New from the National Academies Press

Frontiers of Engineering: Reports on Leading-Edge Engineering from the 2009 Symposium

Mon, 08 Feb 2010 17:00:01 EST

In 1995, the National Academy of Engineering initiated the Frontiers of Engineering Program, which brings together about 100 young engineering leaders at annual symposia to learn about cutting-edge research and technical work in a variety of engineering fields. The 2009 U.S. Frontiers of Engineering Symposium was held at The National Academies' Arnold O. and Mabel Beckman Center on September 10-12. Speakers were asked to prepare extended summaries of their presentations, which are reprinted in this volume. The intent of this book is to convey the excitement of this unique meeting and to highlight cutting-edge developments in engineering research and technical work.

Policy Issues in the Development of Personalized Medicine in Oncology: Workshop Summary

Mon, 08 Feb 2010 17:00:01 EST

WARNING: bad characters: One of the challenges in treating cancer is the disease™s complexity and variation among patients. Cancer manifests differently in each patient, so treatments that are effective in one patient may not be effective in another. As cancer care becomes more personalized, subpopulations of individuals will be given preventive or therapeutic interventions based on their susceptibility to a particular disease or their predicted response to a specific treatment. However, before the use of personalized cancer care can reach its full potential, the health care system must resolve a number of technological, regulatory, and reimbursement issues.

To explore these policy challenges, the National Cancer Policy Forum held the workshop Policy Issues in the Development of Personalized Medicine in Oncology in June 2009. Experts provided presentations on the current state of personalized medicine technology, as well as issues in the validation of, regulation of, and reimbursement for the predictive tests that underpin personalized medicine. Participants discussed the obstacles and possible solutions to further developing and using personalized medicine technologies. This document summarizes the workshop.

Science and Technology for DOE Site Cleanup: Workshop Summary

Mon, 08 Feb 2010 17:00:01 EST

The Department of Energy's Office of Environmental Management is developing a technology roadmap to guide planning and possible future congressional appropriations for its technology development programs. It asked the National Research Council of the National Academies to provide technical and strategic advice to support the development and implementation of this roadmap, specifically by undertaking a study that identifies principal science and technology gaps and their priorities for the cleanup program based on previous National Academies reports, updated and extended to reflect current site conditions and EM priorities and input form key external groups, such as the Nuclear Regulatory Commission, Defense Nuclear Facilities Safety Board, Environmental Protection Agency, and state regulatory agencies.

In response, this book provides a high-level synthesis of principal science and technology gaps identified in previous NRC reports in part 1. Part 2 summarizes a workshop meant to bring together the key external groups to discuss current site conditions and science and technology needs.

Getting Value Out of Value-Added: Report of a Workshop

Thu, 04 Feb 2010 17:00:02 EST

Value-added methods refer to efforts to estimate the relative contributions of specific teachers, schools, or programs to student test performance. In recent years, these methods have attracted considerable attention because of their potential applicability for educational accountability, teacher pay-for-performance systems, school and teacher improvement, program evaluation, and research. Value-added methods involve complex statistical models applied to test data of varying quality. Accordingly, there are many technical challenges to ascertaining the degree to which the output of these models provides the desired estimates. Despite a substantial amount of research over the last decade and a half, overcoming these challenges has proven to be very difficult, and many questions remain unanswered--at a time when there is strong interest in implementing value-added models in a variety of settings.

The National Research Council and the National Academy of Education held a workshop, summarized in this volume, to help identify areas of emerging consensus and areas of disagreement regarding appropriate uses of value-added methods, in an effort to provide research-based guidance to policy makers who are facing decisions about whether to proceed in this direction.

Exploring the Intersection of Science Education and 21st Century Skills: A Workshop Summary

Mon, 01 Feb 2010 17:00:02 EST

An emerging body of research suggests that a set of broad "21st century skills"--such as adaptability, complex communication skills, and the ability to solve non-routine problems--are valuable across a wide range of jobs in the national economy. However, the role of K-12 education in helping students learn these skills is a subject of current debate. Some business and education groups have advocated infusing 21st century skills into the school curriculum, and several states have launched such efforts. Other observers argue that focusing on skills detracts attention from learning of important content knowledge.

To explore these issues, the National Research Council conducted a workshop, summarized in this volume, on science education as a context for development of 21st century skills. Science is seen as a promising context because it is not only a body of accepted knowledge, but also involves processes that lead to this knowledge. Engaging students in scientific processes--including talk and argument, modeling and representation, and learning from investigations--builds science proficiency. At the same time, this engagement may develop 21st century skills.

Exploring the Intersection of Science Education and 21st Century Skills addresses key questions about the overlap between 21st century skills and scientific content and knowledge; explores promising models or approaches for teaching these abilities; and reviews the evidence about the transferability of these skills to real workplace applications.

Realizing the Energy Potential of Methane Hydrate for the United States

Fri, 29 Jan 2010 17:00:02 EST

Natural gas, composed mostly of methane, is the cleanest of all the fossil fuels, emitting 25-50% less carbon dioxide than either oil or coal for each unit of energy produced. In recent years, natural gas supplied approximately 20-25% of all energy consumed in the United States. Methane hydrate is a potentially enormous and as yet untapped source of methane. The Department of Energy's Methane Hydrate Research and Development Program has been tasked since 2000 to implement and coordinate a national methane hydrate research effort to stimulate the development of knowledge and technology necessary for commercial production of methane from methane hydrate in a safe and environmentally responsible way.

Realizing the Energy Potential of Methane Hydrate for the United States evaluates the program's research projects and management processes since its congressional re-authorization in 2005, and presents recommendations for its future research and development initiatives.

Letter Report Assessing the USGS National Water Quality Assessment Program's Science Framework

Wed, 27 Jan 2010 17:00:02 EST

The U.S. Geological Survey requested that the National Research Council review and provide guidance on the direction and priorities of the National Water Quality Assessment (NAWQA) Program. This initial letter report concerns the scientific priorities of the NAWQA program as expressed in its NAWQA Science Framework, assessing whether the framework sets forth adequately the priorities for the future which will be addressed in the third cycle of the NAWQA program. This letter report includes guidance on the nature and priorities of current and future water quality issues that will confront the Nation over the next 10-15 years.

Medical Surge Capacity: Workshop Summary

Wed, 27 Jan 2010 17:00:02 EST

During natural disasters, disease pandemics, terrorist attacks, and other public health emergencies, the health system must be prepared to accommodate a surge in the number of individuals seeking medical help. For the health community, a primary concern is how to provide care to individuals during such high demand, when the health system's resources are exhausted and there are more patients than the system can accommodate.

The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop June 10-11, 2009, to assess the capability of and tools available to federal, state, and local governments to respond to a medical surge. In addition, participants discussed strategies for the public and private sectors to improve preparedness for such a surge. The workshop brought together leaders in the medical and public health preparedness fields, including policy makers from federal agencies and state and local public health departments; providers from the health care community; and health care and hospital administrators. This document summarizes the workshop.

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

Wed, 27 Jan 2010 17:00:02 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.

