Digital Commons Network^™

Unreimbursed Emergency Department Costs Incurred By Hispanic Workers And Their Dependents In Central Kentucky, Sandra L. Senft

MPA/MPP/MPFM Capstone Projects

Health care costs in the United States are a concern to policy makers, healthcare providers, and the population using medical services. Because fewer individuals have health insurance, as costs continue to rise, so have the levels of charity care provided through the Emergency Departments at many hospitals. Hispanics are a growing population thought to be receiving an increasing portion of this care. The Hispanic population in Kentucky has seen a significant increase in recent years, in large part because of the demand for agricultural workers. It has been established that a sizeable part of the Hispanic migrant worker community is …

Financial Efficiency In The Nonprofit Sector: An Analysis Of Factors Affecting Expense Ratios Of Kentucky Nonprofits, Emily A. Lane

MPA/MPP/MPFM Capstone Projects

Statement of Problem

Recent events in both the public and private sectors have lead to an environment of mistrust and caution surrounding the way organizations are managed and funds are handled. For the nonprofit sector, this has led to an emergence of charity rating or watchdog organizations and increased scrutiny of finances. Individual donors, charity rating agencies, and funding institutions have begun using expense ratios as a measure of financial efficiency. Decisions on the financial efficiency of organizations are being made without a good understanding of what factors affect these ratios.

Research Questions

The purpose of this paper is to …

Local Lunches: Planning For Local Produce In Portland Schools, Lisa Anderson, Katherine Krajnak, Lisa Libby, Meghan Mackenzie, Sumi Malik, Katie Shriver

Master of Urban and Regional Planning Workshop Projects

In the 1990s, school districts across the country began to integrate fresh food grown by local producers into school meals and snacks. School food authorities and farmers have broadly defined this new movement, called “Farm to School,” as connecting schools and local and regional farmers. Farm to School programs benefit a community’s economy, improve student nutrition, and strengthen education curricula. Local Lunches seeks to initiate Farm to School efforts in Portland, Oregon, by identifying specific strategies that Portland’s school districts can use to incorporate more local produce in their school meals. This project was conducted under the supervision of Sy …

The Ins And Outs Of School Provider Literature: A Multi-Year Content Analysis On Lgbt Youth, Caitlin Conor Ryan

Theses and Dissertations

This study is based on a content analysis of two primary sources: 1) literature published on lesbian, gay, bisexual and transgender (LGBT) youth in professional journals for school providers (school counselors, nurses, psychologists and social workers) over more than a 30-year period; and 2) materials developed for school providers on LGBT youth by states with laws, regulations and professional policies related to sexual orientation and/or gender identity in schools. Fifteen professional journals were identified that serve as primary and secondary journals for school providers. A total of 41 articles were published in these journals on LGBT youth between 1937 and …

World Bank, Adrienne Stohr

Human Rights & Human Welfare

The mission of the World Bank is to aid developing countries stabilize their economies through financial and technical assistance. The five dominant themes that emerge in a review of the World Bank literature are: health, gender, environment, globalization, and global governance. Each of these themes is broadly related to issues that consistently influence the larger issue of how the World Bank incorporates, rejects, or impacts human rights.

Principles Of Fairness For International Economic Treaties: Constructivism And Contractualism, John Linarelli

Scholarly Works

No legal system deserving of continued support can exist without an adequate theory of justice. A world trade constitution cannot credibly exist without a clear notion of justice upon which to base a consensus. This paper examines two accounts of fairness found in moral philosophy, those of John Rawls and Tim Scanlon. The Rawlsian theory of justice is well-known to legal scholars. Scanlon's contractualist account may be less well-known. The aim of the paper is to start the discussion as to how fairness theories can be used to develop the tools for examining international economic policies and institutions. After elaborating …

Inside Unlv, Lanelda Rolley, Shane Bevell, Carol C. Harter, Lanelda Rolley, Mamie Peers, Diane Russell

Inside UNLV

No abstract provided.

