Army National Guard and Civil Support Operations: Closing the Interagency Gap at the Local Level

DTIC Science & Technology

2010-05-21

department or agency heads, state governors, mayors, tribal leaders, and city or county officials who have a responsibility to provide for effective...housing, and human services,  Resource support,  Public health and services,  Urban search and rescue, 22  Oil and hazardous materials...Organize an annual meeting with city and county leaders to build local relationships with the goal of understanding each other’s existing

Comparing types of local public health agencies in North Carolina.

PubMed

Markiewicz, Milissa; Moore, Jill; Foster, Johanna H; Berner, Maureen; Matthews, Gene; Wall, Aimee

2013-01-01

Some states are considering restructuring local public health agencies (LPHAs) in hopes of achieving long-term efficiencies. North Carolina's experience operating different types of LPHAs, such as county health departments, district health departments, public health authorities, and consolidated human services agencies, can provide valuable information to policy makers in other states who are examining how best to organize their local public health system. To identify stakeholders' perceptions of the benefits and challenges associated with different types of LPHAs in North Carolina and to compare LPHA types on selected financial, workforce, and service delivery measures. Focus groups and key informant interviews were conducted to identify stakeholders' perceptions of different LPHA types. To compare LPHA types on finance, workforce, and service delivery measures, descriptive statistical analyses were performed on publicly available quantitative data. North Carolina. Current and former state and local public health practitioners, county commissioners, county managers, assistant managers, state legislators, and others. In addition to identifying stakeholders' perceptions of LPHA types, proportion of total expenditures by funding source, expenditures per capita by funding source, full-time equivalents per 1000 population, and percentage of 127 tracked services offered were calculated. Stakeholders reported benefits and challenges of all LPHA types. LPHA types differ with regard to source of funding, with county health departments and consolidated human services agencies receiving a greater percentage of their funding from county appropriations than districts and authorities, which receive a comparatively larger percentage from other revenues. Types of LPHAs are not entirely distinct from one another, and LPHAs of the same type can vary greatly from one another. However, stakeholders noted differences between LPHA types-particularly with regard to district health departments-that were corroborated by an examination of expenditures per capita and full-time equivalents per 1000 population.

42 CFR 412.232 - Criteria for all hospitals in a rural county seeking urban redesignation.

Code of Federal Regulations, 2011 CFR

2011-10-01

... by the Bureau of the Census concerning population density or growth, or changes in designation of... SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR...

42 CFR 412.232 - Criteria for all hospitals in a rural county seeking urban redesignation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... by the Bureau of the Census concerning population density or growth, or changes in designation of... SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR...

78 FR 54651 - Sole Source Cooperative Agreement Award to the National Association of County and City Health...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-05

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Sole Source Cooperative Agreement Award to the National...: Notification of a Sole Source Cooperative Agreement Award to the National Association of County and City Health... resilience, and strengthen health care, public health, and emergency management systems. One of the...

Inequity of Human Services: The Rural Tennessee Dilemma.

ERIC Educational Resources Information Center

Tennessee State Univ., Nashville.

Davidson, Williamson, Rutherford, and Cheatham counties of Tennessee were the setting for a study that sought to determine the types of health and social services provided to residents of rural areas and to assess the present status of the service delivery system. Interviews with both agency representatives and randomly selected household…

Partners in Leadership for Pearl River

NASA Technical Reports Server (NTRS)

2007-01-01

Members of the 2007 class of Partners in Leadership toured NASA Stennis Space Center in Hancock County, Miss., on Jan. 11. They visited the center's B Test Stand, part of the center's rocket engine test complex. The Partners in Leadership training program is designed to teach Pearl River County leaders about their county's government, economic development, health and human services, history and arts, environment and education during a 10-month period. The program, sponsored by the Partners for Pearl River County, helps fulfill the mission of the economic and community development agency.

Partners in Leadership for Pearl River

NASA Image and Video Library

2007-01-11

Members of the 2007 class of Partners in Leadership toured NASA Stennis Space Center in Hancock County, Miss., on Jan. 11. They visited the center's B Test Stand, part of the center's rocket engine test complex. The Partners in Leadership training program is designed to teach Pearl River County leaders about their county's government, economic development, health and human services, history and arts, environment and education during a 10-month period. The program, sponsored by the Partners for Pearl River County, helps fulfill the mission of the economic and community development agency.

Transforming data into action: the Sonoma County Human Services Department.

PubMed

Harrison, Lindsay

2012-01-01

In order to centralize data-based initiatives, the Director of the Department worked with the Board of Supervisors and the executive team to develop a new Planning, Research, and Evaluation (PRE) division. PRE is establishing rules for data-based decision making and consolidating data collection to ensure quality and consistency. It aims to target resources toward visionary, pro-active program planning and implementation, and inform the public about the role of Human Services in creating a healthy, safe and productive environment. PRE staff spent several months studying the job functions of staff, to determine how they use information to inform practice, consulting other counties about their experiences. The PRE team developed Datascript, outlining two agency aims: (a) foster a decision-making environment that values and successfully uses empirical evidence for strategic change, and (b) manage the role and image of the Human Services Department in the external environment. The case study describes action steps developed to achieve each aim. Copyright © Taylor & Francis Group, LLC

A Survey and Analysis of Human Ecosystems and Human Service Systems in Appalachia.

ERIC Educational Resources Information Center

Harshbarger, Dwight; And Others

Based on the premise that ecological and health problems, and human responses to these problems, are directly related to community social and economic conditions, this study examined differences in health, housing, and human concerns across socioeconomically defined neighborhoods in West Virginia. Counties were grouped into three environmental…

Collaboration between Supported Employment and Human Resource Services: Strategies for Success

ERIC Educational Resources Information Center

Post, Michal; Campbell, Camille; Heinz, Tom; Kotsonas, Lori; Montgomery, Joyce; Storey, Keith

2010-01-01

The article presents the benefits of successful collaboration between supported employment agencies and human resource managers when working together to secure employment for individuals with disabilities. Two case studies are presented: one involving a successful collaboration with county human resource managers in negotiating a change in the…

No increased cancer risks from nuclear facilities

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1990-11-08

This article reports the results of a US Department of Health and Human Services (HHS) and National Cancer Institute (NCI) two-year survey that shows no increased risk of death from cancer for people living in counties containing or close to nuclear plants. 62 plants and their surrounding counties were included in the survey including commercial, US DOE and fuel reprocessing plants.

Effectiveness of a federal Healthy Start Program on HIV/AIDS risk reduction among women in Hillsborough County, Florida.

PubMed

August, Euna; Aliyu, Muktar H; Mbah, Alfred; Okwechime, Ifechukwude; Adegoke, Korede K; de la Cruz, Cara; Berry, Estrellita Lo; Salihu, Hamisu M

2015-04-01

To examine the impact of the Central Hillsborough Healthy Start Project (CHHS) on human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) diagnosis rates in women in Hillsborough County, Florida. Project records were linked to hospital discharge data and vital statistics (Florida, 1998-2007; N = 1,696,221). The χ(2) test was used to compare rates for HIV/AIDS and pregnancy-related complications for mothers within the CHHS service area with mothers in Hillsborough County and the rest of Florida. During a 10-year period, HIV/AIDS diagnosis rates among women in the CHHS service area declined by 56.3% (P = 0.01). The observed decline was most evident among black women. HIV/AIDS diagnosis rates in the rest of Hillsborough County and Florida remained unchanged (P = 0.48). Lessons learned from the CHHS Project can be used to develop effective and comprehensive models for addressing the HIV epidemic.

Service Integration in Oregon: Successful Local Efforts Influence Major State Reorganization.

ERIC Educational Resources Information Center

Ragan, Mark

In a number of human service offices in Oregon's Jackson and Coos Counties, workers from multiple programs work together in shared offices to provide families with ready access to a wide range of benefits and services. Other factors besides co-location that have proved critical to these programs' success are as follows: shared intake and…

Raising the stakes: assessing the human service response to the advent of a casino.

PubMed

Engel, Rafael J; Rosen, Daniel; Weaver, Addie; Soska, Tracy

2010-12-01

This article reports the findings of one county's human service network's readiness to treat gambling related problems in anticipation of the opening of a new casino. Using a cross-sectional survey design, questionnaires were mailed to executive directors of all mental health, family counseling, drug and alcohol, and faith-based, addiction-related organizations in the county (N = 248); 137 (55.2%) agency directors responded to the questionnaire. The survey requested information about agency demographics, training, screening, treatment, and public awareness/education. Descriptive statistics and bivariate analyses were used to summarize the findings. The analyses revealed a lack of human service response to the impending start of casino gambling. More than three-quarters of respondents had not sent staff for training in screening or treating gambling disorders, did not screen for problem gambling, did not treat problem gambling, and did not refer clients to other agencies for treatment of gambling-related problems. The most common reason offered for not engaging in prevention and treatment activities was that problem gambling is not considered an issue for the agency. There were differences between mental health and/or substance abuse focused agencies and other service providers. Based on the findings of this study, specific strategies to enhance the service delivery network's capacity to address problem gambling are suggested.

Evaluating the impact of decentralising tuberculosis microscopy services to rural township hospitals in gansu province, china

PubMed Central

2011-01-01

Background In 2004, the Ministry of Health issued the policy of decentralising microscopy services (MCs) to one third of all township hospitals in China. The study was conducted in Gansu Province, a poor western one in China. Ganzhou was one county in Gansu Province. Ganzhou County was identified as a unique case of further decentralisation of tuberculosis (TB) treatment services in township hospitals. The study evaluated the impact of the MC policy on providers and patients in Gansu Province. The second objective was to assess the unique case of Ganzhou County compared with other counties in the province. Methods Both quantitative and qualitative methods were used. All 523 MCs in the province completed an institutional survey regarding their performance. Four counties were selected for in-depth investigation, where 169 TB suspects were randomly selected from the MC and county TB dispensary registers for questionnaire surveys. Informant interviews were conducted with 38 health staff at the township and county levels in the four counties. Results Gansu established MCs in 39% of its township hospitals. From January 2006 to June 2007, 8% of MCs identified more than 10 TB sputum smear positive patients while 54% did not find any. MCs identified 1546 TB sputum smear positive patients, accounting for 9% of the total in the province. The throughputs of MCs in Ganzhou County were eight times of those in other counties. Interviews identified several barriers to implement the MC policy, such as inadequate health financing, low laboratory capacity, lack of human resources, poor treatment and management capacities, and lack of supervisions from county TB dispensaries. Conclusion Microscopy centre throughputs were generally low in Gansu Province, and the contribution of MCs to TB case detection was insignificant taking account the number of MCs established. As a unique case of full decentralisation of TB service, Ganzhou County presented better results. However, standards and quality of TB care needed to be improved. The MC policy needs to be reviewed in light of evidence from this study. PMID:21324106

Human and Environmental Influences on Ecosystem Services and West Nile Virus Vector Infection in Suffolk County, New York (USA)

EPA Science Inventory

Healthy, functioning aquatic ecosystems provide the ecosystem service of mosquito population control. Nutrient and pesticide pollution, along with destruction and filling of wetlands, lead to impaired waterbodies that are less effective in vector regulation due to reduction or re...

Study on the techniques of valuation of ecosystem services based on remote sensing in Anxin County

NASA Astrophysics Data System (ADS)

Wang, Hongyan; Li, Zengyuan; Gao, Zhihai; Wang, Bengyu; Bai, Lina; Wu, Junjun; Sun, Bin; Wang, Zhibo

2014-05-01

The farmland ecosystem is an important component of terrestrial ecosystems and has a fundamental role in the human life. The wetland is an unique and versatile ecological system. It is important for rational development and sustainable utilization of farmland and wetland resources to study on the measurement of valuation of farmland and wetland ecosystem services. It also has important significance for improving productivity. With the rapid development of remote sensing technology, it has become a powerful tool for evaluation of the value of ecosystem services. The land cover types in Anxin County mainly was farmland and wetland, the indicator system for ecosystem services valuation was brought up based on the remote sensing data of high spatial resolution ratio(Landsat-5 TM data and SPOT-5 data), the technology system for measurement of ecosystem services value was established. The study results show that the total ecosystem services value in 2009 in Anxin was 4.216 billion yuan, and the unit area value was between 8489 yuan/hm2 and 329535 yuan/hm2. The value of natural resources, water conservation value in farmland ecosystem and eco-tourism value in wetland ecosystem were higher than the other, total of the three values reached 2.858 billion yuan, and the percentage of the total ecosystem services values in Anxin was 67.79%. Through the statistics in the nine towns and three villages of Anxin County, the juantou town has the highest services value, reached 0.736 billion yuan. Scientific and comprehensive evaluation of the ecosystem services can conducive to promoting the understanding of the importance of the ecosystem. The research results had significance to ensure the sustainable use of wetland resources and the guidance of ecological construction in Anxin County.

Kent, Ohio traveler management coordination center (TMCC).

DOT National Transportation Integrated Search

2014-03-01

A project team consisting of the Portage Area Regional Transportation Authority (PARTA), Geauga County Transit, Trapeze Group, and : Kotting Consulting assembled a proposal to design a model system of human service transportation coordination using I...

75 FR 52021 - Notice of Inventory Completion: New York University College of Dentistry, New York, NY

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-24

... University College of Dentistry, New York, NY AGENCY: National Park Service, Interior. ACTION: Notice. Notice... University College of Dentistry, New York, NY. The human remains were removed from Port Clarence, Nome County... the human remains was made by New York University College of Dentistry professional staff in...

Building organizational supports for knowledge sharing in county human service organizations: a cross-case analysis of works-in-progress.

PubMed

Lee, Chris; Austin, Michael J

2012-01-01

Building on the literature related to evidence-based practice, knowledge management, and learning organizations, this cross-case analysis presents twelve works-in-progress in ten local public human service organizations seeking to develop their own knowledge sharing systems. The data for this cross-case analysis can be found in the various contributions to this Special Issue. The findings feature the developmental aspects of building a learning organization that include knowledge sharing systems featuring transparency, self-assessment, and dissemination and utilization. Implications for practice focus on the structure and processes involved in building knowledge sharing teams inside public human service organizations. Copyright © Taylor & Francis Group, LLC

How agricultural multiple ecosystem services respond to socioeconomic factors in Mengyin County, China.

PubMed

Chen, Yajuan; Yu, Zhenrong; Li, Xuedong; Li, Pengyao

2018-07-15

Provisioning services have always been the main focus of agriculture, and which have led to a decline in biodiversity and have damaged a number of other services. Agriculture should contribute to current and future food security while producing multiple ecosystem services (ES). Restoration outcomes of multiple ES were affected by different socioeconomic drivers, thus a better understanding of how multiple ES respond to socioeconomic drivers can help to restore multiple ES. This paper used rural people's perceptions of ES to quantify and map ecosystem service obtainment and demand in the Mengyin County, China. An integrative index of multiple ecosystem services (IMES) was used to effectively aggregate the values of multiple ES. The threat categorization framework is designed to communicate the degree to which the adequate and sustainable provision of multiple ES is threatened, in order to prioritize conservation actions. The results revealed that 6 townships in the Mengyin County exhibited an excessive obtainment situation (demand is less than obtainment) of multiple ES; an insufficient obtainment situation (demand is greater than obtainment) of multiple ES was mainly situated in the northern part of Mengyin County. Overall, the current state of multiple ES across Mengyin County is classified as "Endangered" classification according to application of threat categorization framework. It is necessary to restructure and manage socioeconomic factors for multiple ES. At national level, the macro decision-making (controlling population density) and the mechanisms (attracting high-quality human resources into the rural) will play an important role in promoting multiple ES management, and it is necessary to provide 3 or more years of tailored educational resources for rural residents to advance multiple ES in agricultural landscape. Development of agricultural PES programs in China that enable farmers to profit from production ES is a sustainable strategy for increasing multiple ecosystem services. Copyright © 2018 Elsevier B.V. All rights reserved.

Rural Health Care Workers and Local Residents Health Status in Yulong County of Yunnan Province China and Hat Yai City of Songkhla Mansion Thailand.

PubMed

Fanwei, Q U; Yanling, J; Chongsuvivatwong, V; Liabsuetrakul, T; Yan, L; Le, C; Runsheng, J

2017-01-01

To compare health status between Hat Yai city of Songkhla Province in Thailand and Yulong county of Yunnan province in China about rural health care workers and local residents, analyzing of both differences, learning from the advanced experience and practice of Thailand, adjusting policy, especially for the implementation of measures to improve the lack of human resources construction of Yulong County rural health, promote the level of rural health service of Lijiang. A qualitative study consisting of focus group discussions and individual in-depth interviews were conducted in Rural Health Care Workers and Local Residents Health Status in Yulong County of Yunnan Province China and Hat Yai City of Songkhla Mansion Thailand from. Compared to 41(100%) bachelor's degree of medical staffs in Hat Yai, this accounted only 94 (42%) bachelor's degree of medical staffs in Yulong county hospital, and 31 (12%)in townships hospitals. For medical workers in Hat Yai, they have at least one time on-job training per year, but for Yulong county, only 144 (29%)of the medical personnel participated in the training per year. Health expenditures of Yulong county was mainly borne by the local government, and medical insurance coverage rate is 217,107 (99%). Insurance average awareness of Hat Yai is 4449 (66.4%), Yulong County is 62,501 (28.5%), P<0.001, there are statistically significant differences between two cities. Thailand has good experience in training, well-paid, motivating and retaining talent for rural health human resources; multi-pronged, mechanism innovation, establish and perfect the system of human resources for health, is the essential way to solve the problem.

Salem 98: A post-plume phase, federal participation exercise

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

Salem 98 was the largest nuclear power plant post-plume phase exercise since the 1993 FRMAC-93 exercise at the Fort Calhoun Nuclear Power Plant in Nebraska. Salem 98 was a 3 Day exercise, held on May 5--7, 1998, involving participation by the States of New Jersey and Delaware and associated State and county agencies. Public Service Electric and Gas was the host utility and Salem County the host county. Federal participation included the Nuclear Regulatory Commission, Federal Emergency Management Agency, Department of Energy, Environmental Protection Agency, US department of Agriculture and Department of Health and Human Services. In addition, the Americanmore » Nuclear Insurers participated, adding a dimension to the exercise not experienced often enough. This was a stand-alone post-plume phase exercise, which took place 2 months after the evaluated plume phase exercise held on March 3, 1998, also including participation by various Federal agencies. This exercise demonstrated the positive working relationship among utility, State, county, and Federal responders in response to a postulated major nuclear power plant emergency with significant offsite consequences.« less

DEMOGRAPHY AND SPATIAL POPULATION STRUCTURE IN CALIFORNIA TIGER SALAMANDER

EPA Science Inventory

Although the causes of many amphibian declines remain mysterious, there is general agreement that human habitat alteration represents the greatest threat to amphibian populations. In January 2000 the US Fish and Wildlife Service proposed listing Santa Barbara County California Ti...

Assessing the landscape context and conversion risk of protected areas using satellite data products

USGS Publications Warehouse

Svancara, Leona K.; Scott, J.M.; Loveland, Thomas R.; Pidgorna, Anna

2009-01-01

Since the establishment of the first national park (Yellowstone National Park in 1872) and the first wildlife refuge (Pelican Island in 1903), dramatic changes have occurred in both ecological and cultural landscapes across the U.S. The ability of these protected areas to maintain current levels of biodiversity depend, at least in part, on the integrity of the surrounding landscape. Our objective was to quantify and compare the extent and pattern of natural land cover, risk of conversion, and relationships with demographic and economic variables in counties near National Park Service units and U.S. Fish and Wildlife Service refuges with those counties distant from either type of protected area in the coterminous United States. Our results indicate that landscapes in counties within 10 km of both parks and refuges and those within 10 km of just parks were more natural, more intact, and more protected than those in counties within 10 km of just refuges and counties greater than 10 km from either protected area system. However, they also had greater human population density and change in population, indicating potential conversion risk since the percent of landscape protected averaged < 5% in both groups and human population dynamics are primary drivers of change in many landscapes. Conversion outweighed protection by at least two times (Conservation Risk Index > 2) in 76% of counties near both parks and refuges, 81% of counties near just parks, 91% of counties near just refuges, and 93% of distant counties. Thirteen percent of counties in the coterminous U.S. had moderate to high amounts of natural land cover (> 60%), low protection (< 20%), and the greatest change in population (> 20%). Although these areas are not the most critically endangered, they represent the greatest conservation opportunity, need, and urgency. Our approach is based on national level metrics that are simple, general, informative, and can be understood by broad audiences and by policy makers and managers to assess the health of lands surrounding parks and refuges. Regular monitoring of these metrics with satellite data products in counties surrounding protected areas provides a consistent, national level assessment of management opportunities and potentially adverse changes on adjacent lands.

75 FR 18145 - Eastern Arizona Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-09

... DEPARTMENT OF AGRICULTURE Forest Service Eastern Arizona Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Eastern Arizona Counties Resource... Rivera, Coordinator, Eastern Arizona Counties Resource Advisory Committee, c/o Forest Service, USDA, P.O...

Health assessment for Master Disposal Service Landfill, Waukesha County, Brookfield, Wisconsin, Region 5. CERCLIS No. WID980820070. Preliminary report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1988-12-10

The Master Disposal Service Landfill is listed on the National Priorities List. The site is located on the western edge of Brookfield in Waukesha County, Wisconsin. From 1962 to 1982, Master Disposal Service, Inc. operated a 40-acre landfill and filled a 26-acre wetland area by accepting in excess of 1.5 million gallons of industrial wastes. The wastes included solvents, paint products, adhesives, oils, and foundry wastes. State sampling established that ground water near the site is contaminated by chromium, lead, phenols, and PCBs. Based on the available information, the site is considered to be of potential public health concern becausemore » of the risk to human health caused by the possibility of exposure to hazardous substances via contaminated ground water, surface water, soil and air.« less

County Library Service to Rural Schools. Bulletin, 1930, No. 20

ERIC Educational Resources Information Center

Lathrop, Edith A.

1930-01-01

An efficient county library contemplates maximum service for money expended. Situated at the county seat or at some other centrally located place within the county, its book stock is carried to every resident of the county through a system branches, stations, and school deposits, and the services of an automobile and the parcel post. A trained…

Association Between Loss of Hospital-Based Obstetric Services and Birth Outcomes in Rural Counties in the United States.

PubMed

Kozhimannil, Katy B; Hung, Peiyin; Henning-Smith, Carrie; Casey, Michelle M; Prasad, Shailendra

2018-03-27

Hospital-based obstetric services have decreased in rural US counties, but whether this has been associated with changes in birth location and outcomes is unknown. To examine the relationship between loss of hospital-based obstetric services and location of childbirth and birth outcomes in rural counties. A retrospective cohort study, using county-level regression models in an annual interrupted time series approach. Births occurring from 2004 to 2014 in rural US counties were identified using birth certificates linked to American Hospital Association Annual Surveys. Participants included 4 941 387 births in all 1086 rural counties with hospital-based obstetric services in 2004. Loss of hospital-based obstetric services in the county of maternal residence, stratified by adjacency to urban areas. Primary outcomes were county rates of (1) out-of-hospital births; (2) births in hospitals without obstetric units; and (3) preterm births (<37 weeks' gestation). Between 2004 and 2014, 179 rural counties lost hospital-based obstetric services. Of the 4 941 387 births studied, the mean (SD) maternal age was 26.2 (5.8) years. A mean (SD) of 75.9% (23.2%) of women who gave birth were non-Hispanic white, and 49.7% (15.6%) were college graduates. Rural counties not adjacent to urban areas that lost hospital-based obstetric services had significant increases in out-of-hospital births (0.70 percentage points [95% CI, 0.30 to 1.10]); births in a hospital without an obstetric unit (3.06 percentage points [95% CI, 2.66 to 3.46]); and preterm births (0.67 percentage points [95% CI, 0.02 to 1.33]), in the year after loss of services, compared with those with continual obstetric services. Rural counties adjacent to urban areas that lost hospital-based obstetric services also had significant increases in births in a hospital without obstetric services (1.80 percentage points [95% CI, 1.55 to 2.05]) in the year after loss of services, compared with those with continual obstetric services, and this was followed by a decreasing trend (-0.19 percentage points per year [95% CI, -0.25 to -0.14]). In rural US counties not adjacent to urban areas, loss of hospital-based obstetric services, compared with counties with continual services, was associated with increases in out-of-hospital and preterm births and births in hospitals without obstetric units in the following year; the latter also occurred in urban-adjacent counties. These findings may inform planning and policy regarding rural obstetric services.

Health providers' perspectives on delivering public health services under the contract service policy in rural China: evidence from Xinjian County.

PubMed

Zhou, Huixuan; Zhang, Weijun; Zhang, Shengfa; Wang, Fugang; Zhong, You; Gu, Linni; Qu, Zhiyong; Liang, Xiaoyun; Sa, Zhihong; Wang, Xiaohua; Tian, Donghua

2015-02-27

To effectively provide public health care for rural residents, the Ministry of Health formally unveiled the contract service policy in rural China in April 2013. As the counterpart to family medicine in some developed countries, the contract service established a compact between village doctors and local governments and a service agreement between doctors and their patients. This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side's attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country. Official documents were collected and semi-structured interviews with human resources and villagers in Xinjian County were conducted in September 2013. A purposive sampling method was used, and eight towns from the total 18 towns in Xinjian County were selected. Ultimately, eight managers (one in each township health center), 20 village doctors from eight clinics, and 11 villagers were interviewed. A thematic approach was used to analyze the data, which reflected the people's experiences brought about by the implementation of the contract service policy. While the contract service actually promoted the supply side to provide more public health services to the villagers and contracted patients felt satisfied with the doctor-patient relationship, most health providers complained about the heavy workload, insufficient remuneration, staff shortage, lack of official identity and ineffective performance appraisal, in addition to contempt from some villagers and supervisors after the implementation of the contract service. Contract service is a crucial step for the government to promote public health services in rural areas. To inspire the positive perspective and optimal work performance of the health workforce, it is imperative for the Chinese government to fortify financial support to health providers, adopt an advanced management model and escalate administrative capacity.

The public sector nursing workforce in Kenya: a county-level analysis

PubMed Central

2014-01-01

Background Kenya’s human resources for health shortage is well documented, yet in line with the new constitution, responsibility for health service delivery will be devolved to 47 new county administrations. This work describes the public sector nursing workforce likely to be inherited by the counties, and examines the relationships between nursing workforce density and key indicators. Methods National nursing deployment data linked to nursing supply data were used and analyzed using statistical and geographical analysis software. Data on nurses deployed in national referral hospitals and on nurses deployed in non-public sector facilities were excluded from main analyses. The densities and characteristics of the public sector nurses across the counties were obtained and examined against an index of county remoteness, and the nursing densities were correlated with five key indicators. Results Of the 16,371 nurses in the public non-tertiary sector, 76% are women and 53% are registered nurses, with 35% of the nurses aged 40 to 49 years. The nursing densities across counties range from 1.2 to 0.08 per 1,000 population. There are statistically significant associations of the nursing densities with a measure of health spending per capita (P value = 0.0028) and immunization rates (P value = 0.0018). A higher county remoteness index is associated with explaining lower female to male ratio of public sector nurses across counties (P value <0.0001). Conclusions An overall shortage of nurses (range of 1.2 to 0.08 per 1,000) in the public sector countrywide is complicated by mal-distribution and varying workforce characteristics (for example, age profile) across counties. All stakeholders should support improvements in human resources information systems and help address personnel shortages and mal-distribution if equitable, quality health-care delivery in the counties is to be achieved. PMID:24467776

The public sector nursing workforce in Kenya: a county-level analysis.

PubMed

Wakaba, Mabel; Mbindyo, Patrick; Ochieng, Jacob; Kiriinya, Rose; Todd, Jim; Waudo, Agnes; Noor, Abdisalan; Rakuom, Chris; Rogers, Martha; English, Mike

2014-01-27

Kenya's human resources for health shortage is well documented, yet in line with the new constitution, responsibility for health service delivery will be devolved to 47 new county administrations. This work describes the public sector nursing workforce likely to be inherited by the counties, and examines the relationships between nursing workforce density and key indicators. National nursing deployment data linked to nursing supply data were used and analyzed using statistical and geographical analysis software. Data on nurses deployed in national referral hospitals and on nurses deployed in non-public sector facilities were excluded from main analyses. The densities and characteristics of the public sector nurses across the counties were obtained and examined against an index of county remoteness, and the nursing densities were correlated with five key indicators. Of the 16,371 nurses in the public non-tertiary sector, 76% are women and 53% are registered nurses, with 35% of the nurses aged 40 to 49 years. The nursing densities across counties range from 1.2 to 0.08 per 1,000 population. There are statistically significant associations of the nursing densities with a measure of health spending per capita (P value = 0.0028) and immunization rates (P value = 0.0018). A higher county remoteness index is associated with explaining lower female to male ratio of public sector nurses across counties (P value <0.0001). An overall shortage of nurses (range of 1.2 to 0.08 per 1,000) in the public sector countrywide is complicated by mal-distribution and varying workforce characteristics (for example, age profile) across counties. All stakeholders should support improvements in human resources information systems and help address personnel shortages and mal-distribution if equitable, quality health-care delivery in the counties is to be achieved.

County Context and Mental Health Service Utilization by Older Hispanics.

PubMed

Kim, Kyeongmo

2018-04-16

Although older Hispanics experience high rates of depression, they tend to underuse mental health services. The study examined the association between county characteristics and mental health service use among older Hispanics, controlling for individual characteristics. The study used the 2008-2012 Medical Expenditure Panel Study and linked county-level data from the 2013-2014 Area Health Resources Files and the 2008-2012 Chronic Conditions Data Warehouse, using the Federal Information Processing Standard county code. The sample includes 1,143 community-dwelling Hispanics ages 60 years or older (Level 1) and 156 counties (Level 2) where the sample resides. The single dichotomous measure of mental health service utilization was based on whether or not the respondent met one or more of three conditions: (1) the respondent received care from a mental health professional, (2) received a service including mental health counseling or psychotherapy, or (3) received a service that was related to the International Classification of Diseases. Multilevel logistic regression analysis was used to examine the role of county context. The proportion of older adults and the existence of community mental health centers at the county-level were associated with mental health services use among this population. At the individual-level, education and mental health status were also associated with using mental health services. The county context plays an important role in understanding mental health services use among older Hispanics, indicating the need for intervention strategies at the county level.

75 FR 63436 - Nevada and Placer Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-15

... DEPARTMENT OF AGRICULTURE Forest Service Nevada and Placer Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Nevada and Placer Counties Resource... Counties. ADDRESSES: The meeting will be held at the Placer County Water Agency office, 144 Ferguson, Rd...

A Semantic Approach to Automate Service Management in the Cloud

DTIC Science & Technology

2011-06-01

PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS( ES ) University of Maryland Baltimore County...NAME(S) AND ADDRESS( ES ) 10. SPONSOR/MONITOR’S ACRONYM(S) 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved...typically include a large human ele - ment. A key barrier preventing organizations from successfully managing services on the cloud is the lack of an

The Rural Texas Environment: A Profile of Stressors.

ERIC Educational Resources Information Center

Mountain, Karen; and Others

Questionnaire data from 168 rural residents of Atacosa, Cass, Freestone, Scurry, and Upton counties, 153 health and human services providers and interviews with 125 residents of 25 rural communities identified and described stressors in the rural Texas environment. Rural Texans viewed economic problems (money, lack of jobs, poverty, working…

45 CFR 98.71 - Content of reports.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND... the amended Child Care and Development Block Grant Act; (2) The number of children served by payments... eligibility; (2) County of residence; (3) Gender and month/year of birth of children; (4) Ethnicity and race...

45 CFR 98.71 - Content of reports.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND... the amended Child Care and Development Block Grant Act; (2) The number of children served by payments... eligibility; (2) County of residence; (3) Gender and month/year of birth of children; (4) Ethnicity and race...

76 FR 41755 - Eastern Arizona Counties Resource Advisory; Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-15

... DEPARTMENT OF AGRICULTURE Forest Service Eastern Arizona Counties Resource Advisory; Meeting AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Eastern Arizona Counties Resource... FURTHER INFORMATION CONTACT: Julia Faith Rivera, RAC Program Manager, Eastern Arizona Counties Resource...

Modeling Temporal and Spatial Flows of Ecosystem Services in Chittenden County, VT

NASA Astrophysics Data System (ADS)

Voigt, B. G.; Bagstad, K.; Johnson, G.; Villa, F.

2010-12-01

This paper documents the integration of ARIES (ARtificial Intelligence for Ecosystem Services) with the land use change model UrbanSim to explore the impacts of current and future land use patterns on flood protection and water provision services in Chittenden County, VT. ARIES, an open source modeling platform, is particularly well-suited for measuring, mapping, and modeling the temporal and spatial flows of ecosystem services across the landscape, linking the areas of provision (sources) with human beneficiaries (users) through a spatially explicit agent-based modeling approach. UrbanSim is an open source agent-based land use model designed to facilitate a wide-range of scenarios based on user-specified behavioral assumptions, zoning regulations, and demographic, economic, and infrastructure (e.g. transportation, water, sewer, etc.) parameters. Ecosystem services travel through time and space and are susceptible to disruption and destruction from both natural and anthropogenic perturbations. The conversion of forested or agricultural land to urbanizing uses is replete with a long history of hydrologic impairment, habitat fragmentation, and the degradation of sensitive landscapes. Development decisions are predicated on the presence of landscape characteristics that meet the needs of developers and satisfy the desires of consumers, with minimal consideration of access to or effect on the provision of ecosystem services. The County houses nearly 25% of the state’s population and several employment centers that draw labor from throughout the region. Additionally, the County is expected to maintain modest residential and employment growth over the next 30 years, and will continue to serve as the state’s population and employment center. Expected future growth is likely to adversely affect the remaining farm and forest land in the County in the absence of policies to support sustainable development. We demonstrate how ARIES can be used to quantify changes in ecosystem service provision based on the outcomes of alternative land use change model scenarios. Stakeholder workshops were hosted to develop scenarios relevant to planning for future growth in the County, including alternative zoning regulations, road network improvements, and a range of future population projections. The results of the land use change simulations were passed to ARIES to model flood protection and water provision services for each of the alternative scenarios. We present Bayesian models of the ecosystem services as individual source, sink, and use components coupled with models of temporal and spatial flows of services across the landscape. Specific beneficiaries include homeowners, farmers, and other business property owners. The location choice decisions of residential and non-residential agents under the alternative scenarios resulted in varying access to ecosystem services depending on development density, habitat fragmentation, and the degree of hydrological impairment, among other factors. Modeled outputs include maps depicting flow paths (linking sources to beneficiaries), changes in land use, hotspot locations that are critical to sustain the flow of services across the landscape, and the demand for and supply of the modeled services.

76 FR 28210 - Eastern Arizona Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-16

... DEPARTMENT OF AGRICULTURE Forest Service Eastern Arizona Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Eastern Arizona Counties will meet...: Julia Faith Rivera, RAC Program Manager, Eastern Arizona Counties Resource Advisory Committee, Apache...

76 FR 19970 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-11

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be... assign project monitoring responsibilities for the remainder of the year. The Madera County Resource...

Energy Emergency Districts: Concepts and Applications.

DTIC Science & Technology

1985-06-01

Association County Supervisors Association of California of California Louis Peterka, Coordinator Norm Hardin, Sergeant Sonoma County Emergency Services Sonoma ...Alameda County U County Counsel, JAMES P. BOTZ, Sonoma County U Executive Director, LARRY E. NAAKE Sacramento Office / 0o1, 1100 K Street / Sacramento... County Emergency Services Vance Raye Michael McGuire Secretary of Legal Affairs Deputy Secretary of Legal Affairs Office of the Governor Office of

USEPA Environmental Quality Index (EQI) and Associated Domain Indices by County for the United States

EPA Pesticide Factsheets

This map service displays the results data from the EPA's Environmental Quality Index. The US Environmental Protection Agency's (EPA) National Health and Environmental Effects Research Laboratory (NHEERL) in the Environmental Public Health Division (EPHD) is currently engaged in research aimed at developing a measure that estimates overall environmental quality at the county level for the United States. This work is being conducted as an effort to learn more about how various environmental factors simultaneously contribute to health disparities in low-income and minority populations, and to better estimate the total environmental and social context to which humans are exposed. This dataset contains the finalized Environmental Quality Index (EQI), and an index for each of the associated domains (air, water, land, built environment, and sociodemographic environment). Indices are at the county level for all counties in the United States.

Implementation Study of the Comprehensive Services Program of Palm Beach County, Florida. Final Report

ERIC Educational Resources Information Center

Lyons, Sandra; Karlstrom, Mikael; Haywood, Thomas

2007-01-01

The Comprehensive Services Program of Palm Beach County, Florida, was an ambitious and innovative effort to improve the school readiness of low-income children in Palm Beach County by identifying needs early and providing early intervention services to support physical, cognitive, and emotional health and development. Services were delivered to…

76 FR 44912 - Callaway and Son Drum Service Superfund Site; Lake Alfred, Polk County, FL; Notice of Settlement

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-27

... Service Superfund Site; Lake Alfred, Polk County, FL; Notice of Settlement AGENCY: Environmental... Callaway and son Drum Service Superfund Site located in Lake Alfred, Polk County, Florida for publication... by Site name Callaway and Son Drum Service Superfund Site by one of the following methods: http://www...

75 FR 31759 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-04

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be... Road 225, North Fork, California 93643. Send written comments to Julie Roberts, Madera County Resource...

77 FR 49779 - Big Horn County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-17

... DEPARTMENT OF AGRICULTURE Forest Service Big Horn County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Big Horn County Resource Advisory Committee... Big Horn County Weed and Pest Building, 4782 Highway 310, Greybull, Wyoming. Written comments about...

County Government in Georgia [And] Teacher's Manual for County Government in Georgia.

ERIC Educational Resources Information Center

Hepburn, Mary A.

