secondhand smoke. Their findings agree with the 2006 Surgeon General's Report conclusion that there are increased risks of coronary heart disease morbidity and mortality among men and women exposed to secondhand smoke. However, the authors note that the evidence for determining the magnitude of the relationship between chronic secondhand smoke exposure and coronary heart disease is not very strong.

Public health professionals will rely upon Secondhand Smoke Exposure and Cardiovascular Effects for its survey of critical epidemiological studies on the effects of smoking bans and evidence of links between secondhand smoke exposure and cardiovascular events, as well as its findings and recommendations.

Initial National Priorities for Comparative Effectiveness Research

Thu, 15 Oct 2009 17:00:01 EST

Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions. In this 2009 report, the Institute of Medicine's Committee on Comparative Effectiveness Research Prioritization establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise.

As part of the 2009 American Recovery and Reinvestment Act, Congress appropriated $1.1 billion in federal support of CER, reflecting legislators' belief that better decisions about the use of health care could improve the public's health and reduce the cost of care. The Committee on Comparative Effectiveness Research Prioritization was successful in preparing a list 100 top priority CER topics and 10 recommendations for best practices in the field.

Live Variola Virus: Considerations for Continuing Research

Thu, 15 Oct 2009 17:00:01 EST

Smallpox was a devastating disease that decimated human populations for centuries, and its eradication in 1980 was a monumental achievement for the global health community. Since then the remaining known strains of its causative agent, variola virus, have been contained in two World Health Organization (WHO)-approved repositories.

In 1999, the World Health Assembly (WHA) debated the issue of destroying these remaining strains. Arguments were presented on the need to retain the live virus for use in additional important research, and the decision to destroy the virus was deferred until this research could be completed. In that same year, the Institute of Medicine (IOM) convened a consensus committee to explore scientific needs for the live virus.

In the ten years since the first IOM report, the scientific, political, and regulatory environments have changed. In this new climate, the IOM was once again tasked to consider scientific needs for live variola virus. The committee evaluated the scientific need for live variola virus in four areas: development of therapeutics, development of vaccines, genomic analysis, and discovery research.

Recognition and Alleviation of Distress in Laboratory Animals

Wed, 14 Oct 2009 17:00:02 EST

Scientific advances in our understanding of animal physiology and behavior often require theories to be revised and standards of practice to be updated to improve laboratory animal welfare. This new book from the Institute for Laboratory Animal Research (ILAR) at the National Research Council, Recognition and Alleviation of Distress in Laboratory Animals, focuses on the stress and distress which is experienced by animals when used in laboratory research. This book aims to educate laboratory animal veterinarians; students, researchers, and investigators; animal care staff, as well as animal welfare officers on the current scientific and ethical issues associated with stress and distress in laboratory animals. It evaluates pertinent scientific literature to generate practical and pragmatic guidelines. Recognition and Alleviation of Distress in Laboratory Animals focuses specifically on the scientific understanding of the causes and the functions of stress and distress, the transformation of stress to distress, and the identification of principles for the recognition and alleviation of distress. This book discusses the role of humane endpoints in situations of distress and principles for the minimization of distress in laboratory animals. It also identifies areas in which further scientific investigation is needed to improve laboratory animal welfare in order to adhere to scientific and ethical principles that promote humane care and practice.

Science at Sea: Meeting Future Oceanographic Goals with a Robust Academic Research Fleet

Tue, 13 Oct 2009 17:00:02 EST

The U.S. academic research fleet is an essential national resource, and it is likely that scientific demands on the fleet will increase. Oceanographers are embracing a host of remote technologies that can facilitate the collection of data, but will continue to require capable, adaptable research vessels for access to the sea for the foreseeable future. Maintaining U.S. leadership in ocean research will require investing in larger and more capable general purpose Global and Regional class ships; involving the scientific community in all phases of ship design and acquisition; and improving coordination between agencies that operate research fleets.

Review of the Methodology Proposed by the Food Safety and Inspection Service for Followup Surveillance of In-Commerce Businesses: A Letter Report

Mon, 12 Oct 2009 17:00:02 EST

The National Academies issued a report on initial surveillance of in-commerce businesses by the U.S. Department of Agriculture Food Safety and Inspection Service (FSIS). FSIS requested feedback on its proposed process for priority-setting for followup surveillance in cases in which initial surveillance did not lead to an investigation or enforcement action.

Review of the Methodology Proposed by the Food Safety and Inspection Service for Followup Surveillance of In-Commerce Businesses is the result of that request. The report reviews and comments on the assumptions, risk factors, and methodology FSIS proposes to use to prioritize followup surveillance at in-commerce business with prior surveillance history.

Approaches to Reducing the Use of Forced or Child Labor: Summary of a Workshop on Assessing Practice

Fri, 9 Oct 2009 17:00:02 EST

Globally, child labor and forced labor are widespread and complex problems. They are conceptually different phenomena, requiring different policy responses, though they may also overlap in practice. The Trafficking Victims Protection Act of 2000 (TVPA) was designed to reduce the use of child and forced labor in the production of goods consumed in the United States. The Act was reauthorized in 2003, 2005, and 2008.

In response to provisions of TVPA, the the Bureau of International Labor Affairs requested that the National Research Council organize a two-day workshop. The workshop, summarized in this volume, discusses methods for identifying and organizing a standard set of practices that will reduce the likelihood that persons will use forced labor or child labor to produce goods, with a focus on business and governmental practices.

An Assessment of the National Institute of Standards and Technology Chemical Science and Technology Laboratory: Fiscal Year 2009

Fri, 9 Oct 2009 17:00:02 EST

An Assessment of the National Institute of Standards and Technology Chemical Science and Technology Laboratory examines the operations of the Chemical Science and Technology Laboratory (CSTL) of the National Institute of Standards and Technology (NIST).

Overall, CSTL is meeting its obligations, objectives, and desired impacts, and its priorities are appropriate and aligned with NIST's mission and priorities. The technical merit of the laboratory and the commitment of the staff are high. There is no evidence that any programs are jeopardized by a lack of facilities or equipment, and ongoing and planned new facility construction should greatly improve CSTL capabilities.

An Assessment of the National Institute of Standards and Technology Information Technology Laboratory: Fiscal Year 2009

Fri, 9 Oct 2009 17:00:02 EST

An Assessment of the National Institute of Standards and Technology Information Technology Laboratory evaluates The Information Technology Laboratory (ITL) of the National Institute of Standards and Technology (NIST). Six divisions of the laboratory were visited and reviewed. The scope of the assessment includes the following criteria: (1) the technical merit of the current laboratory programs relative to current state-of-the-art programs worldwide; (2) the adequacy of the laboratory budget, facilities, equipment, and human resources, as they affect the quality of the laboratory's technical programs; and (3) the degree to which the laboratory programs in measurement science and standards achieve their stated objectives and desired impact. Based on the assessment, and using these criteria, the book outlines several observations and recommendations for ITL.

An Assessment of the National Institute of Standards and Technology Electronics and Electrical Engineering Laboratory: Fiscal Year 2009

Fri, 9 Oct 2009 17:00:02 EST

The National Institute of Standards and Technology (NIST), an agency of the U.S. Department of Commerce, carries out its mission of promoting U.S. innovation and industrial competitiveness by developing and applying technology, measurements, and standards across nationally and strategically important industries. NIST is uniquely positioned to contribute to the development of U.S. industry and to technology deployment, and thereby to U.S. economic growth.

