Digital Commons Network^™

2002 Annual Town & School Reports, Lempster, New Hampshire., Lempster Town Representatives

Lempster, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Initiatives To Engage Private-Practice Physicians In The Mission Of Academic Medical Centers, Douglas C. Appleby

MUSC Theses and Dissertations

Today's healthcare market presents many challenges to academic healthcare centers and community-based physicians given the constrained resources and competition for healthcare dollars. Never before has the business sector infiltrated the healthcare market to this extent. Monies previously directed toward graduate medical education from government resources and cost-shifting practices have been abolished, and these changes have jeopardized the founding missions governing academic medical centers. However, community-based private practitioners-both educated and clinically trained at these centers of higher learning, provide an enormous pool of expertise to help rectify many current problems. Collaboration between these private practitioners and the medical centers could create …

Effectiveness Of Systematic Care Management (Scm) On Neonatal Intensive Care Unit (Nicu) Length Of Stay, Michael Ray Burcham

MUSC Theses and Dissertations

The increasing frequency and complexity of neonatal care are key contributors to rising medical costs. Over the past twenty years, neonatal delivery rates have been increasing and infant mortality rates are improving. Neonatal care has become very expensive with few applicable clinical guidelines for care. ParadigmHealth has developed an integrated, care management structure termed Systematic Care Management© (SCM). The premise is that by promoting the most expert and efficient neonatal care, significant reductions in morbidity will occur, reducing the need for and reduced cost of NICU and subsequent care. The aim of the study was to determine whether the SCM …

Use Of Heart Rate Reserve And Rating Of Perceived Exertion To Prescribe Exercise Intensity In Diabetic Autonomic Neueropathy, Sheri R. Colberg, David P. Swain, Aaron I. Vinik

Human Movement Studies & Special Education Faculty Publications

Objective- Individuals with diabetic autonomic neuropathy (DAN) exhibit an increased resting heart rate but depressed maximal heart rate. Thus, the purpose of this study was to examine the validity of using either percent of heart rate reserve (HRR) or a rating of perceived exertion (RPE) scale to prescribe exercise intensity in diabetic individuals both with and without DAN.

Research Design and Methods-The subjects consisted of 23 individuals with type 2 diabetes, ages 45-75 years, with (DAN; n=13) or without (No DAN; n=10) clinical signs of DAN, as assessed by heart rate variability using the expiration-to-inspiration ratio of the …

Synthèse Des Connaissances Scientifiques Sur Les Risques D'Atteinte À La Santé Suite À Une Exposition Professionnelle Au Manganèse, Claude Ostiguy, Sylvain Malo, Paul Asselin

États de la question, rapports d’expertise et revues de littérature

Le présent rapport constitue une synthèse des connaissances scientifiques actuelles basée principalement sur plusieurs revues critiques réalisées par différents experts et groupes d'experts scientifiques internationaux ainsi que sur certains articles originaux. Il répond à une demande d'information adressée à l'IRSST par la CSST et visant à documenter l'état des connaissances actuelles sur les principales atteintes potentielles à la santé des travailleurs suite à une exposition professionnelle au manganèse (Mn), particulièrement au niveau du système nerveux central.

Le manganèse est un élément de trace essentiel retrouvé dans tout être vivant et le niveau dans l'organisme est normalement bien contrôlé par le …

Synthesis Of Scientific Knowledge On The Health Risks Following Occupational Exposure To Manganese, Claude Ostiguy, Sylvain Malo, Paul Asselin

États de la question, rapports d’expertise et revues de littérature

Le présent rapport constitue une synthèse des connaissances scientifiques actuelles basée principalement sur plusieurs revues critiques réalisées par différents experts et groupes d'experts scientifiques internationaux ainsi que sur certains articles originaux. Il répond à une demande d'information adressée à l'IRSST par la CSST et visant à documenter l'état des connaissances actuelles sur les principales atteintes potentielles à la santé des travailleurs suite à une exposition professionnelle au manganèse (Mn), particulièrement au niveau du système nerveux central.

