Nearly half of the nation’s spending on health care is driven by 5 percent of patients, and improving health outcomes and curbing spending in health care will require identifying who these high-needs patients are and providing coordinated services through successful care models that link medical, behavioral, and community resources, says a new National Academy of Medicine special publication.

Halting the opioid epidemic requires aggressive action across multiple dimensions, including informed, active, and determined front-line leadership from health clinicians working in every setting throughout the nation, says a new National Academy of Medicine (NAM) special publication developed at the request of the National Governors Association to assist the nation’s governors as they work with clinicians to counter the opioid crisis.

The number of patients in the U.S. awaiting organ transplantation outpaces the amount of transplants performed in the U.S., and many donated organs are not transplanted each year due to several factors, such as poor organ function, says a new report from the National Academies of Sciences, Engineering, and Medicine.

An op-ed in today’s Wall Street Journal questions the conclusions of a National Academies of Sciences, Engineering, and Medicine analysis, issued earlier this year, of a draft of the federal government’s U.S. Global Change Research Program’s Climate Science Special Report (CSSR).

Consumer access to effective and affordable medicines is an imperative for public health, social equity, and economic development, but this need is not being served adequately by the biopharmaceutical sector, says a new report from the National Academies of Sciences, Engineering, and Medicine.

The U.S. is losing ground in a second laser revolution of highly intense, ultrafast lasers that have broad applications in manufacturing, medicine, and national security, says a new report from the National Academies of Sciences, Engineering, and Medicine.

The U.S. Department of the Interior’s Bureau of Safety and Environmental Enforcement has ordered the National Academies of Sciences, Engineering, and Medicine to suspend all work on a study to review and update the bureau’s offshore oil and gas operations inspection program to enhance safety.

The National Academy of Engineering announced today that the 2018 Charles Stark Draper Prize for Engineering will be awarded to Bjarne Stroustrup.

While the U.S. Department of Veterans Affairs (VA) provides mental health care of comparable or superior quality to care provided in private and non-VA public sectors, accessibility and quality of services vary across the VA health system, leaving a substantial unmet need for mental health services among veterans of the recent wars in Afghanistan and Iraq, says a new congressionally mandated report from the National Academies of Sciences, Engineering, and Medicine.

While legal abortions in the U.S. are safe, the likelihood that women will receive the type of abortion services that best meet their needs varies considerably depending on where they live, says a new report from the National Academies of Sciences, Engineering, and Medicine.

The Transportation Research Board’s Airport Cooperative Research Program (ACRP) recently selected winners for its University Design Competition for Addressing Airport Needs.

A new report from the National Academies of Sciences, Engineering, and Medicine examines evidence on whether providing permanent supportive housing (PSH) – a combination of stable housing and supportive services -- to individuals who are experiencing homelessness improves their health.

While significant progress has been made in providing open access to scientific research, a range of challenges -- including the economics of scientific publication and cultural barriers in the research enterprise -- must be overcome to further advance the openness of science, says a new report from the National Academies of Sciences, Engineering, and Medicine.

Read a new Perspective on promoting transparency in scientific authorship co-authored by NAS President Marcia McNutt. Appearing in the latest issue of Proceedings of the National Academy of Sciences, the piece offers suggestions for improving how author contributions are attributed in scientific publications.

Current federal safety regulations for small distribution systems used for propane and other liquefied petroleum gases (LPGs) should be improved for clarity, efficiency, enforceability, and applicability to risk, says a new reportfrom the National Academies of Sciences, Engineering, and Medicine.

While health care has made great strides in recent years with the proliferation of electronic health records (EHRs), establishment of regional health information exchanges, and development of data exchange standards and interfaces, interoperability among health care technologies remains very limited, says a new National Academy of Medicine (NAM) special publication.

If the dilute and dispose approach for disposing of the surplus plutonium in the Waste Isolation Pilot Plant (WIPP) is fully implemented, the U.S. Department of Energy (DOE) should use two independent review teams to develop public trust in and improve its decisions, says a new interim report by the National Academies of Sciences, Engineering, and Medicine.