This book contains the assessment by the Panel on Electronics and Electrical Engineering of NIST's Electronics and Electrical Engineering Laboratory (EEEL), focusing on the scientific and technical work performed by the laboratory. The assessment is conducted biennially. The book examines the broad factors of technical merit of the laboratory's programs, the adequacy of facilities and resources, and the achievement of desired impacts.

An Assessment of the National Institute of Standards and Technology Center for Nanoscale Science and Technology: Fiscal Year 2009

Fri, 9 Oct 2009 17:00:02 EST

The National Institute of Standards and Technology's (NIST's) Center for Nanoscale Science and Technology (CNST) was founded on May 1, 2007, and remains in development with respect to projects and staffing. It aspires to be recognized both as a world leader in each of its research areas and as an organization providing ready access to unexcelled nanoscale measurement and fabrication facilities.

An Assessment of the National Institute of Standards and Technology Center for Nanoscale Science and Technology evaluates the overall CNST accomplishments and operations for FY 2009. As requested by the Deputy Director of NIST, the scope of the assessment included the following criteria: (1) the technical merit of the current laboratory programs relative to current state-of-the-art programs worldwide; (2) the adequacy of the laboratory budget, facilities, equipment, and human resources, as they affect the quality of the laboratory's technical programs; and (3) the degree to which the laboratory programs in measurement science and standards achieve their stated objectives and desired impact.

An Assessment of the National Institute of Standards and Technology Center for Neutron Research: Fiscal Year 2009

Fri, 9 Oct 2009 17:00:02 EST

The National Institute of Standards and Technology [NIST] Center for Neutron Research (NCNR) is a national user facility whose mission is to ensure the availability of neutron measurement capabilities in order to meet the needs of U.S. researchers from industry, academia, and government agencies. This mission is aligned with the mission of NIST, which is to promote U.S. innovation and industrial competitiveness by advancing measurement science, standards, and technology in ways that enhance economic security and improve the quality of life.

As requested by the Deputy Director of NIST, this book assesses NCNR, based on the following criteria: (1) the technical merit of the current laboratory programs relative to current state-of-the-art programs worldwide; (2) the adequacy of the laboratory budget, facilities, equipment, and human resources, as they affect the quality of the laboratory technical programs; and (3) the degree to which the laboratory programs in measurement science and standards achieve their stated objectives and desired impact.

Vital Statistics: Summary of a Workshop

Fri, 9 Oct 2009 17:00:02 EST

Vital statistics, the records of birth and death, are a critical national information resource for understanding public health. Over the past few decades, the specific program that gathers the data has evolved into a complex cooperative program between the federal and state governments for social measurement. The Vital Statistics Cooperative Program (VSCP) is currently maintained by the National Center for Health Statistics (NCHS).

The U.S. vital statistics system relies on the original information reported by myriad individuals, channeled through varying state and local information systems, and coordinated and processed by a federal statistical agency that has experienced relatively flat funding for many years. The challenges facing the vital statistics system and the continuing importance of the resulting data make it an important topic for examination.

A workshop, held by the National Academies and summarized in this volume, considered the importance of adequate vital statistics. In particular, the workshop assessed both current and emerging uses of the data, considered the methodological and organizational features of compiling vital data, and identified possible visions for the vital statistics program.

Experimentation and Rapid Prototyping in Support of Counterterrorism

Fri, 9 Oct 2009 17:00:02 EST

The U.S. military forces currently face a nontraditional threat from insurgents and terrorists who primarily employ improvised explosive devices, and have shown a cycle of adaptation of less than 12 months to responses by U.S. forces to counter these attacks. This constantly evolving threat requires U.S. military forces to adapt and respond more rapidly with modified tactics, technologies, and/or equipment.

In response to this need for new technologies, the Rapid Reaction Technology Office (RRTO) was established in 2006 to develop technologies that can mature in 6 to 18 months for purposes of counterterrorism. Although RRTO appears to be successfully fulfilling its mission, the agency seeks to understand and address barriers to and opportunities for meeting future counterterrorism needs--including the need to accelerate the transition of technologies for counterterrorism with an eye to countering emerging and anticipated threats. This book reviews RRTO approaches and provides a set of recommendations for potential improvements to help meet these needs for rapid technology development.

Letter Report to the U.S. Department of Education on the Race to the Top Fund

Thu, 8 Oct 2009 17:00:01 EST

This report examines the Race to the Top initiative--a $4.35 billion grant program included in the American Recovery and Reinvestment Act to encourage state-level education reforms. The report strongly supports rigorous evaluations of programs funded by the Race to the Top initiative. The initiative should support research based on data that links student test scores with their teachers, but should not prematurely promote the use of value-added approaches, which evaluate teachers based on gains in their students' performance, to reward or punish teachers. The report also cautions against using the National Assessment of Educational Progress, a federal assessment that helps measure overall U.S. progress in education, to evaluate programs funded by the Race to the Top initiative.

Sensing and Supporting Communications Capabilities for Special Operations Forces

Wed, 7 Oct 2009 17:00:01 EST

Among its key responsibilities, The U.S. Special Operations Command (SOCOM) plans and synchronizes operations against terrorist networks. At any given moment, SOF are likely to be engaged in some stage of the planning or execution of special operations in many countries around the world, spanning a wide range of environments and missions. SOF therefore must be capable of operating in environments ranging from tropical jungle to arctic, maritime to desert, subterranean to mountainous, and rural to urban. Within this vast range, additional factors may influence technical and operational requirements, including weather, topography, bathymetry, geology, flora, fauna, and human population density. All of these factors must be weighed in terms of the challenges they pose to supporting communications and operational security. In short, SOF must maintain the capability to operate globally, in any environment, against any threats that can be countered by its unique capabilities.

Sensing and Supporting Communications Capabilities for Special Operations Forces focuses primarily on the key core SOF task of special reconnaissance, to determine SOF-specific sensing and supporting communications needs and mapping them to existing and emerging technologies. The book discusses preliminary observations, issues, and challenges, and identifies additional capabilities and technology areas that should be addressed.

Toward a Universal Radio Frequency System for Special Operations Forces

Wed, 7 Oct 2009 17:00:01 EST

The U.S. Special Operations Command (SOCOM) was formed in response to the failed rescue attempt in 1980 of American hostages held by Iran. Among its key responsibilities, SOCOM plans and synchronizes operations against terrorist networks. Special operations forces (SOF) often operate alone in austere environments with only the items they can carry, which makes equipment size, weight, and power needs especially important. Specialized radios and supporting equipment must be carried by the teams for their radio-frequency (RF) operations. As warfighting demands on SOCOM have intensified, SOCOM's needs for significantly improved radio-frequency (RF) systems have increased.

Toward a Universal Radio Frequency System for Special Operations Forces examines the current state of the art for both handheld and manpackable platform-mounted RF systems, and determines which frequencies could be provided by handheld systems. The book also explores whether or not a system that fulfills SOF's unique requirements could be deployed in a reasonable time period. Several recommendations are included to address these and other issues.

Biographical Memoirs: V. 90

Wed, 7 Oct 2009 17:00:01 EST

Biographical Memoirs is a series of essays containing the life histories and selected bibliographies of deceased members of the National Academy of Sciences. The series provides a record of the life and work of some of the most distinguished leaders in the sciences, as witnessed and interpreted by their colleagues and peers. They form a biographical history of science in America--an important part of our nation's contribution to the intellectual heritage of the world.

