Category Archives: General Topics

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2018 in Review – The 18 Most Downloaded Titles

In 2018, the National Academies of Sciences, Engineering, and Medicine continued to provide expert advice on some of the most pressing challenges facing the nation and the world. This list of the most downloaded titles published last year reflects the breadth of the National Academies’ work. As always, they are free to download.

 

How People Learn II: Learners, Contexts, and Cultures

There are many reasons to be curious about the way people learn, and the past several decades have seen an explosion of research that has important implications for individual learning, schooling, workforce training, and policy.

In 2000, …

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Sexual Harassment of Women: Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine

Over the last few decades, research, activity, and funding has been devoted to improving the recruitment, retention, and advancement of women in the fields of science, engineering, and medicine. In recent years the diversity of those …

[more]

Public Health Consequences of E-Cigarettes

Millions of Americans use e-cigarettes. Despite their popularity, little is known about their health effects. Some suggest that e-cigarettes likely confer lower risk compared to combustible tobacco cigarettes, because they do not expose users to …

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Graduate STEM Education for the 21st Century

The U.S. system of graduate education in science, technology, engineering, and mathematics (STEM) has served the nation and its science and engineering enterprise extremely well. Over the course of their education, graduate students become …

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The Integration of the Humanities and Arts with Sciences, Engineering, and Medicine in Higher Education: Branches from the Same Tree

In the United States, broad study in an array of different disciplines —arts, humanities, science, mathematics, engineering— as well as an in-depth study within a special area of interest, have been defining characteristics of a higher …

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Thriving on Our Changing Planet: A Decadal Strategy for Earth Observation from Space

We live on a dynamic Earth shaped by both natural processes and the impacts of humans on their environment. It is in our collective interest to observe and understand our planet, and to predict future behavior to the extent possible, in order to …

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Data Science for Undergraduates: Opportunities and Options

Data science is emerging as a field that is revolutionizing science and industries alike. Work across nearly all domains is becoming more data driven, affecting both the jobs that are available and the skills that are required. As more data and …

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Open Science by Design: Realizing a Vision for 21st Century Research

Openness and sharing of information are fundamental to the progress of science and to the effective functioning of the research enterprise. The advent of scientific journals in the 17th century helped power the Scientific Revolution by allowing …

[more]

Biodefense in the Age of Synthetic Biology

Scientific advances over the past several decades have accelerated the ability to engineer existing organisms and to potentially create novel ones not found in nature. Synthetic biology, which collectively refers to concepts, approaches, and …

[more]

Science Breakthroughs to Advance Food and Agricultural Research by 2030

For nearly a century, scientific advances have fueled progress in U.S. agriculture to enable American producers to deliver safe and abundant food domestically and provide a trade surplus in bulk and high-value agricultural commodities and foods. …

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Broadening Understanding of the Interplay Among Public Transit, Shared Mobility, and Personal Automobiles

TRB’s Transit Cooperative Research Program (TCRP) Research Report 195: Broadening Understanding of the Interplay Among Public Transit, Shared Mobility, and Personal Automobiles explores the effects of app-based transportation network companies on …

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Review of the Draft Fourth National Climate Assessment

Climate change poses many challenges that affect society and the natural world. With these challenges, however, come opportunities to respond. By taking steps to adapt to and mitigate climate change, the risks to society and the impacts of …

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Quantum Computing: Progress and Prospects

Quantum mechanics, the subfield of physics that describes the behavior of very small (quantum) particles, provides the basis for a new paradigm of computing. First proposed in the 1980s as a way to improve computational modeling of quantum …

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English Learners in STEM Subjects: Transforming Classrooms, Schools, and Lives

The imperative that all students, including English learners (ELs), achieve high academic standards and have opportunities to participate in science, technology, engineering, and mathematics (STEM) learning has become even more urgent and complex …

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Crossing the Global Quality Chasm: Improving Health Care Worldwide