Defending Planet Earth: Near-Earth Object Surveys and Hazard Mitigation Strategies: Final Report

Tue, 26 Jan 2010 17:00:02 EST

The United States spends approximately four million dollars each year searching for near-Earth objects (NEOs). The objective is to detect those that may collide with Earth. The majority of this funding supports the operation of several observatories that scan the sky searching for NEOs. This, however, is insufficient in detecting the majority of NEOs that may present a tangible threat to humanity. A significantly smaller amount of funding supports ways to protect the Earth from such a potential collision or "mitigation."

In 2005, a Congressional mandate called for NASA to detect 90 percent of NEOs with diameters of 140 meters of greater by 2020. Defending Planet Earth: Near-Earth Object Surveys and Hazard Mitigation Strategies identifies the need for detection of objects as small as 30 to 50 meters as these can be highly destructive. The book explores four main types of mitigation including civil defense, "slow push" or "pull" methods, kinetic impactors and nuclear explosions. It also asserts that responding effectively to hazards posed by NEOs requires national and international cooperation. Defending Planet Earth: Near-Earth Object Surveys and Hazard Mitigation Strategies is a useful guide for scientists, astronomers, policy makers and engineers.

Review and Assessment of Closure Plans for the Tooele Chemical Agent Disposal Facility and the Chemical Agent Munition Disposal System: Letter Report

Tue, 26 Jan 2010 17:00:02 EST

The Chemical Materials Agency (CMA), requested the National Academies' Board on Army Science and Technology to examine the current state of closure activities for the Tooele Chemical Agent Disposal Facility (TOCDF) and the Chemical Agent Munitions Disposal System (CAMDS). In this brief interim report, the Committee on Review and Assessment of Closure Plans for the Tooele Chemical Agent Disposal Facility and the Chemical Agent Munitions Disposal System addresses some of the issues pertaining to closure at the TOCDF and CAMDS facilities. It also provides insights into what the committee believes are important parameters to ensure the success of the CMA's closure program for these and CMA facilities at other locations. This interim report is to be followed by another report, which will use these parameters to conduct a comprehensive assessment of closure activities and issues.

For this interim report, the committee examined the current status of closure plans for both the TOCDF and CAMDS based on presentations by key members of CMA staff and the systems contractor. It then developed a set of parameters based on this high-level evaluation to help ensure a consistently effective approach to the closures of the four currently operating CMA chemical agent disposal facilities. The committee also assessed regulatory requirements imposed by the state of Utah, where TOCDF and CAMDS are located.

The Rise of Games and High Performance Computing for Modeling and Simulation

Tue, 26 Jan 2010 17:00:02 EST

The technical and cultural boundaries between modeling, simulation, and games are increasingly blurring, providing broader access to capabilities in modeling and simulation and further credibility to game-based applications. The purpose of this study is to provide a technical assessment of Modeling, Simulation, and Games (MS&G) research and development worldwide and to identify future applications of this technology and its potential impacts on government and society. Further, this study identifies feasible applications of gaming and simulation for military systems; associated vulnerabilities of, risks to, and impacts on critical defense capabilities; and other significant indicators and warnings that can help prevent or mitigate surprises related to technology applications by those with hostile intent. Finally, this book recommends priorities for future action by appropriate departments of the intelligence community, the Department of Defense research community, and other government entities.

The Rise of Games and High Performance Computing for Modeling and Simulation will serve as a useful tutorial and reference document for this particular era in the evolution of MS&G. The book also highlights a number of rising capabilities facilitated by MS&G to watch for in the coming years.

Improving State Voter Registration Databases Final Report

Tue, 26 Jan 2010 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.

Selling the Nation's Helium Reserve

Mon, 25 Jan 2010 17:00:01 EST

Helium has long been the subject of public policy deliberation and management, largely because of its many strategic uses and its unusual source-it is a derived product of natural gas and its market has several anomalous characteristics. Shortly after sources of helium were discovered at the beginning of the last century, the U.S. government recognized helium's potential importance to the nation's interests and placed its production and availability under strict governmental control. In the 1960s, helium's strategic value in cold war efforts was reflected in policies that resulted in the accumulation of a large reserve of helium owned by the federal government. The latest manifestation of public policy is expressed in the Helium Privatization Act of 1996 (1996 12 Act), which directs that substantially all of the helium accumulated as a result of those earlier policies be sold off by 2015 at prices sufficient to repay the federal government for its outlays associated with the helium program.

The present volume assesses whether the interests of the United States have been well served by the 1996 Act and, in particular, whether selling off the helium reserve has had any adverse effect on U.S. scientific, technical, biomedical, and national security users of helium.

Technical Capabilities Necessary for Systemic Risk Regulation: Summary of a Workshop

Mon, 25 Jan 2010 17:00:01 EST

The financial reform plans currently under discussion in the United States recognize the need for monitoring and regulating systemic risk in the financial sector. To inform those discussions, the National Research Council held a workshop on November 3, 2009, to identify the major technical challenges to building such a capability. The workshop, summarized in this volume, addressed the following key issues as they relate to systemic risk:

What data and analytical tools are currently available to regulators to address this challenge?
What further data-collection and data-analysis capabilities are needed?
What specific resource needs are required to accomplish the task?
What are the major technical challenges associated with systemic risk regulation?
What are various options for building these capabilities?

Because every systemic event is unique with respect to its specific pathology--the various triggers and the propagation of effects--the workshop focused on the issues listed above for systemic risk in general rather than for any specific scenario. Thus, by design, the workshop explicitly addressed neither the causes of the current crisis nor policy options for reducing risk, and it attempted to steer clear of some policy issues altogether (such as how to allocate new supervisory responsibilities). More than 40 experts representing diverse perspectives participated in the workshop.

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

Mon, 25 Jan 2010 17:00:01 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.

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

Mon, 25 Jan 2010 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.

Crisis Standards of Care: Summary of a Workshop Series

Fri, 22 Jan 2010 17:00:01 EST

During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable healthcare providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them.

Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.

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

Thu, 21 Jan 2010 17:00:02 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.

Report of a Workshop on The Scope and Nature of Computational Thinking

Fri, 15 Jan 2010 17:00:02 EST

As the use of computational devices has become widespread, there is a need to understand the scope and impact of what is sometimes called the Information Revolution or the Age of Digital Information. This is particularly apparent in education at all levels. Various efforts have been made to introduce K-12 students to the most basic and essential computational concepts, and college curricula have tried to provide students a basis for lifelong learning of increasingly new and advanced computational concepts and technologies. At both ends of this spectrum, however, most efforts have not focused on fundamental concepts.

Expanding Biofuel Production: Sustainability and the Transition to Advanced Biofuels: Summary of a Workshop

Fri, 15 Jan 2010 17:00:02 EST

While energy prices, energy security, and climate change are front and center in the national media, these issues are often framed to the exclusion of the broader issue of sustainability--ensuring that the production and use of biofuels do not compromise the needs of future generations by recognizing the need to protect life-support systems, promote economic growth, and improve societal welfare. Thus, it is important to understand the effects of biofuel production and use on water quality and quantity, soils, wildlife habitat and biodiversity, greenhouse gas emissions, air quality, public health, and the economic viability of rural communities.