Given the current state of quantum computing and the significant challenges that still need to be overcome, it is highly unlikely that a quantum computer that can compromise public-key cryptography – a basis for the security of most of today’s computers and networks – will be built within the next decade, says a new report by the National Academies of Sciences, Engineering, and Medicine.

Half-facepiece reusable elastomeric respirators are an effective and viable option for protecting health care workers from exposure to airborne transmissible contaminants or infectious agents — for example, influenza virus — during day-to-day work or with a sudden or rapid influx of patients, such as during a public health emergency, says a new report from the National Academies of Sciences, Engineering, and Medicine.

Most of the alternative technologies to open burning and open detonation (OB/OD) of conventional munitions designated for disposal are mature, including contained burn and contained detonation chambers with pollution control equipment, and many are permitted to replace OB/OD of waste munitions, says a new report by the National Academies of Sciences, Engineering, and Medicine.

The Gulf Research Program (GRP) of the National Academies of Sciences, Engineering, and Medicine today announced it will award up to $10 million through a new funding opportunity to support research projects that will advance understanding and facilitate improvement of safety culture in the offshore oil and gas industry.

A new report from the National Academies of Sciences, Engineering, and Medicine offers guidance to the U.S. Environmental Protection Agency to inform the next revision of a permit program that requires industries to manage stormwater to minimize discharges of pollutants to the environment.

In light of the many costs generated by child poverty for the United States, a new report from the National Academies of Sciences, Engineering, and Medicine provides evidence-based policy and program packages that could cut the child poverty rate by as much as 50 percent while at the same time increasing employment and earnings among adults living in low-income families.

A new report from the National Academies of Sciences, Engineering, and Medicine recommends changes in the way that the U.S. Department of Energy manages science and technology (S&T) development in order to accelerate the cleanup of radioactive waste and contaminated soil, groundwater, and facilities at U.S. nuclear weapons sites.

The president of the Russian Academy of Sciences (RAS) and the presidents of the U.S. National Academy of Sciences (NAS), U.S. National Academy of Engineering (NAE), and U.S. National Academy of Medicine (NAM) have signed a five-year agreement to continue their cooperation on studies, workshops, and other activities in areas of mutual interest.

Current evidence supports the classification of the contemporary red wolf as a distinct species of wolf, although additional genomic evidence from historic wolf specimens could change that assessment, says Evaluating the Taxonomic Status of the Mexican Gray Wolf and the Red Wolf, a new report from the National Academies of Sciences, Engineering, and Medicine.

A new report from the National Academies of Sciences, Engineering, and Medicine examines the effects and efficacy of using dispersants in marine oil spill response.

The U.S. Department of Veterans Affairs (VA) should expand the requirement in its disability compensation process regarding who can diagnose traumatic brain injury (TBI) to include any health care professional with pertinent and ongoing brain injury training and experience, says a new congressionally mandated report from the National Academies of Sciences, Engineering, and Medicine.

The supercritical water oxidation (SCWO) system is a secondary waste processing reactor of the Blue Grass Chemical Agent Destruction Pilot Plant (BGCAPP). It is perhaps second in importance behind the agent neutralization reactors, which perform base hydrolysis of chemical warfare agents stored at the Blue Grass Army Depot.

The nation’s highways and roads connect almost 330 million Americans and are important to both commerce and national security. Two-thirds of total passenger travel in the country moves along this vast network of roads, as does 60 percent of the weight and almost three-quarters of the value of total U.S. freight transported.

The National Academies today released Criteria for Selecting the Leading Health Indicators for Healthy People 2030, the first of two reports that will help inform the development of Healthy People 2030 (HP2030).

We tend to think of the process of seeing as fairly objective — that our eyes are similar to cameras, neutrally taking in light and turning it into pictures. But research has shown that biases buried beneath our awareness can powerfully shape how we see.

Every year in the United States, nearly 250,000 youths are tried, sentenced, or incarcerated as adults.