Data on Federal Research and Development Investments: A Pathway to Modernization

Thu, 1 Oct 2009 17:00:01 EST

Two surveys of the National Science Foundation's Division of Science Resources Statistics (SRS) provide some of the most significant data available to understand research and development spending and policy in the United States. These are the Survey of Federal Funds for Research and Development and the Survey of Federal Science and Engineering Support to Universities, Colleges, and Nonprofit Institutions. These surveys help reach conclusions about fundamental policy questions, such as whether a given field of research is adequately funded, whether funding is balanced among fields, and whether deficiencies in funding may be contributing to a loss of U.S. scientific or economic competitiveness.

However, the survey data are of insufficient quality and timeliness to support many of the demands put on them. In addition the surveys are increasingly difficult to conduct in times of constrained resources, and their technological, procedural, and conceptual infrastructure has not been modernized for procedure or content.

Data on Federal Research and Development Investments reviews the uses and collection of data on federal funds and federal support for science and technology and recommends future directions for the program based on an assessment of these uses and the adequacy of the surveys. The book also considers the classification structure, or taxonomy, for the fields of science and engineering.

Responsible Research with Biological Select Agents and Toxins

Wed, 30 Sep 2009 17:00:02 EST

The 2001 anthrax letter attacks prompted the creation of new regulations aimed at increasing security at laboratories conducting research with dangerous pathogens. Responsible Research with Biological Select Agents and Toxins evaluates current practices and recommends a set of principles and policies to help ensure that the demands of security are met while allowing vital research to continue and grow.

Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention

Wed, 30 Sep 2009 17:00:02 EST

Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration.

A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families.

The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.

Persistent Forecasting of Disruptive Technologies

Wed, 30 Sep 2009 17:00:02 EST

Technological innovations are key causal agents of surprise and disruption. In the recent past, the United States military has encountered unexpected challenges in the battlefield due in part to the adversary's incorporation of technologies not traditionally associated with weaponry. Recognizing the need to broaden the scope of current technology forecasting efforts, the Office of the Director, Defense Research and Engineering (DDR&E) and the Defense Intelligence Agency (DIA) tasked the Committee for Forecasting Future Disruptive Technologies with providing guidance and insight on how to build a persistent forecasting system to predict, analyze, and reduce the impact of the most dramatically disruptive technologies. The first of two reports, this volume analyzes existing forecasting methods and processes. It then outlines the necessary characteristics of a comprehensive forecasting system that integrates data from diverse sources to identify potentially game-changing technological innovations and facilitates informed decision making by policymakers.

The committee's goal was to help the reader understand current forecasting methodologies, the nature of disruptive technologies and the characteristics of a persistent forecasting system for disruptive technology. Persistent Forecasting of Disruptive Technologies is a useful text for the Department of Defense, Homeland Security, the Intelligence community and other defense agencies across the nation.

Acute Exposure Guideline Levels for Selected Airborne Chemicals: Volume 8

Tue, 29 Sep 2009 17:00:02 EST

This book is the eighth volume in the series Acute Exposure Guideline Levels for Selected Airborne Chemicals, and reviews AEGLs for acrolein, carbon monoxide, 1,2-dichloroethene, ethylenimine, fluorine, hydrazine, peracetic acid, propylenimine, and sulfur dioxide for scientific accuracy, completeness, and consistency with the NRC guideline reports.

Global Sources of Local Pollution: An Assessment of Long-Range Transport of Key Air Pollutants to and from the United States

Tue, 29 Sep 2009 17:00:02 EST

Recent advances in air pollution monitoring and modeling capabilities have made it possible to show that air pollution can be transported long-distances, and that adverse impacts of emitted pollutants cannot be confined to one country or even one continent. Pollutants from traffic, cooking stoves, and factories emitted half a world away can make the air we inhale today more hazardous for our health. The relative importance of this 'imported' pollution is likely to increase, as emissions in developing countries grow, and air quality standards in industrial countries are tightened.

The National Research Council's Committee on The Significance of International Transport of Air Pollutants was tasked with examining the impact of long-range transport of four key air pollutants (ozone, particulate matter, mercury, and persistent organic pollutants) on air quality and pollutant deposition in the United States. The Committee also explored the environmental impacts of U.S. emissions on other parts of the world and recommended ways to advance our understanding of these issues. They recommend that the United States work with the international community to develop an integrated system for determining pollution sources and impacts, and to design effective response strategies.

Global Sources of Local Pollution: An Assessment of Long-Range Transport of Key Air Pollutants to and from the United States will be useful to international, federal, state and local policymakers responsible for understanding and managing air pollution and its impacts on human health and well-being.

Emergency and Continuous Exposure Guidance Levels for Selected Submarine Contaminants: Volume 3

Tue, 29 Sep 2009 17:00:02 EST

U.S. Navy personnel who work on submarines are in an enclosed and isolated environment for days or weeks at a time when at sea. Unlike a typical work environment, they are potentially exposed to air contaminants 24 hours a day. To protect workers from potential adverse health effects due to those conditions, the U.S. Navy has established exposure guidance levels for a number of contaminants. The Navy asked a subcommittee of the National Research Council (NRC) to review, and develop when necessary, exposure guidance levels for specific contaminants.

This volume, the third in a series, recommends 1-hour and 24-hour emergency exposure guidance levels (EEGLs) and 90-day continuous exposure guidance levels (CEGLs) for acetaldehyde, hydrogen chloride, hydrogen fluoride, hydrogen sulfide, and propylene glycol dinitrate.

Avoiding Technology Surprise for Tomorrow's Warfighter: A Symposium Report

Mon, 28 Sep 2009 17:00:02 EST

On April 29, 2009 the National Research Council held a 1-day symposium titled, 'Avoiding Technology Surprise for Tomorrow's Warfighter.' This volume, a report of the symposium, highlights key challenges confronting the scientific and technical intelligence (S & TI) community and explores potential solutions that might enable the S & TI community to overcome those challenges.

The symposium captured comments and observations from representatives from combatant commands and supporting governmental organizations, together with those of symposium participants, in order to elucidate concepts and trends, knowledge of which could be used to improve the Department of Defense's technology warning capability. Topics addressed included issues stemming from globalization of science and technology, challenges to U.S. warfighters that could result from technology surprise, examples of past technological surprise, and the strengths and weaknesses of current S & TI analysis.

An Assessment of the Small Business Innovation Research Program at the Department of Defense

Mon, 28 Sep 2009 17:00:02 EST

The SBIR program allocates 2.5 percent of 11 federal agencies' extramural R&D budgets to fund R&D projects by small businesses, providing approximately $2 billion annually in competitive awards. At the request of Congress, the National Academies conducted a comprehensive study of how the SBIR program has stimulated technological innovation and used small businesses to meet federal research and development needs. Drawing substantially on new data collection, this book examines the SBIR program at the Department of Defense and makes recommendations for improvements. Separate reports will assess the SBIR program at NSF, NIH, DOE, and NASA, respectively, along with a comprehensive report on the entire program.

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report

Thu, 24 Sep 2009 17:00:02 EST

The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States.

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise--including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication--to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and manmade, under conditions in which resources are scarce.

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event.

Outlining current concepts and offering preliminary guidance, this book will prove an asset to state and local public health officials, healthcare facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters where resources are scarce.

Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases

Tue, 22 Sep 2009 17:00:02 EST

H1N1 ("swine flu"), SARS, mad cow disease, and HIV/AIDS are a few examples of zoonotic diseases--diseases transmitted between humans and animals. Emerging zoonoses are a growing concern given multiple factors, including an increase in zoonotic disease outbreaks, their often novel and unpredictable nature, their ability to emerge anywhere and spread rapidly around the globe, and the major economic toll they can take on many disparate industries.