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain …

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Exoplanet Science Strategy

The past decade has delivered remarkable discoveries in the study of exoplanets. Hand-in-hand with these advances, a theoretical understanding of the myriad of processes that dictate the formation and evolution of planets has matured, spurred on …

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Learning Through Citizen Science: Enhancing Opportunities by Design

In the last twenty years, citizen science has blossomed as a way to engage a broad range of individuals in doing science. Citizen science projects focus on, but are not limited to, nonscientists participating in the processes of scientific …

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Environmental Engineering for the 21st Century: Addressing Grand Challenges

Environmental engineers support the well-being of people and the planet in areas where the two intersect. Over the decades the field has improved countless lives through innovative systems for delivering water, treating waste, and preventing and …

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Resources on the Road to Improving the Nation’s Highways

The Interstate Highway System connects and integrates the transcontinental United States and has been pivotal for more than 50 years in shaping and supporting the country’s demographic, spatial, economic, and social development.

This system’s future is threatened by a persistent and growing backlog of physical and operational deficiencies and by a number of other challenges. Our reports explore solutions to improve highway systems and best practices for maintenance. All are free to download.

Renewing the National Commitment to the Interstate Highway System: A Foundation for the Future

TRB Special Report 329: Renewing the National Commitment to the Interstate Highway System: A Foundation for the Future explores pending and future federal investment and policy decisions concerning the federal Interstate Highway System. Congress …

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Consequences of Delayed Maintenance of Highway Assets

TRB’s National Cooperative Highway Research Program (NCHRP) Research Report 859: Consequences of Delayed Maintenance of Highway Assets presents a process for quantifying the consequences of delayed maintenance of highway assets that considers the …

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Life-Cycle Cost Analysis for Management of Highway Assets

TRB’s National Cooperative Highway Research Program (NCHRP) Synthesis 494: Life-Cycle Cost Analysis for Management of Highway Assets documents the state of the practice of life-cycle cost analysis (LCCA) and risk-based analysis into state highway …

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Effective Project Scoping Practices to Improve On-Time and On-Budget Delivery of Highway Projects

TRB’s National Cooperative Highway Research Program (NCHRP) Report 821: Effective Project Scoping Practices to Improve On-Time and On-Budget Delivery of Highway Projects demonstrates how a state department of transportation (state DOT) can …

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Practices for Establishing Contract Completion Dates for Highway Projects

TRB’s National Cooperative Highway Research Program (NCHRP) Synthesis 502: Practices for Establishing Contract Completion Dates for Highway Projects documents current methodologies and procedures used by state transportation agencies to estimate …

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Using the Economic Value Created by Transportation to Fund Transportation

TRB’s National Cooperative Highway Research Program (NCHRP) Synthesis 459: Using the Economic Value Created by Transportation to Fund Transportation presents information on financing mechanisms used by transportation agencies to capture a …

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What Happens in the Arctic Doesn’t Stay in the Arctic

The National Oceanic and Atmospheric Association’s 2018 Arctic Report Card shows that the Arctic experienced the second-warmest air temperatures ever recorded; the second-lowest overall sea-ice coverage; the lowest recorded winter ice in the Bering Sea; and earlier plankton blooms due to early melting of sea ice in the Bering Sea. Our reports explore the environmental impacts of changes in the Arctic on the rest of the world and set an agenda for further research to develop a better understand of the vulnerabilities and opportunities of this unique region. All are free to download.