Vaccination With Recombinant Aspartic Hemoglobinase Reduces Parasitic Load And Blood Loss After Hookworm Infection In Dogs, Alex Loukas, Jeffrey M. Bethony, Susana Mendez, Ricardo T. Fujiwara, Gaddam Narsa Goud, Najju Ranjit, Bin Zhan, Karen Jones, Maria Elena Bottazzi, Peter J. Hotez

Health Policy and Management Faculty Publications

Background

Hookworms infect 730 million people in developing countries where they are a leading cause of intestinal blood loss and iron-deficiency anemia. At the site of attachment to the host, adult hookworms ingest blood and lyse the erythrocytes to release hemoglobin. The parasites subsequently digest hemoglobin in their intestines using a cascade of proteolysis that begins with the Ancylostoma caninum aspartic protease 1, APR-1.

Methods and Findings

We show that vaccination of dogs with recombinant Ac-APR-1 induced antibody and cellular responses and resulted in significantly reduced hookworm burdens (p = 0.056) and fecal egg counts (p = …

Parent And Student Voices On The First Year Of The Dc Opportunity Scholarship Program, Thomas Stewart, Patrick J. Wolf, Stephen Q. Cornman

School Choice Demonstration Project

In the 50 years since economist Milton Friedman published “The Role of Government in Education” scholars and policy makers have been debating how parental choice through market mechanisms can and does operate in education. Market “optimists” argue that education is a service that can be produced under a variety of arrangements and that parents are natural education consumers. Market “pessimists” argue that education is a public good that should be produced in government-run schools, and that school choice programs suffer “market failure” because only advantaged families will have the resources and experience to choose effectively.

The Road To Recovery: Economic And Social Development In Srebrenica, Bosnia-Herzegovina, Erinn Lachner

Independent Study Project (ISP) Collection

Srebrenica, Bosnia-Herzegovina is recreating itself. This municipality, located in the Republic of Srpska, is the setting of the 1995 genocide, which murdered 8,000 Muslim men and boys. Destroyed by the war, this municipality is rebuilding its economy, infrastructure and civil society from scratch. Srebrenica has made a large amount of progress in the past ten years, with the help of international and local donors. These donors have contributed millions of dollars to the effort. However, Srebrenica still faces many obstacles, namely, high unemployment, lack of physical infrastructure and poor attention to social welfare. While slow, progress is made everyday in …

Parity, Regionalism & Equity: A Position Paper Regarding Regionalism In The Dayton Area And Its Potential Impact On African Americans, Parity Inc.

Records of Dayton Together (MS-603)

Known originally as the Issue Nine Committee, Parity, Inc. was established in 1989 to improve the economic, educational and social conditions of African-Americans so that they achieve and maintain parity. As this community embarks upon the discussion of regionalism, Parity, Inc. will monitor and actively participate in these developments to ensure that any movement toward governmental regionalism or regional service delivery indeed provides parity and enhances the economic, educational and social conditions of African-Americans throughout the region.

Day 2: Thursday, 18 August 2005: Colorado Native Aquatic Species Restoration Program, Dave Schnoor

Endangered Species Act Congressional Field Tour (August 17-19)

6 pages (includes illustrations).

Contains one reference.

Day 1: Wednesday, 17 August 2005: Biodiversity And Critical Habitat, Charles Bedford, Federico Cheever, Tim Sullivan

Endangered Species Act Congressional Field Tour (August 17-19)

6 pages (includes color illustration).

Contains references.

Brazil Presses Forward With Economic Reform, Solidifying A Fresh Start, C. Gabriel Sanchez, Augusto Perez

Brigham Young University International Law & Management Review

No abstract provided.

Survivor Assistance Profile: Clear Path International Rebuilding Shattered Lives In Southeast Asia, Imbert Matthee

The Journal of Conventional Weapons Destruction

When Clear Path International (CPI) staff first met Le Van Phuc in the spring of 2001, the 29-year-old Vietnamese UXO survivor's situation was desperate. He had suffered multiple injuries after he set off an unidentified piece of ordnance while hoeing in the backyard of his family's home in Dong Ha.