The student textbook and the teacher's manual focus on the services, organization, and funding of county government in Georgia. Designed to be used over a three to six week period, the textbook is arranged into six chapters. Chapter one discusses county government, its services, and its structure. Chapter two focuses on county officials and their…

Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

PubMed Central

2013-01-01

Introduction There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. Methods The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient valuesa. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. Results The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Conclusions Most of villages are in underserved health services areas. An unequal distribution of health service resources and the reimbursement policies of the New Cooperative Medical Scheme have led to an edge effect regarding spatial accessibility of health services in Donghai County, whereby people living on the edge of the county have less access to health services. Comprehensive measures should be considered to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. PMID:23688278

75 FR 50987 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be... expenditure of Payments to States Madera County Title II funds. DATES: The meetings will be held on August...

76 FR 66033 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-25

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be... of 2000 (Pub. L.110-343) for expenditure of Payments to States Madera County Title II funds. DATES...

75 FR 71069 - Big Horn County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-22

... DEPARTMENT OF AGRICULTURE Forest Service Big Horn County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Big Horn County Resource Advisory Committee... held at the Big Horn County Weed and Pest Building, 4782 Highway 310, Greybull, Wyoming. Written...

76 FR 7531 - Lake County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-10

... DEPARTMENT OF AGRICULTURE Forest Service Lake County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Lake County Resource Advisory Committee (RAC) will... meeting will be held at the Lake County Board of Supervisor's Chambers at 255 North Forbes Street...

75 FR 17897 - Lake County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-08

... DEPARTMENT OF AGRICULTURE Forest Service Lake County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Lake County Resource Advisory Committee (RAC) will... meeting will be held at the Lake County Board of Supervisor's Chambers at 255 North Forbes Street...

77 FR 57556 - Lake County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-18

... DEPARTMENT OF AGRICULTURE Forest Service Lake County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of Meeting. SUMMARY: The Lake County Resource Advisory Committee (RAC) will...: The meeting will be held at the Lake County Board of Supervisor's Chambers at 255 North Forbes Street...

The Parkinsons Registry Investigation of Diagnosis and Etiology (PRIDE) Study

DTIC Science & Technology

2016-04-01

Committee for the Protection of Human Subjects (CPHS) through the State of California Health and Human Services Agency on 20-June-2011 as a minimal... pesticides , solvents or traumatic brain injury increase PD risk. This study takes advantage of the population-based PD registry in Santa Clara County...related morbidity and mortality are greater in persons exposed to pesticides , solvents, PCBs, and air pollutants. In addition, we will conduct a case

Changing the paradigm: planning for ambulatory care expansion in Los Angeles County using a community-based and evidence-based model.

PubMed

Fielding, J E; Lamirault, I; Nolan, B; Bobrowsky, J

2000-07-01

In 1998, Los Angeles County's Department of Health Services (DHS) embarked on a planning process to expand ambulatory care services for the county's 2.7 million uninsured and otherwise medically indigent residents. This planning process was novel in two ways. First, it used a quantitative, needs-based approach for resource allocation to ensure an equitable distribution of safety-net ambulatory care services across the county. Second, it used a new community-based planning paradigm that took into consideration the specific needs of each of the county's eight geographic service planning areas. Together, the evidence-based approach to planning and the community-based decision-making will ensure that DHS can more equitably provide for the needs of Los Angeles County's medically indigent residents.

An Examination of the Value of Service Learning Hours in Broward County Public Schools

ERIC Educational Resources Information Center

Baum, Richard G.; Clement, Russell W.

2006-01-01

The present study was conducted to examine the value of service learning hours to the Broward County community and illustrate the benefits of community service to students as well as the community at large. The total number of service learning hours contributed by Broward County high school students was aggregated from the district's data…

The importance of performance assessment in local government decisions to fund health and human services nonprofit organizations.

PubMed

Vaughan, Shannon K

2010-01-01

In times of fiscal crisis, demand for health and human services increases while revenues shrink, causing funders to focus more intently on identifying the most successful organizations in which to invest scarce resources. This research grew out of interest in enhancing performance assessment of nonprofit organizations expressed by local government managers. A survey of Alliance for Innovation Members explores two primary research questions: 1) what is a successful nonprofit; and 2) what type(s) of performance assessment tools are the most useful. The results strengthen our understanding of what information city and county managers want and why they prefer certain evaluation tools.

76 FR 6116 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-03

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be...-Determination Act of 2000 (Pub. L. 110-343) for expenditure of Payments to States Madera County Title II funds...

76 FR 26240 - Big Horn County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-06

... words Big Horn County RAC in the subject line. Facsimilies may be sent to 307-674-2668. All comments... DEPARTMENT OF AGRICULTURE Forest Service Big Horn County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Big Horn County Resource Advisory Committee...

KSC-05pd2290

NASA Image and Video Library

2005-10-04

KENNEDY SPACE CENTER, FLA. - In the NASA Kennedy Space Center Training Auditorium, Major Jack Owens talks to employees during the kickoff presentation for the Combined Federal Campaign at the center. Owens is commanding officer of the Salvation Army in North and Central Brevard County in Florida. Other speakers included Janet Bryant, executive director and CEO of the American Red Cross, Brevard County Chapter and Rob Rains, president of United Way of Brevard. The campaign seeks voluntary donations from Federal civilian, postal and military workers during the campaign season to support eligible nonprofit organizations that provide health and human service benefits throughout the world.

Geographic Variation in the Supply of Selected Behavioral Health Providers.

PubMed

Andrilla, C Holly A; Patterson, Davis G; Garberson, Lisa A; Coulthard, Cynthia; Larson, Eric H

2018-06-01

In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number of psychiatrists, psychologists, and psychiatric nurse practitioners are needed as demand for behavioral health care grows. The National Plan and Provider Enumeration System National Provider Identifier data (October 2015) was used to examine the supply of psychiatrists, psychologists, and psychiatric nurse practitioners. Providers were classified into three geographic categories based on their practicing county (metropolitan, micropolitan, and non-core). Claritas 2014 U.S. population data were used to calculate provider-to-population ratios for each provider type. Analysis was completed in 2016. Substantial variation exists across Census Divisions in the per capita supply of psychiatrists, psychologists, and psychiatric nurse practitioners. The New England Census Division had the highest per capita supply and the West South Central Census Division had among the lowest supply of all three provider types. Nationally, the per capita supply of these providers was substantially lower in non-metropolitan counties than in metropolitan counties, but Census Division disparities persisted across geographic categories. There was a more than tenfold difference in the percentage of counties lacking a psychiatrist between the New England Census Division (6%) and the West North Central Census Division (69%). Higher percentages of non-metropolitan counties lacked a psychiatrist. Psychiatrists, psychologists, and psychiatric nurse practitioners are unequally distributed throughout the U.S. Disparities exist across Census Divisions and geographic categories. Understanding this unequal distribution is necessary for developing approaches to improving access to behavioral health services for underserved populations. This article is part of a supplement entitled The Behavioral Health Workforce: Planning, Practice, and Preparation, which is sponsored by the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration of the U.S. Department of Health and Human Services. Copyright © 2018 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Children and Their Families; A Statistical Profile.

ERIC Educational Resources Information Center

Ahmed, Naim; And Others

The purpose of this book is to provide a uniform and current (1977) data base for persons involved in planning and administering human services programs in South Carolina. General statewide demographic data are given first in a brief introduction. Then, each of the state's counties is profiled in terms of general demographic characteristics,…

Decision Support Framework (DSF) For Planning Land And Resource Use To Sustainably Maintain Healthy Ecosystem Services and Communities - March 30, 2009

EPA Science Inventory

Land and resource use decisions are typically made by individuals, towns, counties, tribes, states and sometimes multiple states (regions) to increase economic viability of an area with little attention to the long term effects on human health and the environment. Individuals an...

Decision Support Framework (DSF) For Planning Land And Resource Use To Sustainably Maintain Healthy Ecosystem Services And Communities - March 31, 2009

EPA Science Inventory

Land and resource use decisions are typically made by individuals, towns, counties, tribes, states and sometimes multiple states (regions) to increase economic viability of an area with little attention to the long term effects on human health and the environment. Individuals an...

Using ecological site information to improve landscape management for ecosystem services

USDA-ARS?s Scientific Manuscript database

People and their societies, have a complicated relationship with land. The unofficial patron saint of ecologists, Aldo Leopold, in “The Sand County Almanac,” traced the modern human relationship with land from a purely economic to an ecologically based approach, culminating in his “ Land Ethic.” In...

On the Right Track: Southern Maryland Schools Revamp Their Curriculum around Tech Prep.

ERIC Educational Resources Information Center

Leftwich, Kathy

1992-01-01

In St. Mary's County (Maryland) schools' revamped curriculum, tech prep encompasses four clusters: applied business/management, applied engineering/mechanics, applied health/human services, and college prep. Career counselors help eighth graders choose a cluster and monitor their satisfaction with their choice, allowing them to change until junior…

Monitoring California's hardwood rangelands using remotely sensed data

Treesearch

Chris S. Fischer; Lisa M. Levien

2002-01-01

As human and natural forces continue to alter the hardwood landscape, resource agencies, county planners and local interest groups find it increasingly important to monitor and assess these alterations. The California Land Cover Mapping and Monitoring Program (LCMMP), a cooperative program between the USDA Forest Service and the California Department of Forestry and...

Dental Workforce Availability and Dental Services Utilization in Appalachia: A Geospatial Analysis

PubMed Central

Feng, Xue; Sambamoorthi, Usha; Wiener, R. Constance

2016-01-01

Objectives There is considerable variation in dental services utilization across Appalachian counties, and a plausible explanation is that individuals in some geographical areas do not utilize dental care due to dental workforce shortage. We conducted an ecological study on dental workforce availability and dental services utilization in Appalachia. Methods We derived county-level (n = 364) data on demographic, socio-economic characteristics and dental services utilization in Appalachia from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) using person-level data. We obtained county-level dental workforce availability and physician-to-population ratio estimates from Area Health Resource File, and linked them to the county-level BRFSS data. The dependent variable was the proportion using dental services within the last year in each county (ranging from 16.6% to 91.0%). We described the association between dental workforce availability and dental services utilization using ordinary least squares regression and spatial regression techniques. Spatial analyses consisted of bivariate Local Indicators of Spatial Association (LISA) and geographically weighted regression (GWR). Results Bivariate LISA showed that counties in the central and southern Appalachian regions had significant (p < .05) low-low spatial clusters (low dental workforce availability, low percent dental services utilization). GWR revealed considerable local variations in the association between dental utilization and dental workforce availability. In the multivariate GWR models, 8.5% (t-statistics >1.96) and 13.45% (t-statistics >1.96) of counties showed positive and statistically significant relationships between the dental services utilization and workforce availability of dentists and dental hygienists, respectively. Conclusions Dental workforce availability was associated with dental services utilization in the Appalachian region; however, this association was not statistically significant in all counties. The findings suggest that program and policy efforts to improve dental services utilization need to focus on factors other than increasing the dental workforce availability for many counties in Appalachia. PMID:27957773

76 FR 12316 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-07

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be... Madera County Title II funds. DATES: The meetings will be held on March 9th, and March 16th, 2011 from 6...

78 FR 33326 - Big Horn County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-04

... DEPARTMENT OF AGRICULTURE Forest Service Big Horn County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Big Horn County Resource Advisory Committee... will be held July 15, 2013 at 3:00 p.m. ADDRESSES: The meeting will be held at Big Horn County Weed and...

76 FR 55161 - Boston and Maine Corporation-Abandonment Exemption-Middlesex County, Mass.; Springfield Terminal...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-06

...\\ Docket No. AB 355; Sub-No. 39X] Boston and Maine Corporation--Abandonment Exemption--Middlesex County, Mass.; Springfield Terminal Railway Company; Discontinuance of Service Exemption; Middlesex County, MA... Middlesex County, Mass. The line traverses United States Postal Service Zip Codes 02471 and 02138...

Trends in coronary mortality and community services, associated with occupational structure in New York State, 1980–96

PubMed Central

Armstrong, D; Strogatz, D; Wang, R

2002-01-01

Study objective: Examine the association between county occupational structure, services availability, prevalence of risk factors, and coronary mortality rates by sex, for 1980–96, in New York state. Design: New York's 62 counties were classified into three occupational structure categories; counties with the lowest percentages of the labour force in managerial, professional, and technical occupations were classified in category I, counties with the highest percentages were in category III. Directly age adjusted coronary heart disease (CHD) mortality rates, aged 35–64 years, (from vital statistics and census data), per capita services (Census County Business Patterns), and the prevalence of CHD risk factors (BRFSS data) were calculated for each occupational structure category. Results: CHD mortality rates and the prevalence of risk factors were inversely associated with occupational structure for men and women. Income from manufacturing jobs declined most in category I and per capita numbers of producer services for banking, business credit, overall business services, and personnel/employment services were 9–15 times greater in category III compared with I counties. Consumer services such as grocery stores, fitness facilities, doctors offices, and social services were 1.5–4 times greater in category III compared with I counties. Conclusions: An ecological model for conceptualising communities and health and for intervention design is discussed; key community characteristics are occupational and industrial structure, availability and diversity of consumer services, prevalence of health practices, and level of premature CHD. PMID:12388580

Making the Invisible Visible: A Responsive Evaluation Study of ESL and Spanish Language Services for Immigrants in a Small Rural County in Indiana

ERIC Educational Resources Information Center

Pawan, Faridah; Thomalla, Therese Groff

2005-01-01

This article describes a responsive evaluation study of ESL services and Spanish language services for immigrants in a rural county in Indiana. An ESL specialist led the evaluation of language services in the county from the perspectives of language providers and recipients. The responsive evaluation--a form of action research that uses…

Community characteristics associated with child abuse in Iowa.

PubMed

Weissman, Alicia M; Jogerst, Gerald J; Dawson, Jeffrey D

2003-10-01

Various demographic and community characteristics are associated with child abuse rates in national and urban samples, but similar analyses have not been done within rural areas. This study analyzes the relationships between reported and substantiated rates of child abuse and county demographic, health care resource and social services factors in a predominantly rural state in the US. County-level data from Iowa between 1984-1993 were analyzed for associations between county characteristics and rates of child abuse using univariate correlations and multivariate stagewise regression analysis. Population-adjusted rates of reported and substantiated child abuse were correlated with rates of children in poverty, single-parent families, marriage and divorce, unemployment, high-school dropouts, median family income, elder abuse, birth and death rates, numbers of physicians and other healthcare providers, hospital, social workers, and number of caseworkers in the Department of Human Services. Rates of single-parent families, divorce and elder abuse were significantly associated with reported and substantiated child abuse in multivariate analysis, while economic and most health care factors were not. Reporting and substantiation rates differed across districts after adjustment for multiple factors including caseworker workload. In this rural state, family structure is more significantly associated with child abuse report and substantiation rates than are socioeconomic factors. The level of health care resources in a county does not appear to affect these rates.

77 FR 55800 - Foreign-Trade Zone 242-Boundary County, ID; Application for Subzone AREVA Enrichment Services...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-11

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [B-68-2012] Foreign-Trade Zone 242--Boundary County, ID; Application for Subzone AREVA Enrichment Services, LLC; Bonneville County, ID An application... FTZ 242, requesting special-purpose subzone status for the facility of AREVA Enrichment Services, LLC...

The increasing impact of human immunodeficiency virus infections, sexually transmitted diseases, and viral hepatitis in Durham County, North Carolina: a call for coordinated and integrated services.

PubMed

Kolman, Marc; DeCoster, Mary; Proeschold-Bell, Rae Jean; Hunter, Genevieve Ankeny; Bartlett, John; Seña, Arlene C

2011-01-01

Durham County, North Carolina, faces high rates of human immunodeficiency virus (HIV) infection (with or without progression to AIDS) and sexually transmitted diseases (STDs). We explored the use of health care services and the prevalence of coinfections, among HIV-infected residents, and we recorded community perspectives on HIV-related issues. We evaluated data on diagnostic codes, outpatient visits, and hospitalizations for individuals with HIV infection, STDs, and/or hepatitis B or C who visited Duke University Hospital System (DUHS). Viral loads for HIV-infected patients receiving care were estimated for 2009. We conducted geospatial mapping to determine disease trends and used focus groups and key informant interviews to identify barriers and solutions to improving testing and care. We identified substantial increases in HIV/STDs in the southern regions of the county. During the 5-year period, 1,291 adults with HIV infection, 4,245 with STDs, and 2,182 with hepatitis B or C were evaluated at DUHS. Among HIV-infected persons, 13.9% and 21.8% were coinfected with an STD or hepatitis B or C, respectively. In 2009, 65.7% of HIV-infected persons receiving care had undetectable viral loads. Barriers to testing included stigma, fear, and denial of risk, while treatment barriers included costs, transportation, and low medical literacy. Data for health care utilization and HIV load were available from different periods. Focus groups were conducted among a convenience sample, but they represented a diverse population. Durham County has experienced an increase in the number of HIV-infected persons in the county, and coinfections with STDs and hepatitis B or C are common. Multiple barriers to testing/treatment exist in the community. Coordinated care models are needed to improve access to HIV care and to reduce testing and treatment barriers.

78 FR 67215 - Norfolk Southern Railway Company-Abandonment Exemption-in Fayette and Wayne Counties, Ind.; C&NC...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-08

... Wayne Counties, Ind.; C&NC Railroad Corporation-- Discontinuance of Service Exemption--in Fayette and...-Exempt Abandonments and Discontinuances of Service for NSR to abandon, and for CNUR to discontinue service over, approximately 0.61 miles of rail line between milepost CB 4.80 (near East County Road 450N...

A national survey of clinical pharmacy services in county hospitals in China.

PubMed

Yao, Dongning; Xi, Xiaoyu; Huang, Yuankai; Hu, Hao; Hu, Yuanjia; Wang, Yitao; Yao, Wenbing

2017-01-01

Clinical pharmacy is not only a medical science but also an elaborate public health care system firmly related to its subsystems of education, training, qualification authentication, scientific research, management, and human resources. China is a developing country with a tremendous need for improvements in the public health system, including the clinical pharmacy service system. The aim of this research was to evaluate the infrastructure and personnel qualities of clinical pharmacy services in China. Public county hospitals in China. A national survey of clinical pharmacists in county hospitals was conducted. It was sampled through a stratified sampling strategy. Responses were analyzed using descriptive and inferential statistics. The main outcome measures include the coverage of clinical pharmacy services, the overall staffing of clinical pharmacists, the software and hardware of clinical pharmacy services, the charge mode of clinical pharmacy services, and the educational background, professional training acquisition, practical experience, and entry path of clinical pharmacists. The overall coverage of clinical pharmacy services on both the department scale (median = 18.25%) and the patient scale (median = 15.38%) does not meet the 100% coverage that is required by the government. In 57.73% of the sample hospitals, the staffing does not meet the requirement, and the size of the clinical pharmacist group is smaller in larger hospitals. In addition, 23.4% of the sample hospitals do not have management rules for the clinical pharmacists, and 43.1% do not have rational drug use software, both of which are required by the government. In terms of fees, 89.9% of the sample hospitals do not charge for the services. With regard to education, 8.5% of respondents are with unqualified degree, and among respondents with qualified degree, 37.31% are unqualified in the major; 43% of respondents lack the clinical pharmacist training required by the government. Most respondents (93.5%) have a primary or medium professional title. The median age and work seniority of respondents are 31 and four years, respectively. Only 18.5% of respondents chose this occupation by personal consideration or willingness. The main findings in this research include the overall low coverage of clinical pharmacy services, the low rate of clinical pharmacy service software, hardware, and personnel as well as a wide variance in educational training of pharmacists at county hospitals.

Applying the Department of Health and Human Services Underserved Area Criteria to Army Dental Facilities

DTIC Science & Technology

1993-01-01

The Act also applied to students in schools of medicine, osteopathy , or optometry, and was based on county practitioner-population ratios. By 1971...primatry cam physician (Ui) Othier tourists (non-residtnt) may osteopathy (D.O.) providing direct ratio of less than 2.50:1I but greater be included

77 FR 53893 - Notice of FY 2012 Refugee Targeted Assistance Formula Awards to States and Wilson/Fish...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-04

... self- sufficient as soon as possible. Awards are determined by the number of the eligible populations... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of Refugee Resettlement [C.F.D.A. Number 93.584... counties that have had high levels of arrivals of the eligible populations. The awards supplement available...

75 FR 70025 - Notice of Inventory Completion: U.S. Department of the Interior, Bureau of Reclamation, Pacific...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-16

... Repository, Nespelem, WA AGENCY: National Park Service, Interior. ACTION: Notice. Notice is hereby given in... Repository, Nespelem, WA. The human remains were removed from Grant County, WA. This notice is published as... Washington State University. In 2006, they were transferred to the Colville Tribal Repository for curation...

Decision Support Framework (DSF) For Planning Land And Resource Use To Sustainably Maintain Healthy Ecosystem Services And Communities - Slides For March 31, 2009

EPA Science Inventory

Land and resource use decisions are typically made by individuals, towns, counties, tribes, states and sometimes multiple states (regions) to increase economic viability of an area with little attention to the long term effects on human health and the environment. Individuals an...

77 FR 27778 - Notice of the Award of a Single-Source Program Expansion Supplement to Pima County Community...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-11

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Notice of the... Tucson, AZ AGENCY: Office of Family Assistance, ACF, HHS. ACTION: Award of a Single-Source Program... higher education in Tucson, Arizona. CFDA Number: 93.093. Statutory Authority: Section 2008(a) of Title...

78 FR 12033 - Foreign-Trade Zone 37-Orange County, NY, Application for Reorganization (Expansion of Service...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-21

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [B-14-2013] Foreign-Trade Zone 37--Orange County... application has been submitted to the Foreign-Trade Zones (FTZ) Board (the Board) by the County of Orange... service area that includes Orange and Duchess Counties, New York. The applicant is now requesting...

76 FR 47141 - Big Horn County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-04

....us , with the words Big Horn County RAC in the subject line. Facsimilies may be sent to 307-674-2668... DEPARTMENT OF AGRICULTURE Forest Service Big Horn County Resource Advisory Committee AGENCY: Forest Service, USDA. [[Page 47142

Accessible Bus Service in Palm Beach County, Florida

DOT National Transportation Integrated Search

1983-03-01

The Palm Beach County Transportation Authority introduced accessible fixed-route service on its countywide CoTran bus service in May 1980. CoTran provided 100% (full-fleet) accessible service, using 23 retrofitted buses and 40 new buses, all equipped...

75 FR 23222 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-03

... Sonora Fire Department located at 201 South Shepherd Street, in Sonora, California (CA 95370). FOR... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource...

76 FR 67403 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-01

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting cancellation. SUMMARY: The Madera County Resource Advisory Committee was scheduled to meet November 15, 2011 in North Fork, California. The committee is authorized...

75 FR 63436 - Glenn/Colusa County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-15

... DEPARTMENT OF AGRICULTURE Forest Service Glenn/Colusa County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Glenn/Colusa County Resource Advisory Committee (RAC) will meet in Willows, California. Agenda items covered include: (1) Introductions, (2...

75 FR 27287 - Glenn/Colusa County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-14

... DEPARTMENT OF AGRICULTURE Forest Service Glenn/Colusa County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Glenn/Colusa County Resource Advisory Committee (RAC) will meet in Willows, California. Agenda items covered include: (1) Introductions, (2...

An Innovative Community-Based Model for Improving Preventive Care in Rural Counties

PubMed Central

Scheid, Dewey; Zhao, Daniel; Mishra, Bhawani; Greever-Rice, Tracy

2017-01-01

Objectives This quasi-experimental pilot study aimed to implement and evaluate a sustainable, rural community-based patient outreach model for preventive care provided through primary care practices located in a rural county in Oklahoma. A Wellness Coordinator (WC) working with primary care practices (PCPs), the county health department, the county hospital, and a health information exchange (HIE) organization helped county residents receive evidence-based preventive services. Methods The WC used a community wellness registry connected to electronic medical records via HIE and called patients at the county level based on PCP-prioritized and tailored protocols. The registry flagged patient-level preventive care gaps, tracked outreach efforts, and documented the delivery of preventive services throughout the community. Return on investment (ROI) for prioritized preventive services was estimated in participating organizations. Results Six of the seven primary care practices in the county expressed interest in the project. Three of these practices fully implemented the 1-year outreach program starting in mid-2015. The regional HIE supplied periodic data updates for 9,138 county residents to help the coordinators address care gaps using the community registry. A total of 5,034 outreach calls were made by the WC in the first year and 7,776 prioritized recommendations were offered when care gaps were detected. Of the 5,034 distinct patients who received a call, 1146 (22%) were up-to-date on all prioritized services, while 3,888 (78%) were due for at least one of the selected services. Healthcare organizations in the county significantly improved the delivery of selected preventive services (mean increase: 35% across 10 services; p= 0.004; range: 3% to 215%) and realized a mean ROI of 80% for these services (range: 32% to 122%). The health system that employed the WC earned an estimated revenue of $52,000 realizing a 40% ROI for the coordinator position. Conclusions Although more research is needed, our pilot study suggests that it may be feasible and cost-effective to implement an innovative, county-level patient outreach program for improving preventive care in rural settings. PMID:28923810

United States coronary mortality trends and community services associated with occupational structure, among blacks and whites, 1984-1998.

PubMed

Armstrong, Donna L; Strogatz, David; Wang, Ruby

2004-06-01

This paper examines the association between US county occupational structure, services availability, prevalence of risk factors, and coronary mortality rates by sex and race, for 1984-1998. The 3137 US counties were classified into five occupational structure categories; counties with the lowest percentages of the labor force in managerial, professional, and technical occupations were classified in category I (5-16%), counties with the highest percentages were in category V (32-59%). Directly age-adjusted coronary heart disease (CHD) mortality rates, for aged 35-64 years, (from vital statistics and Census data), per-capita services (County Business Patterns), and the prevalence of CHD risk factors (Behavioral Risk Factor Surveillance Surveys data) were calculated for each occupational structure category. CHD mortality rates and the prevalence of risk factors were inversely monotonically associated with occupational structure categories for white men and women but not among black men and women. Numbers of producer services for banking, business credit, overall business services and personnel/employment services were 2-12 times greater in category V versus I counties. Consumer services such as fruit/vegetable markets, fitness facilities, doctor offices and social services were 1.6-3 times greater in category V versus I counties. Residential racial segregation scores remained high in most areas despite declines during 1980-1990; occupational segregation by race and gender were shown indicating continued institutional racism. An ecological model for conceptualizing communities and health and the overall influence of state and national occupational structure is discussed; intervention strategies such as decreased wage disparities and 'living wage' standards and development is discussed.

77 FR 48495 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-14

... City of Sonora Fire Department located at 201 South Shepherd Street, in Sonora, California (CA 95370... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource...

76 FR 46722 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-03

... at the City of Sonora Fire Department located at 201 South Shepherd Street, in Sonora, California (CA... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource...

76 FR 20309 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-12

... of Sonora Fire Department located at 201 South Shepherd Street, in Sonora, California (CA 95370). FOR... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource...

77 FR 48496 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-14

... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource Advisory Committee will meet on September 17, 2012 at the City of Sonora Fire Department, in Sonora...

77 FR 48495 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-14

... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource Advisory Committee will meet on September 10, 2012 at the City of Sonora Fire Department, in Sonora...

Performance-based financing contributes to the resilience of health services affected by the Liberian Ebola outbreak

PubMed Central

Mapleh, L.; Ade, S.; Harries, A. D.; Bhat, P.; Kateh, F.; Dahn, B.

2017-01-01

Setting: The Liberian counties of Bong, with performance-based financing (PBF) for all 36 public primary-care facilities, and Margibi, with no PBF for its 24 public primary-care facilities. Objective: To compare whether specific maternal and child health indicators changed in the two counties during the pre-Ebola (2013), Ebola (2014) and post-Ebola (2015) disease outbreak periods from July to September each year. Design: This was a cross-sectional study. Results: For pregnant women, the numbers of antenatal visits, intermittent preventive malaria treatments, human immunodeficiency virus (HIV) tests and facility-based births with skilled attendants all fell during the Ebola period, with decreases being significantly more marked in Margibi County. Apart from HIV testing, which remained low in both counties, these indicators increased in the post-Ebola period, with increases significantly more marked in Bong than in Margibi. The number of childhood immunisations decreased significantly in Bong in the Ebola period compared with the pre-Ebola period, but increased to above pre-Ebola levels in the post-Ebola period. There were markedly larger decreases in childhood immunisations in Margibi County during the Ebola period, which remained significantly lower in the post-Ebola period compared with Bong County. Conclusion: In a PBF-supported county, selected maternal and childhood health indicators showed less deterioration during Ebola and better recovery post-Ebola than in a non-PBF-supported county. PMID:28744447

Performance-based financing contributes to the resilience of health services affected by the Liberian Ebola outbreak.

PubMed

Mussah, V G; Mapleh, L; Ade, S; Harries, A D; Bhat, P; Kateh, F; Dahn, B

2017-06-21

Setting: The Liberian counties of Bong, with performance-based financing (PBF) for all 36 public primary-care facilities, and Margibi, with no PBF for its 24 public primary-care facilities. Objective: To compare whether specific maternal and child health indicators changed in the two counties during the pre-Ebola (2013), Ebola (2014) and post-Ebola (2015) disease outbreak periods from July to September each year. Design: This was a cross-sectional study. Results: For pregnant women, the numbers of antenatal visits, intermittent preventive malaria treatments, human immunodeficiency virus (HIV) tests and facility-based births with skilled attendants all fell during the Ebola period, with decreases being significantly more marked in Margibi County. Apart from HIV testing, which remained low in both counties, these indicators increased in the post-Ebola period, with increases significantly more marked in Bong than in Margibi. The number of childhood immunisations decreased significantly in Bong in the Ebola period compared with the pre-Ebola period, but increased to above pre-Ebola levels in the post-Ebola period. There were markedly larger decreases in childhood immunisations in Margibi County during the Ebola period, which remained significantly lower in the post-Ebola period compared with Bong County. Conclusion: In a PBF-supported county, selected maternal and childhood health indicators showed less deterioration during Ebola and better recovery post-Ebola than in a non-PBF-supported county.

Countywide Cooperative Library Service, Lincoln County, Oregon. An Action Plan.

ERIC Educational Resources Information Center

Dalton, Phyllis I.

This comprehensive action plan addresses eight areas important to the development of county-wide cooperative library service: the utilization of total library resources and services, accessibility of library service, organization, financing, special services for special needs, short range action plans, and long-range planning. Additional sections…

76 FR 7809 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-11

... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource Advisory Committee will meet on March 7, 2011, at the City of Sonora Fire Department, in Sonora, California...

76 FR 29722 - Madera County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-23

... DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be... Community Self-Determination Act of 2000 (Pub. L. 110-343) for expenditure of Payments to States Madera...

75 FR 33241 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-11

... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource Advisory Committee will meet on June 14, 2010 at the City of Sonora Fire Department, in Sonora, California...

76 FR 36898 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-23

... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of Meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource Advisory Committee will meet on July 11, 2011 at the City of Sonora Fire Department, in Sonora, California...

75 FR 30771 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-02

... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource Advisory Committee will meet on June 14, 2010, at the City of Sonora Fire Department, in Sonora, California...

78 FR 49446 - Lyon-Mineral County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-14

... DEPARTMENT OF AGRICULTURE Forest Service Lyon-Mineral County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meetings. SUMMARY: The Lyon-Mineral County Resource Advisory Committee (RAC) will meet in Yerrington, Nevada. The RAC is meeting as authorized under the Secure Rural...

Funding services from the bottom up: an overview of Senior Services Levy Programs in Ohio.

PubMed

Payne, Michael; Applebaum, Robert; Molea, Marcus; Ross, Doris E

2007-08-01

Since the 1980s, Ohio counties have pursued a somewhat unique strategy for funding services for the 60-and-older population. Using local property-tax levies, Ohio counties bring in more than $100 million yearly to support a range of services for older people. In this article we report on information from the 2005 Ohio Senior Service Levy Survey, including information for states or counties that may be interested in implementing senior-service levies of their own. A survey was completed by 56 of 59 Ohio counties that operated senior-service levies in 2004. We pilot tested the survey instrument with input from three counties (urban, rural, and a mix of both). Overall, the survey responses provided information on a range of components, including size of levy, types of services provided, number of older citizens served, quality and evaluation efforts, and advice on initiating successful levy campaigns. Ohio is one of only five states raising money for senior services through countywide, property-tax levies. Although there is some debate about the appropriateness of property-tax levies as a means of funding senior services, these levies are being met very favorably at the polls in Ohio. Because funding from the Older Americans Act has not kept pace with inflation or with the increasing number of older people, other states may look at Ohio's experience with senior-service levies with increasing interest.

7 CFR 1962.3 - Authorities and responsibilities.

Code of Federal Regulations, 2013 CFR

2013-01-01

... is not on the farm, the loan will be serviced by the County Office serving the County in which the... BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE.... (2) Borrower. The borrower is responsible for repaying the loans, maintaining, protecting, and...

7 CFR 1962.3 - Authorities and responsibilities.

Code of Federal Regulations, 2012 CFR

2012-01-01

... is not on the farm, the loan will be serviced by the County Office serving the County in which the... BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE.... (2) Borrower. The borrower is responsible for repaying the loans, maintaining, protecting, and...

Recentralization within decentralization: County hospital autonomy under devolution in Kenya

PubMed Central

Manyara, Anthony M.; Molyneux, Sassy; Tsofa, Benjamin

2017-01-01

Background In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functioning. Methods We used a qualitative case study approach to examine the level of autonomy that hospitals had over key management functions and how this had affected hospital functioning in three county hospitals in coastal Kenya. We collected data by in-depth interviews of county health managers and hospital managers in the case study hospitals (n = 21). We adopted the framework proposed by Chawla et al (1995) to examine the autonomy that hospitals had over five management domains (strategic management, finance, procurement, human resource, and administration), and how these influenced hospital functioning. Findings Devolution had resulted in a substantial reduction in the autonomy of county hospitals over the five key functions examined. This resulted in weakened hospital management and leadership, reduced community participation in hospital affairs, compromised quality of services, reduced motivation among hospital staff, non-alignment of county and hospital priorities, staff insubordination, and compromised quality of care. Conclusion Increasing the autonomy of county hospitals in Kenya will improve their functioning. County governments should develop legislation that give hospitals greater control over resources and key management functions. PMID:28771558

The Impact of Local Environmental Health Capacity on Foodborne Illness Morbidity in Maryland

PubMed Central

Resnick, Beth A.; Fox, Mary A.; McGready, John; Yager, James P.; Burke, Thomas A.

2011-01-01

Objectives. We evaluated the relationship between local food protection capacity and service provision in Maryland's 24 local food protection programs (FPPs) and incidence of foodborne illness at the county level. Methods. We conducted regression analyses to determine the relationship between foodborne illness and local FPP characteristics. We used the Centers for Disease Control and Prevention's FoodNet and Maryland Department of Health and Mental Hygiene outbreak data set, along with data on Maryland's local FPP capacity (workforce size and experience levels, budget) and service provision (food service facility inspections, public notification programs). Results. Counties with higher capacity, such as larger workforce, higher budget, and greater employee experience, had fewer foodborne illnesses. Counties with better performance and county-level regulations, such as high food service facility inspection rates and requiring certified food manager programs, respectively, had lower rates of illness. Conclusions. Counties with strong local food protection capacity and services can protect the public from foodborne illness. Research on public health services can enhance our understanding of the food protection infrastructure, and the effectiveness of food protection programs in preventing foodborne illness. PMID:21750282

Geographical Clusters and Predictors of Rabies in Three Southeastern States.

PubMed

Reilly, Sara; Sanderson, Wayne T; Christian, W Jay; Browning, Steven R

2017-06-01

The rabies virus causes progressive encephalomyelitis that is fatal in nearly 100% of untreated cases. In the United States, wildlife act as the primary reservoir for rabies; prevention, surveillance, and control costs remain high. The purpose of this study is to understand the current distribution of wildlife rabies in three southeastern states, with particular focus on raccoons as the primary eastern reservoir, as well as identify demographic and geographic factors which may affect the risk of human exposure. This ecologic study obtained county-level rabies surveillance data from state health departments and the United States Department of Agriculture Wildlife services for North Carolina, Virginia, and West Virginia from 2010 to 2013. A spatial statistical analysis was performed to identify county clusters with high or low rates of raccoon rabies in the three states. Potential demographic and geographic factors associated with these varying rates of rabies were assessed using a multivariable negative binomial regression model. In North Carolina, raccoons constituted 50% of positive tests, in Virginia, 49%, and in West Virginia, 50%. Compared to persons residing in West Virginia counties, persons in North Carolina counties had 1.67 times the risk of exposure (p < 0.0001) to a rabid raccoon and those in Virginia counties had 1.82 times the risk of exposure (p < 0.0001) to a rabid raccoon. Compared to those counties where farmland makes up less than 17% of the total area, persons residing in counties with 17-28% farmland had a 32% increased risk of exposure to a rabid raccoon. In counties with 28-39% farmland, there was an 84% increased risk of exposure. State, rurality, and percent of area designated as farmland were the best predictors of risk of raccoon rabies exposure. Further research is needed to better understand the effect of the oral rabies vaccine program in controlling the risk of human exposure to raccoon rabies.

The Public's Attitude Toward Public Library Services in Essex County, New Jersey; A Research Study Conducted for the Essex County Library Directors Group Public Relations Committee.

ERIC Educational Resources Information Center

Market Dynamics, Inc., Princeton, NJ.

In order to structure an effective campaign aimed at increasing the usage of the public libraries in Essex County, New Jersey, this research project was undertaken to determine the consumer attitudes toward various aspects of public library services. These aspects include: extent of public library usage; awareness of library services offered,…

Home Care Services and the Rural Elderly.

ERIC Educational Resources Information Center

Hayslip, Bert, Jr.; And Others

1980-01-01

Independent studies examined a needs v an agency perspective on home health care service needs within a rural county. Interviews with 299 elderly, aged 60-93, revealed there were substantial needs for home health care services and the desire for services varied with residence within the county. (Author)

7 CFR 1900.3 - State, district, and county office employees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 12 2010-01-01 2010-01-01 false State, district, and county office employees. 1900.3 Section 1900.3 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF...

Are carrots, corn and cattle really provided by Nature- If not ...