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

Fri, 15 Jan 2010 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.

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

Fri, 15 Jan 2010 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.

Global Sources of Local Pollution examines the impact of the 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. It also explores the environmental impacts of U.S. emissions on other parts of the world. The book recommends 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.

This book will be useful to international, federal, state, and local policy makers responsible for understanding and managing air pollution and its impacts on human health and well-being.

Persistent Forecasting of Disruptive Technologies

Fri, 15 Jan 2010 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.

Choosing the Nation's Fiscal Future

Wed, 13 Jan 2010 17:00:01 EST

A mismatch between the federal government's revenues and spending, now and in the foreseeable future, requires heavy borrowing, leading to a large and increasing federal debt. That increasing debt raises a serious challenge to all of the goals that various people expect their government to pursue. It also raises questions about the nation's future wealth and whether too much debt could lead to higher interest rates and even to loss of confidence in the nation's long-term ability and commitment to honor its obligations. Many analysts have concluded that the trajectory of the federal budget set by current policies cannot be sustained.

In light of these projections, Choosing the Nation's Fiscal Future assesses the options and possibilities for a sustainable federal budget. This comprehensive book considers a range of policy changes that could help put the budget on a sustainable path: reforms to reduce the rate of growth in spending for Medicare and Medicaid; options to reduce the growth rate of Social Security benefits or raise payroll taxes; and changes in many other government spending programs and tax policies. The book also examines how the federal budget process could be revised to be more far sighted and to hold leaders accountable for responsible stewardship of the nation's fiscal future.

Choosing the Nation's Fiscal Future will provide readers with a practical framework to assess budget proposals for their consistency with long-term fiscal stability. It will help them assess what policy changes they want, consistent with their own values and their views of the proper role of the government and within the constraints of a responsible national budget. It will show how the perhaps difficult but possible policy changes could be combined to produce a wide range of budget scenarios to bring revenues and spending into alignment for the long term. This book will be uniquely valuable to everyone concerned about the current and projected fiscal health of the nation.

Responsible Research with Biological Select Agents and Toxins

Wed, 13 Jan 2010 17:00:01 EST

The effort to understand and combat infectious diseases has, during the centuries, produced many key advances in science and medicine--including the development of vaccines, drugs, and other treatments. A subset of this research is conducted with agents that, like anthrax, not only pose a severe threat to the health of humans, plants, and animals but can also be used for ill-intended purposes. Such agents have been listed by the government as biological select agents and toxins. The 2001 anthrax letter attacks prompted the creation of new regulations aimed at increasing security for research with dangerous pathogens. The outcome of the anthrax letter investigation has raised concern about whether these measures are adequate.

Responsible Research with Biological Select Agents and Toxins evaluates both the physical security of select agent laboratories and personnel reliability measures designed to ensure the trustworthiness of those with access to biological select agents and toxins. The book offers a set of guiding principles and recommended changes to minimize security risk and facilitate the productivity of research. The book recommends fostering a culture of trust and responsibility in the laboratory, engaging the community in oversight of the Select Agent Program, and enhancing the operation of the Select Agent Program.

Phase I Report on Review of the Testing of Body Armor Materials for Use by the U.S. Army: Letter Report

Mon, 11 Jan 2010 17:00:02 EST

The National Research Council of the National Academies established a study to assess the methodologies used by the U.S. Army for the testing of body armor. This Phase I report is focused primarily on the validity of laser-profiling techniques for body armor test measurements. More comprehensive and detailed evaluations of an array of issues surrounding body armor testing will be presented in the forthcoming Phase II and Phase III reports.

Hepatitis and Liver Cancer: A National Strategy for Prevention and Control of Hepatitis B and C

Mon, 11 Jan 2010 17:00:02 EST

The global epidemic of hepatitis B and C is a serious public health problem. Hepatitis B and C are the major causes of chronic liver disease and liver cancer in the world. In the next 10 years, 150,000 people in the United States will die from liver disease or liver cancer associated with chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infections. Today, between 800,000 and 1.4 million people in the United States have chronic hepatitis B and between 2.7 and 3.9 million have chronic hepatitis C. People most at risk for hepatitis B and C often are the least likely to have access to medical services. Reducing the rates of illness and death associated with these diseases will require greater awareness and knowledge among health care workers, improved identification of at-risk people, and improved access to medical care.

Hepatitis B is a vaccine-preventable disease. Although federal public health officials recommend that all newborns, children, and at-risk adults receive the vaccine, about 46,000 new acute cases of the HBV infection emerge each year, including 1,000 in infants who acquire the infection during birth from their HBV-positive mothers. Unfortunately, there is no vaccine for hepatitis C, which is transmitted by direct exposure to infectious blood.

Hepatitis and Liver Cancer identifies missed opportunities related to the prevention and control of HBV and HCV infections. The book presents ways to reduce the numbers of new HBV and HCV infections and the morbidity and mortality related to chronic viral hepatitis. It identifies priorities for research, policy, and action geared toward federal, state, and local public health officials, stakeholder, and advocacy groups and professional organizations.

Information Assurance for Network-Centric Naval Forces

Fri, 08 Jan 2010 17:00:02 EST

Owing to the expansion of network-centric operating concepts across the Department of Defense (DOD) and the growing threat to information and cybersecurity from lone actors, groups of like-minded actors, nation-states, and malicious insiders, information assurance is an area of significant and growing importance and concern. Because of the forward positioning of both the Navy's afloat and the Marine Corps expeditionary forces, IA issues for naval forces are exacerbated, and are tightly linked to operational success. Broad-based IA success is viewed by the NRC's Committee on Information Assurance for Network-Centric Naval Forces as providing a central underpinning to the DOD's network-centric operational concept and the Department of the Navy's (DON's) FORCEnet operational vision. Accordingly, this report provides a view and analysis of information assurance in the context of naval 'mission assurance'.

The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary

Mon, 04 Jan 2010 17:00:01 EST

In March and early April 2009, a new, swine-origin 2009-H1N1 influenza A virus emerged in Mexico and the United States. During the first few weeks of surveillance, the virus spread by human-to-human transmission worldwide to over 30 countries. On June 11, 2009, the World Health Organization (WHO) raised the worldwide pandemic alert level to Phase 6 in response to the ongoing global spread of the novel influenza A (H1N1) virus. By October 30, 2009, the H1N1 influenza A had spread to 191 countries and resulted in 5,700 fatalities. A national emergency was declared in the United States and the swine flu joined SARS and the avian flu as pandemics of the 21st century. Vaccination is currently available, but in limited supply, and with a 60 percent effectiveness rate against the virus.

The story of how this new influenza virus spread out of Mexico to other parts of North America and then on to Europe, the Far East, and now Australia and the Pacific Rim countries has its origins in the global interconnectedness of travel, trade, and tourism. Given the rapid spread of the virus, the international scientific, public health, security, and policy communities had to mobilize quickly to characterize this unique virus and address its potential effects. The World Health Organization and Centers for Disease Control have played critical roles in the surveillance, detection and responses to the H1N1 virus.