Achieving "Readiness" In Medi-Cal's Managed Care Expansion For Persons With Disabilities: Issues And Process, Sara J. Rosenbaum, Sara E. Wilensky, Peter Shin

Health Policy and Management Faculty Publications

This Policy Brief examines issues that can be expected to arise as California moves to significantly expand the use of mandatory managed care arrangements for Medi-Cal enrollees with disabilities. This analysis is based on information gleaned from more than a decade of Medicaid managed care specification analyses for the federal government and private funders, focusing on both the general beneficiary population and persons with chronic illnesses and disabilities. This Policy Brief also reflects experiences in furnishing technical assistance to state purchasers and in developing model managed care purchasing specifications for both general and special needs managed care populations for both …

Reducing Obesity Risks During Childhood: The Role Of Public And Private Health Insurance, Sara J. Rosenbaum, Sara E. Wilensky, Marisa A. Cox, D. Brad Wright

Health Policy and Management Faculty Publications

In a widely publicized decision issued in 2004, the United States Department of Health and Human Services removed language from the Medicare Coverage Issues Manual which stated that obesity is not an illness, a pronouncement that paves the way for Medicare coverage of evidence-based obesity treatments. This determination by HHS also has important implications for public and private insurance coverage of health care services and interventions that have the potential to reduce the risk of lifelong obesity in children.

This Report assesses the implications of the 2004 HHS obesity ruling into the context of public and private health insurance for …

Ua51/1 Collections & Connections, Haiwang Yuan

Collections & Connections

Collections & Connections is a newsletter of Western Kentucky University Libraries featuring major events of the Libraries periodically. In this Summer 2005 issue, the events highlighted include Appraisal Day the presented Ken Farmer, the successful launch of another Book Fest and Kentucky Writers Conference, the enhancement of Opac system, the collection of Robert Penn Warren stamp, the reception of awards by the Book Fest and Libraries faculty and staff, the story of Debby LaMastus, the announcement of Personnel changes, and a eulogy of the beloved Evelyn Thurman.

Project Child Health Impact Assessment, Unyi Agba, Kristina Chung, David Diehl, Marisol Olivera, Yolanda Perez

Emerging Leaders Program Team Projects

The 2005 Project Child Health Impact Assessment (CHIA) at the Boston Medical Center (BMC) for the UMass Emerging Leaders Program (ELP) is closely related to one that members of the 2004 ELP cohort assisted with. The 2004 project team provided BMC with preliminary research regarding similar concepts in Europe, Canada and the United States. With this research in hand, the Project CHIA team at BMC decided to research, develop, write and publish pilot analyses that illustrated the impact of public policy on children's health. The 2005 ELP team was asked to provide guidance regarding a communications strategy for these pilot …

Charting The Legal Environment Of Health Information, Sara J. Rosenbaum, Phyllis Borzi, Lee Repasch, Taylor Burke, John F. Benevelli

Health Policy and Management Faculty Publications

Over the past several years, increased attention has been focused on the importance of health information to health care quality improvement. The level of focus on health information has increased with the advent of electronic medical records and electronic health information systems designed to facilitate the use of health care data. Although these systems are still in their relative infancy, they hold enormous promise for revolutionizing the availability and use of health information to improve clinical performance, empower employers and consumers to better understand health plan choices and facilitate health claims administration. Their potential has been a catalyst for change …

Food Democracy Ii: Revolution Or Restoration?, Neil D. Hamilton

Journal of Food Law & Policy

Author's Note: This essay is a companion to the essay 'Food Democracy, "which appears in 9 Drake Journal of Agricultural Law 9 (2004). In that essay, the author discussed many of the progressive trends that are helping reshape America's food system. These trends have a common denominator in their reflection of the democratic tendencies of the American populace. The desire of an increasing number of consumers to eat better food and to have access to the information, choices, and alternatives that make better food available are helping drive shifts in food production and marketing. Accompanying these shifts are political and …

Migrant And Seasonal Farmworkers: Health Insurance Coverage And Access To Care, Sara J. Rosenbaum, Peter Shin

Health Policy and Management Faculty Publications

Migrant and seasonal farmworkers are an integral support to the nation's agricultural industry. Nearly three million workers earn their living through migrant or seasonal farm labor. Migrant and seasonal farmworkers and their families confront health challenges stemming from the nature of their work, their extreme poverty and mobility, and living and working arrangements that impede access to health coverage and care. This brief provides an overview of migrant and seasonal farmworkers and the health challenges they face and considers options for improving their health coverage and access to care.