EPA Pesticide Factsheets

People harbor different perspectives regarding the aspects of agroecosystems or cultivated lands that are or could be considered ecosystem services. The first issues that need to be addressed in this regard are to define agro-ecosystem services and to establish their potential purpose (or use) to human beneficiaries. This early decision provides the foundation for what ecosystem services are, who uses them, and if or how they can be quantified. An important point to consider is that agricultural activities, while performed in and on environments provided by nature, are characterized by human labor and capital originating in the human economy. There are inherent reasons to quantify (i.e., measure) ecosystem services in a relatively standard way across landscapes and even within political units, such as counties or nations. Standard approaches to defining and measuring can underpin a multitude of accounting activities such as assigning value to them using either monetary or non-monetary approaches. The ecosystem services community could benefit by applying an ecosystem services definition that embodies from where in the environment the “service” originates and, equally as important, the user or beneficiary of this service. If we focus on the subset of ecosystem services which are Final Ecosystem Goods and Services by adopting the definition of Final Ecosystem Goods and Services (or FEGS), “components of nature, directly enjoyed, consumed or used to yi

A Recruitment Program for Critical Shortage Elementary Level Special Education Teachers and Related Service Personnel.

ERIC Educational Resources Information Center

Teas, Brenda

A county (Harris County, Texas) education agency, along with Special Education Directors and Personnel Officers from the county's 24 school districts, identified problems in recruiting special education teachers and such related service personnel as psychologists, psychological associates, educational diagnosticians, speech therapists, art…

76 FR 7810 - Big Horn County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-11

... DEPARTMENT OF AGRICULTURE Forest Service Big Horn County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Big Horn County Resource Advisory Committee... will be held on March 3, 2011, and will begin at 10 a.m. ADDRESSES: The meeting will be held at the Big...

76 FR 30906 - Foreign-Trade Zone 170-Clark County, IN; Application for Reorganization (Expansion of Service...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-27

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [Docket 37-2011] Foreign-Trade Zone 170--Clark County, IN; Application for Reorganization (Expansion of Service Area) Under Alternative Site Framework... includes Jackson, Washington, Harrison, Floyd, Clark and Scott Counties, Indiana. The applicant is now...

7 CFR 1925.3 - Servicing taxes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 12 2011-01-01 2011-01-01 false Servicing taxes. 1925.3 Section 1925.3 Agriculture... TAXES Real Estate Tax Servicing § 1925.3 Servicing taxes. (a) The County Supervisor will be responsible for ascertaining that all mortgaged real estate is listed properly for tax purposes. (b) The County...

Recovery Migration After Hurricanes Katrina and Rita: Spatial Concentration and Intensification in the Migration System.

PubMed

Curtis, Katherine J; Fussell, Elizabeth; DeWaard, Jack

2015-08-01

Changes in the human migration systems of the Gulf of Mexico coastline counties affected by Hurricanes Katrina and Rita provide an example of how climate change may affect coastal populations. Crude climate change models predict a mass migration of "climate refugees," but an emerging literature on environmental migration suggests that most migration will be short-distance and short-duration within existing migration systems, with implications for the population recovery of disaster-stricken places. In this research, we derive a series of hypotheses on recovery migration predicting how the migration system of hurricane-affected coastline counties in the Gulf of Mexico was likely to have changed between the pre-disaster and the recovery periods. We test these hypotheses using data from the Internal Revenue Service on annual county-level migration flows, comparing the recovery period migration system (2007-2009) with the pre-disaster period (1999-2004). By observing county-to-county ties and flows, we find that recovery migration was strong: the migration system of the disaster-affected coastline counties became more spatially concentrated, while flows within it intensified and became more urbanized. Our analysis demonstrates how migration systems are likely to be affected by the more intense and frequent storms anticipated by climate change scenarios, with implications for the population recovery of disaster-affected places.

Cluster of HIV-positive young women--New York, 1997-1998.

PubMed

1999-05-28

As of July 1997, six human immunodeficiency virus (HIV) infections in young women who reported sexual contact with the same HIV-infected man (putative index case-patient) were detected at health-service clinics in a rural county in upstate New York. During the next several months, other sexual contacts of the man were discovered by public health officials through routine voluntary partner notification interviews, interviews with exposed women, and after a public announcement resulted in counseling and testing of approximately 1400 persons in the county. This report presents epidemiologic and laboratory findings of the young women investigated as part of this cluster and suggests a common source of HIV infection for these women.

75 FR 32205 - Felsenthal National Wildlife Refuge, Ashley, Bradley, and Union Counties, AR; Overflow National...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-07

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R4-R-2010-N061; 40136-1265-0000-S3] Felsenthal National Wildlife Refuge, Ashley, Bradley, and Union Counties, AR; Overflow National Wildlife Refuge, Ashley County, AR AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice of availability...

Impact of socioeconomic development on ecosystem services and its conservation strategies: a case study of Shandong Province, China.

PubMed

Wang, Shujun; Liu, Jian; Wang, Renqing; Ni, Zirong; Xu, Shipeng; Sun, Yueyao

2012-05-01

Ecosystems and their components provide a lot of benefits for the welfare of human beings. Coupled with increasing socioeconomic development, most of the rapidly developing and transitional countries and regions have been experiencing dramatic land use changes. This has resulted in a large amount of forestland, grassland, and wetland being occupied as residential and industrial land or reclaimed for arable land, which in turn results in a sharp deterioration of ecosystem services around the world. Shandong Province, an economically powerful province of China, was chosen as a case study in order to capture the impact of socioeconomic development on ecosystem services. By way of the study, land uses and their changes were categorized between 1980 and 2006, and the ecosystem services capital and changes of 111 counties of Shandong Province in different phases were evaluated, as well as the total ecosystem services capital, followed by the zoning of ecosystem services function region of Shandong Province. We found that the counties in mountainous areas and wetlands, where generally the prefectural-level cities are located with a rapid socioeconomic development, experienced a successive deterioration of ecosystem services especially during the 2000s. Finally, three conservation strategies for managing and improving ecosystem services were proposed and discussed with the aim of achieving coordinate and sustainable development of the socioeconomy, environment, and ecosystems not only in Shandong Province but also in other provinces of China, as well as in other developing and transitional countries and regions.

Availability of essential health services in post-conflict Liberia.

PubMed

Kruk, Margaret E; Rockers, Peter C; Williams, Elizabeth H; Varpilah, S Tornorlah; Macauley, Rose; Saydee, Geetor; Galea, Sandro

2010-07-01

To assess the availability of essential health services in northern Liberia in 2008, five years after the end of the civil war. We carried out a population-based household survey in rural Nimba county and a health facility survey in clinics and hospitals nearest to study villages. We evaluated access to facilities that provide index essential services: artemisinin combination therapy for malaria, integrated management of childhood illness, human immunodeficiency virus (HIV) counselling and testing, basic emergency obstetric care and treatment of mental illness. Data were obtained from 1405 individuals (98% response rate) selected with a three-stage population-representative sampling method, and from 43 of Nimba county's 49 health facilities selected because of proximity to the study villages. Respondents travelled an average of 136 minutes to reach a health facility. All respondents could access malaria treatment at the nearest facility and 55.9% could access HIV testing. Only 26.8%, 14.5%, and 12.1% could access emergency obstetric care, integrated management of child illness and mental health services, respectively. Although there has been progress in providing basic services, rural Liberians still have limited access to life-saving health care. The reasons for the disparities in the services available to the population are technical and political. More frequently available services (HIV testing, malaria treatment) were less complex to implement and represented diseases favoured by bilateral and multilateral health sector donors. Systematic investments in the health system are required to ensure that health services respond to current and future health priorities.

Poverty, Sprawl, and Restaurant Types Influence Body Mass Index of Residents in California Counties

PubMed Central

Gregson, Jennifer

2011-01-01

Objectives. This article examines the relationships between structural poverty (the proportion of people in a county living at ≤130% of the federal poverty level [FPL]), urban sprawl, and three types of restaurants (grouped as fast food, chain full service, and independent full service) in explaining body mass index (BMI) of individuals. Methods. Relationships were tested with two-tiered hierarchical models. Individual-level data, including the outcome variable of calculated BMI, were from the 2005, 2006, and 2007 California Behavioral Risk Factor Surveillance Survey (n=14,205). County-level data (n=33) were compiled from three sources. The 2000 U.S. Census provided the proportion of county residents living at ≤130% of FPL and county demographic descriptors. The sprawl index used came from the Smart Growth America Project. Fast-food, full-service chain, and full-service independently owned restaurants as proportions of the total retail food environment were constructed from a commercially available market research database from 2004. Results. In the analysis, county-level demographic characteristics lost significance and poverty had a consistent, robust association on BMI (p<0.001). Sprawl demonstrated an additional, complementary association to county poverty (p<0.001). Independent restaurants had a large, negative association to BMI (p<0.001). The coefficients for chain and fast-food restaurants were large and positive (p≤0.001), indicating that as the proportion of these restaurants in a county increases, so does BMI. Conclusions. This study demonstrates the important role of county poverty and urban sprawl toward understanding environmental influences on BMI. Using three categories of restaurants demonstrates different associations of full-service chain and independent restaurants, which are often combined in other research. PMID:21563722

Poverty, sprawl, and restaurant types influence body mass index of residents in California counties.

PubMed

Gregson, Jennifer

2011-01-01

This article examines the relationships between structural poverty (the proportion of people in a county living at < or =130% of the federal poverty level [FPL]), urban sprawl, and three types of restaurants (grouped as fast food, chain full service, and independent full service) in explaining body mass index (BMI) of individuals. Relationships were tested with two-tiered hierarchical models. Individual-level data, including the outcome variable of calculated BMI, were from the 2005, 2006, and 2007 California Behavioral Risk Factor Surveillance Survey (n = 14,205). County-level data (n = 33) were compiled from three sources. The 2000 U.S. Census provided the proportion of county residents living at < or = 130% of FPL and county demographic descriptors. The sprawl index used came from the Smart Growth America Project. Fast-food, full-service chain, and full-service independently owned restaurants as proportions of the total retail food environment were constructed from a commercially available market research database from 2004. In the analysis, county-level demographic characteristics lost significance and poverty had a consistent, robust association on BMI (p < 0.001). Sprawl demonstrated an additional, complementary association to county poverty (p < 0.001). Independent restaurants had a large, negative association to BMI (p < 0.001). The coefficients for chain and fast-food restaurants were large and positive (p < or = 0.001), indicating that as the proportion of these restaurants in a county increases, so does BMI. This study demonstrates the important role of county poverty and urban sprawl toward understanding environmental influences on BMI. Using three categories of restaurants demonstrates different associations of full-service chain and independent restaurants, which are often combined in other research.

"But Aren't Diesel Engines Just for Big, Smelly Trucks?" An Interdisciplinary Curriculum Project for High School Chemistry Students

ERIC Educational Resources Information Center

Zoellner, Brian P.; Chant, Richard H.; Wood, Kelly

2014-01-01

In a collaboration between the University of North Florida College of Education and Human Services and Sandalwood High School in Duval County, Florida, social studies and science education professors and a science teacher worked together to develop student understanding about the limited use of diesel-fueled cars in the United States when compared…

The Pathway Program: A Collaboration between 3 Universities to Deliver a Social Work Distance Education (DL) Program to Underserved Areas of California

ERIC Educational Resources Information Center

Morris, Teresa; Jones, Celeste A.; Sehrawats, Seema

2016-01-01

This paper describes the development of a partnership between three campuses to develop a (DL) education program-serving employees of county and tribal Health and Human Service Departments in remote rural areas of California. Specifically, the program supports the development of a career pathway for students living in isolated regions of Northern…

76 FR 3922 - Willapa National Wildlife Refuge, Pacific County, WA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-21

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R1-R-2010-N083; 1265-0000-10137-S3] Willapa National Wildlife Refuge, Pacific County, WA AGENCY: Fish and Wildlife Service, Interior. ACTION...; request for comments. SUMMARY: We, the U.S. Fish and Wildlife Service (Service), announce the availability...

75 FR 34154 - Ridgefield National Wildlife Refuge, Clark County, WA

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-16

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R1-R-2010-N001; 1265-0000-10137-S3] Ridgefield National Wildlife Refuge, Clark County, WA AGENCY: Fish and Wildlife Service, Interior. ACTION... comments. SUMMARY: We, the U.S. Fish and Wildlife Service (Service), announce the availability of our draft...

75 FR 36437 - Holla Bend National Wildlife Refuge, Pope and Yell Counties, AR

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-25

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R4-R-2010-N085; 40136-1265-0000-S3] Holla Bend National Wildlife Refuge, Pope and Yell Counties, AR AGENCY: Fish and Wildlife Service... significant impact. SUMMARY: We, the Fish and Wildlife Service (Service), announce the availability of our...

77 FR 5044 - Mashpee National Wildlife Refuge, Barnstable County, MA

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-01

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R5-R-2011-N220; BAC-4311-K9-S3] Mashpee National Wildlife Refuge, Barnstable County, MA AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... comments. SUMMARY: We, the U.S. Fish and Wildlife Service (Service), intend to prepare a comprehensive...

Adult Education and Family Literacy Reform Act. Hearing on S. 797 Authorizing Funds for Fiscal Years 1996 through 2005 to Improve and Reform Literacy Services for Adults and Families, before the Subcommittee on Education, Arts and Humanities of the Committee on Labor and Human Resources. United States Senate, One Hundred Fourth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

This Congressional hearing discussed the issue of reform of adult education and family literacy legislation. Testimony includes oral and written statements of U.S. senators and individuals representing the following: U.S. Department of Education; National Institute for Literacy; Dallas Can! Academy, Dallas, Texas; Pima County Adult Education,…

Arsenic in North Carolina: public health implications.

PubMed

Sanders, Alison P; Messier, Kyle P; Shehee, Mina; Rudo, Kenneth; Serre, Marc L; Fry, Rebecca C

2012-01-01

Arsenic is a known human carcinogen and relevant environmental contaminant in drinking water systems. We set out to comprehensively examine statewide arsenic trends and identify areas of public health concern. Specifically, arsenic trends in North Carolina private wells were evaluated over an eleven-year period using the North Carolina Department of Health and Human Services database for private domestic well waters. We geocoded over 63,000 domestic well measurements by applying a novel geocoding algorithm and error validation scheme. Arsenic measurements and geographical coordinates for database entries were mapped using Geographic Information System techniques. Furthermore, we employed a Bayesian Maximum Entropy (BME) geostatistical framework, which accounts for geocoding error to better estimate arsenic values across the state and identify trends for unmonitored locations. Of the approximately 63,000 monitored wells, 7712 showed detectable arsenic concentrations that ranged between 1 and 806μg/L. Additionally, 1436 well samples exceeded the EPA drinking water standard. We reveal counties of concern and demonstrate a historical pattern of elevated arsenic in some counties, particularly those located along the Carolina terrane (Carolina slate belt). We analyzed these data in the context of populations using private well water and identify counties for targeted monitoring, such as Stanly and Union Counties. By spatiotemporally mapping these data, our BME estimate revealed arsenic trends at unmonitored locations within counties and better predicted well concentrations when compared to the classical kriging method. This study reveals relevant information on the location of arsenic-contaminated private domestic wells in North Carolina and indicates potential areas at increased risk for adverse health outcomes. Copyright © 2011 Elsevier Ltd. All rights reserved.

Arsenic in North Carolina: Public Health Implications

PubMed Central

Sanders, Alison P.; Messier, Kyle P.; Shehee, Mina; Rudo, Kenneth; Serre, Marc L.; Fry, Rebecca C.

2012-01-01

Arsenic is a known human carcinogen and relevant environmental contaminant in drinking water systems. We set out to comprehensively examine statewide arsenic trends and identify areas of public health concern. Specifically, arsenic trends in North Carolina private wells were evaluated over an eleven-year period using the North Carolina Department of Health and Human Services (NCDHHS) database for private domestic well waters. We geocoded over 63,000 domestic well measurements by applying a novel geocoding algorithm and error validation scheme. Arsenic measurements and geographical coordinates for database entries were mapped using Geographic Information System (GIS) techniques. Furthermore, we employed a Bayesian Maximum Entropy (BME) geostatistical framework, which accounts for geocoding error to better estimate arsenic values across the state and identify trends for unmonitored locations. Of the approximately 63,000 monitored wells, 7,712 showed detectable arsenic concentrations that ranged between 1 and 806 μg/L. Additionally, 1,436 well samples exceeded the EPA drinking water standard. We reveal counties of concern and demonstrate a historical pattern of elevated arsenic in some counties, particularly those located along the Carolina terrane (Carolina slate belt). We analyzed these data in the context of populations using private well water and identify counties for targeted monitoring, such as Stanly and Union Counties. By spatiotemporally mapping these data, our BME estimate revealed arsenic trends at unmonitored locations within counties and better predicted well concentrations when compared to the classical kriging method. This study reveals relevant information on the location of arsenic-contaminated private domestic wells in North Carolina and indicates potential areas at increased risk for adverse health outcomes. PMID:21982028

Dallas County Community College District.

ERIC Educational Resources Information Center

Rudy, Julia

1989-01-01

Management of information technology at Dallas County Community College District is centralized. Information technology organization and planning, integrated data network, computer services, end user services, and educational technology are discussed. (MLW)

Chittenden County Transportation Authority, Vermont multimodal passenger information, transit signal priority and ITS system planning local evaluation report

DOT National Transportation Integrated Search

2006-06-01

The Chittenden County Transportation Authority (CCTA) was founded in 1973 by the Vermont Legislature and provides transit services in northwestern Vermont. CCTA is a full service public transportation provider, offering services including fixed route...

76 FR 59153 - Elizabeth Hartwell Mason Neck National Wildlife Refuge, Fairfax County, VA, and Featherstone...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-23

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R5-R-2011-N128; BAC-4311-K9-S3] Elizabeth Hartwell Mason Neck National Wildlife Refuge, Fairfax County, VA, and Featherstone National Wildlife Refuge, Prince William County, VA AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice of...

Bookmobile Service and the Amish Community in Holmes County, Ohio: A Case Study.

ERIC Educational Resources Information Center

Patton, Gayle A.

The operations of the bookmobile program of the Holmes County (Ohio) Public Library serving the Amish community were explored and observed. The Amish community comprises 40 percent of the entire population of Holmes County. Reading interests of the Amish using the bookmobile are analyzed informally to determine whether bookmobile services are…

75 FR 27576 - J.N. “Ding” Darling National Wildlife Refuge, Lee County, FL

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-17

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R4-R-2010-N052; 40136-1265-0000-S3] J.N. ``Ding'' Darling National Wildlife Refuge, Lee County, FL AGENCY: Fish and Wildlife Service, Interior... variety of species in a highly developed landscape. The city of Sanibel, Lee County, Sanibel-Captiva...

5. VIEW FROM SLIGHTLY FARTHER DOWN SERVICE ROAD, LOOKING SOUTHEAST ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW FROM SLIGHTLY FARTHER DOWN SERVICE ROAD, LOOKING SOUTHEAST AT ELECTRICITY SUPPLY BUILDING, LABORATORY, AND OFFICE. - Standard Lime & Stone Quarry, County Route 27, Millville, Jefferson County, WV

Hennepin County Grant Purchase of Child Day Care through a Voucher System: An Evaluation and Use of Technology (Transfer and Technical Assistance to Enhance Service Delivery (with Exeuctive Summary). Final Report.

ERIC Educational Resources Information Center

Scoll, Barbara; Engstrom, Roger

In January of 1982, the Hennepin County Community Services Department began implementing a day care voucher system which allowed day care clients to place their children in any licensed day care home or center that was willing to contract with Hennepin County. In October of the same year, Hennepin County was awarded a grant by the Department of…

Transformation of the California mental health system: stakeholder-driven planning as a transformational activity.

PubMed

Cashin, Cheryl; Scheffler, Richard; Felton, Mistique; Adams, Neal; Miller, Leonard

2008-10-01

This study describes strategies developed by California counties to transform their mental health systems under the 2004 Mental Health Services Act (MHSA). This voter initiative places a 1% tax on annual incomes over $1 million; tax monies are earmarked to transform county-operated mental health services into systems that are oriented more toward recovery. MHSA implementation itself can be considered "transformational" by balancing greater standardization of mental health service delivery in the state with a locally driven planning process. A qualitative content analysis of the three-year plans submitted by 12 counties to receive funds under MHSA was conducted to identify common themes, as well as innovative approaches. These 12 (out of 58) counties were chosen to represent both small and large counties, as well as geographic diversity, and they represent 62.3% of the state population. This analysis showed that the state guidelines and local planning process generated consistency across counties in establishing full-service partnerships with a "whatever it takes" approach to providing goal-directed services and supports to consumers and their families. There was, however, little convergence around the specific strategies to achieve this vision, reflecting both the local planning process and a relative lack of clear policy and guidance on evidence-based practices. There are many obstacles to the successful implementation of these ambitious plans. However, the state-guided, but stakeholder-driven, transformation in California appears to generate innovative approaches to recovery-oriented services, involve consumers and family members in service planning and delivery, and build community partnerships that create new opportunities for consumers to meet their recovery goals.

Regional Evaluation of the Severity-Based Stroke Triage Algorithm for Emergency Medical Services Using Discrete Event Simulation.

PubMed

Bogle, Brittany M; Asimos, Andrew W; Rosamond, Wayne D

2017-10-01

The Severity-Based Stroke Triage Algorithm for Emergency Medical Services endorses routing patients with suspected large vessel occlusion acute ischemic strokes directly to endovascular stroke centers (ESCs). We sought to evaluate different specifications of this algorithm within a region. We developed a discrete event simulation environment to model patients with suspected stroke transported according to algorithm specifications, which varied by stroke severity screen and permissible additional transport time for routing patients to ESCs. We simulated King County, Washington, and Mecklenburg County, North Carolina, distributing patients geographically into census tracts. Transport time to the nearest hospital and ESC was estimated using traffic-based travel times. We assessed undertriage, overtriage, transport time, and the number-needed-to-route, defined as the number of patients enduring additional transport to route one large vessel occlusion patient to an ESC. Undertriage was higher and overtriage was lower in King County compared with Mecklenburg County for each specification. Overtriage variation was primarily driven by screen (eg, 13%-55% in Mecklenburg County and 10%-40% in King County). Transportation time specifications beyond 20 minutes increased overtriage and decreased undertriage in King County but not Mecklenburg County. A low- versus high-specificity screen routed 3.7× more patients to ESCs. Emergency medical services spent nearly twice the time routing patients to ESCs in King County compared with Mecklenburg County. Our results demonstrate how discrete event simulation can facilitate informed decision making to optimize emergency medical services stroke severity-based triage algorithms. This is the first step toward developing a mature simulation to predict patient outcomes. © 2017 American Heart Association, Inc.

Best Practices in Wireless Emergency Alerts

DTIC Science & Technology

2014-02-01

California Emergency Management Agency (Cal EMA)  Cassidian Communications  Cecil County Emergency Management Services, Maryland  City of...Jefferson County Emergency Communication Authority (JCECA), Colorado  Johnson County Emergency Management Agency, Kansas  Larimer Emergency Telephone...origination community and the challenges its members faced. Due to the infancy of the WEA service, many interviewees were not yet using WEA during the

Impact of a subsidized spay neuter clinic on impoundments and euthanasia in a community shelter and on service and complaint calls to animal control.

PubMed

Scarlett, Janet; Johnston, Naomi

2012-01-01

Reducing the number of homeless, nonhuman animals entering and being euthanatized in community shelters is the principal motivation for most spay/neuter (S/N) programs in the United States. This study evaluated the impact of a subsidized S/N clinic opened in 2005 in Transylvania County, North Carolina, on the numbers of impoundments (and euthanasia) of dogs and cats and on the number of animal-related service and complaint calls at the community's only animal shelter. Before opening the local S/N clinic, a significant linear decline in the shelter's dog-intake rate per 1,000 human population was evident. This decline did not accelerate after the S/N clinic opened in 2005. The rate of decline in euthanasia did level off after the clinic opened, but the proportion of impounded dogs euthanatized did not change significantly. The median number of cats impounded and euthanatized yearly in the Transylvania County Animal Services shelter decreased significantly after the S/N clinic opened; the proportion of cats euthanatized did not change. The median annual number of service calls and complaints decreased or leveled off. Unfortunately, data regarding many factors essential for conclusively interpreting these results were not available.

The Impact of Rural Non-Farm Residential Development on the Provision of Local Public Services. Iowa Land Use Research Report Series.

ERIC Educational Resources Information Center

Fisher, Peter S.

Using multiple regression analysis for each county and a case study of selected services in Johnson County, Iowa, the study estimated the impacts of rural non-farm development in Iowa on the demand for local public services, on the cost of providing these services, and on the distribution of service benefits and tax burdens among population…

Recovery Migration after Hurricanes Katrina and Rita: Spatial Concentration and Intensification in the Migration System

PubMed Central

Fussell, Elizabeth; DeWaard, Jack

2015-01-01

Changes in the human migration systems of Hurricane Katrina- and Rita-affected Gulf of Mexico coastline counties provide an example of how climate change may affect coastal populations. Crude climate change models predict a mass migration of “climate refugees,” but an emerging literature on environmental migration suggests most migration will be short-distance and short-duration within existing migration systems, with implications for the population recovery of disaster-struck places. In this research, we derive a series of hypotheses on recovery migration predicting how the migration system of hurricane-affected coastline counties in the Gulf of Mexico was likely to have changed between the pre-disaster and the recovery periods. We test these hypotheses using data from the Internal Revenue Service on annual county-level migration flows, comparing the recovery period migration system (2007–2009) to the pre-disaster period (1999–2004). By observing county-to-county ties and flows we find that recovery migration was strong, as the migration system of the disaster-affected coastline counties became more spatially concentrated while flows within it intensified and became more urbanized. Our analysis demonstrates how migration systems are likely to be affected by the more intense and frequent storms anticipated by climate change scenarios with implications for the population recovery of disaster-affected places. PMID:26084982

Using evidence-based accreditation standards to promote continuous quality improvement: the experiences of the San Mateo County Human Services Agency.

PubMed

Winship, Kathy; Lee, Selina Toy

2012-01-01

Following a difficult period of service provision, an agency determined that drastic changes were needed to improve agency-wide capacity and functioning. The agency engaged in an organizational level self-assessment aimed at identifying areas for improvement and beginning work towards determining professional standards for service. Results of this organizational self-assessment paved the way for pursuing accreditation of its services, and the agency became the first public agency in its state to be accredited by the Council on Accreditation in all eligible services. This case study describes this agency's efforts in engaging in an organizational self-assessment, the analysis and codification of their practices, and their eventual development of a systematized process for capturing, evaluating and improving practice. Copyright © Taylor & Francis Group, LLC

Urban Vegetative Cover Fragmentation in the U.S.: Associations With Physical Activity and BMI.

PubMed

Tsai, Wei-Lun; Floyd, Myron F; Leung, Yu-Fai; McHale, Melissa R; Reich, Brian J

2016-04-01

Urban vegetative cover provides a range of ecosystem services including contributions to human health and well-being. Urbanization exerts tremendous pressure on this natural resource, causing fragmentation and loss of urban greenspace. This study aimed to examine associations between vegetative cover fragmentation and physical activity and BMI at the county scale in the U.S. metropolitan statistical areas greater than 1 million in population. National Land Cover Database 2006 and Behavioral Risk Factor Surveillance System 2008 provided land cover and human health data, respectively. Analyses were performed in 2013 at the county scale where the health data were reported. Spearman rank correlation and stepwise and hierarchical regression models were applied to estimate relationships between land cover and health variables. After controlling for median household income and race, greater forest edge density (β=0.272, p<0.05) and larger size of herbaceous patches (β=0.261, p<0.01) were associated with a higher percentage of participation in physical activity within counties. More connections between forest and developed area (β=0.37, p<0.01) and greater edge density of shrubland (β=0.646, p<0.001) were positively associated with a higher percentage of normal BMI (<25) within counties. Forest land cover and some degree of fragmentation are associated with population physical activity. Future studies should examine how built environments and varying land cover configurations influence physical activity and weight status. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

The Suffolk County Department of Social Services Performance Study. A Final Report.

ERIC Educational Resources Information Center

Spottheim, David; Wilson, George R.

The Suffolk County (New York) Department of Social Services sponsored a performance study to gain insight into the department's operations. Management science techniques were used to portray operations of the Client Benefit (CBA) and Community Service (CSA) Divisions. The CBA administers public assistance programs, and the CSA provides social…

The Suffolk County Department of Social Services Performance Study. An Executive Summary.

ERIC Educational Resources Information Center

Spottheim, David; Wilson, George R.

The logic and methodology applied in a management science approach to performance and staff utilization in the Client Benefits (CBA) and Community Service (CSA) divisions of the Suffolk County (New York) Department of Social Services (SCDSS) are described. Using a blend of classical organization theory and management science techniques, the CBA…

The Use of Census Migration Data to Approximate Human Movement Patterns across Temporal Scales

PubMed Central

Wesolowski, Amy; Buckee, Caroline O.; Pindolia, Deepa K.; Eagle, Nathan; Smith, David L.; Garcia, Andres J.; Tatem, Andrew J.

2013-01-01

Human movement plays a key role in economies and development, the delivery of services, and the spread of infectious diseases. However, it remains poorly quantified partly because reliable data are often lacking, particularly for low-income countries. The most widely available are migration data from human population censuses, which provide valuable information on relatively long timescale relocations across countries, but do not capture the shorter-scale patterns, trips less than a year, that make up the bulk of human movement. Census-derived migration data may provide valuable proxies for shorter-term movements however, as substantial migration between regions can be indicative of well connected places exhibiting high levels of movement at finer time scales, but this has never been examined in detail. Here, an extensive mobile phone usage data set for Kenya was processed to extract movements between counties in 2009 on weekly, monthly, and annual time scales and compared to data on change in residence from the national census conducted during the same time period. We find that the relative ordering across Kenyan counties for incoming, outgoing and between-county movements shows strong correlations. Moreover, the distributions of trip durations from both sources of data are similar, and a spatial interaction model fit to the data reveals the relationships of different parameters over a range of movement time scales. Significant relationships between census migration data and fine temporal scale movement patterns exist, and results suggest that census data can be used to approximate certain features of movement patterns across multiple temporal scales, extending the utility of census-derived migration data. PMID:23326367

People and water: Exploring the social-ecological condition of watersheds of the United States

PubMed Central

Scown, Murray W.; Flotemersch, Joseph E.; Spanbauer, Trisha L.; Eason, Tarsha; Garmestani, Ahjond; Chaffin, Brian C.

2018-01-01

A recent paradigm shift from purely biophysical towards social-ecological assessment of watersheds has been proposed to understand, monitor, and manipulate the myriad interactions between human well-being and the ecosystem services that watersheds provide. However, large-scale, quantitative studies in this endeavour remain limited. We utilised two newly developed ‘big-data’ sets—the Index of Watershed Integrity (IWI) and the Human Well-Being Index (HWBI)—to explore the social-ecological condition of watersheds throughout the conterminous U.S., and identified environmental and socio-economic influences on watershed integrity and human well-being. Mean county IWI was highly associated with ecoregion, industry-dependence, and state, in a spatially-explicit regression model (R2 = 0.77, P < 0.001), whereas HWBI was not (R2 = 0.31, P < 0.001). HWBI is likely influenced by factors not explored here, such as governance structure and formal and informal organisations and institutions. ‘Win-win’ situations in which both IWI and HWBI were above the 75th percentile were observed in much of Utah, Colorado, and New Hampshire, and lessons from governance that has resulted in desirable outcomes might be learnt from here. Eastern Kentucky and West Virginia, along with large parts of the desert southwest, had intact watersheds but low HWBI, representing areas worthy of further investigation of how ecosystem services might be utilised to improve well-being. The Temperate Prairies and Central USA Plains had widespread areas of low IWI but high HWBI, likely a result of historic exploitation of watershed resources to improve well-being, particularly in farming-dependent counties. The lower Mississippi Valley had low IWI and HWBI, which is likely related to historical (temporal) and upstream (spatial) impacts on both watershed integrity and well-being. The results emphasise the importance of considering spatial and temporal trade-offs when utilising the ecosystem services provided by watersheds to improve human well-being. PMID:29682591

People and water: Exploring the social-ecological condition of watersheds of the United States.

PubMed

Scown, Murray W; Flotemersch, Joseph E; Spanbauer, Trisha L; Eason, Tarsha; Garmestani, Ahjond; Chaffin, Brian C

2017-01-01

A recent paradigm shift from purely biophysical towards social-ecological assessment of watersheds has been proposed to understand, monitor, and manipulate the myriad interactions between human well-being and the ecosystem services that watersheds provide. However, large-scale, quantitative studies in this endeavour remain limited. We utilised two newly developed 'big-data' sets-the Index of Watershed Integrity (IWI) and the Human Well-Being Index (HWBI)-to explore the social-ecological condition of watersheds throughout the conterminous U.S., and identified environmental and socio-economic influences on watershed integrity and human well-being. Mean county IWI was highly associated with ecoregion, industry-dependence, and state, in a spatially-explicit regression model (R 2 = 0.77, P < 0.001), whereas HWBI was not (R 2 = 0.31, P < 0.001). HWBI is likely influenced by factors not explored here, such as governance structure and formal and informal organisations and institutions. 'Win-win' situations in which both IWI and HWBI were above the 75 th percentile were observed in much of Utah, Colorado, and New Hampshire, and lessons from governance that has resulted in desirable outcomes might be learnt from here. Eastern Kentucky and West Virginia, along with large parts of the desert southwest, had intact watersheds but low HWBI, representing areas worthy of further investigation of how ecosystem services might be utilised to improve well-being. The Temperate Prairies and Central USA Plains had widespread areas of low IWI but high HWBI, likely a result of historic exploitation of watershed resources to improve well-being, particularly in farming-dependent counties. The lower Mississippi Valley had low IWI and HWBI, which is likely related to historical (temporal) and upstream (spatial) impacts on both watershed integrity and well-being. The results emphasise the importance of considering spatial and temporal trade-offs when utilising the ecosystem services provided by watersheds to improve human well-being.

Demographic and Travel Characteristics of Travel-Associated Zika Virus Infection Case-Patients in San Diego County, California (January 1, 2016-March 31, 2017).

PubMed

Escutia, Gabriela; McDonald, Eric; Rodríguez-Lainz, Alfonso; Healy, Jessica

2018-06-01

Most Zika disease cases diagnosed in the continental US have been associated with travel to areas with risk of Zika transmission, mainly the Caribbean and Latin America. Limited information has been published about the demographic and travel characteristics of Zika case-patients in the United States, besides their age and gender. During 2016-2017 the County of San Diego Health and Human Services Agency, California, expanded the scope and completeness of demographic and travel information collected from Zika case-patients for public health surveillance purposes. The majority (53.8%) of travel-related Zika virus infection case-patients (n = 78) in the county were Hispanic, significantly higher (p ≤ 0.05) than the 33.0% of Hispanics in the county. Foreign-born residents, mainly from Mexico, were also overrepresented among cases compared to their share in the county population (33.3 vs. 23.0%; p ≤ 0.05). Seventeen (21.8%) patients reported a primary language other than English (14 Spanish). Most case-patients traveled for tourism (54%) or to visit friends and relatives (36%). This surveillance information helps identify higher-risk populations and implement culturally targeted interventions for Zika prevention and control.

The Food Service Manager; A Study of the Need for a Food Service Management Program in Ocean County.

ERIC Educational Resources Information Center

Ocean County Coll., Toms River, NJ.

Ocean County College conducted a feasibility study for the purpose of determining whether there was a need for a food service management program within its service area and to ascertain an estimate of the potential student pool for such a program. Surveys were sent to 243 restaurants and institutions and were administered to students from county…

A Quality Improvement Customer Service Process and CSS [Customer Service System]. Burlington County College Employee Development Series, Volumes I & II.

ERIC Educational Resources Information Center

Burlington County Coll., Pemberton, NJ.

Prepared for use by staff in development workshops at Burlington County College (BCC), in New Jersey, this handbook offers college-wide guidelines for improving the quality of service provided to internal and external customers, and reviews key elements of BCC's Customer Service System (CSS), a computerized method of recording and following-up on…

An inventory of published and unpublished fluvial-sediment data for California, 1956-70

USGS Publications Warehouse

Porterfield, George

1972-01-01

This inventory was prepared to provide a convenient reference to published and unpublished fluvial-sediment data for water years 1956-70, and updates substantially previous inventories. Sediment stations are listed in downstream order, and an alphabetical list of stations is also included. Figure 1 shows the approximate location of sediment stations in California. Most of the fluvial-sediment data in California were collected by the U.S. Geological Survey, under cooperative agreements with the following Federal, State, and local agencies: California Department of Water Resources, California Department of Navigation and Ocean Development, California Department of Fish and Game, Bolinas Harbor District, Monterey County Flood Control and Water Conservation District, Orange County Flood Control District, Riverside County Flood Control and Water Conservation District, San Diego County Department of Sanitation and Flood Control, San Luis Obispo County, San Mateo County, Santa Clara County Flood Control and Water District, Santa Cruz County Flood Control and Water Conservation District, Santa Cruz, city of, University of California, Ventura County Flood Control District, Forest Service, U.S. Department of Agriculture, Soil Conservation Service, U.S. Department of Agriculture, Corps of Engineers, U.S. Army, Bureau of Reclamation, U.S. Department of the Interior, National Park Service, U.S. Department of the Interior. This report was prepared by the Geological Survey under the general supervision of R. Stanley Lord, district chief in charge of water-resources investigations in California.

77 FR 14032 - John H. Chafee Coastal Barrier Resources System; Lee County, FL, and Newport County, RI...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-08

..., FXHC11240900000T5, 123] John H. Chafee Coastal Barrier Resources System; Lee County, FL, and Newport County, RI... Lee County, Florida. The second map, dated September 30, 2009, is for four CBRS units located in... by Lee County, and 1 restaurant. The Service's assessment of 2011 aerial imagery estimates that the...

Associations Between County Wealth, Health and Social Services Spending, and Health Outcomes.