The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions aimed to examine the evolutionary origins of the H1N1 virus and evaluate its potential public health and socioeconomic consequences, while monitoring and mitigating the impact of a fast-moving pandemic. The rapporteurs for this workshop reported on the need for increased and geographically robust global influenza vaccine production capacities; enhanced and sustained interpandemic demand for seasonal influenza vaccines; clear "triggers" for pandemic alert levels; and accelerated research collaboration on new vaccine manufacturing techniques. This book will be an essential guide for healthcare professionals, policymakers, drug manufacturers and investigators.

Engineering Curricula: Understanding the Design Space and Exploiting the Opportunities: Summary of a Workshop

Thu, 31 Dec 2009 17:00:01 EST

In April 2009 a workshop was held to explore how engineering curricula could be enhanced to better prepare future engineers. The workshop, summarized in this volume, included individuals from industry, academia, government agencies, and professional societies.

During the workshop participants addressed the rationale for the scope and sequence of current engineering curricula, considering both the positive aspects as well as those aspects that have outlived their usefulness. Other topics of discussion included the potential to enhance engineering curricula through creative uses of instructional technologies; the importance of inquiry-based activities as well as authentic learning experiences grounded in real world contexts; and the opportunities provided by looking more deeply at what personal and professional outcomes result from studying engineering.

General themes that appeared to underlie the workshop attendees' discussions included desires to (a) restructure engineering curricula to focus on inductive teaching and learning, (b) apply integrated, just-in-time learning of relevant topics across STEM fields, and (c) make more extensive use and implementation of learning technologies. During breakout discussions, many additional suggestions were offered for means by which to facilitate curricular innovation.

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

Wed, 30 Dec 2009 17:00:02 EST

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.

Intangible Assets: Measuring and Enhancing Their Contribution to Corporate Value and Economic Growth: Summary of a Workshop

Mon, 28 Dec 2009 17:00:01 EST

Intangible assets--which include computer software, research and development (R&D), intellectual property, workforce training, and spending to raise the efficiency and brand identification of firms--comprise a subset of services, which, in turn, accounts for three-quarters of all economic activity. Increasingly, intangibles are a principal driver of the competitiveness of U.S.-based firms, economic growth, and opportunities for U.S. workers. Yet, despite these developments, many intangible assets are not reported by companies, and, in the national economic accounts, they are treated as expenses rather than investments.

On June 23, 2008, a workshop was held to examine measurement of intangibles and their role in the U.S. and global economies. The workshop, summarized in the present volume, included discussions of a range of policy-relevant topics, including: what intangibles are and how they work; the variety and scale of emerging markets in intangibles; and what the government's role should be in supporting markets and promoting investment in intangibles.

Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases

Mon, 28 Dec 2009 17:00:01 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.

Liquid Transportation Fuels from Coal and Biomass: Technological Status, Costs, and Environmental Impacts

Mon, 28 Dec 2009 17:00:01 EST

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The transportation sector cannot continue on its current path: The volatility of oil prices threatens the U.S. economy, the large proportion of oil importation threatens U.S. energy security, and the massive contribution of greenhouse gases threatens the environment. The development of domestic sources of alternative transportation fuels with lower greenhouse emissions is now a national imperative.

Coal and biomass are in abundant supply in the United States and can be converted to liquid fuels that can be combusted in existing and future vehicles. Their abundant supply makes them attractive candidates to provide non-oil-based liquid fuels to the U.S. transportation system. However, there are important questions about the economic viability, carbon impact, and technology status of these options.

Liquid Transportation Fuels from Coal and Biomass provides a snapshot of the potential costs of liquid fuels from biomass by biochemical conversion and from biomass and coal by thermochemical conversion. Policy makers, investors, leaders in industry, the transportation sector, and others with a concern for the environment, economy, and energy security will look to this book as a roadmap to independence from foreign oil. With immediate action and sustained effort, alternative liquid fuels can be available in the 2020 time frame, if or when the nation needs them.

An Assessment of NASA's National Aviation Operations Monitoring Service

Thu, 24 Dec 2009 17:00:01 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.

Achieving Effective Acquisition of Information Technology in the Department of Defense

Tue, 22 Dec 2009 17:00:02 EST

In the military, information technology (IT) has enabled profound advances in weapons systems and the management and operation of the defense enterprise. A significant portion of the Department of Defense (DOD) budget is spent on capabilities acquired as commercial IT commodities, developmental IT systems that support a broad range of warfighting and functional applications, and IT components embedded in weapons systems. The ability of the DOD and its industrial partners to harness and apply IT for warfighting, command and control and communications, logistics, and transportation has contributed enormously to fielding the world's best defense force.

However, despite the DOD's decades of success in leveraging IT across the defense enterprise, the acquisition of IT systems continues to be burdened with serious problems. To address these issues, the National Research Council assembled a group of IT systems acquisition and T&E experts, commercial software developers, software engineers, computer scientists and other academic researchers. The group evaluated applicable legislative requirements, examined the processes and capabilities of the commercial IT sector, analyzed DOD's concepts for systems engineering and testing in virtual environments, and examined the DOD acquisition environment. The present volume summarizes this analysis and also includes recommendations on how to improve the acquisition, systems engineering, and T&E processes to achieve the DOD's network-centric goals.

The Healthcare Imperative: Lowering Costs and Improving Outcomes: Brief Summary of a Workshop

Tue, 22 Dec 2009 17:00:02 EST

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending.

According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008.

The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment.

The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

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

Tue, 22 Dec 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.

Investor Exits, Innovation, and Entrepreneurial Firm Growth: Questions for Research

Mon, 21 Dec 2009 17:00:02 EST

The bursting of the dot-com bubble in 2001 coincided with an abrupt and lasting change in the development of entrepreneurial venture-backed firms in the United States. Previously, entrepreneurs and investors commonly took viable young firms public through initial public offerings. Since 2001, however, venture investors have more frequently exited by selling their companies to established corporations, usually for lower returns. There are concerns among some entrepreneurs, investors, and academics that this change has reduced the potential of young, entrepreneurial firms to contribute to innovation, job creation, international competitiveness, and economic growth. There are also claims that public policies, including securities regulation, have contributed to this result and should be modified or compensated for.

In 2007 investors, entrepreneurs, and academic experts in economics, corporate finance, and law came together to consider the merits and feasibility of additional research addressing the change in investor exit strategies, its causes and consequences. During the 2007 workshop, summarized in this volume, participants identified several factors complicating systematic inquiry and suggested a number of research avenues that could be productive.

Review of the St. Johns River Water Supply Impact Study: Report 2

Thu, 17 Dec 2009 17:00:02 EST

This report is the second in a series providing ongoing advice to the St. Johns River Water Management District (the District) as it considers withdrawing additional water from the St. Johns River in east-central Florida for future public supply. The first report included a series of recommendations, some broad and others specific to the seven scientific workgroups that are conducting the Water Supply Impact Study (WSIS).