Hope: An Ethnography Of An Alternative Orphan Care System In Mgange Dawida- Taita; A Case Study Of The Isuwirio-Tumaini Self-Help Group, Malaika M. Dosremedios

Independent Study Project (ISP) Collection

No abstract provided.

Perfecting Patient Flow: America's Safety Net Hospitals And Emergency Department Crowding, Marcia J. Wilson, Bruce Siegel, Mike Williams

Health Policy and Management Faculty Publications

Emergency department crowding and delays have become major issues for America's safety net hospitals and health systems. Many facilities are experiencing increasing wait times, a need to "board" admitted patients in emergency department (ED) hallways, and rising numbers of hours spent on "diversion" or "bypass." These trends result from increased patient demand at a time when the number of emergency departments has declined and hospital inpatient capacity has lagged. Other factors also may contribute to the crisis. Patients without access to medical specialists may view the ED as the quickest route to specialized services. Overburdened physicians may be more likely …

Public Policy In Connecticut: Challenges And Perspectives, Gary L. Rose Ed.

Sacred Heart University Press Books

Public Policy in Connecticut examines ten of the key policy challenges that currently confront Connecticut lawmakers. Following an overview essay by the editor, discussing the recent transfer of power to state governments and outlining the policy challenges faced by lawmakers, each of these challenges is taken up in a separate essay by the volume's contributors. The first challenges considered, associated with economic growth, transportation, environmental protection, ethnic diversity, and ethics in politics, affect the Connecticut public at large. The remaining issues discussed are health care, services for the aged, prison overcrowding and recidivism, inner-city education, and higher education affect more …

Consumer Opinions On Genetically Modified Food: A Community Discussion August 2005

University of Nebraska Public Policy Center: Publications

On Saturday, August 20, 2005, 48 residents of Lancaster County gathered at Gere Branch Library in Lincoln to participate in a “Citizen Deliberation on Genetically Modified Food.” A citizen deliberation is a technique used to promote informed and thoughtful public discussion on public affairs or policy issues and a means for gauging considered (as opposed to off-the-cuff) public opinions. The purpose of the discussion was to gauge informed public opinion on genetically modified food products and whether they should be labeled. The event was co-sponsored by the University of Nebraska Public Policy Center (http://www.ppc.nebraska.edu/edu/) and a local community leadership development …

Proposed Legislation On Short Term Time Off In The 108th Congress, Workplace Flexibility 2010, Georgetown University Law Center

Charts and Summaries of State, U.S., and Foreign Laws and Regulations

No abstract provided.

Legislation Proposed In The 108th Congress Relating To The Family And Medical Leave Act, Workplace Flexibility 2010, Georgetown University Law Center

Charts and Summaries of State, U.S., and Foreign Laws and Regulations

No abstract provided.

Wpa News 74 (2005), World Pheasant Association

Galliformes Specialist Group and Affiliated Societies: Newsletters

WPA News (Winter 2005), number 74

Published by the World Pheasant Association

Neotrusteeship In Afghanistan, Melanie Kawano

Human Rights & Human Welfare

Afghanistan is currently under the tentative rule of an international administration, or neotrusteeship, thereby restricting its national sovereignty. However, self-determination and nonintervention have never been persistent features of Afghanistan. Foreign interventions, invasions and great power showdowns on its territory have made a truly autonomous Afghan state a shortlived phenomenon. The outcome at each stage of Afghan history has been an unstable state that seems to invite even more external involvement.