The National Academies of Sciences, Engineering, and Medicine have been awarded a grant for $100,000 from Arcadia — a charitable fund of Lisbet Rausing and Peter Baldwin — to support the work of the Academies’ Roundtable on Aligning Incentives for Open Science.

Healthy People 2030 (HP2030) – which will set national objectives for improving the health of all Americans from 2020 to 2030 – should include in its Leading Health Indicators (LHIs) voting as a measure of civic engagement, the health effects of climate change, and indicators of racial and ethnic residential segregation, says a new report from the National Academies of Sciences, Engineering, and Medicine.

A new report from the National Academies of Sciences, Engineering, and Medicine finds K-12 teachers face new expectations and more demands from policymakers, parents, students, and schools, including addressing changes in curriculum standards, the emergence of more explicit teaching goals, and shifts in what it means to support all students in their development.

Rwanda’s Human Resources for Health (HRH) Program – funded in part by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) from 2012 to 2017 – more than tripled the country’s physician specialist workforce and produced major increases in the numbers and qualifications of nurses and midwives, says a new report from the National Academies of Sciences, Engineering, and Medicine.

In 1943, the town of Hanford in Washington State was selected by the Manhattan Project to be home to the first full-scale plutonium production reactor in the world.

Although the immediate side effects of antimalarial drugs are widely recognized, few studies were designed specifically to examine health problems that might occur or persist months or years after people stopped taking them.

A new rapid expert consultation from a standing committee of the National Academies of Sciences, Engineering, and Medicine responds to questions from the White House Office of Science and Technology Policy (OSTP) regarding survival of the COVID-19 virus in relation to temperature and humidity and potential for seasonal reduction and resurgence of cases.

As a novel coronavirus spreads throughout the world and the number of cases and deaths continues to rise, almost no country or community remains untouched by this rapidly evolving threat.

Researchers are scrambling to find effective treatments for COVID-19, which has infected more than 1 million people around the word.

Latest COVID-19 Conversations webinar discusses implementing crisis standards of care.

Anthony Fauci and other panelists explored the status of the pandemic, research underway, and the key role of vaccines in bringing the pandemic to an end.

Dried and cracked earth is visible on an unplanted field at a farm on April 29, 2014 near Mendota, California. ; Credit: Justin Sullivan/Getty Images

• Summer is upon us, and KPIX in San Francisco reports three years of drought in the Central Valley has turned America's salad bowl into a "dust bowl." (KPIX)
• Speaking of summer and San Francisco, it appears denizens of the City by the Bay have done such a good job of conserving water, their water agency has already decided there will be no mandatory restrictions this summer. (San Jose Mercury News)
• Meanwhile, SFGate columnist Mark Morford wonders how water availability will factor into property values for summer get-aways north of San Francisco:

Wait, what? Right, the water. The Looming Issue. The Unexpected Fear. Water – or rather, the potential lack thereof – is something I didn’t realize I’d be quite so worried about when I started my search. But now? It’s damn near unavoidable. (SFGate)

• "As the Water Bond Turns" continues in Sacramento. In the latest episode, Gov. Brown stops playing hard to get and decides to commit, but will he find a willing (political) partner? Stay Tuned. (Sacramento Bee)

This content is from Southern California Public Radio. View the original story at SCPR.org.

Exide begins to remove lead-polluted soil on Monday morning at a house on the 1200 block of La Puerta Street in Boyle Heights.; Credit: Maya Sugarman/KPCC

All five members of the Los Angeles County Board of Supervisors have signed a letter imploring California Gov. Jerry Brown to intervene in the state’s handling of contamination around the Exide Technologies plant in Vernon.

The letter criticizing the state’s “piecemeal approach to an urgent environmental hazard” comes as workers paid for by Exide are removing lead-contaminated topsoil from two homes near the intersection of Olympic and Indiana avenues in L.A. 

Signed Tuesday, the letter asks for “guaranteed state funding to immediately begin testing” at 37 more homes also sampled, but to less specific degrees, during November 2013. In the words of the board, “further testing and remediation of the other 37 homes has not been confirmed and may not begin until at least October 2014 because Exide has not yet agreed to comply with DTSC directives issued last March.”