Infectious disease surveillance systems are intended to combat this threat. By systematically collecting data on the occurrence of infectious diseases in humans and animals, investigators can track the spread of disease and provide an early warning to human and animal health officials nationally and internationally for follow-up and response. Unfortunately, and for many reasons, current disease surveillance systems can be ineffective or untimely in alerting officials to newly emerging zoonotic diseases.

Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases assesses disease surveillance systems around the world, and recommends ways to improve early detection and response. The book presents solutions for coordination between different surveillance systems, different governments, and different international organizations.

Parties seeking to improve the detection and response to zoonotic diseases--including U.S. government and international health policymakers, researchers, epidemiologists, and veterinarians--will use this book to help curtail the threat zoonotic diseases pose to economies, societies, and global health.

Understanding Research, Science and Technology Parks: Global Best Practice: Report of a Symposium

Mon, 21 Sep 2009 17:00:01 EST

Many nations are currently adopting a variety of directed strategies to launch and support research parks, often with significant financial commitments and policy support. By better understanding how research parks of other nations operate, we can seek to improve the scale and contributions of parks in the U.S. To that end, the National Academies convened an international conference on global best practices in research parks.

This volume, a report of the conference, includes discussion of the diverse roles that research parks in both universities and laboratories play in national innovation systems. The presentations identify common challenges and demonstrate substantial differences in research park programs around the world.

A New Biology for the 21st Century: Ensuring the United States Leads the Coming Biology Revolution

Thu, 17 Sep 2009 17:00:01 EST

Now more than ever, biology has the potential to contribute practical solutions to many of the major challenges confronting the United States and the world. A New Biology for the 21st Century recommends that a "New Biology" approach--one that depends on greater integration within biology, and closer collaboration with physical, computational, and earth scientists, mathematicians and engineers--be used to find solutions to four key societal needs: sustainable food production, ecosystem restoration, optimized biofuel production, and improvement in human health. The approach calls for a coordinated effort to leverage resources across the federal, private, and academic sectors to help meet challenges and improve the return on life science research in general.

Evaluation of NSF's Program of Grants and Vertical Integration of Research and Education in the Mathematical Sciences (VIGRE)

Wed, 16 Sep 2009 17:00:02 EST

In 1998, the National Science Foundation (NSF) launched a program of Grants for Vertical Integration of Research and Education in the Mathematical Sciences (VIGRE). These grants were designed for institutions with PhD-granting departments in the mathematical sciences, for the purpose of developing high-quality education programs, at all levels, that are vertically integrated with the research activities of these departments. To date, more than 50 departments at 40 institutions have received VIGRE awards.

As requested by NSF, the present volume reviews the goals of the VIGRE program and evaluates how well the program is designed to address those goals. The book considers past and current practices for assessing the VIGRE program; draws tentative conclusions about the program's achievements based on the data collected to date; and evaluates NSF's plans for future data-driven assessments. In addition, critical policy and programmatic changes for the program are identified, with recommendations for how to address these changes.

America's Future in Space: Aligning the Civil Space Program with National Needs

Wed, 16 Sep 2009 17:00:02 EST

As civil space policies and programs have evolved, the geopolitical environment has changed dramatically. Although the U.S. space program was originally driven in large part by competition with the Soviet Union, the nation now finds itself in a post-Cold War world in which many nations have established, or are aspiring to develop, independent space capabilities. Furthermore discoveries from developments in the first 50 years of the space age have led to an explosion of scientific and engineering knowledge and practical applications of space technology. The private sector has also been developing, fielding, and expanding the commercial use of space-based technology and systems.

Recognizing the new national and international context for space activities, America's Future in Space is meant to advise the nation on key goals and critical issues in 21st century U.S. civil space policy.

Conflict of Interest in Medical Research, Education, and Practice

Wed, 16 Sep 2009 17:00:02 EST

Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine.

Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome.

Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

Review of the U.S. Department of Agriculture's Animal and Plant Health Inspection Service Response to Petitions to Reclassify the Light Brown Apple Moth as a Non-Actionable Pest: A Letter Report

Tue, 15 Sep 2009 17:00:02 EST

The U.S. Department of Agriculture's Animal and Plant Health Inspection Service (APHIS) has classified the Light Brown Apple Moth (LBAM)--originally from Australia and confirmed in California in 2007--as an "actionable quarantine significant pest" and has applied its authority to implement a program of quarantine restrictions and eradication, which has been met with some public resistance.

Some have petitioned for the LBAM to be reclassified as a "non-actionable pest" based on the argument that the moth is not a significant pest economically and can be controlled by means other than eradication. APHIS asked the Research Council to evaluate the scientific justification of the draft response APHIS wrote to answer the petitions.

This report from the National Research Council concludes that APHIS is within its broad regulatory authority to classify the LBAM as an "actionable" pest. However, APHIS would benefit greatly from referencing more robust science to support its position, as its draft response did not adequately explain the moth's most likely future geographic distribution in the United States or the level of economic harm it could cause.

The National Emergency Care Enterprise: Advancing Care Through Collaboration: Workshop Summary

Mon, 14 Sep 2009 13:05:32 EST

In 2006, the Institute of Medicine (IOM) released a series of three books on the Future of Emergency Care in the United States Health System. These reports contained recommendations that called on the federal government and private stakeholders to initiate changes aimed at improving the emergency care system. Three years later, in May 2009, the IOM convened a workshop to examine the progress to date in achieving these objectives, and to help assess priorities for future action.

The May 2009 workshop, summarized in this volume, brought stakeholders and policy makers together to discuss which among the many challenges facing emergency care are most amenable to coordinated federal action. The workshop sought to foster information exchange among federal officials involved in advancing emergency care and key stakeholder groups from around the country.

Uncertainty Management in Remote Sensing of Climate Data: Summary of a Workshop

Mon, 14 Sep 2009 13:05:32 EST

Great advances have been made in our understanding of the climate system over the past few decades, and remotely sensed data have played a key role in supporting many of these advances. Improvements in satellites and in computational and data-handling techniques have yielded high quality, readily accessible data. However, rapid increases in data volume have also led to large and complex datasets that pose significant challenges in data analysis. Uncertainty characterization is needed for every satellite mission and scientists continue to be challenged by the need to reduce the uncertainty in remotely sensed climate records and projections. The approaches currently used to quantify the uncertainty in remotely sensed data lack an overall mathematically based framework. An additional challenge is characterizing uncertainty in ways that are useful to a broad spectrum of end-users.

In December 2008, the National Academies held a workshop, summarized in this volume, to survey how statisticians, climate scientists, and remote sensing experts might address the challenges of uncertainty management in remote sensing of climate data. The workshop emphasized raising and discussing issues that could be studied more intently by individual researchers or teams of researchers, and setting the stage for possible future collaborative activities.

Global Issues in Water, Sanitation, and Health: Workshop Summary

Mon, 14 Sep 2009 13:05:32 EST

As the human population grows--tripling in the past century while, simultaneously, quadrupling its demand for water--Earth's finite freshwater supplies are increasingly strained, and also increasingly contaminated by domestic, agricultural, and industrial wastes. Today, approximately one-third of the world's population lives in areas with scarce water resources. Nearly one billion people currently lack access to an adequate water supply, and more than twice as many lack access to basic sanitation services. It is projected that by 2025 water scarcity will affect nearly two-thirds of all people on the planet.

Recognizing that water availability, water quality, and sanitation are fundamental issues underlying infectious disease emergence and spread, the Institute of Medicine held a two-day public workshop, summarized in this volume. Through invited presentations and discussions, participants explored global and local connections between water, sanitation, and health; the spectrum of water-related disease transmission processes as they inform intervention design; lessons learned from water-related disease outbreaks; vulnerabilities in water and sanitation infrastructure in both industrialized and developing countries; and opportunities to improve water and sanitation infrastructure so as to reduce the risk of water-related infectious disease.