The Arctic in the Anthropocene: Emerging Research Questions

Once ice-bound, difficult to access, and largely ignored by the rest of the world, the Arctic is now front and center in the midst of many important questions facing the world today. Our daily weather, what we eat, and coastal flooding are all …

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Arctic Matters: The Global Connection to Changes in the Arctic

Viewed in satellite images as a jagged white coat draped over the top of the globe, the high Arctic appears distant and isolated. But even if you don’t live there, don’t do business there, and will never travel there, you are closer to the Arctic …

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Linkages Between Arctic Warming and Mid-Latitude Weather Patterns: Summary of a Workshop

The Arctic has been undergoing significant changes in recent years. Average temperatures are rising twice as fast as they are elsewhere in the world. The extent and thickness of sea ice is rapidly declining. Such changes may have an impact on …

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Responding to Oil Spills in the U.S. Arctic Marine Environment

U.S. Arctic waters north of the Bering Strait and west of the Canadian border encompass a vast area that is usually ice covered for much of the year, but is increasingly experiencing longer periods and larger areas of open water due to climate …

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Seasonal to Decadal Predictions of Arctic Sea Ice: Challenges and Strategies

Recent well documented reductions in the thickness and extent of Arctic sea ice cover, which can be linked to the warming climate, are affecting the global climate system and are also affecting the global economic system as marine access to the …

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Opportunities to Use Remote Sensing in Understanding Permafrost and Related Ecological Characteristics: Report of a Workshop

Permafrost is a thermal condition — its formation, persistence and disappearance are highly dependent on climate. General circulation models predict that, for a doubling of atmospheric concentrations of carbon dioxide, mean annual air …

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Acquisition and Operation of Polar Icebreakers: Fulfilling the Nation’s Needs

On July 11, 2017, the National Academies of Sciences, Engineering, and Medicine Committee on Polar Icebreaker Cost Assessment released a letter report that advises the U.S. Congress on strategies to minimize life-cycle costs of polar icebreaker …

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Scientific Research Responsibilities

Ongoing globalization, technological advances, and other shifts are transforming the research enterprise. The publications below explore emerging issues in the management and use of research data, and address policies and practices that can impact research outcomes, promote scientific discovery, and support the support the career trajectory of scientists. All books are free to read online or download.

Governance of Dual Use Research in the Life Sciences: Advancing Global Consensus on Research Oversight: Proceedings of a Workshop

Continuing rapid developments in the life sciences offer the promise of providing tools to meet global challenges in health, agriculture, the environment, and economic development; some of the benefits are already being realized. However, such …

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Fostering Integrity in Research

The integrity of knowledge that emerges from research is based on individual and collective adherence to core values of objectivity, honesty, openness, fairness, accountability, and stewardship. Integrity in science means that the organizations …

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Open Science by Design: Realizing a Vision for 21st Century Research

Openness and sharing of information are fundamental to the progress of science and to the effective functioning of the research enterprise. The advent of scientific journals in the 17th century helped power the Scientific Revolution by allowing …

[more]

Dual Use Research of Concern in the Life Sciences: Current Issues and Controversies

The potential misuse of advances in life sciences research is raising concerns about national security threats. Dual Use Research of Concern in the Life Sciences: Current Issues and Controversies examines the U.S. strategy for reducing …

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Returning Individual Research Results to Participants: Guidance for a New Research Paradigm

When is it appropriate to return individual research results to participants? The immense interest in this question has been fostered by the growing movement toward greater transparency and participant engagement in the research enterprise. Yet, …

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Sexual Harassment of Women: Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine

Over the last few decades, research, activity, and funding has been devoted to improving the recruitment, retention, and advancement of women in the fields of science, engineering, and medicine. In recent years the diversity of those …

[more]

Biodefense in the Age of Synthetic Biology

Scientific advances over the past several decades have accelerated the ability to engineer existing organisms and to potentially create novel ones not found in nature. Synthetic biology, which collectively refers to concepts, approaches, and …

[more]

Emerging and Readily Available Technologies and National Security: A Framework for Addressing Ethical, Legal, and Societal Issues

Emerging and Readily Available Technologies and National Security is a study on the ethical, legal, and societal issues relating to the research on, development of, and use of rapidly changing technologies with low barriers of entry that …

[more]

On Being a Scientist: Responsible Conduct in Research, Second Edition

Since the first edition of On Being a Scientist was published in 1989, more than 200,000 copies have been distributed to graduate and undergraduate science students. Now this well-received booklet has been updated to incorporate the …