A major focus of the present report is the District's responses to those recommendations. This report expresses thoughts and opinions on the District's efforts in that regard and is targeted at the District scientists that have conducted the WSIS. Much of this report focuses on particular areas where the committee concludes that additional or continued attention and work are warranted.

Enhancing the Effectiveness of Sustainability Partnerships: Summary of a Workshop

Thu, 17 Dec 2009 17:00:02 EST

Sustainable development--meeting human needs while nurturing and restoring the planet's life support systems--requires a continuous process of scientific innovation, new knowledge and learning, and collaborative approaches to implementing technologies and policies. To address these challenges, different stakeholder groups are increasingly seeking to ally themselves through partnership, in order to implement projects, deliver services, establish secure funding mechanisms, and achieve on the ground results. Advocates of this collaborative approach point to the failure of governmental regulations, international commitments, or business as usual. However, skeptics often question the effectiveness of partnerships at achieving sustainable development goals and, in the absence of demonstrated results, wonder where partnerships are adding value.
A symposium held in June 2008 and summarized in this volume, attempted to advance the dialogue on partnerships for sustainability in order to catalyze existing knowledge and inform future efforts. Ideas that came out of discussions at the symposium will help leaders in government, the private sector, foundations and NGOs, and universities, both in the United States and internationally, as they develop and participate in new partnerships for sustainability.

Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation

Wed, 16 Dec 2009 17:00:01 EST

The United States has the highest per capita spending on health care of any industrialized nation. Yet despite the unprecedented levels of spending, harmful medical errors abound, uncoordinated care continues to frustrate patients and providers, and U.S. healthcare costs continue to increase. The growing ranks of the uninsured, an aging population with a higher prevalence of chronic diseases, and many patients with multiple conditions together constitute more complicating factors in the trend to higher costs of care.

A variety of strategies are beginning to be employed throughout the health system to address the central issue of value, with the goal of improving the net ratio of benefits obtained per dollar spent on health care. However, despite the obvious need, no single agreed-upon measure of value or comprehensive, coordinated systemwide approach to assess and improve the value of health care exists. Without this definition and approach, the path to achieving greater value will be characterized by encumbrance rather than progress.

To address the issues central to defining, measuring, and improving value in health care, the Institute of Medicine convened a workshop to assemble prominent authorities on healthcare value and leaders of the patient, payer, provider, employer, manufacturer, government, health policy, economics, technology assessment, informatics, health services research, and health professions communities. The workshop, summarized in this volume, facilitated a discussion of stakeholder perspectives on measuring and improving value in health care, identifying the key barriers and outlining the opportunities for next steps.

Transitions to Alternative Transportation Technologies--Plug-in Hybrid Electric Vehicles

Tue, 15 Dec 2009 17:00:02 EST

The nation has compelling reasons to reduce its consumption of oil and emissions of carbon dioxide. Plug-in hybrid electric vehicles (PHEVs) promise to contribute to both goals by allowing some miles to be driven on electricity drawn from the grid, with an internal combustion engine that kicks in when the batteries are discharged. However, while battery technology has made great strides in recent years, batteries are still very expensive.

Transitions to Alternative Transportation Technologies--Plug-in Hybrid Electric Vehicles builds on a 2008 National Research Council report on hydrogen fuel cell vehicles. The present volume reviews the current and projected technology status of PHEVs; considers the factors that will affect how rapidly PHEVs could enter the marketplace, including the interface with the electric transmission and distribution system; determines a maximum practical penetration rate for PHEVs consistent with the time frame and factors considered in the 2008 Hydrogen report; and incorporates PHEVs into the models used in the hydrogen study to estimate the costs and impacts on petroleum consumption and carbon dioxide emissions.

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

Tue, 15 Dec 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.

The summary edition of America's Energy Future summarizes the full analyses of the potential of a wide range of technologies for generation, distribution, and conservation of energy found in the complete edition of America's Energy Future. This summary edition also succinctly 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.

Weight Gain During Pregnancy: Reexamining the Guidelines

Tue, 15 Dec 2009 17:00:02 EST

As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women.

Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.

America's Energy Future: Technology and Transformation

Tue, 15 Dec 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 offers a detailed assessment of the associated impacts and projected costs of implementing each technology and categorizes them into three time frames for implementation.

Priorities for the National Vaccine Plan

Mon, 14 Dec 2009 17:00:01 EST

Vaccination is a fundamental component of preventive medicine and public health. The use of vaccines to prevent infectious diseases has resulted in dramatic decreases in disease, disability and death in the United States and around the world. The current political, economic, and social environment presents both opportunities for and challenges to strengthening the U.S. system for developing, manufacturing, regulating, distributing, funding, and administering safe and effective vaccines for all people. Priorities for a National Vaccine Plan examines the extraordinarily complex vaccine enterprise, from research and development of new vaccines to financing and reimbursement of immunization services.

The book is centered on the plan's five goals in the areas of vaccine development, safety, communication, supply and use, and global health and makes recommendations about priority actions in the update to the National Vaccine Plan that are intended to achieve the objectives of disease prevention and the enhancement of vaccine safety.

BioWatch and Public Health Surveillance: Evaluating Systems for the Early Detection of Biological Threats: Abbreviated Version: Summary

Mon, 14 Dec 2009 17:00:01 EST

Following the attacks of September 11, 2001 and the anthrax letters, the ability to detect biological threats as quickly as possible became a top priority. In 2003 the Department of Homeland Security (DHS) introduced the BioWatch program--a federal monitoring system intended to speed detection of specific biological agents that could be released in aerosolized form during a biological attack.

The present volume evaluates the costs and merits of both the current BioWatch program and the plans for a new generation of BioWatch devices. BioWatch and Public Health Surveillance also examines infectious disease surveillance through hospitals and public health agencies in the United States, and considers whether BioWatch and traditional infectious disease surveillance are redundant or complementary.

Recognition and Alleviation of Pain in Laboratory Animals

Mon, 14 Dec 2009 17:00:01 EST

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The use of animals in research adheres to scientific and ethical principles that promote humane care and practice. 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.

Recognition and Alleviation of Pain in Laboratory Animals, the second of two reports revising the 1992 publication Recognition and Alleviation of Pain and Distress in Laboratory Animals from the Institute for Laboratory Animal Research (ILAR), focuses on pain experienced by animals used in research. This book aims to educate laboratory animal veterinarians; students, researchers and investigators; Institutional Animal Care and Use Committee members; and animal care staff and animal welfare officers on the current scientific and ethical issues associated with pain in laboratory animals. It evaluates pertinent scientific literature to generate practical and pragmatic guidelines for recognizing and alleviating pain in laboratory animals, focusing specifically on the following areas: physiology of pain in commonly used laboratory species; pharmacologic and non-pharmacologic principles to control pain; identification of humane endpoints; and principles for minimizing pain associated with experimental procedures. Finally, the report identifies areas in which further scientific investigation is needed to improve laboratory animal welfare.