The U.S. Commitment to Global Health: Recommendations for the Public and Private Sectors

Mon, 14 Sep 2009 13:05:32 EST

Health is a highly valued, visible, and concrete investment that has the power to both save lives and enhance the credibility of the United States in the eyes of the world. While the United States has made a major commitment to global health, there remains a wide gap between existing knowledge and tools that could improve health if applied universally, and the utilization of these known tools across the globe.

The U.S. Commitment to Global Health concludes that the U.S. government and U.S.-based foundations, universities, nongovernmental organizations, and commercial entities have an opportunity to improve global health. The book includes recommendations that these U.S. institutions

increase the utilization of existing interventions to achieve significant health gains;
generate and share knowledge to address prevalent health problems in disadvantaged countries;
invest in people, institutions, and capacity building with global partners;
increase the quantity and quality of U.S. financial commitments to global health;
and engage in respectful partnerships to improve global health.

In doing so, the U.S. can play a major role in saving lives and improving the quality of life for millions around the world.

Avoiding Technology Surprise for Tomorrow's Warfighter: A Symposium Report

Tue, 8 Sep 2009 17:00:01 EST

On April 29, 2009 the National Research Council held a 1-day symposium titled, "Avoiding Technology Surprise for Tomorrow's Warfighter." This volume, a report of the symposium, highlights key challenges confronting the scientific and technical intelligence (S&TI) community and explores potential solutions that might enable the S&TI community to overcome those challenges.

The symposium captured comments and observations from representatives from combatant commands and supporting governmental organizations, together with those of symposium participants, in order to elucidate concepts and trends, knowledge of which could be used to improve the Department of Defense's technology warning capability. Topics addressed included issues stemming from globalization of science and technology, challenges to U.S. warfighters that could result from technology surprise, examples of past technological surprise, and the strengths and weaknesses of current S&TI analysis.

Review of the St. Johns River Water Supply Impact Study: Report 1

Tue, 8 Sep 2009 17:00:01 EST

The St. Johns River is the longest river in Florida, containing extensive freshwater wetlands, numerous large lakes, a wide estuarine channel, and a correspondingly diverse array of native flora and fauna. Water resource management in the river's watershed is the responsibility of the St. Johns River Water Management District (the District). The District must provide water for the region's 4.4 million residents as well as numerous industrial and agricultural users, all while protecting natural systems within the river basin.
With population growth in the watershed expected to surpass 7.2 million in 2030, the District, through its water resources planning process, has begun to identify alternative sources of water beyond its traditional groundwater sources, including the potential withdrawal of 262 million gallons per day from the St. Johns River. To more comprehensively evaluate the environmental impacts of withdrawing this water from the river, the District embarked on a two-year Water Supply Impact Study (WSIS), and requested the involvement of the National Research Council. The present volume reviews the Phase I work of the WSIS and provides recommendations for improving Phase II.

The Disposal of Activated Carbon from Chemical Agent Disposal Facilities

Tue, 8 Sep 2009 17:00:01 EST

For the last two decades, the United States has been destroying its entire stockpile of chemical agents. At the facilities where these agents are being destroyed, effluent gas streams pass through large activated carbon filters before venting to ensure that any residual trace vapors of chemical agents and other pollutants do not escape into the atmosphere in exceedance of regulatory limits. All the carbon will have to be disposed of for final closure of these facilities to take place. In March 2008, the Chemical Materials Agency asked the National Research Council to study, evaluate, and recommend the best methods for proper and safe disposal of the used carbon from the operational disposal facilities.

This volume examines various approaches to handling carbon waste streams from the four operating chemical agent disposal facilities. The approaches that will be used at each facility will ultimately be chosen bearing in mind local regulatory practices, facility design and operations, and the characteristics of agent inventories, along with other factors such as public involvement regarding facility operations.

Engineering in K-12 Education: Understanding the Status and Improving the Prospects

Tue, 8 Sep 2009 17:00:01 EST

Engineering education in K-12 classrooms is a small but growing phenomenon that may have implications for engineering and also for the other "STEM" subjects--science, technology, and mathematics. Specifically, engineering education may improve student learning and achievement in science and mathematics, increase awareness of engineering and the work of engineers, boost youth interest in pursuing engineering as a career, and increase the technological literacy of all students. The teaching of STEM subjects in U.S. schools must be improved in order to retain U.S. competitiveness in the global economy and to develop a workforce with the knowledge and skills to address technical and technological issues.

Engineering in K-12 Education reviews the scope and impact of engineering education today and makes several recommendations to address curriculum, policy, and funding issues. The book also analyzes a number of K-12 engineering curricula in depth and discusses what is known from the cognitive sciences about how children learn engineering-related concepts and skills.

Engineering in K-12 Education will serve as a reference for science, technology, engineering, and math educators, policy makers, employers, and others concerned about the development of the country's technical workforce. The book will also prove useful to educational researchers, cognitive scientists, advocates for greater public understanding of engineering, and those working to boost technological and scientific literacy.

Nurturing and Sustaining Effective Programs in Science Education for Grades K-8: Building a Village in California: Summary of a Convocation

Fri, 4 Sep 2009 17:00:01 EST

Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A: A Letter Report

Thu, 3 Sep 2009 17:00:01 EST

In the event that the H1N1 virus creates a surge of patients during the upcoming flu season, it will be critical to protect health care workers from infection, given their central role in treating sick people and lessening the pandemic's overall impact.

This new report from the Institute of Medicine recommends strategies for health care organizations and employees to prepare for the H1N1 virus. These recommendations include wearing fitted N95 respirators to guard against respiratory infection by the virus, and establishing policies for innovative triage processes, handwashing, disinfection, and more. The report also calls for a boost in research to answer questions about how the flu viruses can be spread, and to design and develop better protective equipment that would enhance workers' comfort, safety, and ability to do their jobs.

Toward a Sustainable and Secure Water Future: A Leadership Role for the U.S. Geological Survey

Thu, 3 Sep 2009 17:00:01 EST

Water is our most fundamental natural resource, a resource that is limited. Challenges to our nation's water resources continue to grow, driven by population growth, ecological needs, climate change, and other pressures. The nation needs more and improved water science and information to meet these challenges.

Toward a Sustainable and Secure Water Future reviews the United States Geological Survey's (USGS) Water Resource Discipline (WRD), one of the nation's foremost water science organizations. This book provides constructive advice to help the WRD meet the nation's water needs over the coming decades. Of interest primarily to the leadership of the USGS WRD, many findings and recommendations also target the USGS leadership and the Department of Interior (DOI), because their support is necessary for the WRD to respond to the water needs of the nation.

Ensuring the Quality, Credibility, and Relevance of U.S. Justice Statistics

Thu, 3 Sep 2009 17:00:01 EST

The Bureau of Justice Statistics (BJS) of the U.S. Department of Justice is one of the smallest of the U.S. principal statistical agencies but shoulders one of the most expansive and detailed legal mandates among those agencies. Ensuring the Quality, Credibility, and Relevance of U.S. Justice Statistics examines the full range of BJS programs and suggests priorities for data collection.

BJS's data collection portfolio is a solid body of work, well justified by public information needs or legal requirements and a commendable effort to meet its broad mandate given less-than-commensurate fiscal resources. The book identifies some major gaps in the substantive coverage of BJS data, but notes that filling those gaps would require increased and sustained support in terms of staff and fiscal resources.