PubMed

McCullough, J Mac; Leider, Jonathon P

2017-11-01

Each year, the County Health Rankings rate the health outcomes of each county in the U.S. A common refrain is that poor counties perform worse than wealthier ones. This article examines that assumption and specifically analyzes characteristics of counties that have performed better in terms of health outcomes than their wealth alone would suggest. Data from the 2013 County Health Rankings were used, as were 2012 financial and demographic information collected by the U.S. Census Bureau. A logistic model was constructed to examine the odds of a county "overperforming" in the rankings relative to community wealth. Analyses were performed in 2016. Communities that were wealthier performed better on the rankings. However, more than 800 of 3,141 counties overperformed by ranking in a better health outcomes quartile than their county's wealth alone would suggest. Regression analyses found that for each additional percentage point of total public spending that was allocated toward community health care and public health, the odds of being an overperformer increased by 3.7%. Community wealth correlates with health, but not always. Population health outcomes in hundreds of counties overperform what would be expected given community wealth alone. These counties tend to invest more in community health care and public health spending and other social services. Although the level of a community's wealth is outside the control of practitioners, shifting the proportion of spending to certain social services may positively impact population health. Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Children's Access to Public Library Services: Prince George's County Memorial Public Library, Maryland, 1980.

ERIC Educational Resources Information Center

Gerhardt, Lillian N.

1981-01-01

Evaluates the Prince George's County Memorial Public Library's approach to providing access to its services for children, and examines policies, regulations, practices, and conditions that affect such access. Six references are cited. (FM)

California Child Care Workforce Study: Family Child Care Providers and Assistants in Alameda County, Kern County, Monterey County, San Benito County, San Francisco County, San Mateo County, Santa Cruz County, and Santa Clara County.

ERIC Educational Resources Information Center

Whitebook, Marcy; Almaraz, Mirella; Jo-Yung, Joon; Sakai, Laura; Boots, Shelley Waters; Voisin, Irene; Young, Marci; Burton, Alice; Duff, Brian; Laverty, Kassin; Bellm, Dan; Jay, E. Deborah; Krishnaswamy, Nandini; Kipnis, Fran

An important first step toward more effectively addressing the complexities of child care as a service for families and as an employment setting for workers in California is to develop a detailed picture of the child care workforce. On this premise, a study examined licensed family child care provider demographics, professional preparation, length…

Implementing a Post-Care Service System in Child Welfare: The Catawba County Child Wellbeing Project. Research-to-Results Brief. Publication #2012-16

ERIC Educational Resources Information Center

Redmond, Phil; Mabry, Rhett; Ball, Heather; Wilson, Dawn; Brandes, Beth; Metz, Allison; Malm, Karin

2012-01-01

This is the first brief in a series, "Building a Post-Care Service System in Child Welfare: Lessons Learned from the Frontlines of Implementation Science in Catawba County." This brief sets the stage for a three-part series on the Catawba County Child Wellbeing Project by describing the Project's origins and historical context. Topics…

Consortium building among local health departments in northwest Illinois.

PubMed Central

Orthoefer, J; Bain, D; Empereur, R; Nesbit, T A

1988-01-01

The 1947 report by Haven Emerson envisioned the widespread delivery of local public health services through organizational patterns that substituted multi-county or regional agencies for locally controlled departments. The 1971 study by Vlado Getting supported the Emerson report and suggested alternative methods to provide public health services via multi-county area health service agencies for rural areas of Illinois. The number of local agencies in the State has doubled since the mid-1960s, yet a majority of rural counties have maintained a single-county health agency rather than forming multi-county arrangements. In effect, potential economies of scale have been forfeited. In northwest Illinois, however, eight local health departments, covering both rural and urban areas, have formed a multi-county consortium to identify and meet several overlapping program needs. This Region I consortium, with a population base of 590,000, was created as a result of the 1981 Omnibus Budget Reduction Act. Through the block grants created by the act, funds became available for preventive health and health promotion activities in fiscal year 1982. Once in place, the consortium provided a cost effective means to manage the Women, Infants, and Children Supplemental Feeding Program (WIC) and some elements of family planning programs in Region I. The consortium approach offers numerous opportunities for future growth and regionalization of services. PMID:3140277

Availability of Youth Services in U.S. Mental Health Treatment Facilities

PubMed Central

Cummings, Janet R.; Case, Brady G.; Ji, Xu; Marcus, Steven C.

2015-01-01

Despite concern about access to mental health (MH) services for youth, little is known about the specialty treatment infrastructure serving this population. We used national data to examine which types of MH treatment facilities (hospital- and community-based) were most likely to offer youth services and which types of communities were most likely to have this infrastructure. Larger (p<0.001) and privately owned (p<0.001) facilities were more likely to offer youth services. Rural counties, counties in which a majority of residents were nonwhite, and/or counties with a higher percentage of uninsured residents were less likely to have a community-based MH treatment facility that served youth (p<0.001). PMID:26467795

75 FR 20598 - Public Buildings Service; Prospect Island, Sacramento Delta, Solano County, CA; Transfer of Property

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-20

... GENERAL SERVICES ADMINISTRATION [Wildlife Order 188; 9-I-CA-1674] Public Buildings Service; Prospect Island, Sacramento Delta, Solano County, CA; Transfer of Property Pursuant to section 2 of Public Law 537, 80th Congress, approved May 19, 1948 (16 U.S.C. 667c), notice is hereby given that: 1. The...

76 FR 36080 - Foreign-Trade Zone 37-Orange County, NY; Application for Reorganization (Expansion of Service...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-21

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [Docket 42-2011] Foreign-Trade Zone 37--Orange... of Orange, New York, grantee of FTZ 37, requesting authority to reorganize its zone to expand its... service area that includes Orange County. The applicant is requesting authority to expand the service area...

The World of the Developmentally Disabled Child: A Parents' Handbook with Directory of Services for Families in Lake County, Illinois.

ERIC Educational Resources Information Center

Suelzle, Marijean; Keenan, Vincent

Intended for parents of developmentally disabled children, the handbook provides information on service needs and services available in Lake County, Illinois. Section I focuses on life course planning with sections of diagnosis and assessment, professionals involved with special education, education for the developmentally disabled, vocational…

Vigo County Public Library Mediamobile: Evaluation of a Library Services Act Project.

ERIC Educational Resources Information Center

Pahl, E. Patricia; Pahl, Thomas L.

The Vigo County (Indiana) Public Library received a two-year grant, under the Library Services and Construction Act, to improve services to the disadvantaged in urban and rural areas. A program was developed to use a converted bookmobile to deliver films, records, video tape, viewmasters, tape recorders, and other "new" media to the OEO…

77 FR 66796 - Foreign-Trade Zone 185-Culpeper County, VA Application for Reorganization Under Alternative Site...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-07

... ``subzones'' or ``usage-driven'' FTZ sites for operators/users located within a grantee's ``service area'' in... acres)--Culpeper Business and Office Park, Route 29 and Route 666, Culpeper County; Site 2 (104 acres... Services, 1 Solutions Way, Waynesboro. The grantee's proposed service area under the ASF would be the...

Beyond "One-Stop" Shopping: An Integrated Service Delivery System for Job Seekers and Employers.

ERIC Educational Resources Information Center

Anderson, Richard T.

The Workforce Development Center (WDC), in Waukesha County, Wisconsin, is a cooperative effort of nine public and private agencies, including the Wisconsin Job Service, the Private Industry Council, and Waukesha County Technical College (WCTC), to provide integrated employment services to area citizens and employers. Located on the WCTC campus,…

78 FR 25252 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-30

...-Mariposa Counties Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Tuolumne-Mariposa Counties Resource Advisory Committee will meet on May 6, 2013, (alternate...

29 CFR 1601.74 - Designated and notice agencies.

Code of Federal Regulations, 2011 CFR

2011-07-01

... (KY) Human Rights Commission Palm Beach County (FL) Office of Equal Opportunity Pennsylvania Human... Prince William County (VA) Human Rights Commission Reading (PA) Human Relations Commission Rhode Island... Virgin Islands Department of Labor Virginia Council on Human Rights Washington Human Rights Commission...

Access : Brokering Paratransit Services to the Elderly and Handicapped in Allegheny County, PA

DOT National Transportation Integrated Search

1984-12-01

This report describes and evaluates the elderly and handicapped brokerage project sponsored by UMTA's Service and Methods Demonstration Program. The demonstration, sponsored locally by the Port Authority of Allegheny County, tests the concept of tran...

75 FR 57976 - Designation of Service Area for Confederated Tribes of the Warm Springs of Oregon

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-23

... office hours at Hood River County. Dated: August 26, 2010. Larry Echo Hawk, Assistant Secretary--Indian... will expand the service area for the Warm Springs Tribe to include Hood River County (Oregon). The...

Developing the foundation for syndromic surveillance and health information exchange for yolo county, california.

PubMed

Chaudhary, Osama

2012-01-01

This report delineates Yolo County Health Department's process to ascertain its optimal methods of participation in syndromic surveillance and health information exchange. As a health department serving a county of just 200,000 residents, Yolo County Health Department needed to operate within strict financial constraints. Meaningful Use legislation enabled it to pursue both syndromic surveillance and health information exchange participation whilst complying with its budgetary restrictions. The Health Information Technology for Economic and Clinical Health (HITECH), a segment of the American Recovery and Reinvestment Act of 2009, has incentivized the 'Meaningful Use' of electronic health records (EHRs) by providing incentive reimbursements and non-compliance penalties. The Meaningful Use of EHRs is to take place over 3 Stages: Stage 1 has begun, Stage 2 is imminent, and Stage 3 is currently being discussed. Having been solicited by both health information exchange and syndromic surveillance options which were cost-prohibitive, Yolo County Health Department focused attention on BioSense 2.0, a Meaningul Use-ready and virtually free syndromic surveillance program developed by the Federal Centers for Disease Control and Prevention. In collaboration with Sacramento County Department of Health and Human Services, and with support from several other area counties, Yolo County Health Department submitted a Funding Opportunity application for BioSense 2.0 regional implementation. Through this collaboration, Yolo County Health Department has begun participating in the formative stages of the Sacramento Area Center for Advanced Biosurveillance (SAC-B). Via SAC-B, Yolo County Health Department will be able to participate in syndromic surveillance in the BioSense 2.0 program, and simultaneously expand its electronic health data sharing towards a more comprehensive health information exchange. LASTLY, OVER THE COURSE OF THESE PROJECTS, THREE OTHER METHODS OF PARTICIPATING IN ELECTRONIC HEALTH DATA SHARING BECAME AVAILABLE TO YOLO COUNTY HEALTH DEPARTMENT: all three methods were the direct result of Meaningful Use legislation.

Medicare's demonstration of expanded coverage for chiropractic services: limitations of the demonstration and an alternative direct cost estimate.

PubMed

Weeks, William B; Whedon, James M; Toler, Andrew; Goertz, Christine M

2013-10-01

The purposes of this study were to examine the direct costs associated with Medicare's 2005-2007 "Demonstration of Expanded Coverage of Chiropractic Services" (Demonstration) and their drivers, to explore practice pattern variation during the Demonstration, and to describe scenarios of cost implications had provider behavior and benefit coverage been different. Using Medicare Part B data from April 1, 2005, and March 31, 2007, and 2004 Rural Urban Continuum Codes, we conducted a retrospective analysis of traditionally reimbursed and expanded chiropractic services provided to patients aged 65 to 99 years who had a neuromusculoskeletal condition. We compared chiropractic care costs, supply, and utilization patterns for the 2-year periods before, during, and after the Demonstration for 5 Chicago area counties that participated in the Demonstration to those for 6 other county aggregations-urban or rural counties that participated in the Demonstration; were designated comparison counties during the Demonstration; or were neither participating nor comparison counties during the Demonstration. When compared with other groups, doctors of chiropractic in 1 region (Chicago area counties) billed more aggressively for expanded services and were reimbursed significantly more for traditionally reimbursed chiropractic services provided before, during, and after the Demonstration. Costs would have been substantially lower had doctors of chiropractic in this 1 region had responded similarly to those in other demonstration counties. We found widespread geographic variation in practice behavior and patterns. Our findings suggest that Medicare might reduce the risk of accelerated costs associated with the introduction of a new benefit by applying appropriate limits to the frequency of use and overall costs of those benefits, particularly in highly competitive markets. © 2013. Published by National University of Health Sciences All rights reserved.

Preferences for Expansion of Public Services in Eight Northwest Wisconsin Counties. Report No. 2 of a Series on Quality of Life and Development in Northwestern Wisconsin, January 1976.

ERIC Educational Resources Information Center

Lambert, Virginia

As part of a study of the quality of life in northwestern Wisconsin, 1974 sample populations (N=150 residents per county) from each of 5 Wisconsin counties (Bayfield, Douglas, Price, Taylor, and Washburn) were presented with a list of public service programs and asked if they should be "expanded", "kept the same", or "cut…

Linking an agency strategic review to increase knowledge management: San Francisco County Human Service Agency.

PubMed

Harrison, Lindsay

2012-01-01

Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency. Copyright © Taylor & Francis Group, LLC

Evaluating the impact of a maternal health voucher programme on service use before and after the introduction of free maternity services in Kenya: a quasi-experimental study.

PubMed

Dennis, Mardieh L; Abuya, Timothy; Campbell, Oona Maeve Renee; Benova, Lenka; Baschieri, Angela; Quartagno, Matteo; Bellows, Benjamin

2018-01-01

From 2006 to 2016, the Government of Kenya implemented a reproductive health voucher programme in select counties, providing poor women subsidised access to public and private sector care. In June 2013, the government introduced a policy calling for free maternity services to be provided in all public facilities. The concurrent implementation of these interventions presents an opportunity to provide new insights into how users adapt to a changing health financing and service provision landscape. We used data from three cross-sectional surveys to assess changes over time in use of 4+ antenatal care visits, facility delivery, postnatal care and maternal healthcare across the continuum among a sample of predominantly poor women in six counties. We conducted a difference-in-differences analysis to estimate the impact of the voucher programme on these outcomes, and whether programme impact changed after free maternity services were introduced. Between the preintervention/roll-out phase and full implementation, the voucher programme was associated with a 5.5% greater absolute increase in use of facility delivery and substantial increases in use of the private sector for all services. After free maternity services were introduced, the voucher programme was associated with a 5.7% higher absolute increase in use of the recommended package of maternal health services; however, disparities in access to facility births between voucher and comparison counties declined. Increased use of private sector services by women in voucher counties accounts for their greater access to care across the continuum. Our findings show that the voucher programme is associated with a modest increase in women's use of the full continuum of maternal health services at the recommended timings after free maternity services were introduced. The greater use of private sector services in voucher counties also suggests that there is need to expand women's access to acceptable and affordable providers.

75 FR 28778 - Magma Flood Retarding Structure (FRS) Supplemental Watershed Plan, Pinal County, AZ

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-24

... INFORMATION: The environmental assessment of this federally assisted action indicates that the project will... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service Magma Flood Retarding Structure (FRS) Supplemental Watershed Plan, Pinal County, AZ AGENCY: Natural Resources Conservation Service...

HIV Testing and HIV/AIDS Treatment Services in Rural Counties in 10 Southern States: Service Provider Perspectives

ERIC Educational Resources Information Center

Sutton, Madeline; Anthony, Monique-Nicole; Vila, Christie; McLellan-Lemal, Eleanor; Weidle, Paul J.

2010-01-01

Context: Forty percent of AIDS cases are reported in the southern United States, the region with the largest proportion of HIV/AIDS cases from rural areas. Data are limited regarding provider perspectives of the accessibility and availability of HIV testing and treatment services in southern rural counties. Purpose: We surveyed providers in the…

Availability of Youth Services in U.S. Mental Health Treatment Facilities.

PubMed

Cummings, Janet R; Case, Brady G; Ji, Xu; Marcus, Steven C

2016-09-01

Despite concern about access to mental health (MH) services for youth, little is known about the specialty treatment infrastructure serving this population. We used national data to examine which types of MH treatment facilities (hospital- and community-based) were most likely to offer youth services and which types of communities were most likely to have this infrastructure. Larger (p < 0.001) and privately owned (p < 0.001) facilities were more likely to offer youth services. Rural counties, counties in which a majority of residents were nonwhite, and/or counties with a higher percentage of uninsured residents were less likely to have a community-based MH treatment facility that served youth (p < 0.001).

78 FR 21494 - Union Pacific Railroad Company-Abandonment Exemption-in Washington County, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... Pacific Railroad Company--Abandonment Exemption--in Washington County, Idaho Union Pacific Railroad... at Weiser, in Washington County, Idaho. The line traverses United States Postal Service Zip Code... Bingham & Bonneville Counties, Idaho, 360 I.C.C. 91 (1979). To address whether this condition adequately...

7 CFR 1230.634 - FSA county office report.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... report. The FSA county office will notify the FSA State office of the results of the referendum. Each FSA county office will transmit the results of the referendum in its county to the FSA State office. Such...

Study on GIS Visualization in Evaluation of the Human Living Environment in Shenyang-Dalian Urban Agglomeration

PubMed Central

Hou, Kang; Zhou, Jieting; Li, Xuxiang; Ge, Shengbin

2016-01-01

Analysis of human living environmental quality of Shenyang-Dalian urban agglomerations has important theoretical and practical significance in rapid development region. A lot of investigations have been carried for Shenyang-Dalian urban agglomerations, including 38 counties. Based on the carrying capacity of resources, natural and socioeconomic environmental factors and regional changes of human living environmental evaluation are analyzed with the application of geographic information systems (GIS) software. By using principal component analysis (PCA) model and natural breaks classification (NBC) method, the evaluation results are divided into five categories. The results show that the human living environmental evaluation (HLEE) indexes of Dalian, Shenyang, and Liaoyang are higher than other counties. Among these counties, the human living environmental evaluation (HLEE) indexes of coastal counties are significantly higher than inland counties. The range of the human living environmental evaluation index in most of the study area is at III, IV, and V levels, accounting for 80.01%. Based on these results, it could illustrate the human living environment is in relatively suitable condition in Shenyang-Dalian urban agglomeration. PMID:27200212

76 FR 16475 - Northern Lines Railway, LLC-Discontinuance of Service Exemption-in Stearns County, MN

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-23

... Cold Spring, in Stearns County, Minn. (the Line).\\1\\ The Line traverses U.S. Postal Service Zip Codes 56369 and 56320 and includes the station of Cold Spring.\\2\\ \\1\\ In 2005, NLR was authorized to lease and...

Small City Transit : Eugene/Springfield, Oregon : Extensive County-Wide Transit Coverage

DOT National Transportation Integrated Search

1976-03-01

Eugene/Springfield, Oregon is an illustration of a fixed-route transit service with extensive county-wide coverage. This case study is one of thirteen examples of a transit service in a small community. The background of the community is discussed al...

Preferences for Expansion of Public Services in Five West Central Wisconsin Counties. Report No. 8 of a Series on Quality of Life and Development in Northwestern Wisconsin, February 1976.

ERIC Educational Resources Information Center

Lambert, Virginia

As part of a study of the quality of life in northwestern Wisconsin, 1974 sample populations (N=150 residents per county) from each of 4 west central counties (Dunn, Clark, Eau Claire, and Polk) were presented with a list of public service programs and asked if they should be "expanded", "kept the same", or "cut…

Cheyenne/Laramie County MX Impact Human Service System Refinements Project. Refinements Manual

DTIC Science & Technology

1986-01-01

following are but four of many possible examples ofthese types of questions. A. Assume that your agency has decided to address the problem of hunger . Should...they do not represent a long-term solution to problems . Conversely, community problem solving and attempts to bring about fundamental changes may be...are victims of acts of violence in the home... Problem solving approaches include education, the provision of food and temporary shel~er, counseling

Reinvigorating public health core functions: restructuring Los Angeles county's public health system.

PubMed

Fielding, Jonathan E; Luck, Jeff; Tye, Grace

2003-01-01

In 1997, the Los Angeles County Department of Health Services launched an effort to revitalize its Public Health Services division. County investments resulted in the creation of 241 new positions, facilitating the establishment of new offices addressing neglected chronic disease prevention, staff development, training, and communication. Service effectiveness and community responsiveness were enhanced by decentralizing leadership through eight Area Health Offices and strengthening partnerships with private health care providers, community-based organizations, and managed care organizations. Infrastructure enhancements included the development of program performance measures, countywide health indicators, a central health assessment and epidemiology office, and a new countywide biennial survey.

Disparities in health system input between minority and non-minority counties and their effects on maternal mortality in Sichuan province of western China.

PubMed

Ren, Yan; Qian, Ping; Duan, Zhanqi; Zhao, Ziling; Pan, Jay; Yang, Min

2017-09-29

The maternal mortality rate (MMR) markedly decreased in China, but there has been a significant imbalance among different geographic regions (east, central and west regions), and the mortality in the western region remains high. This study aims to examine how much disparity in the health system and MMR between ethnic minority and non-minority counties exists in Sichuan province of western China and measures conceivable commitments of the health system determinants of the disparity in MMR. The MMR and health system data of 67 minority and 116 non-minority counties were taken from Sichuan provincial official sources. The 2-level Poisson regression model was used to identify health system determinants. A series of nested models with different health system factors were fitted to decide contribution of each factor to the disparity in MMR. The MMR decreased over the last decade, with the fastest declining rate from 2006 to 2010. The minority counties experienced higher raw MMR in 2002 than non-minority counties (94.4 VS. 58.2), which still remained higher in 2014 (35.7 VS. 14.3), but the disparity of raw MMR between minority and non-minority counties decreased from 36.2 to 21.4. The better socio-economic condition, more health human resources and higher maternal health care services rate were associated with lower MMR. Hospital delivery rate alone explained 74.5% of the difference in MMR between minority and non-minority counties. All health system indicators together explained 97.6% of the ethnic difference in MMR, 59.8% in the change trend, and 66.3% county level variation respectively. Hospital delivery rate mainly determined disparity in MMR between minority and non-minority counties in Sichuan province. Increasing hospital birth rates among ethnic minority counties may narrow the disparity in MMR by more than two-thirds of the current level.

75 FR 34421 - Notice of Sanders County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-17

... DEPARTMENT OF AGRICULTURE Forest Service Notice of Sanders County Resource Advisory Committee Meeting AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: Pursuant to the authorities in... location is changed, notice will be posted in the local newspapers, including the Clark Fork Valley Press...

75 FR 34421 - Notice of Sanders County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-17

... DEPARTMENT OF AGRICULTURE Forest Service Notice of Sanders County Resource Advisory Committee Meeting AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: Pursuant to the authorities in... meeting location is changed, notice will be posted in the local newspapers, including the Clark Fork...

Diabetes Prevalence is Associated with Different Community Factors in the Diabetes Belt versus the Rest of the United States

PubMed Central

Myers, Candice A.; Slack, Tim; Broyles, Stephanie T.; Heymsfield, Steven B.; Church, Timothy S.; Martin, Corby K.

2016-01-01

Objective This study investigated differences in community characteristics associated with diabetes prevalence between the Diabetes Belt and the rest of the contiguous U.S. Methods We used county-level adult diabetes prevalence estimates (i.e., percent of people [≥20 years] with diagnosed diabetes, 2009) from the Centers for Disease Control and Prevention, in addition to data from the U.S. Census Bureau, U.S. Department of Agriculture, and U.S. Department of Health and Human Services, to carry out a spatial regime analysis to identify county-level factors correlated with diabetes prevalence in the Diabetes Belt versus the remainder of the U.S. Results Counties outside of the Diabetes Belt demonstrated stronger positive associations between diabetes prevalence and persistent poverty and greater percentages of unemployed labor forces. For counties in the Diabetes Belt, diabetes prevalence showed a stronger positive association with natural amenities (e.g., temperate climate and topographic features) and a stronger negative association with fitness/recreation facility density. Conclusions Community-level correlates of diabetes prevalence differed between the Diabetes Belt and elsewhere in the U.S. Economic hardship was shown to be more relevant outside the Diabetes Belt, while recreational context effects were more pronounced among counties within the region. Prevention and treatment targets are geographically unique and public health efforts should acknowledge these differences in crafting policy. PMID:28009108

Providing engineering services to counties.

DOT National Transportation Integrated Search

2008-09-01

An engineer is required by law to safeguard the health, safety and welfare of the public. The current Kansas : statute state, The Board of County Commissioners of each county shall appoint a licensed professional : engineer, whose title shall be c...

Southeast Michigan Snow and Ice Management (SEMSIM)

DOT National Transportation Integrated Search

2001-07-01

The Southeast Michigan Snow and Ice Management (SEMSIM) partnership includes the Detroit Department of Public Works, the Road Commission of Macomb County, the Road Commission for Oakland County, and the Wayne County Department of Public Services. The...

Reproductive justice & preventable deaths: state funding, family planning, abortion, and infant mortality, US 1980-2010.

PubMed

Krieger, Nancy; Gruskin, Sofia; Singh, Nakul; Kiang, Mathew V; Chen, Jarvis T; Waterman, Pamela D; Beckfield, Jason; Coull, Brent A

2016-12-01

Little current research examines associations between infant mortality and US states' funding for family planning services and for abortion, despite growing efforts to restrict reproductive rights and services and documented associations between unintended pregnancy and infant mortality. We obtained publicly available data on state-only public funding for family planning and abortion services (years available: 1980, 1987, 1994, 2001, 2006, and 2010) and corresponding annual data on US county infant death rates. We modeled the funding as both fraction of state expenditures and per capita spending (per woman, age 15-44). State-level covariates comprised: Title X and Medicaid per capita funding, fertility rate, and percent of counties with no abortion services; county-level covariates were: median family income, and percent: black infants, adults without a high school education, urban, and female labor force participation. We used Possion log-linear models for: (1) repeat cross-sectional analyses, with random state and county effects; and (2) panel analysis, with fixed state effects. Four findings were robust to analytic approach. First, since 2000, the rate ratio for infant death comparing states in the top funding quartile vs. no funding for abortion services ranged (in models including all covariates) between 0.94 to 0.98 (95% confidence intervals excluding 1, except for the 2001 cross-sectional analysis, whose upper bound equaled 1), yielding an average 15% reduction in risk (range: 8 to 22%). Second, a similar risk reduction for state per capita funding for family planning services occurred in 1994. Third, the excess risk associated with lower county income increased over time, and fourth, remained persistently high for counties with a high percent of black infants. Insofar as reducing infant mortality is a government priority, our data underscore the need, despite heightened contention, for adequate public funding for abortion services and for redressing health inequities.

Estimating Demand for and Supply of Pediatric Preventive Dental Care for Children and Identifying Dental Care Shortage Areas, Georgia, 2015.

PubMed

Cao, Shanshan; Gentili, Monica; Griffin, Paul M; Griffin, Susan O; Harati, Pravara; Johnson, Ben; Serban, Nicoleta; Tomar, Scott

Demand for dental care is expected to outpace supply through 2025. The objectives of this study were to determine the extent of pediatric dental care shortages in Georgia and to develop a general method for estimation that can be applied to other states. We estimated supply and demand for pediatric preventive dental care for the 159 counties in Georgia in 2015. We compared pediatric preventive dental care shortage areas (where demand exceeded twice the supply) designated by our methods with dental health professional shortage areas designated by the Health Resources & Services Administration. We estimated caries risk from a multivariate analysis of National Health and Nutrition Examination Survey data and national census data. We estimated county-level demand based on the time needed to perform preventive dental care services and the proportion of time that dentists spend on pediatric preventive dental care services from the Medical Expenditure Panel Survey. Pediatric preventive dental care supply exceeded demand in Georgia in 75 counties: the average annual county-level pediatric preventive dental care demand was 16 866 hours, and the supply was 32 969 hours. We identified 41 counties as pediatric dental care shortage areas, 14 of which had not been designated by the Health Resources & Services Administration. Age- and service-specific information on dental care shortage areas could result in more efficient provider staffing and geographic targeting.

76 FR 78234 - Medicine Bow-Routt National Forests and Thunder Basin National Grassland, Campbell County, WY...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-16

... the road construction, the final easement would be acquired by Campbell County, and this road will be... National Grassland, Campbell County, WY; Mackey Road Relocation AGENCY: Forest Service, USDA. ACTION... authorize Peabody Powder River Mining, LLC to vacate and relocate portions of Campbell County Road 69...

One-Year Plan for Library Services.

ERIC Educational Resources Information Center

Caroline County Public Library, Denton, MD.

This action plan for the Caroline County (MD) Public Library describes the key elements of library service for the 1985-86 fiscal year, derived from the library's long range plan for 1985-90. Objectives, strategies, activities, and timetables for accomplishing the following goals are outlined: (1) citizens of the county will increasingly meet…

78 FR 24717 - Crescent Ranger District; Deschutes National Forest; Klamath County, Oregon; Marsh Project...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-26

...; Klamath County, Oregon; Marsh Project Environmental Impact Statement AGENCY: Forest Service, USDA. ACTION: Notice of intent to prepare an environmental impact statement. SUMMARY: The USDA, Forest Service, will prepare an environmental impact statement (EIS) for a project called Marsh, in the southwestern portion of...

Trempealeau County Kellogg Project: A Rural Telecommunications Service System.

ERIC Educational Resources Information Center

Szymanski, Ray

The Western Wisconsin Communications Cooperative (WWCC) was established in 1973 to develop and implement a county-wide, multi-service, broadband, interactive, telecommunications system to enhance the quality of rural life. Eight school districts adopted the system's concept and signed a 15 year lease agreement with WWCC. Funds were procured from…

Extension Service :: Calendar

Science.gov Websites

Month view List view Extension Service details submit new event to this calendar basic view Export as 9:00am Linn & Benton Master Food Preserver Training 9:00am Master Food Preserver Volunteer Training Program - Linn and Benton Counties 1:00pm Linn County Master Gardener Association Board Meeting 2

Oceans & Coasts | National Oceanic and Atmospheric Administration

Science.gov Websites

NOAA's National Ocean Service is positioning America's coastal communities for the future Focus_Area_oceanscoasts1.jpg NOAA NOAA's National Ocean Service is positioning America's coastal communities for the future them. Almost 40 percent of the country's population lives in coastal shoreline counties. These counties

78 FR 63563 - Turtle Creek Industrial Railroad, Inc.-Discontinuance of Service Exemption-in Westmoreland County...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-24

... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 825X] Turtle Creek Industrial Railroad, Inc.--Discontinuance of Service Exemption--in Westmoreland County, PA Turtle Creek Industrial Railroad, Inc. (TCIR), has filed a verified notice of exemption under 49 CFR part 1152 subpart F...

78 FR 24331 - Apricots Grown in Designated Counties in Washington; Temporary Suspension of Handling Regulations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-25

... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 922 [Docket No. AMS-FV-12-0028... Regulations AGENCY: Agricultural Marketing Service, USDA. ACTION: Affirmation of interim rule as final rule... the marketing order for apricots grown in designated Counties in Washington. The interim rule...

7 CFR 905.13 - District.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... described as lying within Regulation Area II, and County Commissioner's Districts Four and Five of Volusia County. (d) Citrus District Four shall include the Counties of Manatee, Sarasota, Hardee, Highlands...

78 FR 32367 - Foreign-Trade Zone 146-Lawrence County, Illinois; Application for Reorganization and Expansion...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-30

... Park, Effingham, Effingham County. The grantee's proposed service area under the ASF would be Clay... Corporation, 1101 Vincennes Avenue, Flora, Clay County. The application would have no impact on FTZ 146's...

Evaluating a primary care psychology service in Ireland: a survey of stakeholders and psychologists.

PubMed

Corcoran, Mark; Byrne, Michael

2017-05-01

Primary care psychology services (PCPS) represent an important resource in meeting the various health needs of our communities. This study evaluated the PCPS in a two-county area within the Republic of Ireland. The objectives were to (i) examine the viewpoints of the service for both psychologists and stakeholders (healthcare professionals only) and (ii) examine the enactment of the stepped care model of service provision. Separate surveys were sent to primary care psychologists (n = 8), general practitioners (GPs; n = 69) and other stakeholders in the two counties. GPs and stakeholders were required to rate the current PCPS. The GP survey specifically examined referrals to the PCPS and service configuration, while the stakeholder survey also requested suggestions for future service provision. Psychologists were required to provide information regarding their workload, time spent on certain tasks and productivity ideas. Referral numbers, waiting lists and waiting times were also obtained. All 8 psychologists, 23 GPs (33% response rate) and 37 stakeholders (unknown response rate) responded. GPs and stakeholders reported access to the PCPS as a primary concern, with waiting times of up to 80 weeks in some areas. Service provision to children and adults was uneven between counties. A stepped care model of service provision was not observed. Access can be improved by further implementation of a stepped care service, developing a high-throughput service for adults (based on a stepped care model), and employing a single waiting list for each county to ensure equal access. © 2016 John Wiley & Sons Ltd.

Milwaukee County User-Side Subsidy Program : A Case Study

DOT National Transportation Integrated Search

1982-09-01

Milwaukee County, Wisconsin, instituted a user-side subsidy program in June 1978 for handicapped users of taxi and chair-car services. The program is funded entirely by county and state contributions. A distinctive feature of the program is that, unl...

South Carolina: Charleston County Area Project Impact Environmental Education Program (A Former EPA CARE Project)

EPA Pesticide Factsheets

The Charleston County Area Project Impact is the recipient of a Level II CARE cooperative agreement. The project is under the direction of the Charleston County Building Services Department, in Charleston, S.C.

77 FR 36996 - South Mississippi Electric Cooperative: Plant Ratcliff, Kemper County Integrated Gasification...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-20

... DEPARTMENT OF AGRICULTURE Rural Utilities Service South Mississippi Electric Cooperative: Plant Ratcliff, Kemper County Integrated Gasification Combined-Cycle (IGCC) Project AGENCY: Rural Utilities... Combined-Cycle (IGCC) Project currently under construction in Kemper County, Mississippi (hereinafter ``the...

System Transformation Under the California Mental Health Services Act: Implementation of Full-Service Partnerships in L.A. County.

PubMed

Starks, Sarah L; Arns, Paul G; Padwa, Howard; Friedman, Jack R; Marrow, Jocelyn; Meldrum, Marcia L; Bromley, Elizabeth; Kelly, Erin L; Brekke, John S; Braslow, Joel T

2017-06-01

The study evaluated the effect of California's Mental Health Services Act (MHSA) on the structure, volume, location, and patient centeredness of Los Angeles County public mental health services. This prospective mixed-methods study (2006-2013) was based in five Los Angeles County public mental health clinics, all with usual care and three with full-service partnerships (FSPs). FSPs are MHSA-funded programs designed to "do whatever it takes" to provide intensive, recovery-oriented, team-based, integrated services for clients with severe mental illness. FSPs were compared with usual care on outpatient services received (claims data) and on organizational climate, recovery orientation, and provider-client working alliance (surveys and semistructured interviews), with regression adjustment for client and provider characteristics. In the first year after admission, FSP clients (N=174) received significantly more outpatient services than did usual care clients (N=298) (5,238 versus 1,643 minutes, p<.001), and a larger proportion of these services were field based (22% versus 2%, p<.001). Compared with usual care clients, FSP clients reported more recovery-oriented services (p<.001) and a better provider-client working alliance (p=.01). Compared with usual care providers (N=130), FSP providers (N=42) reported more stress (p<.001) and lower morale (p<.001). Los Angeles County's public mental health system was able to transform service delivery in response to well-funded policy mandates. For providers, a structure emphasizing accountability and patient centeredness was associated with greater stress, despite smaller caseloads. For clients, service structure and volume created opportunities to build stronger provider-client relationships and address their needs and goals.

Influence of Agricultural Operations on Dust Emission During the 1930a Dust Bowl, Baca County, CO, USA.

NASA Astrophysics Data System (ADS)

Hodges, A. T.; Bolles, K.; Forman, S. L.

2017-12-01

The drought that struck the U.S. Great Plains during the 1930s was one of the most intensedroughts in the region in the last millennium, spurring a major environmental and public healthcrisis. A prominent explanation for the cause of the "dust bowl" centers on the expansion ofagriculture and poor land management practices leading to widespread soil erosion. Thisprevalent hypothesis largely excludes the impacts of naturally occurring land surface processesthat contribute to eolian erosion and dust emissivity, particularly during periods of drought. Priorwork generally focuses on economic and sociological factors in agricultural decision-making forindividual fields or farms.This study utilizes early aerial photography collected by the Soil Conservation Service in 1936 ofBaca County, Colorado, to identify and quantify spatial relationships between geomorphicprocesses and anthropogenic activities impacting dust emission. From the holdings at theNational Archives, 25 photos covering 125 km2 scanned at 1200dpi are combined into acontinuous mosaic, and geo-referenced at RMSE 78.6 m2 . Detailed land cover analyses areundertaken in ArcGIS to classify uncultivated and cultivated surfaces; cultivated surfaces arefurther divided by surface agricultural operations in relation to erosion and dust emission (e.g.listing, contour furrows, terraces, circuitous plowing, listing, eolian transport, and fallow fieldswith and without vegetation). The classified surface is overlaid with National ResourceConservation Service surveys and Soil Conservation Service reconnaissance surveys of land useand erosion carried out in 1936 to infer to potential emissivity of a given cultivated surface. Inthis way, it becomes possible to evaluate human influence on dust emission in one of theworst-struck counties of the Dust Bowl and potentially identify other causative factors to thissignificant period in American history.

75 FR 26709 - Clarke County Water Supply Project, Clarke County, IA

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-12

... Project, Clarke County, IA AGENCY: Natural Resources Conservation Service. ACTION: Notice of intent to... Conservationist for Planning, 210 Walnut Street, Room 693, Des Moines, IA 50309-2180, telephone: 515-284- 4769... available at the Iowa NRCS Web site at http://www.ia.nrcs.usda.gov . A map of the Clarke County Water Supply...

County Community Development Studies. No. 2: Extensions Library on Tape, Sarasota County.

ERIC Educational Resources Information Center

Rozar, Luther L.; And Others

A study was conducted in Sarasota County, Florida, to determine the feasibility of implementing a County Extension Service library on telecassette tape that could be dialed by phone callers. The system would allow office callers access to two-to-three-minute tape recordings containing information on many common problems. A survey instrument…

Public health assessment for master disposal service landfill, Brookfield, Waukesha County, Wisconsin, Region 5. Cerclis No. WID980820070. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1994-02-08

The Master Disposal Service Landfill (MDSL) accepted industrial wastes from 1962 to 1982. The wastes were placed in a 26-acre wetland area and were confined by surrounding berms. Groundwater, surface water, soil and sediments have been contaminated with volatile organic compounds and metals. The remedial investigation of the landfill identified a plume of contaminated groundwater extending from beneath the site to approximately 675 feet southwest of the site. There is no evidence of human exposure. The site is of no apparent public health hazard at the present time. However, this could change if no remediation of contaminated groundwater occurs.