The supervisors also say the state has “reneged” on its commitments to test for lead inside the homes as well as outside.

The Department of Toxic Substances Control says that the two homes workers are at this week will be cleaned inside and out — even without indoor testing.  The DTSC’s Rizgar Ghazi said Monday that crews will use HEPA filters, vacuums and shampooing equipment on “basically any flat surface” inside the two residences.

Read the L.A. Board of Supervisors’ letter to Gov. Brown here:

http://www.scribd.com/doc/236655733/LA-County-Supervisors-Letter-to-Gov-Brown-8-12-14

This content is from Southern California Public Radio. View the original story at SCPR.org.

When it comes to water usage, not all car washes are created equal. Most car washes don’t recycle water, but more and more newly built car washes are starting to. Santa Ana Express Car Wash opened three years ago and its million-dollar equipment recycles 70 percent of its water.; Credit: Maya Sugarman/KPCC

Washing your car with a garden hose can use up to 120 gallons of water. Most corner conveyor belt operations use less, but all that water can add up, as we told you in August.

That’s why the group LA Waterkeeper is challenging motorists to drive dirty and pledge to skip car washes for 60 days. 

"Water conservation is the easiest and most affordable way to quickly reduce water demand and also extend supplies into next year," says Liz Crosson, the group's executive director. 

This summer Ventura County’s water agency asked people to skip washing their rides for a month; some people got detailing and car washes as a reward. Crosson’s group is hoping bragging rights will be enough of an incentive. (Though there are some as-yet-undisclosed prizes.)

People who live in LA are really excited and interested by the cars that they drive," Crosson says. "And frankly, you can have a dirty car and you can have a sticker and have an excuse for having a dirty car so it saves your image too."

The campaign’s just kicking off this weekend (at the Abbott-Kinney festival), but Crosson’s already optimistic for success. Early adopters of the pledge are hundreds of people from the online site Reddit and the general manager for the Los Angeles Department of Water and Power.

GO DIRTY FOR THE DROUGHT. Take the #DirtyCarPledge to not wash your car for 60 days. Ready, Set, Go Dirty! http://t.co/TsxdvsgpCv

— LAWaterkeeper (@LAWaterkeeper) September 25, 2014

From the ED, I’m Molly Peterson, 89-point-3. KPCC.

This content is from Southern California Public Radio. View the original story at SCPR.org.

State and local leaders break ground at a Louisville, Ky., coal-burning power plant in November 2012.; Credit: Dylan Lovan/AP

California State Senator Kevin de Leon says he’ll introduce legislation next month to get the state’s public employees retirement system off of coal.

Just back from ho-hum international talks in Lima, where he was a member of California's delegation, de Leon spoke at a conference in Oakland. It was sponsored by NextGen Climate, a nonpartisan group founded by billionaire philanthropist Tom Steyer to raise the profile of climate change among issues in the U.S. political debate.

“With coal power in retreat, and the value of coal dropping, it’s time for us to lead again in moving our massive state portfolios to lower carbon investments,” De Leon said. “Divestment is about matching your values with your investment strategy — and still seeing positive financial returns… California has prohibited its energy companies from buying or importing coal power, and state funds should match that.”

De Leon proposes to divest the nation’s two largest public pension funds from coal. The California Public Employees Retirement System, or CALPERS, is the nation’s largest, controlling about $295 billion as of the end of September.  The California School Teachers Retirement System is a sister fund for pensions of nearly 850,000 California teachers. CALSTRS controls another $187.1 billion dollars in potential investments.

Burning coal for energy is a major source of greenhouse gases that are warming the planet. The move would lend momentum to a divestment movement already underway, largely targeted at investment funds belonging to colleges and universities nationwide.

Stanford and Pitzer College in Claremont are among a dozen universities that have pulled investments out of the coal industry. But others, including the University of California have refused. 

This content is from Southern California Public Radio. View the original story at SCPR.org.