In suggesting strategic goals for BJS, the book argues that the bureau's foremost goal should be to establish and maintain a strong position of independence. To avoid structural or political interference in BJS work, the report suggests changing the administrative placement of BJS within the Justice Department and making the BJS directorship a fixed-term appointment.

In its thirtieth year, BJS can look back on a solid body of accomplishment; this book suggests further directions for improvement to give the nation the justice statistics--and the BJS--that it deserves.

Focusing on Children's Health: Community Approaches to Addressing Health Disparities: Workshop Summary

Wed, 2 Sep 2009 17:00:02 EST

Socioeconomic conditions are known to be major determinants of health at all stages of life, from pregnancy through childhood and adulthood. "Life-course epidemiology" has added a further dimension to the understanding of the social determinants of health by showing an association between early-life socioeconomic conditions and adult health-related behaviors, morbidity, and mortality. Sensitive and critical periods of development, such as the prenatal period and early childhood, present significant opportunities to influence lifelong health. Yet simply intervening in the health system is insufficient to influence health early in the life course. Community-level approaches to affect key determinants of health are also critical.

Many of these issues were raised in the 1995 National Academies book, Children's Health, the Nation's Wealth. The present volume builds upon this earlier book with presentations and examples from the field. Focusing on Children's Health describes the evidence linking early childhood life conditions and adult health; discusses the contribution of the early life course to observed racial and ethnic disparities in health; and highlights successful models that engage both community factors and health care to affect life course development.

Driving and the Built Environment: The Effects of Compact Development on Motorized Travel, Energy Use, and CO2 Emissions -- Special Report 298

Tue, 1 Sep 2009 17:00:01 EST

TRB Special Report 298: Driving and the Built Environment: Effects of Compact Development on Motorized Travel, Energy Use, and CO2 Emissions examines the relationship between land development patterns and vehicle miles traveled (VMT) in the United States to assess whether petroleum use, and by extension greenhouse gas (GHG) emissions, could be reduced by changes in the design of development patterns. The report estimates the contributions that changes in residential and mixed-use development patterns and transit investments could make in reducing VMT by 2030 and 2050, and the impact this could have in meeting future transportation-related GHG reduction goals.

Commission papers used by the committee to help develop Special Report 298 are available online. A four page summary of the report is also available online.

Local Government Actions to Prevent Childhood Obesity

Tue, 1 Sep 2009 17:00:01 EST

In the United States, 16.3 percent of children and adolescents between the ages of two and 19 are obese. The prevalence of obesity is so high that it may reduce the life expectancy of today's generation of children and diminish the overall quality of their lives. Local governments can play a crucial role in creating environments that make it easier for children to eat healthy diets and move more. The 2009 report Local Government Actions to Prevent Childhood Obesity presents a menu of recommended action steps for local government officials to consider in their efforts to prevent childhood obesity in their community.

Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement

Mon, 31 Aug 2009 17:00:02 EST

The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data.
Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; ascertains the challenges involved in obtaining these data in health care settings; and makes recommendations for improvement.

Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities

Thu, 27 Aug 2009 17:00:01 EST

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Mental health and substance use disorders among children, youth, and young adults are major threats to the health and well-being of younger populations which often carryover into adulthood. The costs of treatment for mental health and addictive disorders, which create an enormous burden on the affected individuals, their families, and society, have stimulated increasing interest in prevention practices that can impede the onset or reduce the severity of the disorders.

Prevention practices have emerged in a variety of settings, including programs for selected at-risk populations (such as children and youth in the child welfare system), school-based interventions, interventions in primary care settings, and community services designed to address a broad array of mental health needs and populations.

Preventing Mental, Emotional, and Behavioral Disorders Among Young People updates a 1994 Institute of Medicine book, Reducing Risks for Mental Disorders, focusing special attention on the research base and program experience with younger populations that have emerged since that time.

Researchers, such as those involved in prevention science, mental health, education, substance abuse, juvenile justice, health, child and youth development, as well as policy makers involved in state and local mental health, substance abuse, welfare, education, and justice will depend on this updated information on the status of research and suggested directions for the field of mental health and prevention of disorders.

Frontiers in Soil Science Research: Report of a Workshop

Wed, 26 Aug 2009 17:00:03 EST

There has been renewed interest in soil and soil science in recent years as the recognition that biogeochemical processes that occur at the Earth's surface influence global climate change, land degradation and remediation, the fate and transport of nutrients and contaminants, soil and water conservation, soil and water quality, food sufficiency and safety, and many other issues pertinent to the stewardship and conservation of land and water resources. In some areas of the Earth we have approached irreversible soil conditions that threaten the existence of future generations. Understanding the long-term implications of decreased soil quality and addressing the aforementioned challenges will require new information based on advances and breakthroughs in soil science research that need to be effectively communicated to stakeholders, policy makers, and the general public.

On December 12-14, 2005, the National Academies convened the Frontiers in Soil Science Research Workshop, summarized in this volume, to identify emerging areas for research in soil science by addressing the interaction of soil science subdisciplines, collaborative research with other disciplines, and the use of new technologies in research. The workshop focused around seven key questions addressing research frontiers for the individual soil science disciplines, and also addressing the need for integration across soil science with other disciplines.

Addressing the Threat of Drug-Resistant Tuberculosis: A Realistic Assessment of the Challenge: Workshop Summary

Wed, 26 Aug 2009 17:00:03 EST

Tuberculosis is one of the leading causes of death in the world today, with 4,500 people dying from the disease every day. Many cases of TB can be cured by available antibiotics, but some TB is resistant to multiple drugs--a major and growing threat worldwide. The Institute of Medicine's Forum on Drug Discovery, Development, and Translation hosted a workshop on November 5, 2008, to address the mounting concern of drug-resistant TB. The session brought together a wide range of international experts to discuss what is known and not known about this growing threat, and to explore possible solutions.

Evaluating Occupational Health and Safety Research Programs: Framework and Next Steps

Tue, 25 Aug 2009 17:00:01 EST

Each year, approximately 5,000 fatal work-related injuries and 4 million non-fatal injuries and illnesses occur in the United States. This number represents both unnecessary human suffering and high economic costs. In order to assist in better evaluating workplace safety and create safer work environments, the Institute of Medicine conducted a series of evaluations of the National Institute for Occupational Safety and Health (NIOSH) research programs, assessing the relevance and impact of NIOSH's work on improving worker safety and health.

Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event: Workshop Report

Wed, 19 Aug 2009 17:00:02 EST

A nuclear attack on a large U.S. city by terrorists--even with a low-yield improvised nuclear device (IND) of 10 kilotons or less--would cause a large number of deaths and severe injuries. The large number of injured from the detonation and radioactive fallout that would follow would be overwhelming for local emergency response and health care systems to rescue and treat, even assuming that these systems and their personnel were not themselves incapacitated by the event.

The United States has been struggling for some time to address and plan for the threat of nuclear terrorism and other weapons of mass destruction that terrorists might obtain and use. The Department of Homeland Security recently contracted with the Institute of Medicine to hold a workshop, summarized in this volume, to assess medical preparedness for a nuclear detonation of up to 10 kilotons.

This book provides a candid and sobering look at our current state of preparedness for an IND, and identifies several key areas in which we might begin to focus our national efforts in a way that will improve the overall level of preparedness.