Memorandum on ground-water investigation of four proposed stock wells in Puertocito Area, Socorro County and Canoncito Area, Bernalillo and Valencia Counties, New Mexico

USGS Publications Warehouse

Repenning, C.A.; Galloway, S.E.

1952-01-01

At the request of the Navajo Service, Office ot Indian Affairs, a groundwater iinvestigation of four proposed stock wells in the Puertocito Area, Socorro county and the Canoncito Area., Bernalillo and Valencia counties,New Mexico, was made in November, 1951 (see fig. 1). Although these areas are not on the Navajo Indian Reservation, they were included in the program of study of ground-water resources or the Navajo and Hopi Indian Reservations now being conducted by the Ground Water Branch of the United States Geological Survey. The work was financed by and was in cooperation with the Navajo Service, Office of Indian Affairs.

75 FR 43039 - Fresh Prunes Grown in Designated Counties in Washington and in Umatilla County, OR; Suspension of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-23

... marketing research and development projects, as well as the necessary reporting and recordkeeping functions... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 924 [Doc. No. AMS-FV-10-0054...; Suspension of Reporting and Assessment Requirements AGENCY: Agricultural Marketing Service, USDA. ACTION...

75 FR 13808 - Missouri & Valley Park Railroad Corporation-Discontinuance of Service Exemption-in St Louis...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-23

... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [STB Docket No. AB-1057X] Missouri & Valley Park Railroad Corporation--Discontinuance of Service Exemption--in St Louis County, MO On March 3... Subdivision between milepost 18.36 and milepost 20.50, near West Valley Park, St. Louis County, MO.\\2\\ The...

78 FR 57682 - Norfolk Southern Railway Company-Discontinuance of Service Exemption-in Monroe County, Mich.

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-19

... is void ab initio. Board decisions and notices are available on our Web site at www.stb.dot.gov... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 290 (Sub-No. 357X)] Norfolk Southern Railway Company--Discontinuance of Service Exemption--in Monroe County, Mich. Norfolk...

76 FR 21618 - Fresh Prunes Grown in Designated Counties in Washington and in Umatilla County, OR; Termination...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-18

... with this rule. A small business guide on complying with fruit, vegetable, and specialty crop marketing... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 924 [Docket No. AMS-FV-10-0053...; Termination of Marketing Order 924 AGENCY: Agricultural Marketing Service, USDA. ACTION: Final rule...

Support Services for Exceptional Students: Alameda, Contra Costa, Napa, San Joaquin, and Solano Counties.

ERIC Educational Resources Information Center

Hampel, Angelica; Maloney, Patricia

Intended for use by vocational administrators responsible for mainstreaming handicapped students into vocational education classes, the resource guide lists and describes governmental and private agencies that provide vocational programs and support services for the handicapped on a local and statewide basis in the California counties of Alameda,…

A Profile of Hardee County, Florida.

ERIC Educational Resources Information Center

Beaulieu, Lionel J.; Anderson, Deborah S.

In 1977 leaders of Hardee County, Florida, listed relationships and attitudes of residents, rural atmosphere, environmental conditions, and economic potential among the county's strong points, and public service and facility improvements, developing economic potential, recreational and entertainment development, and planning and zoning as its most…

Environmental Assessment Report for the Proposed Santa Rosa County Reclaimed Water Rapid-rate Infiltration Basin (RIB) System at Eglin Air Force Base, Florida

DTIC Science & Technology

2005-02-01

and 13 Subsection 125.01101, F.S., provides sewage collection and treatment services in South Santa 14 Rosa County through franchise agreements with...Rosa County through franchise agreements with the SSRU 6 and HNWS. The SRCBOCC also owns and operates the NBU, providing service to that 7 section of...HNWS franchise areas account for 100 percent of the land area between 13 the NBU system and the proposed RIB site on EAFB. The NBU examined areas

The Mecklenburg County Interlocal Agreement: An 18-Year Collaboration Between Medicine and Public Health.

PubMed

Piper, Crystal N; Plescia, Marcus; Keener, Stephen R; DeHaven, Mark

Better integration of public health and medical services has been a long-standing goal in the United States and has been widely discussed in the scientific literature. To identify key lessons and outcomes of the Mecklenburg County Interlocal Agreement, one of the longest running efforts integrating health care delivery and public health services in a major metropolitan area. In-depth key informant interviews and brief questionnaires of leaders involved in the Mecklenburg County Interlocal Agreement. Charlotte-Mecklenburg County, North Carolina. Convenience sample of 15 past and present employees and administrative leaders of the Mecklenburg County Privatization Initiative from the Mecklenburg County Health Department (N = 7) and Carolinas Healthcare System (N = 8). Attitudes reflecting the effects of the Mecklenburg County Privatization Initiative, based on 6 "synergies" for evaluating the effectiveness of health care and public health system collaboration. Mean scores were calculated for 21 questionnaire items, using 5-point Likert scales (1 = no impact; 5 = great impact). Mean scores were calculated by averaging the multiple-item question sets reflecting each of the 6 synergies. Synergy scores ranged from a low of 3.1 (3 items reflecting whether the collaboration "Used clinical practice to identify and address community health problems") to a high of 3.7 (3 items reflecting whether the collaboration "Improved health care by coordinating services for individuals"). The in-depth interviews indicated a clear impact for the 2 synergies linked to individual care. Increased access to care emerged as a strong theme, along with the belief that medical care services were improved and that these improvements persist. The findings of this study provide perspective from an 18-year contractual agreement for a large health care system to operate county public health functions. Implications include the need to incorporate well-defined public health principles in any collaborative agreement and to focus these efforts at the primary care level.

76 FR 4254 - Irish Potatoes Grown in Certain Designated Counties in Idaho, and Malheur County, Oregon...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-25

... Service 7 CFR Part 945 [Doc. No. AMS-FV-10-0109; FV11-945-1] Irish Potatoes Grown in Certain Designated... among eligible producers of Irish potatoes in certain designated counties in Idaho, and Malheur County... Irish potatoes grown in the production area. DATES: The referendum will be conducted from March 5 to...

IMPACT of City-County Consolidation of the Rural-Urban Fringe: Nashville-Davidson County, Tennessee.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

This report analyzed the effect of consolidation of city and county governments in Nashville, Tenn., on local public finance and the availability of public services in the rural areas of the county. Comparisons were made between governmental costs and functions before and 3 years after the metropolitan district was formed. Some 299 voters in the…

76 FR 35997 - Onions Grown in Certain Designated Counties in Idaho, and Malheur County, OR; Modification of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-21

... Service 7 CFR Part 958 [Doc. No. AMS-FV-11-0025; FV11-958-1 PR] Onions Grown in Certain Designated... handling regulation for onions handled under the Idaho-Eastern Oregon onion marketing order. The marketing order regulates the handling of onions grown in designated counties in Idaho, and Malheur County, Oregon...

78 FR 54478 - Endangered and Threatened Wildlife and Plants; Permits; Low-Effect Habitat Conservation Plan for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-04

... the Utah Prairie Dog in Iron County, Utah AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... Draft Low-effect Habitat Conservation Plan for the Utah prairie dog in Iron County, Utah, for review and... Conservation Plan for the Utah prairie dog in Iron County, Utah. The Iron County Commission has prepared a...

75 FR 18235 - Paiute Cutthroat Trout Restoration Project, Alpine County, CA

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-09

...] Paiute Cutthroat Trout Restoration Project, Alpine County, CA AGENCY: Fish and Wildlife Service, Interior... availability of the Paiute Cutthroat Trout Restoration Project Final Environmental Impact Statement (EIS... cutthroat trout to the species historical range within the Silver King Creek watershed, Alpine County...

[Urban alternate host cycle of Taenia saginata in Wittstock County, district of Potsdam (East Germany)].

PubMed

Engelbrecht, H; Mentzel, U

1984-08-01

The urban alternate host cycle of Taenia saginata in the county of Wittstock, district of Potsdam (GDR). Investigations of the epidemiology of bovine cysticercosis and human taeniasis were carried out in the county of Wittstock from 1979 till 1980. The analysis was based on the examination of human faeces, sewage and sewage sludge, the registration of infested humans, anticestodica consumption, number of infested cattle, areas for squirting out sewage, fodder supply areas and location of cattle. These data were mapped. There is a direct connection between the prevalence of Cysticercus bovis in more than 50 per cent of the infested cattle of the county of Wittstock and the squirting out of the sewage of the county town. 21 to 27 million Taenia eggs per day get into the waste-water purification plant. The proportion of infested humans and infested cattle is 1: 250 or 1: 290, respectively. The prevalence of adult tapeworms is 0.008-0.18%, and that of cysticerci is 20%.

77 FR 24673 - Notice of Delegation of Authority From the Regional Forester, Pacific Southwest Region, to Forest...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-25

... County Rubicon Trail Forest Road and Trail Act Easement AGENCY: Forest Service, USDA. ACTION: Notice..., Eldorado National Forest, authority to grant a Forest Road and Trail Act easement to El Dorado County for the Rubicon Trail. DATES: April 19, 2012. ADDRESSES: USDA Forest Service, Pacific Southwest Region...

Support Services for Exceptional Students: Fresno, Inyo, Kern, Kings, Madera, Mariposa, Merced, Mono, San Luis Obispo, and Tulare Counties.

ERIC Educational Resources Information Center

Hampel, Angelica; And Others

Intended for use by vocational administrators responsible for mainstreaming handicapped students into vocational education classes, the resource guide lists and describes governmental and private agencies that provide vocational programs and support services for the handicapped on a local and statewide basis in the California counties of Fresno,…

75 FR 19454 - Montreal, Maine & Atlantic Railway, Ltd.-Discontinuance of Service and Abandonment-in Aroostook...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-14

... Penobscot Counties, ME April 9, 2010. AGENCY: Surface Transportation Board. ACTION: Notice of Public Hearing... District Court House, 27 Riverside Drive, Presque Isle, ME 04769. Any person wishing to speak at the... discontinue service over approximately 233 miles of line in Aroostook and Penobscot Counties, ME.\\1\\ In a...

Adult Re-Entry Students: Experiences Preceding Entry into a Rural Appalachian Community College

ERIC Educational Resources Information Center

Genco, Jessica T.

2007-01-01

Mountain Empire Community College (MECC)'s service region covers the extreme southwestern corner of Virginia and includes four counties and one city: Dickenson, Lee, Scott, and Wise Counties, and the city of Norton. With a service region population of 93,000 residents, MECC currently serves over 5,000 students annually (Mountain Empire Community…

A STUDY OF COUNTY COMMISSIONERS' PRECEPTION OF THE NORTH CAROLINA COOPERATIVE EXTENSION SERVICE, NORTHEASTERN EXTENSION DISTRICT, NORTH CAROLINA.

ERIC Educational Resources Information Center

WHITE, ESTELLE EDWARDS

AN INTERVIEW QUESTIONNAIRE WAS USED TO DISCOVER HOW 85 ELECTED COUNTY COMMISSIONERS IN THE NORTHEASTERN EXTENSION DISTRICT OF NORTH CAROLINA PERCEIVED THE COOPERATIVE EXTENSION SERVICE. THE EXTENT TO WHICH TENURE AS A COMMISSIONER, OCCUPATION, EDUCATION, AGE, AND INVOLVEMENT IN EXTENSION ACTIVITIES WERE ASSOCIATED WITH THE PERCEPTION OF…

75 FR 68510 - Fresh Prunes Grown in Designated Counties in Washington and in Umatilla County, OR; Termination...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-08

... marketing agreements and orders may be viewed at: http://www.ams.usda.gov/MarketingOrdersSmallBusinessGuide... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 924 [Doc. No. AMS-FV-10-0053...; Termination of Marketing Order 924 AGENCY: Agricultural Marketing Service, USDA. ACTION: Proposed rule...

Online Opportunist: Mary Ellen Icaza--Montgomery County Public Libraries, Rockville, MD

ERIC Educational Resources Information Center

Library Journal, 2004

2004-01-01

When Mary Ellen Icaza became Electronic Services Librarian at Montgomery County Public Libraries, she noticed that the readers' services information on the library web site was invisible, even to librarians. "And if staff can't find it," she says, "customers can't." She set out to help people find that material-and to turn a…

77 FR 37762 - Domestic Dates Produced or Packed in Riverside County, CA; Order Amending Marketing Order 987

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-25

... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 987 [Doc. No. AMS-FV-10-0025; FV10-987-1 FR] Domestic Dates Produced or Packed in Riverside County, CA; Order Amending Marketing Order 987 AGENCY: Agricultural Marketing Service, USDA. ACTION: Final rule. SUMMARY: This final rule...

Building Facilities/Custodial Services English as a Second Language Workplace Literacy Curriculum.

ERIC Educational Resources Information Center

Arlington County Public Schools, VA. REEP, Arlington Education and Employment Program.

The Workplace Literacy Curriculum for Custodial Services was developed for English-as-a-Second-Language classes for workers in participating businesses in Arlington County, Virginia, through a national workplace literacy grant with the cooperation of the Arlington County Chamber of Commerce. It is based on an analysis of tasks and interactions at…

Pierce County Indian Education Program, Educational Service District #121, Tacoma, Washington. 1976-77 Final Evaluation Report.

ERIC Educational Resources Information Center

Nelson, Steve; Clark, Robey

Comparing program objectives with program outcomes, 4 program components targeted at 1,100 American Indian students in 9 school districts in Pierce County, Washington were evaluated. Program objectives operationalized by an 11-member staff including 9 specialists and 1 coordinator were to develop: (1) basic skills via tutoring services for…

Sweden health system review.

PubMed

Anell, Anders; Glenngård, Anna H; Merkur, Sherry

2012-01-01

Life expectancy in Sweden is high and the country performs well in comparisons related to disease-oriented indicators of health service outcomes and quality of care. The Swedish health system is committed to ensuring the health of all citizens and abides by the principles of human dignity, need and solidarity, and cost-effectiveness. The state is responsible for overall health policy, while the funding and provision of services lies largely with the county councils and regions. The municipalities are responsible for the care of older and disabled people. The majority of primary care centres and almost all hospitals are owned by the county councils. Health care expenditure is mainly tax funded (80%) and is equivalent to 9.9% of gross domestic product (GDP) (2009). Only about 4% of the population has voluntary health insurance (VHI). User charges fund about 17% of health expenditure and are levied on visits to professionals, hospitalization and medicines. The number of acute care hospital beds is below the European Union (EU) average and Sweden allocates more human resources to the health sector than most OECD countries. In the past, the Achilles heel of Swedish health care included long waiting times for diagnosis and treatment and, more recently, divergence in quality of care between regions and socioeconomic groups. Addressing long waiting times remains a key policy objective along with improving access to providers. Recent principal health reforms over the past decade relate to: concentrating hospital services; regionalizing health care services, including mergers; improving coordinated care; increasing choice, competition and privatization in primary care; privatization and competition in the pharmacy sector; changing co-payments; and increasing attention to public comparison of quality and efficiency indicators, the value of investments in health care and responsiveness to patients needs. Reforms are often introduced on the local level, thus the pattern of reform varies across local government, although mimicking behaviour usually occurs. World Health Organization 2012, on behalf of the European Observatory on health systems and Policies.

The Library Work Order Processing System: A New Approach to Motivate Employees and to Increase Production in the Technical Service Department of Mercer County Community College Library. Applied Educational Research and Evaluation.

ERIC Educational Resources Information Center

Sim, Yong Sup

After reviewing the current movement toward job enrichment, a system was designed for the technical services department of the Mercer County Community College Library. The Library Work Order Processing System, as tried between January and March, 1974, was designed to permit each worker more variety of jobs. The technical services department was…

92. Photocopied August 1978 by the Harry S. Truman Library, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

92. Photocopied August 1978 by the Harry S. Truman Library, Independence, Missouri, from the original belonging to the Jackson County Historical Society. HANDBILL ADVERTISING SERVICES OFFERED BY 'W. L. WATKINS & SON.' DATED: OCT. 1, 1881. - Watkins Mill, County Highway MM, Lawson, Ray County, MO

Finding the gap: revealing local disparities in coverage of maternal, newborn and child health services in South Sudan using lot quality assurance sampling.

PubMed

Valadez, Joseph J; Berendes, Sima; Lako, Richard; Gould, Simon; Vargas, William; Milner, Susan

2015-12-01

We adapted a rapid monitoring method to South Sudan, a new nation with one of the world's highest maternal and child mortality rates, aiming to assess coverage of maternal, neonatal and child health (MNCH) services at the time of independence, and introducing a monitoring and evaluation system (M&E) for equity-sensitive tracking of progress related to Millennium Development Goals (MDG) 4 and 5 at national, state and county levels to detect local variability. We conducted a national cross-sectional household survey among women from six client populations in all, but six of South Sudan's 79 counties. We used lot quality assurance sampling (LQAS) to measure coverage with diverse MNCH indicators to obtain information for national-, state- and county-level health system management decision-making. National coverage of MNCH services was low for all maternal and neonatal care, child immunisation, and child care indicators. However, results varied across states and counties. Central Equatoria State (CES), where the capital is located, showed the highest coverage for most indicators (e.g. ≥4 antenatal care visits range: 4.5% in Jonglei to 40.1% in CES). Urban counties often outperformed rural ones. This adaptation of LQAS to South Sudan demonstrates how it can be used in the future as an M&E system to track progress of MDGs at national, state and county levels to detect local disparities. Overall, our data reveal a desperate need for improving MNCH service coverage in all states. © 2015 The Authors.Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

Facilitators and barriers to implementing a local policy to reduce sodium consumption in the County of Los Angeles government, California, 2009.

PubMed

Gase, Lauren N; Kuo, Tony; Dunet, Diane O; Simon, Paul A

2011-03-01

This qualitative study explores facilitators and barriers to a proposed food procurement policy that would require food purchasers, distributors, and vendors of food service in the County of Los Angeles government to meet specified nutrition standards, including limits on sodium content. We conducted 30 key informant interviews. Interviewees represented 18 organizations from the County of Los Angeles government departments that purchased, distributed, or sold food; public and private non-County entities that had previously implemented food procurement policies in their organizations; and large organizations that catered food to the County. Study participants reported 3 key facilitators: their organization's authority to impose nutrition standards, their organization's desire to provide nutritious food, and the opportunity to build on existing nutrition policies. Eight key barriers were identified: 1) unique features among food service settings, 2) costs and unavailability of low-sodium foods, 3) complexity of food service arrangements, 4) lack of consumer demand for low-sodium foods, 5) undesirable taste of low-sodium foods, 6) preference for prepackaged products, 7) lack of knowledge and experience in operationalizing sodium standards, and 8) existing multiyear contracts that are difficult to change. Despite perceived barriers, several participants indicated that their organizations have successfully implemented nutritional standards that include limits on sodium. Developing or changing policies for procuring food represents a potentially feasible strategy for reducing sodium consumption in food service venues controlled by the County of Los Angeles. The facilitators and barriers identified here can inform the formulation, adoption, implementation, and evaluation of sodium reduction policies in other jurisdictions.

Passive tick surveillance, dog seropositivity, and incidence of human Lyme disease

USGS Publications Warehouse

Johnson, Jaree L.; Ginsberg, Howard S.; Zhioua, Elyes; Whitworth, Ulysses G.; Markowski, Daniel; Hyland, Kerwin E.; Hu, Renjie

2004-01-01

Data on nymphal Ixodes scapularis ticks submitted by the public to the University of Rhode Island Tick Research Laboratory for testing from 1991 to 2000 were compared with human case data from the Rhode Island Department of Health to determine the efficacy of passive tick surveillance at assessing human risk of Lyme disease. Numbers of ticks submitted were highly correlated with human cases by county (r = 0.998, n = 5 counties) and by town (r = 0.916, n = 37 towns), as were the numbers of positive ticks submitted (r = 0.989 by county, r = 0.787 by town). Human cases were correlated with ticks submitted by town each year, and with positive ticks in all but 2 years. Thus, passive tick surveillance effectively assessed geographical risk of human Lyme disease. In contrast, tick submissions through time were not correlated with human cases from year to year. Dog seropositivity was significantly correlated with human cases by county in both years tested, but by town in only one of two years. Numbers of ticks submitted were correlated with dog seropositivity by county but not by town, apparently because of high variability among towns with small sample sizes. Our results suggest that passive tick surveillance, using ticks submitted by the public for Lyme spirochete testing, can be used to assess the geographical distribution of Lyme disease risk, but cannot reliably predict Lyme incidence from year to year.

An Analysis of Construct Validity of Motivation As It Relates to North Carolina County Agricultural Extension Service Agents.

ERIC Educational Resources Information Center

Calloway, Pauline Frances

This study investigated the construct validity of the Herzberg (1964) theory of motivation as it relates to county Extension agents; and developed an inventory to measure the job satisfaction of county agents in North Carolina. The inventory was administered to 419 agents in 79 counties. Factor analysis was used to determine the number of job…

36 CFR 228.57 - Types of disposal.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Federal, State, county, local unit, subdivision, municipality, or county road district for use in public... various Forest Service programs involving construction and maintenance of physical improvements. ...

76 FR 21425 - Montreal, Maine & Atlantic Railway, Ltd.-Abandonment Exemption-in Aroostook County, ME

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-15

... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 1043 (Sub-No. 2X)] Montreal, Maine & Atlantic Railway, Ltd.--Abandonment Exemption-- in Aroostook County, ME On March 28, 2011... Van Buren, Aroostook County, Me. The line traverses United States Postal Service Zip Code 04785. In...

Southeast Michigan Snow and Ice Management (SEMSIM) : final evaluation at end of winter season, year 2004

DOT National Transportation Integrated Search

2004-08-01

In the early spring of 1999, the Detroit Department of Public Works, the Road Commission of Macomb County, the Road Commission for Oakland County, and the Wayne County Department of Public Services formed the Southeast Michigan Snow and Ice Managemen...

Energy conservation awareness and practice in restaurants of Hennepin County, Minnesota.

PubMed

Brondum, Jack; Palchick, Susan

2012-12-01

Greenhouse gases result mainly from the combustion of fossil fuels in energy use. Restaurants use large amounts of energy in their operation but systematically gathered information about such use is lacking. Hennepin County Human Services and Public Health Department surveyed owners of licensed restaurants to assess their energy use and awareness of energy conservation measures. Of 434 owners surveyed, 276 (63.6%) returned completed surveys. Responses indicated that large pluralities or majorities of restaurant owners often were aware of energy-efficient methods of operation and the means to achieve greater efficiency but used such means much less frequently. For example, 57% of respondents were familiar with the U.S. Environmental Protection Agency's Energy Star program, but only 33% of this group actually used Energy Star appliances. Given the gap between awareness and practice, opportunities for consultation and outreach to restaurant owners about energy-efficient business operation are manifold.

Somerset County Flood Information System

USGS Publications Warehouse

Hoppe, Heidi L.

2007-01-01

The timely warning of a flood is crucial to the protection of lives and property. One has only to recall the floods of August 2, 1973, September 16 and 17, 1999, and April 16, 2007, in Somerset County, New Jersey, in which lives were lost and major property damage occurred, to realize how costly, especially in terms of human life, an unexpected flood can be. Accurate forecasts and warnings cannot be made, however, without detailed information about precipitation and streamflow in the drainage basin. Since the mid 1960's, the National Weather Service (NWS) has been able to forecast flooding on larger streams in Somerset County, such as the Raritan and Millstone Rivers. Flooding on smaller streams in urban areas was more difficult to predict. In response to this problem the NWS, in cooperation with the Green Brook Flood Control Commission, installed a precipitation gage in North Plainfield, and two flash-flood alarms, one on Green Brook at Seeley Mills and one on Stony Brook at Watchung, in the early 1970's. In 1978, New Jersey's first countywide flood-warning system was installed by the U.S. Geological Survey (USGS) in Somerset County. This system consisted of a network of eight stage and discharge gages equipped with precipitation gages linked by telephone telemetry and eight auxiliary precipitation gages. The gages were installed throughout the county to collect precipitation and runoff data that could be used to improve flood-monitoring capabilities and flood-frequency estimates. Recognizing the need for more detailed hydrologic information for Somerset County, the USGS, in cooperation with Somerset County, designed and installed the Somerset County Flood Information System (SCFIS) in 1990. This system is part of a statewide network of stream gages, precipitation gages, weather stations, and tide gages that collect data in real time. The data provided by the SCFIS improve the flood forecasting ability of the NWS and aid Somerset County and municipal agencies in the planning and execution of flood-preparation and emergency-evacuation procedures in the county. This fact sheet describes the SCFIS and identifies its benefits.

The Role of Housing in the Transition Process of Youth and Young Adults: A Twenty-Year Perspective

ERIC Educational Resources Information Center

Kroner, Mark J.

2007-01-01

In 1981, Lighthouse Youth Services, a private nonprofit agency in Cincinnati, Ohio, began one of the first independent living programs for adolescents in the state. The local county children's services supervisors and Lighthouse administrators had been hearing numerous stories of youth who had left the county's foster and group homes and were…

A descriptive analysis of change in eligibility status for the USDA Forest Service Economic Recovery Program

Treesearch

Krista M. Gebert; Susan L. Odell

2007-01-01

This report summarizes the results of a 2004 analysis of county-level eligibility for financial and technical assistance through the USDA Forest Service Economic Recovery program and contrasts those results to the initial eligibility analysis performed in 1993. County-level eligibility was based on three criteria: (1) proximity to a National Forest or National...

To amend the Food, Conservation, and Energy Act of 2008 to clarify the maximum distance between Farm Service Agency county offices for purposes of the closure or relocation of a county office for the Farm Service Agency.

THOMAS, 112th Congress

Rep. Noem, Kristi L. [R-SD-At Large

2012-03-29

House - 05/10/2012 Referred to the Subcommittee on Department Operations, Oversight, and Credit. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Availability of Diagnostic and Treatment Services for Acute Stroke in Frontier Counties in Montana and Northern Wyoming

ERIC Educational Resources Information Center

Okon, Nicholas J.; Rodriguez, Daniel V.; Dietrich, Dennis W.; Oser, Carrie S.; Blades, Lynda L.; Burnett, Anne M.; Russell, Joseph A.; Allen, Martha J.; Chasson, Linda; Helgerson, Steven D.; Gohdes, Dorothy; Harwell, Todd S.

2006-01-01

Context: Rapid diagnosis and treatment of ischemic stroke can lead to improved patient outcomes. Hospitals in rural and frontier counties, however, face unique challenges in providing diagnostic and treatment services for acute stroke. Purpose: The aim of this study was to assess the availability of key diagnostic technology and programs for acute…

Broward County Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

ERIC Educational Resources Information Center

Hansen, Janet

This final performance report for the Broward County Library New Reader Services Coordinator literacy project begins with a section that provides quantitative data. The next section compares actual accomplishments to the project objectives for 1992-93, including the hiring of a new reader as coordinator for the project and the establishment of…

77 FR 38713 - V & S Railway, LLC-Discontinuance of Service Exemption-in Pueblo, Crowley and Kiowa Counties, CO

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-28

... exemption is void ab initio. Board decisions and notices are available on our Web site at www.stb.dot.gov... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 603 (Sub-No. 2X)] V & S Railway, LLC--Discontinuance of Service Exemption--in Pueblo, Crowley and Kiowa Counties, CO V & S Railway...

Lawrence A. Oxley and Social Services for Blacks in North Carolina's Appalachian Counties.

ERIC Educational Resources Information Center

Bell, John L.

This paper examines the history of the organization of statewide social services and activities of the Division of Work among Negroes in the Appalachian counties. From 1925-1934--its first 9 years--North Carolina's Division of Work among Negroes was directed by Lawrence Oxley. This agency was established to study black social problems and to help…

The College and the Community, with Special Reference to the North Hudson Center and the North Hudson Area. Data Report 95.04.

ERIC Educational Resources Information Center

Oromaner, Mark; Fujita, Eleanor

Focusing on the service area of New Jersey's Hudson County Community College (HCCC), this report presents data on the demographic and educational characteristics of the residents of Hudson County. The first section reviews the demographics of the County, focusing on the area in square miles and population of the County's 12 municipalities in 1970,…

Impact of free delivery policy on utilization of maternal health services in county referral hospitals in Kenya.

PubMed

Njuguna, John; Kamau, Njoroge; Muruka, Charles

2017-06-21

Kenya has a high maternal mortality rate. Provision of skilled delivery plays a major role in reducing maternal mortality. Cost is a hindrance to the utilization of skilled delivery. The Government of Kenya introduced a policy of free delivery services in government facilities beginning June 2013. We sought to determine the impact of this intervention on facility based deliveries in Kenya. We compared deliveries and antenatal attendance in 47 county referral hospitals and 30 low cost private hospitals not participating in the free delivery policy for 2013 and 2014 respectively. The data was extracted from the Kenya Health Information System. Multiple regression was done to assess factors influencing increase in number of deliveries among the county referral hospitals. The number of deliveries and antenatal attendance increased by 26.8% and 16.2% in county referral hospitals and decreased by 11.9% and 5.4% respectively in low cost private hospitals. Increase in deliveries among county referral hospitals was influenced by population size of county and type of county referral hospital. Counties with level 5 hospitals recorded more deliveries compared to those with level 4 hospitals. This intervention increased the number of facility based deliveries. Policy makers may consider incorporating low cost private hospitals so as to increase the coverage of this intervention.

Evaluating a De-Centralized Regional Delivery System for Breast Cancer Screening and Patient Navigation for the Rural Underserved.

PubMed

Inrig, Stephen J; Tiro, Jasmin A; Melhado, Trisha V; Argenbright, Keith E; Craddock Lee, Simon J

2014-01-01

Providing breast cancer screening services in rural areas is challenging due to the fractured nature of healthcare delivery systems and complex reimbursement mechanisms that create barriers to access for the under- and uninsured. Interventions that reduce structural barriers to mammography, like patient navigation programs, are effective and recommended, especially for minority and underserved women. Although the literature on rural healthcare is significant, the field lacks studies of adaptive service delivery models and rigorous evaluation of evidence-based programs that facilitate routine screening and appropriate follow-up across large geographic areas. To better understand how to implement a decentralized regional delivery "hub & spoke" model for rural breast cancer screening and patient navigation, we have designed a rigorous, structured, multi-level and mixed-methods evaluation based on Glasgow's RE-AIM model (Reach, Effectiveness, Adoption, Implementation, and Maintenance). The program is comprised of three core components: 1) Outreach to underserved women by partnering with county organizations; 2) Navigation to guide patients through screening and appropriate follow-up; and 3) Centralized Reimbursement to coordinate funding for screening services through a central contract with Medicaid Breast and Cervical Cancer Services (BCCS). Using Glasgow's RE-AIM model, we will: 1) assess which counties have the resources and capacity to implement outreach and/or navigation components, 2) train partners in each county on how to implement components, and 3) monitor process and outcome measures in each county at regular intervals, providing booster training when needed. This evaluation strategy will elucidate how the heterogeneity of rural county infrastructure impacts decentralized service delivery as a navigation program expands. In addition to increasing breast cancer screening access, our model improves and maintains time to diagnostic resolution and facilitates timely referral to local cancer treatment services. We offer this evaluation approach as an exemplar for scientific methods to evaluate the translation of evidence-based federal policy into sustainable health services delivery in a rural setting.

Evaluating a De-Centralized Regional Delivery System for Breast Cancer Screening and Patient Navigation for the Rural Underserved

PubMed Central

Inrig, Stephen J.; Tiro, Jasmin A.; Melhado, Trisha V.; Argenbright, Keith E.; Craddock Lee, Simon J.

2017-01-01

Providing breast cancer screening services in rural areas is challenging due to the fractured nature of healthcare delivery systems and complex reimbursement mechanisms that create barriers to access for the under- and uninsured. Interventions that reduce structural barriers to mammography, like patient navigation programs, are effective and recommended, especially for minority and underserved women. Although the literature on rural healthcare is significant, the field lacks studies of adaptive service delivery models and rigorous evaluation of evidence-based programs that facilitate routine screening and appropriate follow-up across large geographic areas. Objectives To better understand how to implement a decentralized regional delivery “hub & spoke” model for rural breast cancer screening and patient navigation, we have designed a rigorous, structured, multi-level and mixed-methods evaluation based on Glasgow’s RE-AIM model (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Methods and Design The program is comprised of three core components: 1) Outreach to underserved women by partnering with county organizations; 2) Navigation to guide patients through screening and appropriate follow-up; and 3) Centralized Reimbursement to coordinate funding for screening services through a central contract with Medicaid Breast and Cervical Cancer Services (BCCS). Using Glasgow’s RE-AIM model, we will: 1) assess which counties have the resources and capacity to implement outreach and/or navigation components, 2) train partners in each county on how to implement components, and 3) monitor process and outcome measures in each county at regular intervals, providing booster training when needed. Discussion This evaluation strategy will elucidate how the heterogeneity of rural county infrastructure impacts decentralized service delivery as a navigation program expands. In addition to increasing breast cancer screening access, our model improves and maintains time to diagnostic resolution and facilitates timely referral to local cancer treatment services. We offer this evaluation approach as an exemplar for scientific methods to evaluate the translation of evidence-based federal policy into sustainable health services delivery in a rural setting. PMID:28713882

Variability in Criteria for Emergency Medical Services Routing of Acute Stroke Patients to Designated Stroke Center Hospitals.

PubMed

Dimitrov, Nikolay; Koenig, William; Bosson, Nichole; Song, Sarah; Saver, Jeffrey L; Mack, William J; Sanossian, Nerses

2015-09-01

Comprehensive stroke systems of care include routing to the nearest designated stroke center hospital, bypassing non-designated hospitals. Routing protocols are implemented at the state or county level and vary in qualification criteria and determination of destination hospital. We surveyed all counties in the state of California for presence and characteristics of their prehospital stroke routing protocols. Each county's local emergency medical services agency (LEMSA) was queried for the presence of a stroke routing protocol. We reviewed these protocols for method of stroke identification and criteria for patient transport to a stroke center. Thirty-three LEMSAs serve 58 counties in California with populations ranging from 1,175 to nearly 10 million. Fifteen LEMSAs (45%) had stroke routing protocols, covering 23 counties (40%) and 68% of the state population. Counties with protocols had higher population density (1,500 vs. 140 persons per square mile). In the six counties without designated stroke centers, patients meeting criteria were transported out of county. Stroke identification in the field was achieved using the Cincinnati Prehospital Stroke Screen in 72%, Los Angeles Prehospital Stroke Screen in 7% and a county-specific protocol in 22%. California EMS prehospital acute stroke routing protocols cover 68% of the state population and vary in characteristics including activation by symptom onset time and destination facility features, reflecting matching of system design to local geographic resources.

75 FR 71487 - Norfolk Southern Railway Company-Abandonment Exemption-in Crawford County, GA; Georgia Midland...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-23

... 1059X] Norfolk Southern Railway Company--Abandonment Exemption--in Crawford County, GA; Georgia Midland Railroad, Inc.\\1\\--Discontinuance of Service Exemption--in Crawford County, GA \\1\\ Based on information in a letter from one of NSR's attorneys, this is the correct name of the discontinuing railroad-- not...

75 FR 7303 - Union Pacific Railroad Company-Abandonment Exemption-in Polk County, IA

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-18

... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [STB Docket No. AB-33 (Sub-No. 279X)] Union Pacific Railroad Company--Abandonment Exemption--in Polk County, IA Union Pacific Railroad Company... milepost 10.70 in Ankeny, in Polk County, IA. The line traverses United States Postal Service Zip Code...

77 FR 40147 - Pan Am Southern, LLC.-Abandonment Exemption-in Worcester County, MA; Springfield Terminal Railway...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-06

... (Sub No. 41X)] Pan Am Southern, LLC.--Abandonment Exemption--in Worcester County, MA; Springfield Terminal Railway Company--Discontinuance of Service Exemption--in Worcester County, MA Pan Am Southern, LLC... B. Burns, Corporate Counsel, Iron Horse Park, North Billerica, MA 01862. If the verified notice...

76 FR 35947 - Maine Northern Railway Company-Modified Rail Certificate-in Aroostook and Penobscot Counties, ME

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-20

... Railway Company--Modified Rail Certificate--in Aroostook and Penobscot Counties, ME On June 7, 2011, Maine..., Me. The Line was the subject of an abandonment application granted by the Board in Montreal, Maine & Atlantic Railway, Ltd.--Discontinuance of Service and Abandonment--in Aroostook and Penobscot Counties, Me...

76 FR 5648 - Montreal, Maine & Atlantic Railway, Ltd.-Modified Rail Certificate-in Aroostook and Penobscot...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-01

... Penobscot Counties, Me.; Montreal, Maine & Atlantic Railway, Ltd.--Discontinuance of Service and Abandonment--in Aroostook and Penobscot Counties, ME. Montreal, Maine & Atlantic Railway, Ltd. (MMA) has requested..., approximately 233 miles of rail line in Aroostook and Penobscot Counties, Me. This line was the subject of the...

77 FR 47918 - Chicago Central and Pacific Railroad Company-Abandonment Exemption-in Cook County, IL

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-10

... Central and Pacific Railroad Company--Abandonment Exemption--in Cook County, IL Chicago Central and... North Riverside, Cook County, Ill. The line traverses United States Postal Service Zip Codes 60546 and... system. A copy of any petition filed with the Board should be sent to CCP's representative: Thomas J...

77 FR 23496 - Notice of Intent To Repatriate Cultural Items: Benton County Historical Society and Museum...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-19

... Society and Museum, Philomath, OR, that meet the definition of objects of cultural patrimony under 25 U.S... Cultural Items: Benton County Historical Society and Museum, Philomath, OR AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The Benton County Historical Society and Museum, in consultation with...

76 FR 46234 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for Nine Bexar...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-02

... Critical Habitat for Nine Bexar County Invertebrates AGENCY: Fish and Wildlife Service, Interior. ACTION... are collectively known as the nine Bexar County invertebrates. We also announce the availability of a... comment period on our proposed critical habitat for the nine Bexar County invertebrates that was published...