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Proposed Revisions to the Common Rule for the Protection of Human Subjects in the Behavioral and Social Sciences

Proposed Revisions to the Common Rule for the Protection of Human Subjects in the Behavioral and Social Sciences examines how to update human subjects protections regulations so that they effectively respond to current research contexts …

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Balancing Scientific Discovery and Security: The Dual Use Dilemma

Continuing rapid advances in science and technology have the potential to challenge the oversight systems for responsible conduct of life sciences research with dual use potential – research that may have beneficial applications but that also could be misused to cause harm. Our reports explore the implications and consequences of these technological advances. All are free to read online or download.

Biodefense in the Age of Synthetic Biology

Scientific advances over the past several decades have accelerated the ability to engineer existing organisms and to potentially create novel ones not found in nature. Synthetic biology, which collectively refers to concepts, approaches, and …

[more]

Dual Use Research of Concern in the Life Sciences: Current Issues and Controversies

The potential misuse of advances in life sciences research is raising concerns about national security threats. Dual Use Research of Concern in the Life Sciences: Current Issues and Controversies examines the U.S. strategy for reducing …

[more]

Human Genome Editing: Science, Ethics, and Governance

Genome editing is a powerful new tool for making precise alterations to an organism’s genetic material. Recent scientific advances have made genome editing more efficient, precise, and flexible than ever before. These advances have spurred an …

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Gene Drives on the Horizon: Advancing Science, Navigating Uncertainty, and Aligning Research with Public Values

Research on gene drive systems is rapidly advancing. Many proposed applications of gene drive research aim to solve environmental and public health challenges, including the reduction of poverty and the burden of vector-borne diseases, such as …

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Potential Risks and Benefits of Gain-of-Function Research: Summary of a Workshop

On October 17, 2014, spurred by incidents at U.S. government laboratories that raised serious biosafety concerns, the United States government launched a one-year deliberative process to address the continuing controversy surrounding so-called …

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Gain-of-Function Research: Summary of the Second Symposium, March 10-11, 2016

On March 10-11, 2016, the National Academies of Sciences, Engineering, and Medicine held a public symposium on potential U.S. government policies for the oversight of gain-of- function (GOF) research. This was the Academies’ second meeting held …

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Emerging and Readily Available Technologies and National Security: A Framework for Addressing Ethical, Legal, and Societal Issues

Emerging and Readily Available Technologies and National Security is a study on the ethical, legal, and societal issues relating to the research on, development of, and use of rapidly changing technologies with low barriers of entry that …

[more]

Perspectives on Research with H5N1 Avian Influenza: Scientific Inquiry, Communication, Controversy: Summary of a Workshop

When, in late 2011, it became public knowledge that two research groups had submitted for publication manuscripts that reported on their work on mammalian transmissibility of a lethal H5N1 avian influenza strain, the information caused an …

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Sharing Science to Promote Discovery

Last week, an international team of scientists identified an impact crater in Greenland using data from NASA’s IceBridge Project. Our recent report, Open Science by Design, explores opportunities and challenges in making research freely available and usable. It’s free to download, along with the other related titles below.

Open Science by Design: Realizing a Vision for 21st Century Research

Openness and sharing of information are fundamental to the progress of science and to the effective functioning of the research enterprise. The advent of scientific journals in the 17th century helped power the Scientific Revolution by allowing …

[more]

The Future of Scientific Knowledge Discovery in Open Networked Environments: Summary of a Workshop

Digital technologies and networks are now part of everyday work in the sciences, and have enhanced access to and use of scientific data, information, and literature significantly. They offer the promise of accelerating the discovery and …

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Sharing Clinical Research Data: Workshop Summary

Pharmaceutical companies, academic researchers, and government agencies such as the Food and Drug Administration and the National Institutes of Health all possess large quantities of clinical research data. If these data were shared more widely …