America's Energy Future: Technology and Transformation

Mon, 17 Aug 2009 17:00:02 EST

Energy touches our lives in countless ways and its costs are felt when we fill up at the gas pump, pay our home heating bills, and keep businesses both large and small running. There are long-term costs as well: to the environment, as natural resources are depleted and pollution contributes to global climate change, and to national security and independence, as many of the world's current energy sources are increasingly concentrated in geopolitically unstable regions. The country's challenge is to develop an energy portfolio that addresses these concerns while still providing sufficient, affordable energy reserves for the nation.
The United States has enormous resources to put behind solutions to this energy challenge; the dilemma is to identify which solutions are the right ones. Before deciding which energy technologies to develop, and on what timeline, we need to understand them better.
America's Energy Future analyzes the potential of a wide range of technologies for generation, distribution, and conservation of energy. This book considers technologies to increase energy efficiency, coal-fired power generation, nuclear power, renewable energy, oil and natural gas, and alternative transportation fuels. It assesses the associated impacts and projected costs of implementing each technology and categorizes them into three time frames for implementation.

Near-Earth Object Surveys and Hazard Mitigation Strategies: Interim Report

The United States is currently the only country with an active, government-sponsored effort to detect and track potentially hazardous near-Earth objects (NEOs). Congress has mandated that NASA detect and track 90 percent of NEOs that are 1 kilometer in diameter or larger. These objects represent a great potential hazard to life on Earth and could cause global destruction. NASA is close to accomplishing this goal. Congress has more recently mandated that by 2020 NASA should detect and track 90 percent of NEOs that are 140 meters in diameter or larger, a category of objects that is generally recognized to represent a very significant threat to life on Earth if they strike in or near urban areas. Achieving this goal may require the building of one or more additional observatories, possibly including a space-based observatory.

Congress directed NASA to ask the National Research Council to review NASA's near-Earth object programs. This interim report addresses some of the issues associated with the survey and detection of NEOs. The final report will contain findings and recommendations for survey and detection, characterization, and mitigation of near-Earth objects based on an integrated assessment of the problem.

Evaluation of Future Strategic and Energy Efficient Options for the U.S. Capitol Power Plant

The U.S. Capitol Complex in Washington, D.C., comprises some of the most historic and symbolic buildings in the nation. The steam and chilled water required to heat and cool these buildings and related equipment is generated and distributed by the Capitol Power Plant (CPP) district energy system. Portions of the CPP system are now 50 to 100 years old and require renewal so that reliable utility services can be provided to the U.S. Capitol Complex for the foreseeable future.

Evaluation of Future Strategic and Energy Efficient Options for the U.S. Capitol Power Plant provides comments on an interim set of publicly available consultant-generated options for the delivery of utility services to the U.S. Capitol Complex. The report provides recommendations to bring the interim options to completion, including suggestions for additional analyses, so that the CPP can be best positioned to meet the future strategic and energy efficiency requirements of the U.S. Capitol Complex.

Fostering Visions for the Future: A Review of the NASA Institute for Advanced Concepts

A Review of the HHS Family Planning Program: Mission, Management, and Measurement of Results

A Review of the HHS Family Planning Program provides a broad evaluation of the Title X family planning program since its establishment in 1970. The program successfully provides family planning services to its target audience of low-income individuals, but there is room for improvement. While the program's core goals are apparent, a secondary set of changing priorities has emerged without a clear, evidence-based strategic process. Also, funding for the program has increased in actual dollars, but has not kept pace with inflation or increased costs. Several aspects of the program's structure could be improved to increase the ability of Title X to meet the needs of its target population. At the same time, the extent to which the program meets those needs cannot be assessed without a greater capacity for long-term data collection.

A Review of the HHS Family Planning Program recommends several specific steps to enhance the management and improve the quality of the program, as well as to demonstrate its direct contribution to important end results, such as reducing rates of unintended pregnancy, cervical cancer, and infertility. The book will guide the Office of Family Planning toward improving the effectiveness of the program. Other parties who will find the research and recommendations valuable include programs receiving Title X funding from the Office of Family Planning, policy makers, researchers, and professional organizations.

The U.S. Oral Health Workforce in the Coming Decade: Workshop Summary

Access to oral health services is a problem for all segments of the U.S. population, and especially problematic for vulnerable populations, such as rural and underserved populations. The many challenges to improving access to oral health services include the lack of coordination and integration among the oral health, public health, and medical health care systems; misaligned payment and education systems that focus on the treatment of dental disease rather than prevention; the lack of a robust evidence base for many dental procedures and workforce models; and regulatory barriers that prevent the exploration of alternative models of care.
This volume, the summary of a three-day workshop, evaluates the sufficiency of the U.S. oral health workforce to consider three key questions:

What is the current status of access to oral health services for the U.S. population?
What workforce strategies hold promise to improve access to oral health services?
How can policy makers, state and federal governments, and oral health care providers and practitioners improve the regulations and structure of the oral health care system to improve access to oral health services?

Contaminated Water Supplies at Camp Lejeune: Assessing Potential Health Effects

In the early 1980s, two water-supply systems on the Marine Corps Base Camp Lejeune in North Carolina were found to be contaminated with the industrial solvents trichloroethylene (TCE) and perchloroethylene (PCE). The water systems were supplied by the Tarawa Terrace and Hadnot Point watertreatment plants, which served enlisted-family housing, barracks for unmarried service personnel, base administrative offices, schools, and recreational areas. The Hadnot Point water system also served the base hospital and an industrial area and supplied water to housing on the Holcomb Boulevard water system (full-time until 1972 and periodically thereafter).

This book examines what is known about the contamination of the water supplies at Camp Lejeune and whether the contamination can be linked to any adverse health outcomes in former residents and workers at the base.

Letter Report on the Orbiting Carbon Observatory

A National Research Council committee is conducting a study on how well greenhouse gas emissions can be measured for treaty monitoring and verification. The committee's analysis suggests that NASA's Orbiting Carbon Observatory (OCO), which failed on launch in February 2009, would have provided proof of concept for spaceborne technologies to monitor greenhouse gas emissions, as well as baseline emissions data. This letter focuses on the capabilities of an OCO and currently deployed satellites that measure atmospheric carbon dioxide (CO2) and their potential role in monitoring and verifying a greenhouse gas treaty.

Leadership Commitments to Improve Value in Healthcare: Toward Common Ground: Workshop Summary

This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system's component sectors--patients, healthcare professionals, healthcare delivery organizations, healthcare product developers, clinical investigators and evaluators, regulators, insurers, employers and employees, and individuals involved in information technology--conducts activities that support a common goal: to improve patient health and wellbeing. Implicit in this goal is the commitment of each stakeholder group to contribute to the evidence base for health care, that is, to assist with the development and application of information about the efficacy, safety, effectiveness, value, and appropriateness of the health care delivered.

Reengineering the Survey of Income and Program Participation

Global Security Engagement: A New Model for Cooperative Threat Reduction

The government's first Cooperative Threat Reduction (CTR) programs were created in 1991 to eliminate the former Soviet Union's nuclear, chemical, and other weapons and prevent their proliferation. The programs have accomplished a great deal: deactivating thousands of nuclear warheads, neutralizing chemical weapons, converting weapons facilities for peaceful use, and redirecting the work of former weapons scientists and engineers, among other efforts. Originally designed to deal with immediate post-Cold War challenges, the programs must be expanded to other regions and fundamentally redesigned as an active tool of foreign policy that can address contemporary threats from groups that are that are agile, networked, and adaptable. As requested by Congress, Global Security Engagement proposes how this goal can best be achieved.

To meet the magnitude of new security challenges, particularly at the nexus of weapons of mass destruction and terrorism, Global Security Engagement recommends a new, more flexible, and responsive model that will draw on a broader range of partners than current programs have. The White House, working across the Executive Branch and with Congress, must lead this effort.