31 CFR 215.7 - Compliance by agencies.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE WITHHOLDING OF DISTRICT OF COLUMBIA, STATE, CITY AND... city or county, the head of each agency is required to withhold city or county income or employment... regular place of Federal employment is within the city or county, or (2) Is a resident of the city or...

31 CFR 215.7 - Compliance by agencies.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE WITHHOLDING OF DISTRICT OF COLUMBIA, STATE, CITY AND... city or county, the head of each agency is required to withhold city or county income or employment... regular place of Federal employment is within the city or county, or (2) Is a resident of the city or...

Effects of Human Resource Audit on Employee Performance in Secondary Schools in Kenya; a Case of Non Teaching Staff in Secondary Schools in Nyamache Sub County

ERIC Educational Resources Information Center

Moke, Oeri Lydia; Muturi, Willy

2015-01-01

Human Resources Audit measures human resource outputs and effectiveness under the given circumstances and the degree of utilization of human resource skills. The purpose of the study was to assess the effect of Human resource Audit on employee performance in secondary schools in Nyamache Sub County. The specific objectives for the study included…

[The carrier model of neurology in Hungary: a proposal for the solution until 2020].

PubMed

Bereczki, Dániel; Csiba, László; Komoly, Sámuel; Vécsei, László; Ajtay, András

2011-11-30

Based on our previous survey on the capacities of neurological services and on the predictable changes in the neurologist workforce in Hungary, we present a proposal for the organization of the structure of neurological services in the future. We discuss the diagnostic groups treated by neurologists, the neurological services and their progressive organization. Using the current capacities as baseline, we propose patient groups to be treated by neurologists in the future, and the levels of services. Based on the tendencies seen in the last years we suggest to consider to allocate acute stroke services exclusively to stroke units in neurological departments, and we identify a few other diagnostic groups where neurology should have a larger share in patient care. We define three levels for inpatient care: university departments, regional/county hospitals, city hospitals. Instead of minimum criteria we assign outpatient and inpatient standards that are functional from the economic point of view as well. University departments cover all areas of neurological services, have a function in graduate and postgraduate training, and on a regional basis they participate in professional quality assurance activities at the county and city hospital levels, and would have a more independent role in residency training. As far as patient care is concerned, the task of the regional/county hospitals would be similar to that of university departments - without the exclusively university functions. A general neurological service would be offered at the city hospital level - the representation of all subspecialties of neurology is not required. Neurorehabilitation would be organized at special units of neurological wards at the city hospital level, at independent neurorehabilitation wards in regional/county hospitals, and also as an outpatient service offered at the patients' home. The most significant organizational change would affect the outpatient neurological services. In addition to the special outpatient units associated with university departments and regional/county hospitals, the general neurological outpatient services would be organized as private practices, similarly to the current system of general practitioners, where the individual practices contract independently with the health insurance fund. Their task would be a general neurological service offered 30 hours per week, and also basic, screening neurophysiological and neurosonological examinations, with proper equipment and trained assistance. A transformation in residency training and a change in financing is needed for this plan to fulfill.

78 FR 76169 - Patuxent Research Refuge, Prince George's and Anne Arundel Counties, MD; Final Comprehensive...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-16

...We, the U.S. Fish and Wildlife Service (Service), announce the availability of the final comprehensive conservation plan (CCP) and finding of no significant impact (FONSI) for Patuxent Research Refuge (Patuxent RR, refuge), located in Prince George's and Anne Arundel Counties, Maryland. In this final CCP, we describe how we will manage the refuge for the next 15 years.

A bill to amend the Food, Conservation, and Energy Act of 2008 to clarify the maximum distance between Farm Service Agency county offices for purposes of the closure or relocation of a county office for the Farm Service Agency.

THOMAS, 112th Congress

Sen. McCaskill, Claire [D-MO

2012-06-04

Senate - 06/04/2012 Read twice and referred to the Committee on Agriculture, Nutrition, and Forestry. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

77 FR 50213 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for Jaguar

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-20

...We, the U.S. Fish and Wildlife Service (Service), propose to designate critical habitat for the jaguar (Panthera onca) under the Endangered Species Act of 1973, as amended (Act). In total, we propose to designate as critical habitat approximately 339,220 hectares (838,232 acres) in Pima, Santa Cruz, and Cochise Counties, Arizona, and Hidalgo County, New Mexico.

Urban Extension. A Look to the Future. Report on Focus Group Sessions (St. Paul, Minnesota, January 22-February 6, 1987).

ERIC Educational Resources Information Center

Copeland, Harlan G.; Barber, Shirley L.

Eight focus groups were interviewed to determine the current strengths and weaknesses of the Ramsey County Extension Service as well as the directions that the service should take in the future so as to meet the county's needs for extension education in urban and suburban settings. The focus groups included extension professionals and support…

Disparities in access to emergency general surgery care in the United States.

PubMed

Khubchandani, Jasmine A; Shen, Connie; Ayturk, Didem; Kiefe, Catarina I; Santry, Heena P

2018-02-01

As fewer surgeons take emergency general surgery call and hospitals decrease emergency services, a crisis in access looms in the United States. We examined national emergency general surgery capacity and county-level determinants of access to emergency general surgery care with special attention to disparities. To identify potential emergency general surgery hospitals, we queried the database of the American Hospital Association for "acute care general hospital," with "surgical services," and "emergency department," and ≥1 "operating room." Internet search and direct contact confirmed emergency general surgery services that covered the emergency room 7 days a week, 24 hours a day. Geographic and population-level emergency general surgery access was derived from Geographic Information Systems and US Census. Of the 6,356 hospitals in the 2013 American Hospital Association database, only 2,811 were emergency general surgery hospitals. Counties with greater percentages of black, Hispanic, uninsured, and low-education individuals and rural counties disproportionately lacked access to emergency general surgery care. For example, counties above the 75th percentile of African American population (10.2%) had >80% odds of not having an emergency general surgery hospital compared with counties below the 25th percentile of African American population (0.6%). Gaps in access to emergency general surgery services exist across the United States, disproportionately affecting underserved, rural communities. Policy initiatives need to increase emergency general surgery capacity nationwide. Copyright © 2017 Elsevier Inc. All rights reserved.

The Evolution of an Innovative Community-Engaged Health Navigator Program to Address Social Determinants of Health.

PubMed

Page-Reeves, Janet; Moffett, Maurice L; Steimel, Leah; Smith, Daryl T

Health navigators and other types of community health workers (CHWs) have become recognized as essential components of quality care, and key for addressing health disparities owing to the complex health care services landscape presents almost insurmountable challenges for vulnerable individuals. Bernalillo County, New Mexico, has high rates of uninsurance, poverty, and food insecurity. The design of the Pathways to a Healthy Bernalillo County Program (BP) has evolved innovations that are unique in terms of program stability and security, expansive reach, and community capacity across six domains: sustainable public mechanism for program funding, involvement of community organizations in designing the program, expanded focus to address the broader social determinants of health with targeted outreach, an integrated, community-based implementation structure, an outcomes-based payment structure, and using an adaptive program design that actively incorporates navigators in the process. In 2008, the Pathways to a Healthy Bernalillo County Program (BP), located in the Albuquerque metropolitan area in central New Mexico, was established to provide navigation and support for the most vulnerable county residents. BP is funded through a 1% carve out of county mill levy funds. The pathways model is an outcome-based approach for health and social services coordination that uses culturally competent CHW as "navigators" trained to connect at-risk individuals to needed health and social services. One of the important innovations of the pathways approach is a shift in focus from merely providing discrete services to confirming healthy outcomes for the individual patient.

The northwest Arkansas transit assessment study

DOT National Transportation Integrated Search

2000-03-01

Providing adequate public transportation, including transportation services for the disadvantaged in Northwest Arkansas is an ongoing challenge. Unmet transit needs for the four-county area (Washington, Benton, Carroll and Madison Counties) included ...

7 CFR 993.162 - Voluntary prune plum diversion.

Code of Federal Regulations, 2010 CFR

2010-01-01

... SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE DRIED... production/dehydration characteristics. The addition of a county or counties, as the case may be, to one of...

Cultural Resources Literature Search and Records Review of the Upper Minnesota River Subbasin, Southwestern Minnesota and Northeastern South Dakota. Volume 1.

DTIC Science & Technology

1980-05-01

CORPS OF ENGERS 1135 U.S. Post Office and Custan House St. Paul, Mirffesota, 55101 Contract No. DACW7-79-C-019 9 LAC #Ift P-l L E ~ &-W N L & - Prepared...By: ARCHAEODLOGICAL FIELD SERVICES, INC. 4?? SOUTTI YAIN STPCET SUIT~ E 4?? 5, STILLWATER MINNESOTA 55082 * .- ~. % ,..VOLE I CULTURAL RESOURCES...County, Minnesota 4. Re&ood County, Minnesota E . Cottonwood River Subbasin 261 1. Brown County, Minnesota 2. Cottorwod County, Minnesota 3. Lyon County

Developing User-Driven Climate Information Services to Build Resilience Amongst Groups at Risk of Drought and Flood in Arid and Semi-Arid Land Counties in Kenya

NASA Astrophysics Data System (ADS)

Githungo, W. N.; Shaka, A.; Kniveton, D.; Muithya, L.; Powell, R.; Visman, E. L.

2014-12-01

The Arid and Semi-Arid Land (ASAL) counties of Kitui and Makueni in Kenya are experiencing increasing climate variability in seasonal rainfall, including changes in the onset, cessation and distribution of the two principal rains upon which the majority of the population's small-holder farmers and livestock keepers depend. Food insecurity is prevalent with significant numbers also affected by flooding during periods of intense rainfall. As part of a multi-partner Adaptation Consortium, Kenya Meteorological Services (KMS) are developing Climate Information Services (CIS) which can better support decision making amongst the counties' principal livelihoods groups and across County Government ministries. Building on earlier pilots and stakeholder discussion, the system combines the production of climate information tailored for transmission via regional and local radio stations with the establishment of a new SMS service. SMS are provided through a network of CIS intermediaries drawn from across key government ministries, religious networks, non-governmental and community groups, aiming to achieve one SMS recipient per 3-500 people. It also introduces a demand-led, premium-rate SMS weather information service which is designed to be self-financing in the long term. Supporting the ongoing process of devolution, KMS is downscaling national forecasts for each county, and providing seasonal, monthly, weekly and daily forecasts, as well as warnings of weather-related hazards. Through collaboration with relevant ministries, government bodies and research institutions, including livestock, agriculture, drought management and health, technical advisories are developed to provide guidance on application of the climate information. The system seeks to provide timely, relevant information which can enable people to use weather and climate information to support decisions which protect life and property and build resilience to ongoing climate variability and future change.

2004 Oregon traffic crash summary

DOT National Transportation Integrated Search

2005-07-01

on city streets, county roads and state highways. The data supports various local, county and state traffic : safety programs, engineering and planning projects, legislative concepts, and law enforcement services. : Legally reportable motor vehicle t...

77 FR 52309 - Tri County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-29

... Tri County Resource Advisory Committee will meet in Deer Lodge, Montana. The committee is authorized..., Deer Lodge, Montana at the USDA Service Center Building. Written comments may be submitted as described...

7 CFR 1806.4 - Examining and general servicing of insurance.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF... property which already has been made, or when the County Supervisor learns that any such transfer has been...

7 CFR 1806.4 - Examining and general servicing of insurance.

Code of Federal Regulations, 2011 CFR

2011-01-01

..., RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF... property which already has been made, or when the County Supervisor learns that any such transfer has been...

Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties - United States.

PubMed

Henley, S Jane; Anderson, Robert N; Thomas, Cheryll C; Massetti, Greta M; Peaker, Brandy; Richardson, Lisa C

2017-07-07

Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. 2004-2015. Cancer incidence data from CDC's National Program of Cancer Registries and the National Cancer Institute's Surveillance, Epidemiology, and End Results program were used to calculate average annual age-adjusted incidence rates for 2009-2013 and trends in annual age-adjusted incidence rates for 2004-2013. Cancer mortality data from the National Vital Statistics System were used to calculate average annual age-adjusted death rates for 2011-2015 and trends in annual age-adjusted death rates for 2006-2015. For 5-year average annual rates, counties were classified into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan with population <1 million, and metropolitan with population ≥1 million). For the trend analysis, which used annual rates, these categories were combined into two categories (nonmetropolitan and metropolitan). Rates by county classification were examined by sex, age, race/ethnicity, U.S. census region, and cancer site. Trends in rates were examined by county classification and cancer site. During the most recent 5-year period for which data were available, nonmetropolitan rural areas had lower average annual age-adjusted cancer incidence rates for all anatomic cancer sites combined but higher death rates than metropolitan areas. During 2006-2015, the annual age-adjusted death rates for all cancer sites combined decreased at a slower pace in nonmetropolitan areas (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the differences in these rates. In contrast, annual age-adjusted incidence rates for all cancer sites combined decreased approximately 1% per year during 2004-2013 both in nonmetropolitan and metropolitan counties. This report provides the first comprehensive description of cancer incidence and mortality in nonmetropolitan and metropolitan counties in the United States. Nonmetropolitan rural counties had higher incidence of and deaths from several cancers related to tobacco use and cancers that can be prevented by screening. Differences between nonmetropolitan and metropolitan counties in cancer incidence might reflect differences in risk factors such as cigarette smoking, obesity, and physical inactivity, whereas differences in cancer death rates might reflect disparities in access to health care and timely diagnosis and treatment. Many cancer cases and deaths could be prevented, and public health programs can use evidence-based strategies from the U.S. Preventive Services Task Force and Advisory Committee for Immunization Practices (ACIP) to support cancer prevention and control. The U.S. Preventive Services Task Force recommends population-based screening for colorectal, female breast, and cervical cancers among adults at average risk for these cancers and for lung cancer among adults at high risk; screening adults for tobacco use and excessive alcohol use, offering counseling and interventions as needed; and using low-dose aspirin to prevent colorectal cancer among adults considered to be at high risk for cardiovascular disease based on specific criteria. ACIP recommends vaccination against cancer-related infectious diseases including human papillomavirus and hepatitis B virus. The Guide to Community Preventive Services describes program and policy interventions proven to increase cancer screening and vaccination rates and to prevent tobacco use, excessive alcohol use, obesity, and physical inactivity.

El Mundo del Nino con Trastornos del Desarrollo: Un Manual para Padres con un Directorio de Servicios que Existen para las Familias del Condado de Lake, Illinois (The World of the Child with Developmental Disorders: A Parents Manual with a Directory of Services for Families in Lake County, Illinois).

ERIC Educational Resources Information Center

Suelzle, Marijean; Keenan, Vincent

Intended for parents of developmentally disabled children, the handbook, in Spanish, provides information on service needs and services available in Lake County, Illinois. Section I focuses on life course planning with sections of diagnosis and assessment, professionals involved with special education, education for the developmentally disabled,…

Dentists' partnership of Michigan's Calhoun County: a care model for uninsured populations.

PubMed

Higbea, Raymond J; Palumbo, Charles H; Pearl, Samantha A; Byrne, Mary Jo; Wise, Jill

2013-09-01

Community leaders in Calhoun County, Michigan, identified access to dental care as an acute local need and in early 2007 organized Calhoun County Dentists' Partnership. A group of stakeholders developed a program centered on local dentists who donated a designated number of office visits per month to care for uninsured county residents. Residents enrolled in the program were required to attend an oral health class; receive a dental screening, cleaning, and dental x-rays by a dental hygienist; and complete a designated number of hours of community service before seeing a dentist. Since the program's 2007 inception, approximately 4,000 people have received dental services valued at approximately $510,000. In turn, program participants provided more than 57,000 hours of community service. The program is credited with reducing the number of patients presenting to a local hospital emergency department for dental pain by 70 percent between 2006 and 2012. Similar programs are now under way in thirteen other communities in the Midwest, which shows that such local initiatives, volunteerism, and community organization can address dental care access needs.

A Program of Technical Assistance to Industry in Twenty-Six Mississippi Counties and the Choctaw Indian Reservation. Final Report.

ERIC Educational Resources Information Center

Phillips, Jane; Sewell, Charles

A broad technical assistance program has been established in 25 EDA (Economic Development Administration) contract counties and on the Choctaw Indian Reservation Nashoba County) to stimulate new job opportunities by solving operational problems which limit the expansion and diversification of existing industry; professional services in evaluating…

Rural Government--Poor Counties, 1962-87. Rural Development Research Report Number 88.

ERIC Educational Resources Information Center

Reeder, Richard J.; Jansen, Anicca C.

During the 1960s, many rural local governments were believed to provide inadequate government services, which hindered rural development. Rapid growth in government spending has reduced the incidence of government poverty from 78 percent of nonmetropolitan counties in 1962 to only 7 percent in 1987. Those counties still government-poor in 1987…

PROJECT MANPOWER--THE MACOMB COUNTY FARM LABOR PROJECT. SPECIAL PAPER NO. 3.

ERIC Educational Resources Information Center

CAIN, JOHN N.

THE END OF THE IMPORTATION OF FOREIGN LABOR IN 1964 AND SEVERAL UNSUCCESSFUL EFFORTS TO DEVELOP A DOMESTIC LABOR SUPPLY IN MICHIGAN PROMPTED A PILOT PROJECT IN 1966, SPONSORED BY THE RURAL MANPOWER CENTER, THE COUNTY COOPERATIVE EXTENSION SERVICE, AND THE COUNTY LABOR COUNCIL, IN WHICH SUBURBAN YOUTH WERE RECRUITED FOR SEASONAL FARM LABOR. SCHOOLS…

76 FR 21420 - Policy and Procedures Concerning the Use of Airport Revenue; Policy Regarding Airport Rates and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-15

... Clark County Department of Aviation To Use a Weight-Based Air Service Incentive Program AGENCY: Federal... airport revenue and on airport rates and charges. The petitioner Clark County Department of Aviation is..., 2011, the Federal Aviation Administration (FAA) received a letter from counsel for the Clark County...

75 FR 5114 - Desert National Wildlife Refuge Complex, Clark, Lincoln, and Nye Counties, NV

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-01

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-R8-R-2009-N222; 80230-1265-0000-S3] Desert National Wildlife Refuge Complex, Clark, Lincoln, and Nye Counties, NV AGENCY: Fish and Wildlife.... The Wildlife Refuge is located on 116 acres in northeastern Clark County. Due to its small size...

76 FR 35068 - Duluth, Missabe and Iron Range Railway Company; Abandonment Exemption-in St. Louis County, MN

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-15

... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 101 Sub-No. 18X] Duluth, Missabe and Iron Range Railway Company; Abandonment Exemption--in St. Louis County, MN Duluth, Missabe and... Duluth, St. Louis County, Minn.\\1\\ The line traverses United States Postal Service Zip Code 55808. \\1...

76 FR 66034 - Proposed Foreign-Trade Zone-Ada and Canyon Counties, ID, Under Alternative Site Framework...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-25

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [Docket 65-2011] Proposed Foreign-Trade Zone--Ada... establish a general-purpose foreign-trade zone at sites in Ada and Canyon Counties, Idaho, adjacent to the... proposed service area under the ASF would be Ada and Canyon Counties, Idaho. If approved, the applicant...

Peer Evaluation of Teachers in Maricopa County's Teacher Incentive Fund Program

ERIC Educational Resources Information Center

Milanowski, Anthony; Heneman, Herbert G., III; Finster, Matthew

2015-01-01

This case study describes the peer evaluation system the Maricopa County Educational Services Agency (MCESA) is using in the districts participating in its Teacher Incentive Fund (TIF) 3 and 4 grants. Maricopa County's TIF districts cover much of the Phoenix, Arizona, metropolitan area. Including both TIF 3 and 4 cohorts, 12 districts with a total…

The Private Management of Public Schools: The Dade County, Florida, Experience.

ERIC Educational Resources Information Center

Edwards, Deborah Lawson

In 1990, the Dade County Public School System (DCPS) in Dade County, Florida, entered into a 5-year contract with a private company, Educational Alternatives Incorporated (EAI), to manage the educational services at South Pointe Elementary School. This paper presents findings of an evaluation of the DCPS-EAI collaboration at South Pointe. Data…

Martinsburg-Berkeley County Public Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

ERIC Educational Resources Information Center

Hess, Therese M.

The Martinsburg-Berkeley County Public Library (West Virginia) conducted a project that involved recruitment, retention, coalition building, public awareness, training, basic literacy, collection development, tutoring, computer assisted, other technology, and English as a Second Language (ESL) programs. The project served a three-county community…

A Development Plan for the Palm Beach County Library System.

ERIC Educational Resources Information Center

Little (Arthur D.), Inc., Cambridge, MA.

The Palm Beach County Library System is evaluated for its program to date and for its existing public library resources in the County. Population trends are examined and a realistic program for the development of library services over a six-year period is recommended. The estimated costs for implementation of these recommendations are outlined in…

Carver County Library System, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

ERIC Educational Resources Information Center

Colhapp, Barbara; Miller, Lana

The Carver County Library System (Chaska, Minnesota) conducted a project to demonstrate adult educational teamwork between libraries and literacy agents in the Carver-Scott two county area. The project, "National Issues Forums (NIF) for the New Reader," extended educational opportunities that encouraged new adult readers and the public…

76 FR 68830 - Mississippi & Skuna Valley Railroad, LLC-Abandonment Exemption-in Yalobusha and Calhoun Counties, MS

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-07

... & Skuna Valley Railroad, LLC--Abandonment Exemption-- in Yalobusha and Calhoun Counties, MS On October 18... Yalobusha and Calhoun Counties, Miss.\\1\\ The line traverses United States Postal Service Zip Codes 38915 and... no traffic had moved over the line since April 17, 2008. MSV states that, based on information in its...

78 FR 35640 - Establishment of the Valle de Oro National Wildlife Refuge, Bernalillo County, New Mexico

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-13

... Wildlife Refuge on September 21, 2012, with a purchase of 389 acres in Bernalillo County, New Mexico. This... . SUPPLEMENTARY INFORMATION: On September 21, 2012, the Service purchased 389 acres of former farm land in... 389 acres in Bernalillo County, New Mexico. Dated: December 3, 2012. Benjamin N. Tuggle, Regional...

A Merger Feasibility Study: Greenville City and Pitt County (North Carolina) Schools. Final Report, 22N-2572.

ERIC Educational Resources Information Center

Pyecha, John N.; And Others

This report contains findings and recommendations based on a study conducted to determine the feasibility of merging the Pitt County and Greenville County (North Carolina) school systems. Each school system is described in terms of pupil population patterns, building use, and educational and administrative services; issues related to these…

7 CFR 1220.605 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2014 CFR

2014-01-01

... SOYBEAN PROMOTION, RESEARCH, AND CONSUMER INFORMATION Procedures To Request a Referendum Definitions..., also referred to as “CED,” means the person employed by the FSA County Committee to execute the...

7 CFR 1220.605 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2012 CFR

2012-01-01

... SOYBEAN PROMOTION, RESEARCH, AND CONSUMER INFORMATION Procedures To Request a Referendum Definitions..., also referred to as “CED,” means the person employed by the FSA County Committee to execute the...

7 CFR 1220.605 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2013 CFR

2013-01-01

... SOYBEAN PROMOTION, RESEARCH, AND CONSUMER INFORMATION Procedures To Request a Referendum Definitions..., also referred to as “CED,” means the person employed by the FSA County Committee to execute the...

7 CFR 1220.605 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2011 CFR

2011-01-01

... SOYBEAN PROMOTION, RESEARCH, AND CONSUMER INFORMATION Procedures To Request a Referendum Definitions..., also referred to as “CED,” means the person employed by the FSA County Committee to execute the...

7 CFR 1220.605 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2010 CFR

2010-01-01

... SOYBEAN PROMOTION, RESEARCH, AND CONSUMER INFORMATION Procedures To Request a Referendum Definitions..., also referred to as “CED,” means the person employed by the FSA County Committee to execute the...

31 CFR 215.6 - Parties.

Code of Federal Regulations, 2011 CFR

2011-07-01

... TREASURY FINANCIAL MANAGEMENT SERVICE WITHHOLDING OF DISTRICT OF COLUMBIA, STATE, CITY AND COUNTY INCOME OR... the Secretary and the State, city or county which has entered into this agreement pursuant to 5 U.S.C...

Geographic Variations in Incremental Costs of Heart Disease Among Medicare Beneficiaries, by Type of Service, 2012.

PubMed

Wakim, Rita; Ritchey, Matthew; Hockenberry, Jason; Casper, Michele

2016-12-29

Using 2012 data on fee-for-service Medicare claims, we documented regional and county variation in incremental standardized costs of heart disease (ie, comparing costs between beneficiaries with heart disease and beneficiaries without heart disease) by type of service (eg, inpatient, outpatient, post-acute care). Absolute incremental total costs varied by region. Although the largest absolute incremental total costs of heart disease were concentrated in southern and Appalachian counties, geographic patterns of costs varied by type of service. These data can be used to inform development of policies and payment models that address the observed geographic disparities.

Integrating HIV Surveillance and Field Services: Data Quality and Care Continuum in King County, Washington, 2010-2015.

PubMed

Hood, Julia E; Katz, David A; Bennett, Amy B; Buskin, Susan E; Dombrowski, Julia C; Hawes, Stephen E; Golden, Matthew R

2017-12-01

To assess how integration of HIV surveillance and field services might influence surveillance data and linkage to care metrics. We used HIV surveillance and field services data from King County, Washington, to assess potential impact of misclassification of prior diagnoses on numbers of new diagnoses. The relationship between partner services and linkage to care was evaluated with multivariable log-binomial regression models. Of the 2842 people who entered the King County HIV Surveillance System in 2010 to 2015, 52% were newly diagnosed, 41% had a confirmed prior diagnosis in another state, and 7% had an unconfirmed prior diagnosis. Twelve percent of those classified as newly diagnosed for purposes of national HIV surveillance self-reported a prior HIV diagnosis that was unconfirmed. Partner services recipients were more likely than nonrecipients to link to care within 30 days (adjusted risk ratio [RR] = 1.10; 95% confidence interval [CI] = 1.03, 1.18) and 90 days (adjusted RR = 1.07; 95% CI = 1.01, 1.14) of diagnosis. Integration of HIV surveillance, partner services, and care linkage efforts may improve the accuracy of HIV surveillance data and facilitate timely linkage to care.

Limited Life Opportunities for Black and Latino Youth. Report on a Public Hearing by the Los Angeles County Commission on Human Relations (Compton, California, April 26, 1990).

ERIC Educational Resources Information Center

Los Angeles County Commission on Human Relations, CA.

The Los Angeles County Commission on Human Relations held a public hearing to examine the effects of poverty on the hundreds of thousands of low income Blacks and Latinos under the age of 18 residing in Los Angeles County (California). The Commission's findings, recommendations, and concerns are presented. The following findings are presented: (1)…

Clark County Community College Students: Highlights from a Survey of their Backgrounds, Activities, Ratings of Skills, Use of Support Services, and Educational Attainments.

ERIC Educational Resources Information Center

Friedlander, Jack

This series of 15 brief reports summarizes findings for a survey of 564 Clark County Community College students which was conducted in Spring 1981 to determine: (1) student characteristics and educational background; (2) student usage of campus support services; (3) student ratings of their abilities in eight academic skill areas; (4) the extent…

Supply, distribution, and capacity of optometrists in Indiana.

PubMed

Marshall, E C

2000-05-01

The Indiana Optometric Association and the Indiana Health Care Professional Development Commission identified a need to collect and analyze data on the health professions workforce for formulating goals and strategies to accommodate demands for health care services in Indiana. This study looks at the supply, distribution, and services of optometrists practicing in Indiana. Data compiled by the Indiana State Department of Health, Indiana Health Care Development Commission, and the Project HOPE Center for Health Affairs were analyzed with the results of a survey of practitioner members of the Indiana Optometric Association. Supply, distribution, services, provider-to-population ratios, per capita demand, and optometric productivity were used to evaluate the current and future capacity of Indiana optometrists to the year 2010. An estimated 893 optometrists practiced in 86 of 92 counties and comprised 77% of the state's licensed eye and vision care workforce in 1995. Optometric workforce capacity appeared to be related to county population, but unrelated to the urban/rural classification or the per-capita income of Indiana counties. Contact lenses, disease, geriatrics, and pediatrics were the most prevalent areas of practice specialty. Optometrist capacity in Indiana is sufficient at both the state and county levels, and optometric services are appropriately distributed such that patient access to optometric care is geographically unburdened. Estimates regarding supply are elastic, depending on the assumptions applied.

Pediatric Dentist Density and Preventive Care Utilization for Medicaid Children.

PubMed

Heidenreich, James F; Kim, Amy S; Scott, JoAnna M; Chi, Donald L

2015-01-01

The purpose of this study was to evaluate county-level pediatric dentist density and dental care utilization for Medicaid-enrolled children. This was a cross-sectional analysis of 604,885 zero- to 17-year-olds enrolled in the Washington State Medicaid Program for 11-12 months in 2012. The relationship between county-level pediatric dentist density, defined as the number of pediatric dentists per 10,000 Medicaid-enrolled children, and preventive dental care utilization was evaluated using linear regression models. In 2012, 179 pediatric dentists practiced in 16 of the 39 counties in Washington. County-level pediatric dentist density varied from zero to 5.98 pediatric dentists per 10,000 Medicaid-enrolled children. County-level preventive dental care utilization ranged from 32 percent to 81 percent, with 62 percent of Medicaid-enrolled children utilizing preventive dental services. County-level density was significantly associated with county-level dental care utilization (Slope equals 1.67, 95 percent confidence interval equals 0.02, 3.32, P<.05). There is a significant relationship between pediatric dentist density and the proportion of Medicaid-enrolled children who utilize preventive dental care services. Policies aimed at improving pediatric oral health disparities should include strategies to increase the number of oral health care providers, including pediatric dentists, in geographic areas with large proportions of Medicaid-enrolled children.

Targeted investment improves access to hospice and palliative care.

PubMed

Abernethy, Amy P; Bull, Janet; Whitten, Elizabeth; Shelby, Rebecca; Wheeler, Jane L; Taylor, Donald H

2013-11-01

Availability of hospice and palliative care is increasing, despite lack of a clear national strategy for developing and evaluating their penetration into and impact on the target population. To determine whether targeted investment (i.e., strategic grants made by one charitable foundation) in hospice and palliative care in one U.S. state (North Carolina [NC]) led to improved access to end-of-life care services as indicated by hospice utilization. Access was measured by the death service ratio (DSR), defined as the proportion of people who died and were served by hospice for at least one day before death. Calculation of the DSR is based on counts of patients accessing hospice by county in a given year (numerator) and U.S. Census projected population data for that county (denominator). Multilevel modeling was the primary analytic strategy used to generate two models: 1) comparison of the DSR in counties with vs. without philanthropic funding and 2) relationship between years since receipt of a philanthropic grant and DSR. In NC, the average DSR increased from 20.7% in 2003 to 35.8% in 2009 (55% increase). In 2009, 82 of 100 NC counties had a DSR below the U.S. average (41.6%). In Model 1, significant associations were found between county population and DSR (P=0.03) and between receipt of philanthropic funding and DSR (P=0.01); on average, funded counties had a DSR that was 2.63 percentage points higher than unfunded counties. Receipt of philanthropic funding appeared to be associated with improved access to palliative care and hospice services in NC. Copyright © 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

7 CFR 1962.46 - Deceased borrowers.

Code of Federal Regulations, 2011 CFR

2011-01-01

...-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE (CONTINUED... Deceased borrowers. Immediately on learning of the death of any person liable to the Agency, the County...

75 FR 45557 - Prevailing Rate Systems; Definition of Tulsa County, OK, and Angelina County, TX, to...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-03

.... Veterans Canteen Service (VCS) now operates franchise coffee bars, staffed with NAF employees, at..., Government employees, Reporting and recordkeeping requirements, Wages. U.S. Office of Personnel Management...

Rearrest and linkage to mental health services among clients of the Clark County mental health court program.

PubMed

Herinckx, Heidi A; Swart, Sandra C; Ama, Shane M; Dolezal, Cheri D; King, Steve

2005-07-01

This study examined rearrest and linkage to mental health services among 368 misdemeanants with severe and persistent mental illness who were served by the Clark County Mental Health Court (MHC). This court, established in April 2000, is based on the concepts of therapeutic jurisprudence. This study addressed the following questions about the effectiveness of the Clark County MHC: Did MHC clients receive more comprehensive mental health services? Did the MHC successfully reduce recidivism? Were there any client or program characteristics associated with recidivism? A secondary analysis of use of mental health services and jail data for the MHC clients enrolled from April 2000 through April 2003 was conducted. The authors used a 12-month pre-post comparison design to determine whether MHC participants experienced reduced rearrest rates for new offenses, reduced probation violations, and increased mental health services 12 months postenrollment in the MHC compared with 12 months preenrollment. The overall crime rate for MHC participants was reduced 4.0 times one year postenrollment in the MHC compared with one year preenrollment. One year postenrollment, 54 percent of participants had no arrests, and probation violations were reduced by 62 percent. The most significant factor in determining the success of MHC participants was graduation status from the MHC, with graduates 3.7 times less likely to reoffend compared with nongraduates. The Clark County MHC successfully reduced rearrest rates for new criminal offenses and probation violations and provided the mental health support services to stabilize mental health consumers in the community.

Targeted health department expenditures benefit birth outcomes at the county level.

PubMed

Bekemeier, Betty; Yang, Youngran; Dunbar, Matthew D; Pantazis, Athena; Grembowski, David E

2014-06-01

Public health leaders lack evidence for making decisions about the optimal allocation of resources across local health department (LHD) services, even as limited funding has forced cuts to public health services while local needs grow. A lack of data has also limited examination of the outcomes of targeted LHD investments in specific service areas. This study used unique, detailed LHD expenditure data gathered from state health departments to examine the influence of maternal and child health (MCH) service investments by LHDs on health outcomes. A multivariate panel time-series design was used in 2013 to estimate ecologic relationships between 2000-2010 LHD expenditures on MCH and county-level rates of low birth weight and infant mortality. The unit of analysis was 102 LHD jurisdictions in Washington and Florida. Results indicate that LHD expenditures on MCH services have a beneficial relationship with county-level low birth weight rates, particularly in counties with high concentrations of poverty. This relationship is stronger for more targeted expenditure categories, with expenditures in each of the three specific examined MCH service areas demonstrating the strongest effects. Findings indicate that specific LHD investments in MCH have an important effect on related health outcomes for populations in poverty and likely help reduce the costly burden of poor birth outcomes for families and communities. These findings underscore the importance of monitoring the impact of these evolving investments and ensuring that targeted, beneficial investments are not lost but expanded upon across care delivery systems. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

"Endrew F. v. Douglas County School District": Implications for Teams Serving Students with Autism Spectrum Disorder

ERIC Educational Resources Information Center

McKenney, Elizabeth L. W.

2017-01-01

On March 22, 2017, the Supreme Court unanimously ruled that schools are obligated to provide more than de mimimus services for students with disabilities. The core issue in "Endrew F. v. Douglas County Schools" is how schools are to define the "A" in FAPE: What is an appropriate public education? Douglas County schools held…

Improving School Readiness: A Brief Report from the Palm Beach County Family Study

ERIC Educational Resources Information Center

Spielberger, Julie; Gouvea, Marcia; Rich, Lauren

2012-01-01

For more than a decade, Florida's Palm Beach County has been building a system of prevention and early intervention services to promote and support the healthy development and school readiness of children from birth to age 8. The county began this effort with a set of programs focused on serving families in four targeted geographic areas that have…

Supporting Low-Income Parents of Young Children: The Palm Beach County Family Study

ERIC Educational Resources Information Center

Spielberger, Julie; Rich, Lauren; Gouvea, Marcia; Winje, Carolyn; Scannell, Molly; Harden, Allen; Berg, Kristin

2009-01-01

For more than a decade, Florida's Palm Beach County has been building an infrastructure of prevention and early intervention services to promote and support the healthy development and school readiness of children from birth to age 8. The county began this effort with a set of programs focused on serving families in four targeted geographic areas…

Improving Awareness of Youth and Family Issues through a Public Access, Cable Television Program.

ERIC Educational Resources Information Center

Howze, Kate

A practicum project was designed to improve awareness among county residents of the needs of the county's children and families generally, and of the work of a county board governing a taxing district for children's services, specifically. The objective of the project was to alleviate misunderstanding about the nature of and the need for the…

First 5 Kern Annual Report: Fiscal Year 2014-2015

ERIC Educational Resources Information Center

Wang, Jianjun

2016-01-01

The California Children and Families Act of 1998 led to creation of the Kern County Children and Families Commission (First 5 Kern) to support early childhood service programs in Kern County, the third largest county in California that spread a land area as large as the state of New Jersey. In Fiscal Year 2014-15, First 5 Kern administered more…

77 FR 46105 - Endangered and Threatened Wildlife and Plants; Receipt of Application for Incidental Take Permit...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-02

...; Availability of Proposed Low- Effect Habitat Conservation Plan and Associated Documents; Lee County, FL AGENCY... about 75 acres of Florida scrub-jay habitat in Lee County, Florida, for the construction of a 215-acre... Lee County, Florida. The Service listed the scrub-jay as threatened on June 3, 1987 (52 FR 20715). The...

78 FR 343 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for Southwestern...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-03

...We, the U.S. Fish and Wildlife Service (Service), designate revised critical habitat for the southwestern willow flycatcher (Empidonax traillii extimus) (flycatcher) under the Endangered Species Act. In total, approximately 1,975 stream kilometers (1,227 stream miles) are being designated as critical habitat. These areas are designated as stream segments, with the lateral extent including the riparian areas and streams that occur within the 100-year floodplain or flood-prone areas encompassing a total area of approximately 84,569 hectares (208,973 acres). The critical habitat is located on a combination of Federal, State, tribal, and private lands in Inyo, Kern, Los Angeles, Riverside, Santa Barbara, San Bernardino, San Diego, and Ventura Counties in California; Clark, Lincoln, and Nye Counties in southern Nevada; Kane, San Juan, and Washington Counties in southern Utah; Alamosa, Conejos, Costilla, and La Plata Counties in southern Colorado; Apache, Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Pima, Pinal, Santa Cruz, and Yavapai Counties in Arizona; and Catron, Grant, Hidalgo, Mora, Rio Arriba, Socorro, Taos, and Valencia Counties in New Mexico. The effect of this regulation is to conserve the flycatcher's habitat under the Endangered Species Act.