Le manganèse est un élément de trace essentiel retrouvé dans tout être vivant et le niveau dans l'organisme est normalement bien contrôlé par le …

Lessons From Nepal: Partnership, Privilege And Potential, Jane H. Aiken

Georgetown Law Faculty Publications and Other Works

Dramatic differences in culture present students with the opportunity to gain considerable perspective on their own perceptions and a chance to operate in a legal environment that, like most endeavors in the world today, has become increasingly globalized. This kind of experience has generally been missing in the training of our university law students. The students in Washington University's Civil Justice Clinic have provided legal services to women and children who have been victims of violence in a wide array of socio-economic settings. They have also worked on policy initiatives that shape government on city, state and federal levels. But …

Who Is Excellent?, Mari J. Matsuda

Georgetown Law Faculty Publications and Other Works

Who will save the life of that silent teenager--the one over there edging toward the condom table, the one across town wondering whether to take Daddy's gun to school, the girl who is too embarrassed to tell anyone her boyfriend hit her, the child picking up a rock in the Gaza Strip? Affirmative action is about who will save these lives. In all of our institutions, the academy among them, we must make decisions of admission. Who will enter these doors and wield power here? Who will ascend to the position of decision maker? Who will walk off with the …

Rex E. Lee Conference On The Office Of The Solicitor General Of The United States: Panel For Former Solicitors General, Seth P. Waxman, Walter E. Dellinger Iii, Kenneth W. Starr, Charles Fried, Drew S. Days Iii

Georgetown Law Faculty Publications and Other Works

I agree entirely that the chain of command is clear and that the Framers managed to make it all the way through all the articles of the Constitution without even conceiving of a solicitor general, let alone bothering to mention an attorney general. It is important nonetheless to distinguish between those things the solicitor general does pursuant to the longstanding notice-and-comment regulation, and the other things a solicitor general may do pursuant to his (and, someday, her!) statutory obligation to be of general assistance to the attorney general.

Racism In Assisted Living Facilities : A Comparative Study, Alissa Lee Nickey

Theses, Dissertations, and Projects

This exploratory, comparative study was undertaken in two separate assisted living facilities, a for-profit facility and a non-profit facility, located in the City of Atlanta, Georgia to determine if employees in both settings experience the same or similar level of racism within their work environment. The following six research questions guided this study: Is there a relationship between type of racism in non-profit and for-profit assisted living facilities? Is there a relationship between healthcare provider age and perceived racism in non-profit and for-profit assisted living facilities? Is there a relationship between healthcare provider educational level and perceived racism in nonprofit …

Rhetoric And Realities Of Gentrification: Reply To Powell And Spencer, J. Peter Byrne

Georgetown Law Faculty Publications and Other Works

Gentrification represents one of the most encouraging trends in city life since the 1960s. That may be a sad commentary on the fate of American cities or on our urban policies, but it is nevertheless true. The return of affluent people to urban living offers the possibility of reversing declining populations and municipal revenues, permitting enhanced spending on basic services, and increasing employment and educational opportunities. It also brings greater ethnic and economic diversity, which can contribute to a more humane social and cultural life. The great drawback to gentrification is that increased demand for housing increases rents, at least …

Addressing Off-Site Nutrient Pollution Through Conventional Management Actions: A Modelling Case Study, David Weaver, Simon Neville, David Deeley

Conference papers and presentations

The ecology of estuaries on the south coast of Western Australia has been disrupted by increased nutrient and sediment discharge from predominantly rural catchments. Seagrass beds have been replaced by macroalgae, and toxic algal blooms threaten human and animal health, and reduce amenity. A range of conventional management actions are available to reduce nutrient loss at source, and it is important to evaluate possible reductions, and costs, so that limited funds can be targeted to realise the greatest moderation of nutrient loss. A lumped landuse nutrient generation rate model was developed for four catchments (Wilson Inlet, Oyster Harbour, Torbay Inlet …

The Rehnquist Court And Horizontal Federalism: An Evaluation And A Proposal For Moderate Constitutional Constraints On Horizontal Federalism, Scott Fruehwald

Denver Law Review

No abstract provided.

"An Overwhelming Question" About Non-Formal Procedure, Thomas O. Main

Nevada Law Journal

No abstract provided.

Are Our People Health Conscious? Results Of A Patients Survey In Karachi, Pakistan, Waris Qidwai, D Saleheen, S Saleem, M Andrades, Iqbal Azam

Department of Family Medicine

BACKGROUND: Life style is known to influence health and may be responsible for certain diseases. There is a need to document the life style on health among the Pakistani population.
METHODS: The study was conducted on patients visiting the Family Practice Center, the Aga Khan University, Karachi. A questionnaire was used to collect information on the demographic profile, and the life style on health. The ethical requirements for conducting the study were met.
RESULTS: 393 patients were surveyed. The majority were young married men, in either private or government service. Preference for consumption of fats/oils, sweets, spicy foods, …

Cattle Industry Biosecurity Plan, Department Of Agriculture Western Australia

Biosecurity published reports

StockGuard has been initiated to develop a series of biosecurity plans for the animal industries in Western Australia. Through StockGuard, representatives from the animal industries have been working with the Department of Agriculture Western Australian to identify potential threats to each of the animal industries and to develop action plans detailing how these threats can be managed. The overall purpose of StockGuard is to highlight threats to the animal industries before they occur and to develop effective ways to minimise the potential impact of these threats.