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The Case for International Sharing of Scientific Data: A Focus on Developing Countries: Proceedings of a Symposium

The theme of this international symposium is the promotion of greater sharing of scientific data for the benefit of research and broader development, particularly in the developing world. This is an extraordinarily important topic. Indeed, I have …

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Principles and Obstacles for Sharing Data from Environmental Health Research: Workshop Summary

On March 19, 2014, the National Academies of Sciences, Engineering, and Medicine held a workshop on the topic of the sharing of data from environmental health research. Experts in the field of environmental health agree that there are benefits to …

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Discussion Framework for Clinical Trial Data Sharing: Guiding Principles, Elements, and Activities

Sharing data generated through the conduct of clinical trials offers the promise of placing evidence about the safety and efficacy of therapies and clinical interventions on a firmer basis and enhancing the benefits of clinical trials. …

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Using Data Sharing to Improve Coordination in Peacebuilding: Report of a Workshop by the National Academy of Engineering and United States Institute of Peace: Roundtable on Technology, Science, and Peacebuilding

On May 23, 2012, the Roundtable on Technology, Science, and Peacebuilding convened a workshop at the United States Institute of Peace (USIP) to investigate data sharing as a means of improving coordination among US government and nongovernment …

[more]

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

As digital technologies are expanding the power and reach of research, they are also raising complex issues. These include complications in ensuring the validity of research data; standards that do not keep pace with the high rate of innovation; …

[more]

Prescriptions to Improve Health Literacy – Perspectives from the Field

Health literacy plays an important role in improving community health. These reports support the development, implementation, and sharing of evidence-based health literacy practices and policies. They are all free to read online or download as PDFs.

Health Literacy and Older Adults: Reshaping the Landscape: Proceedings of a Workshop

Adults age 65 and older make up the fastest-growing segment of the U.S. population. At the same time, the complexity of health care delivery continues to grow, creating challenges that are magnified for older adults, given that age is one of the highest correlates of low health literacy. This …

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Community-Based Health Literacy Interventions: Proceedings of a Workshop

In its landmark report, Health Literacy: A Prescription to End Confusion, the Institute of Medicine noted that there are 90 million adults in the United States with limited health literacy who cannot fully benefit from what the health and health care systems have to offer. Since the …

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People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop

Poor health literacy has many negative consequences for achieving the quadruple aim of better care, improving the health of the community and the population, providing affordable care, and improving the work life of health care providers, and those consequences disproportionately affect those …

[more]

Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop

The increasingly diverse ethnic composition of the United States population has created a profound and ongoing demographic shift, and public health and health care organizations face many challenges as they move to address and adapt to this change. To better understand how the public health and …

[more]

Communicating Clearly About Medicines: Proceedings of a Workshop

Research conducted over the past two decades has shown that poor patient understanding of medication instructions is an important contributor to the more than 1 million medication errors and adverse drug events that lead to office and emergency room visits, hospitalizations, and even death. …

[more]

Health Insurance and Insights from Health Literacy: Helping Consumers Understand: Proceedings of a Workshop

Since the passage of the Patient Protection and Affordable Care Act (ACA), health care reform has created major changes in the U.S. health care system. The ACA has brought millions of people into the system who had no previous access, and many of these newly enrolled individuals have had limited …

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Health Literacy and Palliative Care: Workshop Summary

The Institute of Medicine Roundtable on Health Literacy convened a 1-day public workshop to explore the relationship between palliative care and health literacy, and the importance of health literate communication in providing high-quality delivery of palliative care. Health Literacy and …

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Food Literacy: How Do Communications and Marketing Impact Consumer Knowledge, Skills, and Behavior? Workshop Summary

In September 2015, the National Academies of Sciences, Engineering, and Medicine’s Food and Nutrition Board convened a workshop in Washington, DC, to discuss how communications and marketing impact consumer knowledge, skills, and behavior around food, nutrition, and healthy eating. The workshop …

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Health Literacy: Past, Present, and Future: Workshop Summary