Assessment of Coastal Ecosystem Services for Conservation Strategies in South Korea.

PubMed

Chung, Min Gon; Kang, Hojeong; Choi, Sung-Uk

2015-01-01

Despite the fact that scientific and political consideration for ecosystem services has dramatically increased over the past decade, few studies have focused on marine and coastal ecosystem services for conservation strategies. We used an ecosystem services approach to assess spatial distributions of habitat risks and four ecosystem services (coastal protection, carbon storage, recreation, and aesthetic quality), and explored the tradeoffs among them in coastal areas of South Korea. Additionally, we analyzed how the social and ecological characteristics in coastal areas interact with conservation and development policies by using this approach. We found strong negative associations between the habitat risks and ecosystem services (aquaculture, carbon storage, recreation, and aesthetic quality) across the coastal counties. Our results showed that the intensity of the habitat risks and the provision of ecosystem services were significantly different between reclamation-dominated and conservation-dominated counties, except for coastal vulnerability. A generalized linear model suggested that reclamation projects were dependent on economic efficiency, whereas demographic pressures and habitat conditions influenced the designation of protected areas at a county level. The ecosystem services approach provided guidelines to achieve both sustainable development and environment conservation. By using the approach, we can select the priority areas for developments while we can minimize the degradation of biodiversity and ecosystem services. As cultural ecosystem services are evenly distributed throughout coastal areas of South Korea, decision makers may employ them to improve the conditions of coastal wetlands outside of protected areas.

Assessment of Coastal Ecosystem Services for Conservation Strategies in South Korea

PubMed Central

Chung, Min Gon; Kang, Hojeong; Choi, Sung-Uk

2015-01-01

Despite the fact that scientific and political consideration for ecosystem services has dramatically increased over the past decade, few studies have focused on marine and coastal ecosystem services for conservation strategies. We used an ecosystem services approach to assess spatial distributions of habitat risks and four ecosystem services (coastal protection, carbon storage, recreation, and aesthetic quality), and explored the tradeoffs among them in coastal areas of South Korea. Additionally, we analyzed how the social and ecological characteristics in coastal areas interact with conservation and development policies by using this approach. We found strong negative associations between the habitat risks and ecosystem services (aquaculture, carbon storage, recreation, and aesthetic quality) across the coastal counties. Our results showed that the intensity of the habitat risks and the provision of ecosystem services were significantly different between reclamation-dominated and conservation-dominated counties, except for coastal vulnerability. A generalized linear model suggested that reclamation projects were dependent on economic efficiency, whereas demographic pressures and habitat conditions influenced the designation of protected areas at a county level. The ecosystem services approach provided guidelines to achieve both sustainable development and environment conservation. By using the approach, we can select the priority areas for developments while we can minimize the degradation of biodiversity and ecosystem services. As cultural ecosystem services are evenly distributed throughout coastal areas of South Korea, decision makers may employ them to improve the conditions of coastal wetlands outside of protected areas. PMID:26221950

Building the Child Wellbeing Project: Practitioners' Perspectives on the Role of Implementation Science in Strengthening Post-Care Child Welfare Services. Research-to-Results Brief. Publication #2012-18

ERIC Educational Resources Information Center

Wilson, Dawn; Brandes, Beth; Ball, Heather; Malm, Karin

2012-01-01

This is the third brief in a series: "Building a Post-Care Service System in Child Welfare: Lessons Learned from the Frontlines of Implementation Science in Catawba County." The first of the three briefs provided background information on the initiative that is the focus of the series--the Catawba County Child Wellbeing Project. Both…

HUMAN INFECTION WITH NONTUBERCULOUS MYCOBACTERIA SPP. IN KING COUNTY, WASHINGTON, 1999-2002

EPA Science Inventory

Human infection with nontuberculous Mycobacteria spp. in King County, Washington, 1999 - 2002
E Hilborn, T Covert, M Yakrus, G Stelma, M Schmitt
1) US Environmental Protection Agency, Office of Research and Development, National Health and Environmental Research Laboratory,...

75 FR 64392 - Norfolk Southern Railway Company-Abandonment Exemption-in Polk County, IA; Iowa Interstate...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-19

..., IA; Iowa Interstate Railroad--Discontinuance of Service Exemption--in Polk County, IA Norfolk... Interstate Railroad, Ltd., 5900 6th Street, SW., Cedar Rapids, IA 52404. If the verified notice contains...

Intra-Operational Area Coordination: The Zone EOC Concept

DTIC Science & Technology

2015-09-01

Coastside County Water District, Granada Community Services District, Highlands Recreation District, Mid-peninsula Regional Open Space District...District, San Mateo County Resource Conservation District, and the unincorporated area communities of El Granada , Highlands-Bay Wood Park, Kings

7 CFR 1280.607 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2010 CFR

2010-01-01

... LAMB PROMOTION, RESEARCH, AND INFORMATION ORDER Procedures To Request a Referendum Definitions § 1280... referred to as “CED,” means the person employed by the FSA County Committee to execute the policies of the...

7 CFR 1280.607 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2013 CFR

2013-01-01

... LAMB PROMOTION, RESEARCH, AND INFORMATION ORDER Procedures To Request a Referendum Definitions § 1280... referred to as “CED,” means the person employed by the FSA County Committee to execute the policies of the...

7 CFR 1280.607 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2012 CFR

2012-01-01

... LAMB PROMOTION, RESEARCH, AND INFORMATION ORDER Procedures To Request a Referendum Definitions § 1280... referred to as “CED,” means the person employed by the FSA County Committee to execute the policies of the...

7 CFR 1280.607 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2014 CFR

2014-01-01

... LAMB PROMOTION, RESEARCH, AND INFORMATION ORDER Procedures To Request a Referendum Definitions § 1280... referred to as “CED,” means the person employed by the FSA County Committee to execute the policies of the...

7 CFR 1280.607 - Farm Service Agency County Executive Director.

Code of Federal Regulations, 2011 CFR

2011-01-01

... LAMB PROMOTION, RESEARCH, AND INFORMATION ORDER Procedures To Request a Referendum Definitions § 1280... referred to as “CED,” means the person employed by the FSA County Committee to execute the policies of the...

78 FR 13771 - Selection and Functions of Farm Service Agency State and County Committees

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-01

... stories, the public have become more aware of the county committee structure, eligibility requirements...-Government Act, to promote the use of the Internet and other information technologies to provide increased...

Changes in ecosystem services associated with planting structures of cropland: A case study in Minle County in China

NASA Astrophysics Data System (ADS)

Liu, Yaqun; Song, Wei; Mu, Fengyun

2017-12-01

The cropland ecosystem provides essential direct and indirect products and services to mankind such as food, fiber, biodiversity and soil conservation. A change of crop planting structure can change the ecosystem services of cropland by affecting land use type. In recent years, under the influence of regional comparative advantage and consumer demand changes, the crop planting structure in China has changed rapidly. However, there is still a lack of deep understanding on the effect of such a change in planting structure on the ecosystem services of cropland. Therefore, this research selected Minle County in the Heihe River Basin, which has small scattered croplands and a complex planting structure, as a study area. Based on the key time phase and optimal threshold of the normalized difference vegetation index (NDVI) data of the Thematic Mapper and Enhanced Thematic Mapper Plus (TM/ETM+) images, this study used the decision tree algorithm to classify and extract the crop planting structure in Minle County in 2007 and 2012 and to analyze the changes in its temporal and spatial patterns. Then, the market value method was adopted to estimate the effect of the change in crop planting structure on the ecosystem services of the cropland. From 2007 to 2012, the planting area of corn and rapeseed in Minle County increased by 5.86 × 103 ha and 5.10 × 103 ha, respectively. Conversely, the planting area of wheat and barley was reduced by 3.26 × 103 ha and 6.34 × 103 ha, respectively. These changes directly caused the increase of the ecosystem services value of corn and rapeseed by 1062.82 × 104 USD and 842.54 × 104 USD, respectively. The resulting reduction in the ecosystem services value of wheat and barley was 488.24 × 104 USD and 828.29 × 104 USD, respectively. Besides, the total ecosystem services value of cropland increased by 1564.98 × 104 USD. Further analysis found that the change in the crop planting structure caused an increase in the ecosystem services value of cropland of 359.44 × 104 USD, with a contribution rate of 22.97% to the total increase. The expansion of corn caused the increase of the ecosystem services value of cropland by 151.65 × 104 USD, with a contribution rate of 9.69% to the total increase. The change in crop planting structure in Minle County increased not only the economic benefits of crop planting, but also the ecosystem services of cropland.

Identification of Vape Shops in Two North Carolina Counties: An Approach for States without Retailer Licensing.

PubMed

Lee, Joseph G L; D'Angelo, Heather; Kuteh, Jaleel D; Martin, Ryan J

2016-10-27

Stores that sell electronic nicotine delivery systems (ENDS) as their primary product are a new phenomenon and often termed "vape shops". While vape shops are now regulated by state and federal agencies, not all states maintain lists of vape shops in operation. Standard ways of identifying tobacco retailers through off-premise alcohol permits and business listing services may not identify vape shops. We used four online business listing services (i.e., Google Maps, ReferenceUSA, YellowPages.com, Yelp) to identify vape shops in two counties in North Carolina (NC). In one county, we also assessed four vaping web sites. We drove primary and secondary roads to physically validate the identified stores and attempt to identify stores not listed online. To assess the accuracy of the online searches, we calculated sensitivity and positive predictive values (PPVs). This research was conducted in spring and summer 2016 and identified 28 vape shops online. We confirmed 16 vape shops (seven in Pitt County, NC, USA, and nine in Durham County, NC, USA). Online searches ranged in sensitivity, 62.5%-81.3%, and PPVs ranged from 73.3% to 92.3%. Because of the range of sensitivity found among the business listing services, state policymakers should consider uniform licensing requirements for vape and tobacco retailers to more easily track retailers and ensure compliance with regulations.

Identification of Vape Shops in Two North Carolina Counties: An Approach for States without Retailer Licensing

PubMed Central

Lee, Joseph G. L.; D’Angelo, Heather; Kuteh, Jaleel D.; Martin, Ryan J.

2016-01-01

Stores that sell electronic nicotine delivery systems (ENDS) as their primary product are a new phenomenon and often termed “vape shops”. While vape shops are now regulated by state and federal agencies, not all states maintain lists of vape shops in operation. Standard ways of identifying tobacco retailers through off-premise alcohol permits and business listing services may not identify vape shops. We used four online business listing services (i.e., Google Maps, ReferenceUSA, YellowPages.com, Yelp) to identify vape shops in two counties in North Carolina (NC). In one county, we also assessed four vaping web sites. We drove primary and secondary roads to physically validate the identified stores and attempt to identify stores not listed online. To assess the accuracy of the online searches, we calculated sensitivity and positive predictive values (PPVs). This research was conducted in spring and summer 2016 and identified 28 vape shops online. We confirmed 16 vape shops (seven in Pitt County, NC, USA, and nine in Durham County, NC, USA). Online searches ranged in sensitivity, 62.5%–81.3%, and PPVs ranged from 73.3% to 92.3%. Because of the range of sensitivity found among the business listing services, state policymakers should consider uniform licensing requirements for vape and tobacco retailers to more easily track retailers and ensure compliance with regulations. PMID:27801793

Area Disadvantage and Intimate Partner Homicide: An Ecological Analysis of North Carolina Counties, 2004–2006

PubMed Central

Madkour, Aubrey Spriggs; Martin, Sandra L.; Halpern, Carolyn Tucker; Schoenbach, Victor J.

2009-01-01

Using data from the North Carolina Violent Death Reporting System and other sources, we examined ecologic relationships between county (n=100) disadvantage and intimate partner homicide (IPH), variability by victim gender and county urbanicity, and potential mediators. County disadvantage was related to female-victim homicide only in metropolitan counties (incidence rate ratio [IRR] 1.25); however, disadvantage was associated with male-victim IPH regardless of county urbanicity (IRR 1.17). None of the potential intervening variables examined (shelter availability, intimate partner violence services’ funding), was supported as a mediator. Results suggest disparities across North Carolina counties in IPH according to county disadvantage. Future research should explore other potential mediators (i.e., service accessibility and law enforcement responses), as well as test the robustness of findings using additional years of data. PMID:20565007

Technology Solutions for New Homes Case Study: Columbia County Habitat for Humanity Passive Townhomes

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2016-04-01

The Columbia County (New York) Habitat for Humanity (Columbia County Habitat) affiliate has been experimenting with high-performance building since 2012, starting with ENERGY STAR® Certified Homes. In 2013, they constructed their first homes aimed at the Passive House standards. Building off of this effort, in 2014 they began work on a second set of Passive Townhomes in Hudson, New York, in partnership with the Advanced Residential Integrated Energy Solutions (ARIES) Building America team and BarlisWedlick Architects.

KSC-05pd2292

NASA Image and Video Library

2005-10-04

KENNEDY SPACE CENTER, FLA. - In the NASA Kennedy Space Center Training Auditorium, Center Director Jim Kennedy talks to employees at the kickoff of the 2005 Combined Federal Campaign at the center. Guest speakers included Janet Bryant, executive director and CEO of the American Red Cross, Brevard County Chapter; Major Jack Owens, commanding officer of the Salvation Army, North/Central Brevard; and Rob Rains, president of United Way of Brevard. The campaign seeks voluntary donations from Federal civilian, postal and military workers during the campaign season to support eligible nonprofit organizations that provide health and human service benefits throughout the world.

Domestic and International Service Learning Experiences: A Comparative Study of Pre-Service Teacher Outcomes

ERIC Educational Resources Information Center

Miller, Kari Knutson; Gonzalez, Amber M.

2010-01-01

This paper examines pre-service teacher outcomes associated with service learning in domestic and international settings. Participants included upper-division, undergraduate-level pre-service teachers who participated in service learning experiences in either local, domestic settings (Orange County, CA) or international settings (Shanghai and…

Cancer screening delivery in persistent poverty rural counties.

PubMed

Bennett, Kevin J; Pumkam, Chaiporn; Bellinger, Jessica D; Probst, Janice C

2011-10-01

Rural populations are diagnosed with cancer at different rate and stages than nonrural populations, and race/ethnicity as well as the area-level income exacerbates the differences. The purpose of this analysis was to explore cancer screening rates across persistent poverty rural counties, with emphasis on nonwhite populations. The 2008 Behavioral Risk Factor Surveillance System was used, combined with data from the Area Resource File (analytic n = 309 937 unweighted, 196 344 347 weighted). Unadjusted analysis estimated screening rates for breast, cervical, and colorectal cancer. Multivariate analysis estimated the odds of screening, controlling for individual and county-level effects. Rural residents, particularly those in persistent poverty counties, were less likely to be screened than urban residents. More African Americans in persistent poverty rural counties reported not having mammography screening (18.3%) compared to 15.9% of urban African Americans. Hispanics had low screening rates across all service types. Multivariate analysis continued to find disparities in screening rates, after controlling for individual and county-level factors. African Americans in persistent poverty rural counties were more likely to be screened for both breast cancer (odds ratio, 1.44; 95% confidence interval, 1.12-1.85) and cervical cancer (1.46; 1.07-1.99) when compared with urban whites. Disparities in cancer screening rates exist across not only race/ethnicity but also county type. These disparities cannot be fully explained by either individual or county-level effects. Programs have been successful in improving screening rates for African American women and should be expanded to target other vulnerable women as well as other services such as colorectal cancer screening.

Surveillance for Certain Health Behaviors, Chronic Diseases, and Conditions, Access to Health Care, and Use of Preventive Health Services Among States and Selected Local Areas
- Behavioral Risk Factor Surveillance System, United States, 2012.

PubMed

Chowdhury, Pranesh P; Mawokomatanda, Tebitha; Xu, Fang; Gamble, Sonya; Flegel, David; Pierannunzi, Carol; Garvin, William; Town, Machell

2016-04-29

Chronic diseases (e.g., heart diseases, cancer, chronic lower respiratory disease, stroke, diabetes, and arthritis) and unintentional injuries are the leading causes of morbidity and mortality in the United States. Behavioral risk factors (e.g., tobacco use, poor diet, physical inactivity, excessive alcohol consumption, failure to use seat belts, and insufficient sleep) are linked to the leading causes of death. Modifying these behavioral risk factors and using preventive health services (e.g., cancer screenings and influenza and pneumococcal vaccination of adults aged ≥65 years) can substantially reduce morbidity and mortality in the U.S. Continuous monitoring of these health-risk behaviors, chronic conditions, and use of preventive services are essential to the development of health promotion strategies, intervention programs, and health policies at the state, city, and county level. January-December 2012. The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based, random-digit-dialed landline- and cellular-telephone survey of noninstitutionalized adults aged ≥18 years residing in the United States. BRFSS collects data on health-risk behaviors, chronic diseases and conditions, access to health care, and use of preventive health services related to the leading causes of death and disability. This report presents results for all 50 states, the District of Columbia, participating U.S. territories that include the Commonwealth of Puerto Rico (Puerto Rico) and Guam, 187 Metropolitan/Micropolitan Statistical Areas (MMSAs), and 210 counties (n = 475,687 survey respondents) for the year 2012. In 2012, the estimated prevalence of health-risk behaviors, chronic diseases or conditions, access to health care, and use of preventive health services substantially varied by state and territory, MMSA, and county. The following portion of the abstract lists a summary of results by selected BRFSS measures. Each set of proportions refers to the range of estimated prevalence for health-risk behaviors, chronic diseases or conditions, and use of preventive health care services among geographical units, as reported by survey respondents. Adults with good or better health: 64.0%-88.3% for states and territories, 62.7%-90.5% for MMSAs, and 68.1%-92.4% for counties. Adults aged 18-64 years with health care coverage: 64.2%-93.1% for states and territories, 35.4%- 93.7% for MMSAs, and 35.4%-96.7% for counties. Adults who received a routine physical checkup during the preceding 12 months: 55.7%-80.1% for states and territories, 50.6%-85.0% for MMSAs, and 52.4%-85.0% for counties. An influenza vaccination received during the preceding 12 months among adults aged ≥65 years: 26.3%-70.1% for states and territories, 20.8%-77.8% for MMSAs, and 24.1%-77.6% for counties. Ever received pneumococcal vaccination among adults aged ≥65 years: 22.2%-76.2% for states and territories, 15.3%-83.4% for MMSAs, and 25.8%-85.2% for counties. Adults who had a dental visit in the past year: 53.7%-76.2% for states and territories, and 44.8%-81.7% for MMSAs and counties. Adults aged ≥65 years who have lost all of their natural teeth from tooth decay or gum disease: 7.0%-33.7% for states and territories, 5.8%-39.6% for MMSAs, and 5.8%-37.1% for counties. Adults aged 50-75 years who received a colorectal cancer screening on the basis of the U.S. Preventive Services Task Force recommendation: 40.0%-76.4% for states and territories, 47.1%-80.7% for MMSAs, and 47.0%-81.0% for counties. Women aged 21-65 years who had a Papanicolaou test during the preceding 3 years: 68.5% to 89.6% for states and territories, 70.3% to 92.8% for MMSAs, and 65.7%-94.6% for counties. Women aged 50-74 years who had a mammogram during the preceding 2 years: 66.5%- 89.7% for states and territories, 61.1%-91.5% for MMSAs, and 61.8%-91.6% for counties. Current cigarette smoking among adults: 10.6%-28.3% for states and territories, 5.1%-30.1% for MMSAs, and 5.1%-28.3% for counties. Binge drinking among adults during the preceding month: 10.2%-25.2% for states and territories, 6.2%-28.1% for MMSAs, and 6.2%-29.5% for counties. Heavy drinking among adults during the preceding month: 3.5%-8.5% for states and territories, 2.0%-11.0% for MMSAs, and 1.9%-11.0% for counties. Adults who reported no leisure-time physical activity: 16.3%-42.4% for states and territories, 9.2%-47.3% for MMSAs, and 9.2%-39.0% for counties. Self- reported seat belt use: 62.0%-93.7% for states and territories, 54.1%-97.1% for MMSAs, and 50.1%-97.4% for counties. Adults who were obese: 20.5%-34.7% for states and territories, 14.8%-44.5% for MMSAs and counties. Adults with diagnosed diabetes: 7.0%-16.4% for states and territories, 3.4%-17.4% for MMSAs, and 3.1%-17.4% for counties. Adults who ever had any type of cancer: 3.0%-13.7% for states and territories, 3.8%-19.2% for MMSAs, and 4.5%-19.2% for counties. Adults with current asthma: 5.8%-11.1% for states and territories, 3.1%-15.0% for MMSAs, and 3.1%-15.7% for counties. Adults with some form of arthritis: 15.6%-36.4% for states and territories, 16.8%-45.8% for MMSAs, and 14.8%-35.9% for counties. Adults having had a depressive disorder: 9.0%-23.5% for states and territories, 9.2%-28.3% for MMSAs, and 8.5%-28.4% for counties. Adults aged ≥45 years who have had coronary heart disease: 7.4%-19.0% for states and territories, 6.1%-23.3% for MMSAs, and 6.1%-20.6% for counties. Adults aged ≥45 years who have had a stroke: 3.1%-7.3% for states and territories, 2.1%-9.3% for MMSAs, and 1.5%-9.3% for counties. Adults with limited activities because of physical, mental, or emotional problems: 15.0%-28.6% for states and territories, 12.0%-31.7% for MMSAs, and 11.3%-31.7% for counties. Adults using special equipment because of any health problem: 4.8%-11.6% for states and territories, 4.0%-14.7% for MMSAs, and 2.8%-13.6% for counties. This report underscores the need for continuous surveillance of health-risk behaviors, chronic diseases or conditions, health care access, and use of preventive care services at state and local levels. It will help to identify high-risk populations and to evaluate public health intervention programs and policies designed to reduce morbidity and mortality from chronic disease and injury. State and local health departments and agencies can continue to use BRFSS data to identify populations at high risk for unhealthy behaviors and chronic diseases or conditions, lack of health care access, and inadequate use of preventive care services. Additionally, states can use the data to design, implement, monitor, and evaluate public health programs and policies at state and local levels.

National Weather Service, Emergency Medical Services, Scripps Institution of Oceanography/UCSD and California EPA Collaboration on Heat Health Impact and Public Notification for San Diego County

NASA Astrophysics Data System (ADS)

Tardy, A. O.; Corcus, I.; Guirguis, K.

2015-12-01

The National Weather Service (NWS) has issued official heat alerts in the form of either a heat advisory or excessive heat warning product to the public and core partners for many years. This information has traditionally been developed through the use of triggers for heat indices which combine humidity and temperature. The criteria typically used numeric thresholds and did not consider impact from a particular heat episode, nor did it factor seasonality or population acclimation. In 2013, the Scripps Institution of Oceanography, University of California, San Diego in collaboration with the Office of Environmental Health Hazard Assessment, of the California Environmental Protection Agency and the NWS completed a study of heat health impact in California, while the NWS San Diego office began modifying their criteria towards departure from climatological normal with much less dependence on humidity or heat index. The NWS changes were based on initial findings from the California Department of Public Health, EpiCenter California Injury Data Online system which documents heat health impacts. Results from the UCSD study were finalized and published in 2014; they supported the need for significant modification of the traditional criteria. In order to better understand the impacts of heat on community health, medical outcome data were provided by the County of San Diego Emergency Medical Services Branch, which is charged by the County's Public Health Officer to monitor heat-related illness and injury daily from June through September. The data were combined with UCSD research to inform the modification of local NWS heat criteria and establish trigger points to pilot new procedures for the issuance of heat alerts. Finally, practices and procedures were customized for each of the county health departments in the NWS area of responsibility across extreme southwest California counties in collaboration with their Office of Emergency Services. The end result of the collaboration was to better define temperature thresholds relative to local climate, levels of heat related responses and activation, as well as to develop standardized terminology on public notifications. In 2014, the County of San Diego Office of Emergency Services incorporated heat alerts into the emergency push notification system for 2 significant heat waves.

3. VIEW NORTHEAST, SOUTH FRONT OF SOIL CONSERVATION SERVICE CLUSTER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. VIEW NORTHEAST, SOUTH FRONT OF SOIL CONSERVATION SERVICE CLUSTER (BUILDING 25) - U.S. Plant Introduction Station, Soil Conservation Service Cluster, 11601 Old Pond Road, Glenn Dale, Prince George's County, MD

77 FR 39675 - Wallowa-Whitman National Forest, Baker County, OR; North Fork Burnt River Mining

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-05

...-Whitman National Forest, Baker County, OR; North Fork Burnt River Mining AGENCY: Forest Service, USDA... North Fork Burnt River Mining Record of Decision will replace and supercede the 2004 North Fork Burnt...

76 FR 67317 - Onions Grown in Certain Designated Counties in Idaho, and Malheur County, OR; Modification of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-01

... $750,000. The National Agricultural Statistics Service (NASS) reported in the ``Vegetables 2010 Summary... the introductory sentence of paragraph (f) to read as follows: Sec. 958.328 Handling regulation...

77 FR 76453 - Opportunity for Designation in Amarillo, TX; Cairo, IL; Baton Rouge, LA; Raleigh, NC; and Belmond...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-28

...); and D.R. Schaal Agency, Inc. (Schaal). DATE: Applications and comments must be received by January 28... the State which are serviced by GIPSA, is assigned to this official agency. D.R. Schaal Pursuant to.../County Road T64), Cerro Gordo, Floyd (west of County Road T64 and north of County Road B60), Franklin...

76 FR 27173 - Lassen Valley Railway, LLC-Abandonment Exemption-in Washoe County, NV and Lassen County, CA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-10

... located between milepost 338.33 near Flanigan, Washoe County, Nev. and milepost 360.10 near Wendel,\\1... originally identified milepost 359.25 as the end of the line instead of milepost 360.10. The letter also...) under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the...

Geographic footprint of electricity use for water services in the Western U.S.

PubMed

Tidwell, Vincent C; Moreland, Barbie; Zemlick, Katie

2014-01-01

A significant fraction of our nation's electricity use goes to lift, convey, and treat water, while the resulting expenditures on electricity represent a key budgetary consideration for water service providers. To improve understanding of the electricity-for-water interdependency, electricity used in providing water services is mapped at the regional, state and county level for the 17-conterminous states in the Western U.S. This study is unique in estimating electricity use for large-scale conveyance and agricultural pumping as well as mapping these electricity uses along with that for drinking and wastewater services at a state and county level. Results indicate that drinking and wastewater account for roughly 2% of total West-wide electricity use, while an additional 1.2% is consumed by large-scale conveyance projects and 2.6% is consumed by agricultural pumping. The percent of electricity used for water services varies strongly by state with some as high as 34%, while other states expend less than 1%. Every county in the West uses some electricity for water services; however, there is a large disparity in use ranging from 10 MWh/yr to 5.8 TWh/yr. These results support long-term transmission planning in the Western U.S. by characterizing an important component of the electric load.

Priority setting for health in the context of devolution in Kenya: implications for health equity and community-based primary care

PubMed Central

McCollum, Rosalind; Theobald, Sally; Otiso, Lilian; Martineau, Tim; Karuga, Robinson; Barasa, Edwine; Molyneux, Sassy; Taegtmeyer, Miriam

2018-01-01

Abstract Devolution changes the locus of power within a country from central to sub-national levels. In 2013, Kenya devolved health and other services from central government to 47 new sub-national governments (known as counties). This transition seeks to strengthen democracy and accountability, increase community participation, improve efficiency and reduce inequities. With changing responsibilities and power following devolution reforms, comes the need for priority-setting at the new county level. Priority-setting arises as a consequence of the needs and demand for healthcare resources exceeding the resources available, resulting in the need for some means of choosing between competing demands. We sought to explore the impact of devolution on priority-setting for health equity and community health services. We conducted key informant and in-depth interviews with health policymakers, health providers and politicians from 10 counties (n = 269 individuals) and 14 focus group discussions with community members based in 2 counties (n = 146 individuals). Qualitative data were analysed using the framework approach. We found Kenya’s devolution reforms were driven by the need to demonstrate responsiveness to county contexts, with positive ramifications for health equity in previously neglected counties. The rapidity of the process, however, combined with limited technical capacity and guidance has meant that decision-making and prioritization have been captured and distorted for political and power interests. Less visible community health services that focus on health promotion, disease prevention and referral have been neglected within the prioritization process in favour of more tangible curative health services. The rapid transition in power carries a degree of risk of not meeting stated objectives. As Kenya moves forward, decision-makers need to address the community health gap and lay down institutional structures, processes and norms which promote health equity for all Kenyans. PMID:29846599

Association of Access to Publicly Funded Family Planning Services With Adolescent Birthrates in California Counties

PubMed Central

Chabot, Marina J.; Navarro, Sandy; Swann, Diane; Darney, Philip; Thiel de Bocanegra, Heike

2014-01-01

Objectives. We examined the association of adolescent birthrates (ABRs) with access to and receipt of publicly funded family planning services in California counties provided through 2 state programs: Medi-Cal, California’s Medicaid program, and the Family Planning, Access, Care, and Treatment (Family PACT) program. Methods. Our key data sources included the California Health Interview Survey and California Women’s Health Survey, Medi-Cal and Family PACT claims data, and the Birth Statistical Master File. We constructed a linear regression analysis measuring the relationship of access to and receipt of family planning services with ABRs when controlling for counties’ select covariates. Results. The regression analysis indicated that a higher access rate to Family PACT in a county was associated with a lower ABR (B = −0.19; P < .01) when controlling for unemployment rate, percentage of foreign-born adolescents, and percentage of adult low-income births. Conclusions. Efforts to reduce ABRs, specifically in counties that had persistently high rates are critical to achieving a healthy future for the state and the nation. Family PACT played a crucial role in helping adolescents avoid unintended and early childbearing. PMID:24354841

The impact of threshold language assistance programming on the accessibility of mental health services for persons with limited English proficiency in the Medi-Cal setting.

PubMed

McClellan, Sean R; Wu, Frances M; Snowden, Lonnie R

2012-06-01

Title VI of the 1964 Civil Rights Act prohibits federal funds recipients from providing care to limited English proficiency (LEP) persons more limited in scope or lower in quality than care provided to others. In 1999, the California Department of Mental Health implemented a "threshold language access policy" to meet its Title VI obligations. Under this policy, Medi-Cal agencies must provide language assistance programming in a non-English language where a county's Medical population contains either 3000 residents or 5% speakers of that language. We examine the impact of threshold language policy-required language assistance programming on LEP persons' access to mental health services by analyzing the county-level penetration rate of services for Russian, Spanish, and Vietnamese speakers across 34 California counties, over 10 years of quarterly data. Exploiting a time series with nonequivalent control group study design, we studied this phenomena using linear regression with random county effects to account for trends over time. Threshold language policy-required assistance programming led to an immediate and significant increase in the penetration rate of mental health services for Russian (8.2, P < 0.01) and Vietnamese (3.3, P < 0.01) language speaking persons. Threshold language assistance programming was effective in increasing mental health access for Russian and Vietnamese, but not for Spanish-speaking LEP persons.

Knowledge capture and the retirement of the director of finance: succession planning in the San Mateo County Human Services Agency.

PubMed

Winship, Kathy

2012-01-01

Concern over the impending retirement of several top-level managers led a county agency to engage in efforts aimed at more efficient succession management. Administrators developed plans to prevent the loss of invaluable knowledge and wisdom accompanying retirement of experienced agency leaders. The agency's Director of Finance (DoF) was one of the first key figures projected to retire, and a succession plan was implemented to transfer his knowledge for use after his departure. The knowledge transfer process involved three stages, including: (1) employing the DoF as teacher, having him develop curricula and conduct trainings; (2) engaging the DoF as mentor, allowing an existing staff member and the DoF's successor to shadow and be coached by the DoF; and (3) developing a knowledge management system that could be used after the DoF departed. This case study describes the knowledge transfer process and experiences shared by the DoF and this agency. Copyright © Taylor & Francis Group, LLC

Minority politics in the house of medicine: the physicians forum and the New York County Medical Society, 1938-1965.

PubMed

Brickman, J P

1999-01-01

The late 1930s challenged laissez-faire medicine. Recognition of serious inadequacies in the distribution of medical services stirred activists who questioned fee-for-service delivery and posited a national health program, including health insurance. The AMA and its components--state and county medical societies--counterattacked, mobilizing money and their powerful political arsenal to fight government intrusion in private medicine. The Physicians Forum, initially under the leadership of Ernst P. Boas, emerged as a formidable element within the New York County Medical Society (the largest component of the AMA). The Forum provoked discussion of medical indigence and economics, upsetting the Society leadership with independent candidate slates and telling the public that doctors spoke with more than one voice. For 25 years, the Physicians Forum altered the dynamics of the Medical Society of the County of New York. While the Forum effort to institutionalize minority opinion in the councils of medicine failed, the interchange between County regulars and Forum insurgents broadened the medical reform agenda and moved the County Society in directions that historically it had avoided. Although medical economics formed an unbridgeable chasm between County regulars and rebels, Forum members demonstrated that medicine was not monolithic, that "majority opinion [was not] ... unanimous opinion," and that doctors must speak to issues of medical and social policy.

Pediatric dentist density and preventive care utilization for Medicaid children

PubMed Central

Heidenreich, James F.; Kim, Amy S.; Scott, JoAnna M.; Chi, Donald L.

2014-01-01

Purpose This study evaluates the relationship between county-level pediatric dentist density and dental care utilization for Medicaid-enrolled children in Washington State. Methods This is a cross-sectional analysis of 604,885 children ages 0-17 enrolled in the Washington State Medicaid Program for ≥11 months in 2012. The relationship between county-level pediatric dentist density, defined as the number of pediatric dentists per 10,000 Medicaid-enrolled children, and preventive dental care utilization was evaluated using linear regression models. Results In 2012, 179 pediatric dentists practiced in 16 of the 39 counties in Washington. County-level pediatric dentist density varied from zero to 5.98 pediatric dentists per 10,000 Medicaid-enrolled children. County-level preventive dental care utilization ranged from 32 percent to 81 percent, with 62 percent of Medicaid-enrolled children in Washington utilizing preventive dental services. After adjusting for confounders, county-level density was significantly associated with county-level dental care utilization (β=1.67, 95 percent CI=0.02, 3.32, p=0.047). Conclusions There is a significant relationship between pediatric dentist density and the proportion of Medicaid-enrolled children who utilize preventive dental care services. Policies aimed at improving pediatric oral health disparities should include strategies to increase the number of oral health care providers, including pediatric dentists, in geographic areas with large proportions of Medicaid-enrolled children. PMID:26314606

Utilization of emergency and hospital services among individuals in substance abuse treatment

PubMed Central

2014-01-01

Background To examine risk factors for use of hospital services among racial and ethnic minority clients in publicly funded substance abuse treatment in Los Angeles County, California. We explored cross-sectional annual data (2006 to 2009) from the Los Angeles County Participant Reporting System for adult participants (n = 73,251) who received services from treatment programs (n = 231). Methods This retrospective analysis of county admission data relied on hierarchical linear negative binomial regression models to explore number of hospital visits, accounting for clients nested in programs. Client data were collected during personal interviews at admission. Findings Our findings support previous work that noted increased use of emergency rooms among individuals suffering from mental health- and substance use-related issues and extend the knowledge base by highlighting other important features such as treatment need, i.e., residential compared to outpatient treatment. Conclusions These findings have implications for health care policy in terms of the need to increase prevention services and reduce costly hospitalization for a population at significant risk of co-occurring mental and physical disorders. PMID:24708866

1. VIEW EAST, WEST FRONT OF SOIL CONSERVATION SERVICE CLUSTER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. VIEW EAST, WEST FRONT OF SOIL CONSERVATION SERVICE CLUSTER (BUILDINGS 24, 25, 26) - U.S. Plant Introduction Station, Soil Conservation Service Cluster, 11601 Old Pond Road, Glenn Dale, Prince George's County, MD

76 FR 18748 - Gulf South Pipeline Company, LP; Notice of Application

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-05

... abandon by sale to Boardwalk Field Services, LLC (Field Services) the Pettus Lateral Facilities in Bee and... taps, and other associated facilities located in Bee and Refugio Counties, to Field Services. Gulf...

Pilot views of Montgomery County, Texas automated FSS services.

DOT National Transportation Integrated Search

1990-08-01

The Federal Aviation Administration has seldom assessed the satisfaction of pilot "customers," with the services provided by its air traffic facilities. Most available information about pilots' satisfaction with Air Traffic Control (ATC) services is ...

German 'Smart Bus' Systems, Potential For Application In Portland, Oregon, Volume 1, Technical Report

DOT National Transportation Integrated Search

1993-01-01

THE TRI-COUNTY METROPOLITAN TRANSPORTATION DISTRICT OF OREGON (TRI-MET) PROVIDES TRANSIT, PARATRANSIT AND RIDESHARING SERVICES WITHIN MULTNOMAH, CLACKAMAS AND WASHINGTON COUNTIES IN THE PORTLAND METROPOLITAN AREA. FOR THE PAST TWO DECADES, TRI-MET HA...

7 CFR 958.71 - Termination.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Effective Time and Termination... onions produced for market, but such termination shall be effective only if announced on or before May 31...

77 FR 47815 - Foreign-Trade Zone 90-Onondaga County, NY Application for Expansion and Reorganization Under...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-10

... Industrial Park, Steelway Boulevard, Clay. The grantee's proposed service area under the ASF would be...)--Clay Business Park, NYS Route 31 and Caughdenoy Road, Clay, Onondaga County; and, Proposed Site 3 (35...

Examining the relationship between the food environment and adult diabetes prevalence by county economic and racial composition: an ecological study.