Local Government Actions to Prevent Childhood Obesity

Fri, 11 Dec 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.

Measures of Health Literacy: Workshop Summary

Wed, 09 Dec 2009 17:00:02 EST

Health literacy--the ability for individuals to obtain, process, and understand basic health information and services to facilitate appropriate health decisions--is increasingly recognized as an important facet of health care and health outcomes. Although research on health literacy has grown tremendously in the past decade, there is no widely agreed-upon framework for health literacy as a determinant of health outcomes. Most instruments focus on assessing an individual's health literacy, yet the scope of health literacy reaches far beyond an individual's skills and abilities. Health literacy occurs in the context of the health care system, and therefore measures of health literacy must also assess the demands and complexities of the health care systems with which patients interact. For example, measures are needed to determine how well the system has been organized so that it can be navigated by individuals with different levels of health literacy and how well health organizations are doing at making health information understandable and actionable.

To examine what is known about measures of health literacy, the Institute of Medicine convened a workshop. The workshop, summarized in this volume, reviews the current status of measures of health literacy, including those used in the health care setting; discusses possible surrogate measures that might be used to assess health literacy; and explores ways in which health literacy measures can be used to assess patient-centered approaches to care.

Real Prospects for Energy Efficiency in the United States

Wed, 09 Dec 2009 17:00:02 EST

America's economy and lifestyles have been shaped by the low prices and availability of energy. In the last decade, however, the prices of oil, natural gas, and coal have increased dramatically, leaving consumers and the industrial and service sectors looking for ways to reduce energy use. To achieve greater energy efficiency, we need technology, more informed consumers and producers, and investments in more energy-efficient industrial processes, businesses, residences, and transportation.

As part of the America's Energy Future project, Realistic Prospects for Energy Efficiency in the United States examines the potential for reducing energy demand through improving efficiency by using existing technologies, technologies developed but not yet utilized widely, and prospective technologies. The book evaluates technologies based on their estimated times to initial commercial deployment, and provides an analysis of costs, barriers, and research needs. This quantitative characterization of technologies will guide policy makers toward planning the future of energy use in America. This book will also have much to offer to industry leaders, investors, environmentalists, and others looking for a practical diagnosis of energy efficiency possibilities.

An Enabling Foundation for NASA's Space and Earth Science Missions

Mon, 07 Dec 2009 17:00:02 EST

NASA's space and Earth science program is composed of two principal components: spaceflight projects and mission-enabling activities. Most of the budget of NASA's Science Mission Directorate (SMD) is applied to spaceflight missions, but NASA identifies nearly one quarter of the SMD budget as "mission enabling." The principal mission-enabling activities, which traditionally encompass much of NASA's research and analysis (R&A) programs, include support for basic research, theory, modeling, and data analysis; suborbital payloads and flights and complementary ground-based programs; advanced technology development; and advanced mission and instrumentation concept studies.

While the R&A program is essential to the development and support of NASA's diverse set of space and Earth science missions, defining and articulating an appropriate scale for mission-enabling activities have posed a challenge throughout NASA's history. This volume identifies the appropriate roles for mission-enabling activities and metrics for assessing their effectiveness. Furthermore, the book evaluates how, from a strategic perspective, decisions should be made about balance between mission-related and mission-enabling elements of the overall program as well as balance between various elements within the mission-enabling component. Collectively, these efforts will help SMD to make a good program even better.

A Database for a Changing Economy: Review of the Occupational Information Network (O*NET)

Mon, 07 Dec 2009 17:00:02 EST

Information about the characteristics of jobs and the individuals who fill them is valuable for career guidance, reemployment counseling, workforce development, human resource management, and other purposes. To meet these needs, the U.S. Department of Labor (DOL) in 1998 launched the Occupational Information Network (O*NET), which consists of a content model--a framework for organizing occupational data--and an electronic database. The O*NET content model includes hundreds of descriptors of work and workers organized into domains, such as skills, knowledge, and work activities. Data are collected using a classification system that organizes job titles into 1,102 occupations.

The National Center for O*NET Development (the O*NET Center) continually collects data related to these occupations. In 2008, DOL requested the National Academies to review O*NET and consider its future directions. In response, the present volume inventories and evaluates the uses of O*NET; explores the linkage of O*NET with the Standard Occupational Classification System and other data sets; and identifies ways to improve O*NET, particularly in the areas of cost-effectiveness, efficiency, and currency.

Redesigning Continuing Education in the Health Professions

Mon, 07 Dec 2009 17:00:02 EST

Today in the United States, the professional health workforce is not consistently prepared to provide high quality health care and assure patient safety, even as the nation spends more per capita on health care than any other country. The absence of a comprehensive and well-integrated system of continuing education (CE) in the health professions is an important contributing factor to knowledge and performance deficiencies at the individual and system levels.

To be most effective, health professionals at every stage of their careers must continue learning about advances in research and treatment in their fields (and related fields) in order to obtain and maintain up-to-date knowledge and skills in caring for their patients. Many health professionals regularly undertake a variety of efforts to stay up to date, but on a larger scale, the nation's approach to CE for health professionals fails to support the professions in their efforts to achieve and maintain proficiency.

Redesigning Continuing Education in the Health Professions illustrates a vision for a better system through a comprehensive approach of continuing professional development, and posits a framework upon which to develop a new, more effective system. The book also offers principles to guide the creation of a national continuing education institute.

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

Mon, 07 Dec 2009 17:00:02 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.

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

Thu, 03 Dec 2009 17:00:01 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.

Benefit-Cost Analysis for Early Childhood Interventions: Workshop Summary

Wed, 02 Dec 2009 17:00:01 EST

The deficiencies that many children experience from birth to school age--in health care, nutrition, emotional support, and intellectual stimulation, for example--play a major role in academic achievement gaps that persist for years, as well as in behavior and other problems. There are many intervention programs designed to strengthen families, provide disadvantaged children with the critical elements of healthy development, and prevent adverse experiences that can have lasting negative effects.

In a climate of economic uncertainty and tight budgets, hard evidence not only that such interventions provide lasting benefits for children, their families, and society, but also that the benefits translate into savings that outweigh the costs is an extremely important asset in policy discussions. Convincing analysis of benefits and costs would provide a guide to the best ways to spend scarce resources for early childhood programs.

Benefit-Cost Analysis for Early Childhood Interventions summarizes a workshop that was held to explore ways to strengthen benefit-cost analysis so it can be used to support effective policy decisions. This book describes the information and analysis that were presented at the workshop and the discussions that ensued.

Childhood Obesity Prevention in Texas: Workshop Summary

Tue, 01 Dec 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 Summaries

Tue, 01 Dec 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.

Mitigating the Nutritional Impacts of the Global Food Price Crisis: Workshop Summary

Tue, 01 Dec 2009 17:00:02 EST

In 2007 and 2008, the world witnessed a dramatic increase in food prices. The global financial crisis that began in 2008 compounded the burden of high food prices, exacerbating the problems of hunger and malnutrition in developing countries. The tandem food price and economic crises struck amidst the massive, chronic problem of hunger and undernutrition in developing countries. National governments and international actors have taken a variety of steps to mitigate the negative effects of increased food prices on particular groups. The recent abrupt increase in food prices, in tandem with the current global economic crisis, threatens progress already made in these areas, and could inhibit future efforts.