In 2004, the Institute of Medicine released Health Literacy: A Prescription to End Confusion, a report on the then-underappreciated challenge of enabling patients to comprehend their condition and treatment, to make the best decisions for their care, and to take the right medications at …

[more]

Health Literacy and Consumer-Facing Technology: Workshop Summary

The proliferation of consumer-facing technology and personal health information technology has grown steadily over the past decade, and has certainly exploded over the past several years. Many people have embraced smartphones and wearable health-monitoring devices to track their fitness and …

[more]

Supporting Children with Disabilities

Children with disabilities and complex medical and educational needs require a varied array of services to meet those needs. Uneven public and professional awareness of their conditions and a research base marked by significant gaps have led to programs, practices, and policies that are inconsistent in quality and coverage. These publications explore best practices for configuring and coordinating systems of care that can meet the complex needs of these children and their families.

Opportunities for Improving Programs and Services for Children with Disabilities

Although the general public in the United States assumes children to be generally healthy and thriving, a substantial and growing number of children have at least one chronic health condition. Many of these conditions are associated with …

[more]

The Promise of Assistive Technology to Enhance Activity and Work Participation

The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. …

[more]

Mental Disorders and Disabilities Among Low-Income Children

Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits …

[more]

Ensuring Quality and Accessible Care for Children with Disabilities and Complex Health and Educational Needs: Proceedings of a Workshop

Children with disabilities and complex medical and educational needs present a special challenge for policy makers and practitioners. These children exhibit tremendous heterogeneity in their conditions and needs, requiring a varied array of …

[more]

The Carbon Problem: How to Manage CO2

It’s imperative that we reduce the levels of carbon dioxide and other greenhouse gases in our atmosphere if we want to avoid greatly increased risk of damage from climate change. The books below explore issues of carbon dioxide emissions and storage solutions. All are free to read online or download.

Negative Emissions Technologies and Reliable Sequestration: A Research Agenda

To achieve goals for climate and economic growth, “negative emissions technologies” (NETs) that remove and sequester carbon dioxide from the air will need to play a significant role in mitigating climate change. Unlike carbon capture and storage technologies that remove carbon dioxide …

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Land Management Practices for Carbon Dioxide Removal and Reliable Sequestration: Proceedings of a Workshop–in Brief

Carbon dioxide removal (CDR) techniques, which aim to remove and sequester excess carbon from the atmosphere, have been identified as an important part of the portfolio of responses to climate change and have been garnering increased attention. Forests, grasslands, agricultural lands, and soils …

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Direct Air Capture and Mineral Carbonation Approaches for Carbon Dioxide Removal and Reliable Sequestration: Proceedings of a Workshop–in Brief

Direct air capture (DAC) refers to a range of technologies that capture and concentrate carbon dioxide (CO2) from ambient air. These technologies can include chemical scrubbing processes that capture CO2 through absorption or adsorption separation processes. DAC can also …

[more]

Geologic Capture and Sequestration of Carbon: Proceedings of a Workshop–in Brief

Geologic carbon capture and sequestration encompasses approaches for relatively permanent storage of carbon in the Earth’s geologic formations. Carbon dioxide (CO2) that has been captured from flue gas or other waste streams as pressurized fluids can be trapped geologically through …

[more]

Bioenergy with Carbon Capture and Storage Approaches for Carbon Dioxide Removal and Reliable Sequestration: Proceedings of a Workshop—in Brief

Bioenergy with carbon capture and storage (BECCS) is a technology that integrates biomass conversion to heat, electricity, or liquid or gas fuels with carbon capture and sequestration. BECCS could provide a significant portion of the global energy supply if deployed to its theoretical maximum …

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Coastal Blue Carbon Approaches for Carbon Dioxide Removal and Reliable Sequestration: Proceedings of a Workshop—in Brief

Coastal environments provide many valuable ecosystem services. Their role as carbon sinks has been a topic of exploration to evaluate the potential for the restoration and management of coastal habitats as a viable carbon dioxide removal (CDR) approach. To explore the state of knowledge, …