America's Energy Future: Technology and Transformation: Summary Edition

Advancing the Competitiveness and Efficiency of the U.S. Construction Industry

Construction productivity--how well, how quickly, and at what cost buildings and infrastructure can be constructed--directly affects prices for homes and consumer goods and the robustness of the national economy. Industry analysts differ on whether construction industry productivity is improving or declining. Still, advances in available and emerging technologies offer significant opportunities to improve construction efficiency substantially in the 21st century and to help meet other national challenges, such as environmental sustainability.

Advancing the Competitiveness and Efficiency of the U.S. Construction Industry identifies five interrelated activities that could significantly improve the quality, timeliness, cost-effectiveness, and sustainability of construction projects.

These activities include widespread deployment and use of interoperable technology applications; improved job-site efficiency through more effective interfacing of people, processes, materials, equipment, and information; greater use of prefabrication, preassembly, modularization, and off-site fabrication techniques and processes; innovative, widespread use of demonstration installations; and effective performance measurement to drive efficiency and support innovation. The book recommends that the National Institute of Standards and Technology work with industry leaders to develop a collaborative strategy to fully implement and deploy the five activities

Review of the DOE National Security Labs' Use of Archival Nuclear Test Data: Letter Report (QMU Phase II)

In 2006, the U.S. Congress and the National Nuclear Security Administration of the Department of Energy requested an evaluation of the quantification of margins and uncertainties framework used by the national security laboratories in support of their nuclear weapons stockpile stewardship activities.

The first part of the request resulted in the book, Evaluation of Quantification of Margins and Uncertainties Methodology for Assessing and Certifying the Reliability of the Nuclear Stockpile. The present letter report fulfills the second part of that request: a high-level overview of the way the archival underground nuclear test data are used by the labs in its application of QMU. Specifically the committee was asked to assess how archived data are used in the evaluation of margins and uncertainties, and whether or not design labs are fully exploiting the data for QMU. This includes use for baselining codes, informing annual assessment, assessing significant finding investigations, and more.

This letter report presents the results of the study committee's analysis based on two meetings-one to Los Alamos National Laboratory and another to Lawrence Livermore National Laboratory. The report begins with a short background section followed by the findings, recommendations, and analysis.

Applications of Social Network Analysis for Building Community Disaster Resilience: Workshop Summary

Social Network Analysis (SNA) is the identification of the relationships and attributes of members, key actors, and groups that social networks comprise. The National Research Council, at the request of the Department of Homeland Security, held a two-day workshop on the use of SNA for the purpose of building community disaster resilience. The workshop, summarized in this volume, was designed to provide guidance to the DHS on a potential research agenda that would increase the effectiveness of SNA for improving community disaster resilience.
The workshop explored the state of the art in SNA and its applications in the identification, construction, and strengthening of networks within U.S. communities. Workshop participants discussed current work in SNA focused on characterizing networks; the theories, principles and research applicable to the design or strengthening of networks; the gaps in knowledge that prevent the application of SNA to the construction of networks; and research areas that could fill those gaps. Elements of a research agenda to support the design, development, and implementation of social networks for the specific purpose of strengthening community resilience against natural and human-made disasters were discussed.

Ethics Education and Scientific and Engineering Research: What's Been Learned? What Should Be Done? Summary of a Workshop

Increasing complexity and competitiveness in research environments, the prevalence of interdisciplinary and international involvement in research projects, and the close coupling of commerce and academia have created an ethically challenging environment for young scientists and engineers. For the past several decades, federal research agencies have supported projects to meet the need for mentoring and ethics training in graduate education in research, often called training in the responsible conduct of research. Recently, these agencies have supported projects to identify ethically problematic behaviors and assess the efficacy of ethics education in addressing them.
With support from the National Science Foundation, the National Academy of Engineering Center for Engineering, Ethics, and Society held the workshop "Ethics Education and Scientific and Engineering Research: What's Been Learned? What Should Be Done?" on August 25 and 26, 2008.
The workshop, summarized in this volume, discussed the social environment of science and engineering education; the need for ethics education for graduate students and postdoctoral fellows in science and engineering; models for effective programs; and assessment of approaches to ethics education, among other topics.

Veterans and Agent Orange: Update 2008

From 1962 to 1971, the U.S. military sprayed herbicides over Vietnam to strip the thick jungle canopy that could conceal opposition forces, to destroy crops that those forces might depend on, and to clear tall grasses and bushes from the perimeters of U.S. base camps and outlying fire-support bases.
In response to concerns and continuing uncertainty about the long-term health effects of the sprayed herbicides on Vietnam veterans, Veterans and Agent Orange provides a comprehensive evaluation of scientific and medical information regarding the health effects of exposure to Agent Orange and other herbicides used in Vietnam. The 2008 volume is the eighth update in this biennial series. It will be of interest to policy makers and physicians in the federal government, veterans and their families, veterans' organizations, researchers, and health professionals.

Accelerating the Development of Biomarkers for Drug Safety: Workshop Summary

Biomarkers can be defined as indicators of any biologic state, and they are central to the future of medicine. As the cost of developing drugs has risen in recent years, reducing the number of new drugs approved for use, biomarker development may be a way to cut costs, enhance safety, and provide a more focused and rational pathway to drug development.

On October 24, 2008, the IOM's Forum on Drug Discovery, Development, and Translation held "Assessing and Accelerating Development of Biomarkers for Drug Safety," a one-day workshop, summarized in this volume, on the value of biomarkers in helping to determine drug safety during development.

Ensuring the Integrity, Accessibility, and Stewardship of Research Data in the Digital Age

As digital technologies are expanding the power and reach of research, they are also raising complex issues. These include complications in ensuring the validity of research data; standards that do not keep pace with the high rate of innovation; restrictions on data sharing that reduce the ability of researchers to verify results and build on previous research; and huge increases in the amount of data being generated, creating severe challenges in preserving that data for long-term use.

Ensuring the Integrity, Accessibility, and Stewardship of Research Data in the Digital Age examines the consequences of the changes affecting research data with respect to three issues - integrity, accessibility, and stewardship-and finds a need for a new approach to the design and the management of research projects. The report recommends that all researchers receive appropriate training in the management of research data, and calls on researchers to make all research data, methods, and other information underlying results publicly accessible in a timely manner. The book also sees the stewardship of research data as a critical long-term task for the research enterprise and its stakeholders. Individual researchers, research institutions, research sponsors, professional societies, and journals involved in scientific, engineering, and medical research will find this book an essential guide to the principles affecting research data in the digital age.

Final Report from the NRC Committee on the Review of the Louisiana Coastal Protection and Restoration (LACPR) Program

Global Environmental Health: Research Gaps and Barriers for Providing Sustainable Water, Sanitation, and Hygiene Services: Workshop Summary

The issues surrounding water services are some of the most critical challenges facing not only the United States, but also the global community today. The Roundtable on Environmental Health Sciences, Research, and Medicine of the Institute of Medicine convened a workshop in October 2007, summarized in this volume, to address objectives related to Sustainable Water, Sanitation, and Hygiene Services.

One of the objectives of the workshop was to think about the interdependence of environmental health and human health as connected through water. Organizations cannot discuss water without considering the interrelationship of sanitation and hygiene. It is the convergence of these strategies that promotes healthy outcomes for both individuals and the environment.

A second objective of the workshop was to consider how planning, management, and interdisciplinary approaches-including technology, social behavioral issues, gender, health, environment, economic, and political aspects-can be integrated to arrive at sustainable solutions. Many organizations and agencies are trying to forge a path toward sustainable practices in water, but the various sectors utilizing and governing water services are not interconnected. More integration and a greater understanding of holistic approaches are needed.