The Institute of Medicine held a workshop, summarized in this volume, to describe the dynamic technological, agricultural, and economic issues contributing to the food price increases of 2007 and 2008 and their impacts on health and nutrition in resource-poor regions. The compounding effects of the current global economic downturn on nutrition motivated additional discussions on these dual crises, their impacts on the nutritional status of vulnerable populations, and opportunities to mitigate their negative nutritional effects.

In the Light of Evolution III: Two Centuries of Darwin

Tue, 01 Dec 2009 17:00:02 EST

Two Centuries of Darwin is the outgrowth of an Arthur M. Sackler Colloquium, sponsored by the National Academy of Sciences on January 16-17, 2009. In the chapters of this book, leading evolutionary biologists and science historians reflect upon and commemorate the Darwinian Revolution. They canvass modern research approaches and current scientific thought on each of the three main categories of selection (natural, artificial, and sexual) that Darwin addressed during his career. Although Darwin's legacy is associated primarily with the illumination of natural selection in The Origin, he also contemplated and wrote extensively about what we now term artificial selection and sexual selection. In a concluding section of this book, several science historians comment on Darwin's seminal contributions.

Two Centuries of Darwin is the third book of the In the Light of Evolution series. Each installment in the series explores evolutionary perspectives on a particular biological topic that is scientifically intriguing but also has special relevance to contemporary societal issues or challenges. The ILE series aims to interpret phenomena in various areas of biology through the lens of evolution and address some of the most intellectually engaging, as well as pragmatically important societal issues of our times.

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

Mon, 30 Nov 2009 17:00:01 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; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.

Scientific and Humane Issues in the Use of Random Source Dogs and Cats in Research

Mon, 30 Nov 2009 17:00:01 EST

Scientific and Humane Issues in the Use of Random-Source Dogs and Cats in Research examines the value of random-source animals in biomedical research and the role of Class B dealers who acquire and resell live dogs and cats to research institutions. Findings include that, while some random-source dogs and cats may be necessary and desirable for National Institutes of Health (NIH)-funded research, there is no clear need to obtain those animals from Class B dealers. Several options for random-source animal acquisition already exist and additional options are recommended, which would further ensure the welfare of these animals and foster a positive public image for NIH.

While the scientific community has recognized and responded to concerns for humane treatment of animals in research, government oversight has thus far been unable to fully enforce the Animal Welfare Act in regard to Class B dealers of live animals. Although the animals acquired by Class B dealers are destined for research--and NIH research in particular--the standard of care while in the possession of some Class B dealers requires an inordinate amount of government enforcement and is not commensurate with the policies of most NIH-funded research laboratories. This dichotomy of standards reflects poorly on public perceptions of NIH and jeopardizes animal welfare.

This book will be crucial for NIH and other groups using random-source animals in research, including veterinary schools and research facilities. Animal welfare advocates, policy makers, and concerned pet owners will also find this a vital and informative work for reconciling the needs of research with the welfare of animals.

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

Tue, 24 Nov 2009 17:00:01 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.

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

Tue, 24 Nov 2009 17:00:01 EST

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?

Biographical Memoirs: V. 91

Mon, 23 Nov 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.

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

Mon, 23 Nov 2009 17:00:01 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.

Disposal of Legacy Nerve Agent GA and Lewisite Stocks at Deseret Chemical Depot Letter Report

Mon, 23 Nov 2009 17:00:01 EST

The National Research Council of the National Academies established a study committee to assess the disposal of stocks of legacy nerve agent GA and lewisite at Deseret Chemical Depot. Specifically, the Committee on Disposal of Legacy Nerve Agent GA and Lewisite Stocks at Deseret Chemical Depot reviewed information provided to it on the 50 percent design of the Area Ten Liquid Incinerator (ATLIC) facility.

The committee focused on differences between the process design being used for the ATLIC facility and those used at the Tooele Chemical Agent Disposal Facility (TOCDF), which has operated successfully for over a decade in campaigns to destroy nerve agents GB and VX and mustard agent. This letter report provides the technical information necessary to support the general and specific findings and recommendations of the committee.

This analysis examines the process design and procedural steps to be used for treating GA and lewisite at the Deseret Chemical Depot; provides an assessment of the process design which includes a new incinerator and associated pollution abatement system to be tailored to the requirements for treating the GA and lewisite; and provides an assessment of the process design to determine the system's ability to reduce arsenic and mercury emissions to within the Maximum Achievable Control Technology (MACT) new source regulatory limits.

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

Fri, 20 Nov 2009 17:00:02 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.

Landscapes on the Edge: New Horizons for Research on Earth's Surface

Fri, 20 Nov 2009 17:00:02 EST

Over geologic spans of time, Earth's shifting tectonic plates, atmosphere, freezing water, thawing ice, flowing rivers, and evolving life have shaped Earth's surface features. The resulting hills, mountains, valleys, and plains shelter ecosystems and interact with all life, and provide a record of Earth surface processes that extends back through Earth's history. Despite rapidly growing scientific knowledge of Earth surface interactions and feedbacks, and the increasing availability of new monitoring technologies, understanding of how interconnected processes generate and degrade landscapes is incomplete. Scientists are challenged to take full advantage of the extensive archive that Earth's surface provides.

Landscapes on the Edge identifies nine grand challenges in this emerging field of study and proposes four high-priority research initiatives. The book poses questions about how our planet's past can tell us about its future; how landscapes record climate and tectonics; and how Earth surface science can contribute to developing a sustainable living surface for future generations.

Landscapes on the Edge will be of vital importance to the National Science Foundation, which will use the book to plan major research strategies. However, because the book is enjoyable and effortless to read, it will also appeal to a variety of communities in the federal government, private industry, academia, and Congress. Many researchers will use Landscapes on the Edge as a template for pursuing various lines of study within the field of Earth surface processes.

Veterans and Agent Orange: Update 2008

Fri, 20 Nov 2009 17:00:02 EST

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 report is the eighth volume in this series of biennial updates. It will be of interest to policy makers and physicians in the federal government, veterans and their families, veterans' organizations, researchers, and health professionals.

Review of the Bureau of Reclamation's Corrosion Prevention Standards for Ductile Iron Pipe

Fri, 20 Nov 2009 17:00:02 EST

Ductile iron pipe (DIP) was introduced about 50 years ago as a more economical and better-performing product for water transmission and distribution. As with iron or steel pipes, DIP is subject to corrosion, the rate of which depends on the environment in which the pipe is placed. Corrosion mitigation protocols are employed to slow the corrosion process to an acceptable rate for the application. When to use corrosion mitigation systems, and which system, depends on the corrosivity of the soils in which the pipeline is buried.

The Bureau of Reclamation's specification for DIP in highly corrosive soil has been contested by some as an overly stringent requirement, necessitating the pipe to be modified from its as-manufactured state and thereby adding unnecessary cost to a pipeline system.