The recommendations of the working group are based on detailed strategic assessments of the …

Integration Of Reproductive Health Service For Men In Health And Family Welfare Centers In Bangladesh, Ahmed Al-Sabir, Mohammed Ahsanul Alam, Sharif M.I. Hossain, Ubaidur Rob, M.E. Khan

Reproductive Health

Over the last 30 years, Bangladesh’s national family planning (FP) program has mainly concentrated its promotional efforts on women’s adoption of FP. While the government policy has been effective in influencing women to accept contraceptive methods, men’s role in FP has been completely neglected. Similarly, male RH services are hardly available at Health and Family Welfare Centres (HFWCs). This report describes a project aimed at integrating male RH services within the existing government female-focused health-care-delivery system. The study was implemented by NIPORT in collaboration with the Directorate of Family Planning and the Population Council. Interventions resulted in a substantial rise …

Misoprostol And Teratogenicity: Reviewing The Evidence, Neena Philip, Caitlin S. Shannon, Beverly Winikoff

Reproductive Health

Misoprostol, a prostaglandin E1 analog marketed as Cytotec® for the prevention and treatment of gastric ulcers, is inexpensive and registered for use in over 80 countries. Many scientific articles show the preparation to be safe and effective for various reproductive health indications, including cervical softening and early pregnancy termination. Owing to the extensive body of published literature on these indications, misoprostol is now widely used for several reproductive health indications. The abortifacient properties of misoprostol are well known to medical professionals and frequently to the public. As noted in this meeting report, because the drug is available at low cost, …

Bangladesh: Link Adolescent Reproductive Health Resources To Increase Access, Frontiers In Reproductive Health

Reproductive Health

Adolescents, who make up about 25 percent of the population of Bangladesh, have limited access to reproductive health (RH) information and services. With age at marriage increasing, young people are vulnerable to a variety of RH risks, including unwanted pregnancy and sexually transmitted infections (STIs). In 1999, FRONTIERS tested the feasibility, impact, and cost of several interventions to improve the RH of adolescents. The intervention took place in two experimental urban sites, while a third control site received prevailing services. Both sites received the community intervention, which involved sensitization and outreach to community stakeholders to encourage local support. Out-of-school adolescents …

Senegal: Involve Community Networks In Adolescent Reproductive Health, Frontiers In Reproductive Health

Reproductive Health

Senegal is undergoing rapid urbanization, leading to changes in traditional social and family structure. With these changes there is a rise in early sexual activity among young adults, and increased exposure to unwanted pregnancy and sexually transmitted infections (STIs). In Senegal, where 28 percent of the population is 10–19 years of age, a renewed focus on reproductive health (RH) services appears timely. In 1999, FRONTIERS began testing the feasibility, effectiveness, and cost of several interventions to improve the RH of youth. The study took place in three urban communities in northern Senegal. Two served as intervention sites where community- and …

Mexico: Strengthen Education On Adolescent Reproductive Health, Frontiers In Reproductive Health

Reproductive Health

Unprotected sex among Mexico’s young people often leads to unplanned pregnancy and unwanted births as well as risk of sexually transmitted infections (STIs) including HIV. From 1999 to 2002, FRONTIERS worked with the nongovernmental organization MEXFAM to test the feasibility, effectiveness, and cost of community-, clinic-, and school-based interventions to improve the reproductive health (RH) of youth aged 10–19. Eight cities were selected as intervention sites, and four as control sites. In the intervention sites, researchers worked with coordinators and “multipliers”—local community members such as teachers, community leaders, health-care providers, and peer educators—who taught courses on adolescent RH. In the …

México: La Educación En Salud Reproductiva Del Adolescente Debe Fortalecerse, Frontiers In Reproductive Health

Reproductive Health

El sexo sin protección entre los jóvenes en México con frecuencia ocasiona embarazos no planeados y nacimientos no deseados, y los expone a contraer infecciones de transmisión sexual (ITS), entre ellas el VIH/SIDA. De 1999 a 2002, FRONTERAS trabajó con la organización no gubernamental Mexfam para estudiar la viabilidad, eficacia y costo de realizar intervenciones en los ámbitos comunitario, clínico y escolar para mejorar la salud reproductiva (SR) de los jóvenes de 10 a 19 años de edad. Se implementaron intervenciones en ocho ciudades y los investigadores trabajaron con los coordinadores y promotores—miembros de la comunidad como maestros, líderes comunitarios, …

Cameroon: Peer Education And Youth-Friendly Media Reduce Risky Sexual Behavior, Frontiers In Reproductive Health