[more]

Valuing Climate Damages: Updating Estimation of the Social Cost of Carbon Dioxide

The social cost of carbon (SC-CO2) is an economic metric intended to provide a comprehensive estimate of the net damages – that is, the monetized value of the net impacts, both negative and positive – from the global climate change that results from a small (1-metric ton) increase in …

[more]

Climate Intervention: Carbon Dioxide Removal and Reliable Sequestration

The signals are everywhere that our planet is experiencing significant climate change. It is clear that we need to reduce the emissions of carbon dioxide and other greenhouse gases from our atmosphere if we want to avoid greatly increased risk of damage from climate change. Aggressively pursuing …

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Sustaining Ocean Observations to Understand Future Changes in Earth’s Climate

The ocean is an integral component of the Earth’s climate system. It covers about 70% of the Earth’s surface and acts as its primary reservoir of heat and carbon, absorbing over 90% of the surplus heat and about 30% of the carbon dioxide associated with human activities, and receiving close …

[more]

What You Need to Know About Cognitive Decline and Dementia

Societies around the world are concerned about dementia and the other forms of cognitive impairment that affect many older adults. It is now known that brain changes typically begin years before people show symptoms, which suggests a window of opportunity to prevent, slow, or delay the onset of these conditions. Our reports explore the state of knowledge on cognitive aging, and set a direction for future research.

Preventing Cognitive Decline and Dementia: A Way Forward

Societies around the world are concerned about dementia and the other forms of cognitive impairment that affect many older adults. We now know that brain changes typically begin years before people show symptoms, which suggests a window of opportunity to prevent or delay the onset of these …

[more]

Families Caring for an Aging America

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation’s family caregivers provide the lion’s share of long-term care for our …

[more]

Neurodegeneration: Exploring Commonalities Across Diseases: Workshop Summary

Neurodegeneration: Exploring Commonalities Across Diseases is the summary of a workshop hosted by the Institute of Medicine’s (IOM’s) Forum on Neuroscience and Nervous System Disorders in Spring 2012 to explore commonalities across neurodegenerative diseases such as Alzheimer’s disease, …

[more]

Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop

Millions of people in the United States live with serious illnesses such as cancer, heart disease, chronic obstructive pulmonary disorder (COPD), amyotrophic lateral sclerosis, Parkinson’s disease, and dementia—often for many years. Those facing serious illness have a range of interconnected …

[more]

Future Directions for the Demography of Aging: Proceedings of a Workshop

Almost 25 years have passed since the Demography of Aging (1994) was published by the National Research Council. Future Directions for the Demography of Aging is, in many ways, the successor to that original volume. The Division of Behavioral and Social Research at the National …

[more]

Cognitive Aging: Progress in Understanding and Opportunities for Action

For most Americans, staying “mentally sharp” as they age is a very high priority. Declines in memory and decision-making abilities may trigger fears of Alzheimer’s disease or other neurodegenerative diseases. However, cognitive aging is a natural process that can have both positive and negative …

[more]

Assessing the Impact of Applications of Digital Health Records on Alzheimer’s Disease Research: Workshop Summary

Health information technology is providing patients, clinicians, and researchers with access to data that will enable novel approaches to science and medicine. Digital health records (DHRs) are capable of being shared across different health care settings for the examination of possible trends …

[more]

The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands?

At least 5.6 million to 8 million–nearly one in five–older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by …

[more]

Considerations for the Design of a Systematic Review of Interventions for Preventing Clinical Alzheimer’s-Type Dementia, Mild Cognitive Impairment, and Age-Related Cognitive Decline: Letter Report

The National Institutes of Health – and many other organizations and individuals worldwide – are interested in the state of the science on preventing Alzheimer’s disease, mild cognitive impairment, and age-related cognitive decline. This letter report reviews the evidence on interventions to …

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