This book evaluates the specifications in question and presents findings and recommendations. Specifically, the authoring committee answers the following questions:

Does polyethylene encasement with cathodic protection work on ductile iron pipe installed in highly corrosive soils?
Will polyethylene encasement and cathodic protection reliably provide a minimum service life of 50 years?
What possible alternative corrosion mitigation methods for DIP would provide a service life of 50 years?

Research at the Intersection of the Physical and Life Sciences

Thu, 19 Nov 2009 17:00:02 EST

Traditionally, the natural sciences have been divided into two branches: the biological and the physical sciences. Today, an increasing number of scientists are addressing problems lying at the intersection of the two. These problems are most often biological in nature, but examination through the lens of the physical sciences can yield exciting results and opportunities. For example, one area producing effective cross-research opportunities centers on the dynamics of systems. Equilibrium, multistability and stochastic behavior--concepts familiar to physicists and chemists--are useful in tackling issues for living systems such as adaptation, feedback and emergent behavior.

Research at the Intersection of the Physical and Life Sciences discusses how some of the mysteries of the biological world have been solved using tools and techniques developed in the physical sciences. It presents five major challenges that must be addressed before further research at this intersection can be conducted effectively. This additional research will advance our understanding of fundamental questions of science, as well as significantly impact public health, technology and stewardship of the environment.

Research at the Intersection of the Physical and Life Sciences recommends several ways to accelerate progress in the field. Many of these recommendations are directed towards those administering the faculties and resources of our great research institutions, making this book an excellent resources for academic and research institutions, scientists, universities, and federal and private funding agencies.

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

Tue, 17 Nov 2009 17:00:01 EST

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.

Experimentation and Rapid Prototyping in Support of Counterterrorism

Tue, 17 Nov 2009 17:00:01 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.

2007-2008 Assessment of the Army Research Laboratory

Mon, 16 Nov 2009 17:00:02 EST

This volume is the latest in a series of biennial assessments of the scientific and technical quality of the Army Research Laboratory (ARL). The current report summarizes findings for the 2007-2008 period, during which 95 volunteer experts in fields of science and engineering participated in the following activities: visiting ARL annually, receiving formal presentations of technical work, examining facilities, engaging in technical discussions with ARL staff, and reviewing ARL technical materials.

The overall quality of ARL's technical staff and their work continues to be impressive, as well as the relevance of their work to Army needs. ARL continues to exhibit a clear, passionate concern for the end user of its technology--the soldier in the field. While two directorates have large program-support missions, there is considerable customer-support work across the directorates, which universally demonstrate mindfulness of the importance of transitioning technology to support immediate and near-term Army needs. ARL staff also continue to expand their involvement with the wider scientific and engineering community.

This involvement includes monitoring relevant developments elsewhere, engaging in significant collaborative work (including the Collaborative Technology Alliances), and sharing work through peer reviews. In general, ARL is working very well within an appropriate research and development niche and has been demonstrating significant accomplishments.

Mathematics Learning in Early Childhood: Paths Toward Excellence and Equity

Fri, 13 Nov 2009 17:00:02 EST

Early childhood mathematics is vitally important for young children's present and future educational success. Research has demonstrated that virtually all young children have the capability to learn and become competent in mathematics. Furthermore, young children enjoy their early informal experiences with mathematics. Unfortunately, many children's potential in mathematics is not fully realized, especially those children who are economically disadvantaged. This is due, in part, to a lack of opportunities to learn mathematics in early childhood settings or through everyday experiences in the home and in their communities. Improvements in early childhood mathematics education can provide young children with the foundation for school success.
Relying on a comprehensive review of the research, Mathematics Learning in Early Childhood lays out the critical areas that should be the focus of young children's early mathematics education, explores the extent to which they are currently being incorporated in early childhood settings, and identifies the changes needed to improve the quality of mathematics experiences for young children. This book serves as a call to action to improve the state of early childhood mathematics. It will be especially useful for policy makers and practitioners-those who work directly with children and their families in shaping the policies that affect the education of young children.

Systems for Research and Evaluation for Translating Genome-Based Discoveries for Health: Workshop Summary

Thu, 12 Nov 2009 17:00:01 EST

With the advent of genome-wide association studies, numerous associations between specific gene loci and complex diseases have been identified--for breast cancer, coronary artery disease, and asthma, for example. This rapidly advancing field of genomics has stirred great interest in "personalized" health care from both the public and private sectors. The hope is that using genomic information in clinical care will lead to reduced health care costs and improved health outcomes as therapies are tailored to the genetic susceptibilities of patients.

A variety of genetically based health care innovations have already reached the marketplace, but information about the clinical use of these treatments and diagnostics is limited. Currently data do not provide information about how a genomic test impacts clinical care and patient health outcomes--other approaches are needed to garner such information.

This volume summarizes a workshop to address central questions related to the development of systems to evaluate clinical use of health care innovations that stem from genome-based research:
What are the practical realities of creating such systems?
What different models could be used?
What are the strengths and weaknesses of each model?
How effectively can such systems address questions about health outcomes?

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

Thu, 12 Nov 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.

Interacademy Programs Between the United States and Eastern Europe 1967-2009: The Changing Landscape

Mon, 09 Nov 2009 17:00:02 EST

Interacademy Programs Between the United States and Eastern Europe 1967-2009 documents how interacademy programs have played a significant role in establishing and maintaining American scientific contacts with colleagues in Eastern Europe prior to and following the lifting of the Iron Curtain. The book also discusses the changing roles of the academies of the region and the changing nature of interacademy cooperation that has emerged since 1991. The countries of interest are Poland, the Czech Republic, Slovakia, Hungary, Romania, Bulgaria, the former German Democratic Republic, and the countries that previously were united politically within the framework of the former Yugoslavia.

The book should be of interest to officials and specialists in both the United States and the countries of Eastern Europe who are actively engaged in promoting scientific cooperation through bilateral and other channels. Also, an emerging audience for this book is the growing group of analysts in the United States interested in "science diplomacy" involving U.S. cooperation with countries that have political agendas that differ in important respects from the objectives of U.S. policies.

Improving the Measurement of Late-Life Disability in Population Surveys: Beyond ADLs and IADLs: Summary of a Workshop

Mon, 09 Nov 2009 17:00:02 EST

Improving the Measurement of Late-Life Disability in Population Surveys summarizes a workshop organized to draw upon recent advances to improve the measurement of physical and cognitive disability in population surveys of the elderly population. The book questions whether or not the measures of activities of daily living and instrumental activities of daily living used in many population surveys are sufficient as the primary survey-based indicators of late-life disability. If not, should they be refined or should they be supplemented by other measures of disability in surveys? If yes, in what ways should disability measures be changed or modified to produce population estimates of late-life disability and to monitor trends? The book also discusses what further research is needed to advance this effort.

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

Mon, 09 Nov 2009 17:00:02 EST

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

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

Thu, 05 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, 04 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, 04 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, 03 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.

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.

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.

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.