Reproductive Health

Cameroonian researchers at the Institute of Behavioral Studies and Research (IRESCO), with support from FRONTIERS, conducted an operations research project between 2000 and 2002 to assess strategies to encourage abstinence, increase contraceptive use, and reduce sexually transmitted infection (STI) rates among sexually active youth. The intervention combined peer-education strategies with media campaigns to promote healthy behavior among youth in the Mokolo neighborhood of Yaoundé. IRESCO trained 49 peer educators aged 19–25 in reproductive health (RH) communication strategies. The team coordinated educational talks, counseling sessions, conferences, and cultural and athletic events; produced comic books and brochures; and sold French and English …

Philippines: Mobilize Policy Champion Teams To Foster Utilization Of Management Tools, Frontiers In Reproductive Health

Reproductive Health

In September 2000, the Population Council launched a nine-month project to test the effectiveness of teams of “policy champions” to increase the utilization of operations research (OR) findings in reproductive health (RH) policy and programs in the Philippines. The team members, chosen from government, nongovernment, academic, and media institutions, received three days of orientation to become policy champions. The strategy was built upon evidence that local decision-makers in decentralized health systems often have little knowledge of RH, and rarely use research findings in their decision-making. The effort focused on using a research-tested community-based monitoring and information system to help providers …

Filipinas: Los 'Campeones' Promueven La Elaboración De Políticas Basadas En Investigación, Frontiers In Reproductive Health

Reproductive Health

En septiembre de 2000, el Population Council puso en marcha un proyecto que duró 9 meses, con el fin de probar la efectividad de “Equipos de Campeones” que promueven el uso de resultados de investigación operativa para formular políticas y programas de salud reproductiva en Filipinas. Los miembros del equipo, elegidos entre instituciones gubernamentales, no gubernamentales, académicas y de medios, recibieron tres días de orientación para convertirse en promotores de políticas. La estrategia está basada en evidencia que muestra que los gerentes de programas de salud descentralizados tienen poco conocimiento sobre salud reproductiva y muy rara vez utilizan los resultados …

Ghana Y Guatemala: Clientas Y Proveedores Requieren De Apoyo Y Orientación Sobre Diu, Frontiers In Reproductive Health

Reproductive Health

No abstract provided.

Enhancing Quality For Clients: The Balanced Counseling Strategy, Federico R. Leon, Alex Rios, Adriana Zumaran, Marisela De La Cruz, Carlos Brambila, John H. Bratt

Reproductive Health

A central focus of high-quality family-planning care is the interaction between clients and the providers who serve them. In the ideal client-provider interaction, the provider treats all clients respectfully, responds to their reproductive needs and intentions, helps in the selection of the most appropriate family planning method, and offers sufficient information to use the method safely and effectively. To improve the quality of the client-provider interaction, Population Council staff developed a “Balanced Counseling Strategy,” a type of algorithm or decision tree, to be used in combination with several job aids, or visual memory aids. The Balanced Counseling Strategy structures the …

Improving The Quality Of Reproductive Health Care: How Much Does It Cost?, Laura Raney, Stephanie Joyce, John Townsend

Reproductive Health

Quality care for clients should be the focus of a family planning and reproductive health program, but can programs afford it? There is no simple answer. The multiple dimensions of quality of care make it more difficult to identify and measure affordable improvements in service delivery. Calculating program costs is challenging, and different methods can lead to widely varying estimates. Determining how much quality costs is a challenge, but it is both possible and important for programs’ sustainability. This brief focuses on various aspects of costs and examines information about the cost of improving quality (as opposed to the cost …

Improving The Quality Of Reproductive Health Care For Young People, Liz C. Creel, Rebecca J. Perry

Reproductive Health

Nearly 1.7 billion people, about one-third of the world’s total population, are between the ages of 10 and 24, with the vast majority living in developing countries. As they mature, young people are increasingly exposed to reproductive health (RH) risks such as sexually transmitted infections (STIs), unintended or early pregnancies, and complications from pregnancy and childbirth. Improving young people’s RH care is key to improving the world’s future economic and social well-being, but young people’s RH needs are often overlooked or viewed through a lens of cultural values that limit care. During the past decade, in part as a result …

Traditional Birth Attendants In Maternal Health Programmes, Population Council

Reproductive Health

Despite the tremendous resources invested in training Traditional Birth Attendants (TBAs) over the past two decades, scientific evidence from around the world has shown that training TBAs has not reduced maternal mortality. Any improvement observed when TBA training programs have been introduced was because of the associated supervision and referral systems, and the quality of essential obstetric services available at first referral level. Conversely, evidence has shown reduced maternal and perinatal morbidity and mortality when women have a “Skilled Attendant” (a qualified health care provider who has midwifery or obstetric skills) present at every birth. Thus, national safe motherhood programs, …