PubMed

Haynes-Maslow, Lindsey; Leone, Lucia A

2017-08-09

Inequitable access to healthy food may contribute to health disparities. This study examines the relationship between the prevalence of adult diabetes and food access in the U.S. by county economic/racial composition. An ecological study from 2012 was used to estimate the relationship between diabetes and retail food outlet access. County diabetes prevalence was measured based on individual responses to the Behavioral Risk Factor Surveillance Survey question, "Have you ever been told by a doctor that you have diabetes?" If the answer was "yes" individuals were classified as having diabetes. Retail food outlets included grocery stores, supercenters, farmer's markets, full-service restaurants, fast food restaurants and convenience stores. Counties were categorized as "high-poverty" or "low-poverty". Counties were categorized as low (< 4.6%), medium (4.6%-31.0%), and high (> 31.0%) percent minority residents. Multiple linear regression models estimated the association between retail food outlets and diabetes, controlling for confounders, and testing for interactions between retail food outlets and county racial composition. Regression models were conditioned on county economic composition. Data were analyzed in 2016. Density of retail foods outlets varied greatly by county economic and racial composition; counties with medium-minority populations had the least access to grocery stores and the highest access to fast food restaurants and convenience stores. Low poverty/low-minority population counties had the greatest access to farmer's markets and grocery stores. For low poverty/low-minority counties, grocery stores were associated with decreased of diabetes prevalence. Supercenters were associated with an increase in diabetes prevalence for high-poverty/low-minority counties. Only low poverty/medium-minority counties had a statistically significant relationship between farmer's markets and diabetes prevalence. Fast food restaurants were found to be positively associated with diabetes prevalence in all counties except high poverty/medium-minority. However, only low poverty/low-minority counties had a statistically significant relationship. Across all models, access to full service restaurants were significantly associated with lower prevalence of diabetes. Generally, access to convenience stores were associated with increased diabetes prevalence, except for high poverty/low-minority counties. The food environment is more strongly associated with diabetes prevalence for wealthier counties with a lower proportion of minority residents. This is important given efforts to increase food access in vulnerable communities. Availability of healthier food may not be enough to change health outcomes.

Plant species invasions along the latitudinal gradient in the United States

USGS Publications Warehouse

Stohlgren, T.J.; Barnett, D.; Flather, C.; Kartesz, J.; Peterjohn, B.

2005-01-01

It has been long established that the richness of vascular plant species and many animal taxa decreases with increasing latitude, a pattern that very generally follows declines in actual and potential evapotranspiration, solar radiation, temperature, and thus, total productivity. Using county-level data on vascular plants from the United States (3000 counties in the conterminous 48 states), we used the Akaike Information Criterion (AIC) to evaluate competing models predicting native and nonnative plant species density (number of species per square kilometer in a county) from various combinations of biotic variables (e.g., native bird species density, vegetation carbon, normalized difference vegetation index), environmental/topographic variables (elevation, variation in elevation, the number of land cover classes in the county; radiation, mean precipitation, actual evapotranspiration, and potential evapotranspiration), and human variables (human population density, crop-land, and percentage of disturbed lands in a county). We found no evidence of a latitudinal gradient for the density of native plant species and a significant, slightly positive latitudinal gradient for the density of nonnative plant species. We found stronger evidence of a significant, positive productivity gradient (vegetation carbon) for the density of native plant species and nonnative plant species. We found much stronger significant relationships when biotic, environmental/topographic, and human variables were used to predict native plant species density and nonnative plant species density. Biotic variables generally had far greater influence in multivariate models than human or environmental/topographic variables. Later, we found that the best, single, positive predictor of the density of nonnative plant species in a county was the density of native plant species in a county. While further study is needed, it may be that, while humans facilitate the initial establishment invasions of nonnative plant species, the spread and subsequent distributions of nonnative species are controlled largely by biotic and environmental factors.

County-level environmental quality and associations with individual - and county-level preterm birth

EPA Science Inventory

Human health is influenced by simultaneous exposure to stressors and amenities, but research usually considers single exposures. We constructed a county-level Environmental Quality Index (EQI) using principal components analysis with data from five domains (air, water, land, buil...

Crisis & Commitment: 150 Years of Service by Los Angeles County Public Hospitals

PubMed Central

Cousineau, Michael R.; Tranquada, Robert E.

2007-01-01

The Los Angeles County University of Southern California Medical Center will open soon, replacing the county’s current 74-year-old facility with a modern, although smaller, facility. Los Angeles County has provided hospital care to the indigent since 1858, during which time, the operation of public hospitals has shifted from a state-mandated welfare responsibility to a preeminent part of the county’s public health mission. As this shift occurred, the financing of Los Angeles County hospitals changed from primarily county support to state and federal government sources, particularly Medicaid. The success of the new hospital will depend on whether government leaders at all levels provide the reforms needed to help the county and its partners stabilize its funding base. PMID:17329642

7 CFR 2045.1754 - Scope of gratuitous services performed.

Code of Federal Regulations, 2010 CFR

2010-01-01

... County Office level and conform to a standard FmHA or its successor agency under Public Law 103-354... Gratuitous Services § 2045.1754 Scope of gratuitous services performed. (a) Gratuitous services accepted in... successor agency under Public Law 103-354 employees (excluding Committee members). Such services must not...

Extending access to essential services against constraints: the three-tier health service delivery system in rural China (1949-1980).

PubMed

Feng, Xing Lin; Martinez-Alvarez, Melisa; Zhong, Jun; Xu, Jin; Yuan, Beibei; Meng, Qingyue; Balabanova, Dina

2017-05-23

China has made remarkable progress in scaling up essential services during the last six decades, making health care increasingly available in rural areas. This was partly achieved through the building of a three-tier health system in the 1950s, established as a linked network with health service facilities at county, township and village level, to extend services to the whole population. We developed a Theory of Change to chart the policy context, contents and mechanisms that may have facilitated the establishment of the three-tier health service delivery system in rural China. We systematically synthesized the best available evidence on how China achieved universal access to essential services in resource-scarce rural settings, with a particular emphasis on the experiences learned before the 1980s, when the country suffered a particularly acute lack of resources. The search identified only three peered-reviewed articles that fit our criteria for scientific rigor. We therefore drew extensively on government policy documents, and triangulated them with other publications and key informant interviews. We found that China's three-tier health service delivery system was established in response to acute health challenges, including high fertility and mortality rates. Health system resources were extremely low in view of the needs and insufficient to extend access to even basic care. With strong political commitment to rural health and a "health-for-all" policy vision underlying implementation, a three-tier health service delivery model connecting villages, townships and counties was quickly established. We identified several factors that contributed to the success of the three-tier system in China: a realistic health human resource development strategy, use of mass campaigns as a vehicle to increase demand, an innovative financing mechanisms, public-private partnership models in the early stages of scale up, and an integrated approach to service delivery. An implementation process involving gradual adaptation and incorporation of the lessons learnt was also essential. China's 60 year experience in establishing a de-professionalized, community-based, health service delivery model that is economically feasible, institutionally and culturally appropriate mechanism can be useful to other low- and middle-income countries (LMICs) seeking to extend essential services. Lessons can be drawn from both reform content and from its implementation pathway, identifying the political, institutional and contextual factors shaping the three-tier delivery model over time.

Examination of the relative importance of hospital employment in non-metropolitan counties using location quotients.

PubMed

Smith, Jon L

2013-01-01

The US Health Care and Social Services sector (North American Industrial Classification System 'sector 62') has become an extremely important component of the nation's economy, employing approximately 18 million workers and generating almost $753 billion in annual payrolls. At the county level, the health care and social services sector is typically the largest or second largest employer. Hospital employment is often the largest component of the sector's total employment. Hospital employment is particularly important to non-metropolitan or rural communities. A high quality healthcare sector serves to promote economic development and attract new businesses and to provide stability in economic downturns. The purpose of this study was to examine the intensity of hospital employment in rural counties relative to the nation as a whole using location quotients and to draw conclusions regarding how potential changes in Medicare and Medicaid might affect rural populations. Estimates for county-level hospital employment are not commonly available. Estimates of county-level hospital employment were therefore generated for all counties in the USA the Census Bureau's County Business Pattern Data for 2010. These estimates were used to generate location quotients for each county which were combined with demographic data to generate a profile of factors that are related to the magnitude of location quotients. The results were then used to draw inferences regarding the possible impact of the Patient Protection and Affordable Care Act 2010 (ACA) and the possible imposition of aspects of the Budget Control Act 2011 (BCA). Although a very high percentage of rural counties contain medically underserved areas, an examination of location quotients indicates that the percentage of the county workforce employed by hospitals in the most rural counties tends to be higher than for the nation as a whole, a counterintuitive finding. Further, when location quotients are regressed upon data related to poverty, county demographics, and the percentage of the population insured, a relationship between the proportion of the population over 65 years, the percentage of the population living in poverty, the percentage of the population without insurance and county density was found. The results of the analysis suggest that hospital employment in rural communities is higher than would be expected in the absence of programs that provide external funding to support hospital hiring. The most important public programs providing this support are Medicare and Medicaid. Social Security is another source of federal funding important for rural populations. Sequestration and other cuts in funding could impact rural communities significantly. This can be even worse in states that fail to expand Medicaid and in states that fail to increase Medicaid reimbursements for services important in rural communities.

7 CFR 945.6 - Varieties.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Varieties. 945.6 Section 945.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Definitions § 945.6 Varieties...

7 CFR 945.6 - Varieties.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false Varieties. 945.6 Section 945.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Definitions § 945.6 Varieties...

7 CFR 945.14 - Export.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Export. 945.14 Section 945.14 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Definitions § 945.14 Export. Export...

7 CFR 945.4 - Production area.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Production area. 945.4 Section 945.4 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Production area. Production area means all territory included within Malheur County, Oregon, and the counties...

7 CFR 958.72 - Proceeding after termination.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Proceeding after termination. 958.72 Section 958.72 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing... DESIGNATED COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Effective Time and...

Nationwide forestry applications program: Ten-Ecosystem Study (TES) site 2, Warren County, Pennsylvania, site evaluation

NASA Technical Reports Server (NTRS)

Reeves, C. A. (Principal Investigator)

1977-01-01

The author has identified the following significant results. It was determined that hardwood in Warren County, Pennsylvania could best be inventoried in May. The acreage estimate was less than 3% different from Forest Service estimates.

7 CFR 958.50 - Marketing policy.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 8 2014-01-01 2014-01-01 false Marketing policy. 958.50 Section 958.50 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Regulation § 958.50 Marketing...

7 CFR 958.50 - Marketing policy.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 8 2012-01-01 2012-01-01 false Marketing policy. 958.50 Section 958.50 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Regulation § 958.50 Marketing...

7 CFR 958.50 - Marketing policy.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Marketing policy. 958.50 Section 958.50 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Regulation § 958.50 Marketing...

7 CFR 958.50 - Marketing policy.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 8 2013-01-01 2013-01-01 false Marketing policy. 958.50 Section 958.50 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Regulation § 958.50 Marketing...

7 CFR 958.50 - Marketing policy.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false Marketing policy. 958.50 Section 958.50 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Regulation § 958.50 Marketing...

76 FR 14370 - Information Collection; Transfer of Farm Records Between Counties

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-16

... DEPARTMENT OF AGRICULTURE Farm Service Agency Information Collection; Transfer of Farm Records... collection associated with transferring of farm records from one administrative county office to another..., Agricultural Program Specialist, (202) 720-5422. SUPPLEMENTARY INFORMATION: Title: Transfer of Farm Records...

Quantifying patron needs at intermodal facilities.

DOT National Transportation Integrated Search

2011-07-01

New Jersey has a varied network of commuter rail, light rail, bus, paratransit, county and private : shuttle services. These services meet a range of needs including commuter travel to major : employment centers, local bus service for various trip pu...

[The health system of Venezuela].

PubMed

Bonvecchio, Anabelle; Becerril-Montekio, Victor; Carriedo-Lutzenkirchen, Angela; Landaeta-Jiménez, Maritza

2011-01-01

This paper describes the Venezuelan health system, including its structure and coverage, financial sources, human and material resources and its stewardship functions. This system comprises a public and a private sector. The public sector includes the Ministry of Popular Power for Health (MS) and several social security institutions, salient among them the Venezuelan Institute for Social Security (IVSS). The MH is financed with federal, state and county contributions. The IVSS is financed with employer, employee and government contributions. These two agencies provide services in their own facilities. The private sector includes providers offering services on an out-of-pocket basis and private insurance companies. The Venezuelan health system is undergoing a process of reform since the adoption of the 1999 Constitution which calls for the establishment of a national public health system. The reform process is now headed by the Barrio Adentro program.

Existing Whole-House Solutions Case Study: Habitat for Humanity of Palm Beach County, Lake Worth, Florida

DOE Office of Scientific and Technical Information (OSTI.GOV)

none,

2012-03-01

PNNL and Florida Solar Energy Center worked with Habitat for Humanity of Palm Beach County to upgrade an empty 1996 home with a 14.5 SEER AC, heat pump water heater, CFLs, more attic insulation, and air sealing to cut utility bills $872 annually.

Early-season avian deaths from West Nile virus as warnings of human infection

USGS Publications Warehouse

Guptill, S.C.; Julian, K.G.; Campbell, G.L.; Price, S.D.; Marfin, A.A.

2003-01-01

An analysis of 2001 and 2002 West Nile virus (WNV) surveillance data shows that counties that report WNV-infected dead birds early in the transmission season are more likely to report subsequent WNV disease cases in humans than are counties that do not report early WNV-infected dead birds.

Dementia service centres in Austria: A comprehensive support and early detection model for persons with dementia and their caregivers – theoretical foundations and model description

PubMed Central

Span, Edith; Reisberg, Barry

2015-01-01

Despite the highly developed social services in Austria, the County of Upper Austria, one of the nine counties of Austria had only very limited specialized services for persons with dementia and their caregivers in 2001. Support groups existed in which the desire for more specialized services was voiced. In response to this situation, funding was received to develop a new structure for early disease detection and long term support for both the person with dementia and their caregivers. This article describes the development of the model of the Dementia Service Centres (DSCs) and the successes and difficulties encountered in the process of implementing the model in six different rural regions of Upper Austria. The DSC was described in the First Austrian Dementia Report as one of the potential service models for the future. PMID:24339114

Dementia service centres in Austria: A comprehensive support and early detection model for persons with dementia and their caregivers - theoretical foundations and model description.

PubMed

Auer, Stefanie R; Span, Edith; Reisberg, Barry

2015-07-01

Despite the highly developed social services in Austria, the County of Upper Austria, one of the nine counties of Austria had only very limited specialized services for persons with dementia and their caregivers in 2001. Support groups existed in which the desire for more specialized services was voiced. In response to this situation, funding was received to develop a new structure for early disease detection and long term support for both the person with dementia and their caregivers. This article describes the development of the model of the Dementia Service Centres (DSCs) and the successes and difficulties encountered in the process of implementing the model in six different rural regions of Upper Austria. The DSC was described in the First Austrian Dementia Report as one of the potential service models for the future. © The Author(s) 2013.

Science Projects | Akron-Summit County Public Library

Science.gov Websites

Resources Suggest a Purchase Hours & Locations Main Library Mobile Services Ellet Fairlawn-Bath Training Print/Scan/Fax/Copy Assistive Services Borrower Services Library Computers Meeting Rooms Mobile ; Notable Student Resources Suggest a Purchase Hours & Locations Main Library Mobile Services Ellet

Health Resources Directory, 1977. Third Edition.

ERIC Educational Resources Information Center

Navajo Health Authority, Window Rock, AZ.

Intended to provide information on various health related services available to residents of the Navajo Reservation and nearby areas, the directory lists over 75 organizations or programs which provide a consumer service. These services are divided into 17 categories: alcoholism, community service, child development, clinics, county health…

English Proficiency, Threshold Language Policy and Mental Health Service Utilization among Asian-American Children.

PubMed

Aratani, Yumiko; Liu, Cindy H

2015-10-01

This paper explores the role of English proficiency, ethnicity, and California's threshold language policy in the rates of discontinuing mental health services among Asian-American children. We used data from the 2001-2006 Client and Services Information (CSI) System, which contains county-level information about service users in public mental health systems. Our data included 59,218 service users under the age of 18. We used logistic regression to determine the likelihood of discontinuing services, while controlling for sociodemographic and clinical characteristics. English-speaking Asians were 11% more likely than English-speaking Whites to discontinue mental health services. Non-English-speaking Asians were 50% significantly more likely to stay in services. The results also revealed some inter-ethnic variations in the discontinuation patterns; however, the patterns of mental health service utilization appear to be driven by the availability of mental health services in Asian-ethnic languages in county of residence. Further research is needed to understand the intake and referral processes that Asian children go through within the mental health service system. Copyright © 2015 Elsevier Inc. All rights reserved.

National Trends and Geographic Variation in Availability of Home Health Care: 2002–2015

PubMed Central

Wang, Yun; Leifheit-Limson, Erica C; Fine, Jonathan; Pandolfi, Michelle M; Gao, Yan; Liu, Fanglin; Eckenrode, Sheila; Lichtman, Judith H

2017-01-01

Objectives To evaluate national trends and geographic variation in the availability of home health care from 2002–2015 and identify county-specific characteristics associated with home health care. Design Observational study Setting All counties in the United States Participants All Medicare-certified home health agencies included in the Centers for Medicare & Medicaid Services Home Health Compare system. Measurements County-specific availability of home health care, defined as the number of available home health agencies that provided services to a given county per 100,000 population aged ≥18 years. Results The study included 15,184 Medicare-certified home health agencies that served 97% of U.S. ZIP codes. Between 2002–2003 and 2014–2015, the county-specific number of available home health agencies per 100,000 population aged ≥18 years increased from 14.7 to 21.8 and the median (inter-quartile range) population that was serviced by at least one home health agency increased from 403,605 (890,329) to 455,488 (1,039,328). Considerable geographic variation in the availability of home health care was observed. The West, North-East, and South Atlantic regions had lower home health care availability than the Central regions, and this pattern persisted over the study period. Counties with higher median income, a larger senior population, higher rates of households without a car and low access to stores, more obesity, greater inactivity, and higher proportions of non-Hispanic white, non-Hispanic black, and Hispanic populations were more likely to have higher availability of home health care. Conclusion The availability of home health care increased nationwide during the study period, but there was much geographic variation. PMID:28322441

National Trends and Geographic Variation in Availability of Home Health Care: 2002-2015.

PubMed

Wang, Yun; Leifheit-Limson, Erica C; Fine, Jonathan; Pandolfi, Michelle M; Gao, Yan; Liu, Fanglin; Eckenrode, Sheila; Lichtman, Judith H

2017-07-01

To evaluate national trends and geographic variation in the availability of home health care from 2002 to 2015 and identify county-specific characteristics associated with home health care. Observational study. All counties in the United States. All Medicare-certified home health agencies included in the Centers for Medicare & Medicaid Services Home Health Compare system. County-specific availability of home health care, defined as the number of available home health agencies that provided services to a given county per 100,000 population aged ≥18 years. The study included 15,184 Medicare-certified home health agencies that served 97% of U.S. ZIP codes. Between 2002-2003 and 2014-2015, the county-specific number of available home health agencies per 100,000 population aged ≥18 years increased from 14.7 to 21.8 and the median (inter-quartile range) population that was serviced by at least one home health agency increased from 403,605 (890,329) to 455,488 (1,039,328). Considerable geographic variation in the availability of home health care was observed. The West, North East, and South Atlantic regions had lower home health care availability than the Central regions, and this pattern persisted over the study period. Counties with higher median income, a larger senior population, higher rates of households without a car and low access to stores, more obesity, greater inactivity, and higher proportions of non-Hispanic white, non-Hispanic black, and Hispanic populations were more likely to have higher availability of home health care. The availability of home health care increased nationwide during the study period, but there was much geographic variation. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

Voluntary psychiatric emergencies in Los Angeles County after funding of California's Mental Health Services Act.

PubMed

Bruckner, Tim A; Yonsu, Kim; Chakravarthy, Bharath; Brown, Timothy Tyler

2012-08-01

Since 2006, California's Mental Health Services Act (MHSA) has distributed an estimated $6 billion in new tax revenues to county mental health systems. Although evaluations of MHSA's effectiveness find favorable outcomes among high-risk individuals that represent 6% of all mental health clients, scant research has tested whether MHSA funds improve the overall functioning of the public mental health system. The authors analyzed whether the incidence of voluntary emergency psychiatric visits, a key gauge of the functioning of the mental health system, fell below expected levels after the disbursement of MHSA funds. Los Angeles County, the most populous county in California, was examined. The authors obtained the monthly incidence of emergency psychiatric visits among Medi-Cal patients for 96 months spanning July 2000 to June 2008 (5.9 million overall admissions, of which 47,328 were emergency visits). Time-series methods controlled for temporal patterns in emergency visits as well as other potential confounders (unemployment, for example) that could induce spurious associations. The incidence of voluntary psychiatric emergencies fell below expected levels eight to 12 months after the disbursement of MHSA funds. After one year, emergency visits returned to their long-term mean level. Results remained robust after analyses controlled for outliers and potential confounders. In the short term, an infusion of public funds devoted to mental health services appeared to reduce psychiatric emergency visits. Explanations for the transient nature of the decline in emergency visits in Los Angeles County are discussed.

Marketing the municipal model: the London County Council Nursing Service recruitment strategies 1930-45.

PubMed

Kirby, S

1998-01-01

Municipally administered, with its origins in the Poor Laws, the LCC Nursing Service could be said to have been a Cinderella Service in comparison with the prestigious London voluntary hospitals. This paper analyses the recruitment strategies of the London County Council Nursing Service within the context of the overall national situation during the 1930s and the Second World War. These can be categorised as cosmetic, reactive, innovative and pragmatic. An astute nursing leadership could use the resources of a large municipal authority to challenge the voluntary hospitals in the nursing labour market in the area of acute hospital care. The image of the acute hospitals could be favourably projected; however, local as well as national difficulty persisted in the recruitment of candidates to Cinderella services such as tuberculosis sanatoria.

Health resource allocation and productive efficiency of Chinese county hospitals: data from 1993 to 2005.

PubMed

Gai, Ruoyan Y; Zhou, Chengchao C; Xu, Lingzhong Z; Zhu, Min; Wang, Xingzhou Z; Li, Shixue X; Zheng, Wengui G; Song, Peipei P; Yang, Xuelai L; Fang, Liyi Y; Zhen, Yancheng C; Tang, Wei

2010-10-01

This study aims to assess trends in the productive efficiency of China's county hospitals during the economic transition using data from 1993 to 2005. A data envelopment analysis (DEA) framework was used to calculate the efficiency score of county hospitals in all 31 provinces. A C²R model and a BC² model were devised to respectively calculate overall and scale efficiency and pure technical efficiency at the hospital's current scale. Models included four inputs (number of medical staff; number of beds; value of fixed capital; and hospital expenditures) and three outputs (outpatient and emergency visits, number of inpatients, and hospital revenue) in total. As the results, geographical disparities in health resource allocation and county hospital productivity were noted. From 1993 to 2005, the number of county hospitals increased and their inputs, e.g. fixed capital in particular, grew rapidly. However, the amount of both outpatient and inpatient services declined somewhat especially in the middle and the western regions. The overall efficiency at the national level decreased slightly. County hospitals in the eastern region tended to have better overall, scale, and technical efficiency in comparison to the middle and the western regions. In conclusion, county hospitals are inefficient due to their enlarged scale and the reduced amount of health care services they provide. This issue should be addressed especially in the middle and the western regions, where health resources are far more limited and yet wasted. The effects of ongoing health sector reform on the productivity of county hospitals must be monitored and evaluated.

System Transformation under the California Mental Health Services Act: Implementation of Full Service Partnerships in Los Angeles County

PubMed Central

Starks, Sarah L.; Arns, Paul G.; Padwa, Howard; Friedman, Jack R.; Marrow, Jocelyn; Meldrum, Marcia L.; Bromley, Elizabeth; Kelly, Erin Lee; Brekke, John; Braslow, Joel T.

2018-01-01

Objective The objective is to evaluate the effect of California’s Mental Health Services Act on the structure, volume, location, and patient-centeredness of Los Angeles County public mental health services. Methods This prospective mixed-methods study (2006-2013) is based in 5 Los Angeles County public mental health clinics, all with usual care and 3 with Full Service Partnerships (FSP): new MHSA-funded programs designed to “do whatever it takes” to provide intensive, recovery-oriented, team-based, integrated services for clients with severe mental illness. Study participants include treatment providers (42 FSP, 130 usual care) and clients (174 FSP, 298 usual care). FSPs were compared to usual care on outpatient services received (claims data) and organizational climate, recovery orientation, and provider-client working alliance (surveys; semi-structured interviews), with regression adjustment for client and provider characteristics. Results FSP clients received significantly more (5,238 vs. 1,643 minutes, p<.001), and more-frequently field-based (22% vs. 2%, p<.001), outpatient services than usual care clients in the first year post-admission. FSP clients reported more recovery-oriented services (RSA-R 3.8 vs. 3.5, p<.001) and better provider-client working alliance (WAI-S 3.8 vs. 3.6, p=.01). FSP providers reported more stress (55.0 vs. 51.3, p<.001) and lower morale (48.1 vs. 49.6, p<.001). Conclusions Los Angeles County’s public mental health system was able to transform service delivery in response to well-funded policy mandates. For providers, a structure emphasizing accountability and patient-centeredness was associated with greater stress, despite smaller caseloads. For clients, service structure and volume created opportunities to build stronger provider-client relationships and address client needs and goals. PMID:28142386

Human sexuality education in the middle grades classroom: A review of curricula in a sample of Florida school districts

NASA Astrophysics Data System (ADS)

Myrick, Melinda D.

2007-12-01

This study examined the extent to which human sexuality topics are covered in Florida middle school science classrooms and the process by which curricular decisions are made regarding human sexuality education on a county-wide basis. Primary data included interviews with county-level administrators who oversee curricular decisions related to the middle-grades science curriculum or health curriculum in twelve school districts within the state. These districts represented four geographic locations and districts of various sizes. Administrators from four of the twelve studies in the sample chose to provide information regarding their human sexuality education curriculum. In two cases, teacher leads were identified and were interviewed to understand the implementation of the curriculum within the classroom. Additional data were collected from the district curriculum guides for human sexuality education and the adopted middle-grades science textbook for each county. The interview and documentary data were analyzed by comparison to established criteria for a comprehensive human sexuality education curriculum. The analysis revealed that the scope of human sexuality education varied considerably within the sample and that much of the curricula in place failed to include topics and activities that have been identified as important in a successful human sexuality education program. These findings are limited because few counties chose to fully participate. Additional research is clearly needed to examine the effectiveness of existing human sexuality education curricula in Florida. In addition, research is needed to understand the characteristics, values, and beliefs of successful human sexuality education instructors across the state.

Use and Costs Under the Iowa Capitation Drug Program

PubMed Central

Yesalis, Charles E.; Norwood, G. Joseph; Lipson, David P.; Helling, Dennis K.; Burmeister, Leon F.; Fisher, Wayne P.

1981-01-01

This article evaluates changes in the use of drug services and the corresponding costs when the conventional fee-for-service system for reimbursement of pharmacists under Medicaid is replaced by a capitation system. The fee-for-service system usually covers ingredient costs plus a fixed professional dispensing fee. The capitation system provided a cash payment (which varied by aid category and season of the year) per Medicaid eligible the first of each month. We examined drug use and costs in two experimental rural counties during a 1-year preperiod in which the fee-for-service form of reimbursement was employed, as well as a 2-year postperiod in which the capitation system was used. We compared the results with use and cost patterns in two other rural counties which remained on the fee-for-service system during the same 3-year period. Drug use was similar among control and experimental counties with the exception of nursing home patients; use in this category decreased under capitation and increased under fee-for-service. Using three measures of drug cost: 1) average cost of a day's drug therapy; 2) average drug costs per recipient; and 3) average Medicaid expenditures for drug services per recipient, we observed significant savings under the capitation reimbursement system as compared to the fee-for-service system. We attributed savings under capitation to shifts in prescribing and dispensing behavior, as well as changes in use by nursing home patients. Based upon these findings, the total savings resulting from implementing capitation would be approximately 16 percent when compared to fee-for-service reimbursement. PMID:10309472

Arsenic, iron, lead, manganese, and uranium concentrations in private bedrock wells in southeastern New Hampshire, 2012-2013

USGS Publications Warehouse

Flanagan, Sarah M.; Belaval, Marcel; Ayotte, Joseph D.

2014-01-01

Trace metals, such as arsenic, iron, lead, manganese, and uranium, in groundwater used for drinking have long been a concern because of the potential adverse effects on human health and the aesthetic or nuisance problems that some present. Moderate to high concentrations of the trace metal arsenic have been identified in drinking water from groundwater sources in southeastern New Hampshire, a rapidly growing region of the State (Montgomery and others, 2003). During the past decade (2000–10), southeastern New Hampshire, which is composed of Hillsborough, Rockingham, and Strafford Counties, has grown in population by nearly 48,700 (or 6.4 percent) to 819,100. These three counties contain 62 percent of the State’s population but encompass only about 22 percent of the land area (New Hampshire Office of Energy and Planning, 2011). According to a 2005 water-use study (Hayes and Horn, 2009), about 39 percent of the population in these three counties in southeastern New Hampshire uses private wells as sources of drinking water, and these wells are not required by the State to be routinely tested for trace metals or other contaminants. Some trace metals have associated human-health benchmarks or nonhealth guidelines that have been established by the U.S. Environmental Protection Agency (EPA) to regulate public water supplies. The EPA has established a maximum contaminant level (MCL) of 10 micrograms per liter (μg/L) for arsenic (As) and a MCL of 30 μg/L for uranium (U) because of associated health risks (U.S. Environmental Protection Agency, 2012). Iron (Fe) and manganese (Mn) are essential for human health, but Mn at high doses may have adverse cognitive effects in children (Bouchard and others, 2011; Agency for Toxic Substances and Disease Registry, 2012); therefore, the EPA has issued a lifetime health advisory (LHA) of 300 μg/L for Mn. Recommended secondary maximum contaminant levels (SMCLs) for Fe (300 μg/L) and Mn (50 μg/L) were established primarily as nonhealth guidelines—based on aesthetic considerations, such as taste or the staining of laundry and plumbing fixtures—because these contaminants, at the SMCLs, are not considered to present risks to human health. Because lead (Pb) contamination of drinking water typically results from corrosion of plumbing materials belonging to water-system customers but still poses a risk to human health, the EPA established an action level (AL) of 15 μg/L for Pb instead of an MCL or SMCL (U.S. Environmental Protection Agency, 2012). The 15-μg/L AL for Pb has been adopted by the New Hampshire Department of Environmental Services for public water systems, and if exceeded, the public water system must inform their customers and undertake additional actions to control corrosion in the pipes of the distribution system (New Hampshire Department of Environmental Services, 2013). Unlike the quality of drinking water provided by public water suppliers, the quality of drinking water obtained from private wells in New Hampshire is not regulated; consequently, private wells are sampled only when individual well owners voluntarily choose to sample them. The U.S. Geological Survey (USGS), in cooperation with the EPA New England, conducted an assessment in 2012–13 to provide private well owners and State and Federal health officials with information on the distribution of trace-metal (As, Fe, Pb, Mn, and U) concentrations in groundwater from bedrock aquifers in the three counties of southeastern New Hampshire. This fact sheet analyzes data from water samples collected by a randomly selected group of private well owners from the three-county study area and describes the major findings for trace-metal concentrations.

Linking departmental priorities to knowledge management: the experiences of Santa Cruz County's Human Services Department.

PubMed

Lindberg, Arley

2012-01-01

Federal welfare reform, local service collaborations, and the evolution of statewide information systems inspired agency interest in evidence-informed practice and knowledge sharing systems. Four agency leaders, including the Director, Deputy Director, Director of Planning and Evaluation, and Staff Development Program Manager championed the development of a learning organization based on knowledge management throughout the agency. Internal department restructuring helped to strengthen the Planning and Evaluation, Staff Development, and Personnel units, which have become central to supporting knowledge sharing activities. The Four Pillars of Knowledge framework was designed to capture agency directions in relationship to future knowledge management goals. Featuring People, Practice, Technology and Budget, the framework links the agency's services, mission and goals to the process of becoming a learning organization. Built through an iterative process, the framework was created by observing existing activities in each department rather than being designed from the top down. Knowledge management can help the department to fulfill its mission despite reduced resources. Copyright © Taylor & Francis Group, LLC

Services provided by community pharmacies in Wayne County, Michigan: a comparison by ZIP code characteristics.

PubMed

Erickson, Steven R; Workman, Paul

2014-01-01

To document the availability of selected pharmacy services and out-of-pocket cost of medication throughout a diverse county in Michigan and to assess possible associations between availability of services and price of medication and characteristics of residents of the ZIP codes in which the pharmacies were located. Cross-sectional telephone survey of pharmacies coupled with ZIP code-level census data. 503 pharmacies throughout the 63 ZIP codes of Wayne County, MI. The out-of-pocket cost for a 30 days' supply of levothyroxine 50 mcg and brand-name atorvastatin (Lipitor-Pfizer) 20 mg, availability of discount generic drug programs, home delivery of medications, hours of pharmacy operation, and availability of pharmacy-based immunization services. Census data aggregated at the ZIP code level included race, annual household income, age, and number of residents per pharmacy. The overall results per ZIP code showed that the average cost for levothyroxine was $10.01 ± $2.29 and $140.45 + $14.70 for Lipitor. Per ZIP code, the mean (± SD) percentages of pharmacies offering discount generic drug programs was 66.9% ± 15.0%; home delivery of medications was 44.5% ± 22.7%; and immunization for influenza was 46.7% ± 24.3% of pharmacies. The mean (± SD) hours of operation per pharmacy per ZIP code was 67.0 ± 25.2. ZIP codes with higher household income as well as higher percentage of residents being white had lower levothyroxine price, greater percentage of pharmacies offering discount generic drug programs, more hours of operation per week, and more pharmacy-based immunization services. The cost of Lipitor was not associated with any ZIP code characteristic. Disparities in the cost of generic levothyroxine, the availability of services such as discount generic drug programs, hours of operation, and pharmacy-based immunization services are evident based on race and household income within this diverse metropolitan county.

Spatial analysis on human brucellosis incidence in mainland China: 2004–2010

PubMed Central

Zhang, Junhui; Yin, Fei; Zhang, Tao; Yang, Chao; Zhang, Xingyu; Feng, Zijian; Li, Xiaosong

2014-01-01

Objectives China has experienced a sharply increasing rate of human brucellosis in recent years. Effective spatial monitoring of human brucellosis incidence is very important for successful implementation of control and prevention programmes. The purpose of this paper is to apply exploratory spatial data analysis (ESDA) methods and the empirical Bayes (EB) smoothing technique to monitor county-level incidence rates for human brucellosis in mainland China from 2004 to 2010 by examining spatial patterns. Methods ESDA methods were used to characterise spatial patterns of EB smoothed incidence rates for human brucellosis based on county-level data obtained from the China Information System for Disease Control and Prevention (CISDCP) in mainland China from 2004 to 2010. Results EB smoothed incidence rates for human brucellosis were spatially dependent during 2004–2010. The local Moran test identified significantly high-risk clusters of human brucellosis (all p values <0.01), which persisted during the 7-year study period. High-risk counties were centred in the Inner Mongolia Autonomous Region and other Northern provinces (ie, Hebei, Shanxi, Jilin and Heilongjiang provinces) around the border with the Inner Mongolia Autonomous Region where animal husbandry was highly developed. The number of high-risk counties increased from 25 in 2004 to 54 in 2010. Conclusions ESDA methods and the EB smoothing technique can assist public health officials in identifying high-risk areas. Allocating more resources to high-risk areas is an effective way to reduce human brucellosis incidence. PMID:24713215

Columbia County Habitat for Humanity Passive Townhomes

DOE Office of Scientific and Technical Information (OSTI.GOV)

None, None

2016-03-01

Columbia County Habitat for Humanity (CCHH) (New York, Climate Zone 5A) built a pair of townhomes to Passive House Institute U.S. (PHIUS+ 2015) criteria to explore approaches for achieving Passive House performance (specifically with respect to exterior wall, space-conditioning, and ventilation strategies) within the labor and budget context inherent in a Habitat for Humanity project. CCHH’s goal is to eventually develop a cost-justified Passive House prototype design for future projects.

Less Physician Practice Competition Is Associated With Higher Prices Paid For Common Procedures.

PubMed

Austin, Daniel R; Baker, Laurence C

2015-10-01

Concentration among physician groups has been steadily increasing, which may affect prices for physician services. We assessed the relationship in 2010 between physician competition and prices paid by private preferred provider organizations for fifteen common, high-cost procedures to understand whether higher concentration of physician practices and accompanying increased market power were associated with higher prices for services. Using county-level measures of the concentration of physician practices and county average prices, and statistically controlling for a range of other regional characteristics, we found that physician practice concentration and prices were significantly associated for twelve of the fifteen procedures we studied. For these procedures, counties with the highest average physician concentrations had prices 8-26 percent higher than prices in the lowest counties. We concluded that physician competition is frequently associated with prices. Policies that would influence physician practice organization should take this into consideration. Project HOPE—The People-to-People Health Foundation, Inc.

Annual Progress Report of the Coastal Bend Migrant Council Health Project, San Patricio Migrant Health Center (Texas), 1973-1974.

ERIC Educational Resources Information Center

Coastal Bend Migrant Council, Mathis, TX. San Patricio Migrant Health Center.

The annual medical progress report covers migrant health services in San Patricio County, Texas, from February 1, 1973 to January 31, 1974. The report discusses: staff, administration, cardiology, dental services, health services, medical services, outreach and environmental health services, prescription services, registration and identification,…

Indicators of social well-being and elements of child welfare in Minnesota rural counties.

PubMed

Menanteau-Horta, Darío; Yigzaw, Michael

2002-01-01

Organizational and structural conditions of rural communities and counties are significant factors in determining child welfare levels and general quality of life in rural areas. This article analyzes the relationship between elements of child welfare and an index of social well-being estimated for the state of Minnesota. The study suggests that social workers may enhance their services by considering county data that depict the viability of rural communities.

Geographic Footprint of Electricity Use for Water Services in the Western U.S.

DOE PAGES

Tidwell, Vincent C.; Moreland, Barbara Denise; Zemlick, Katie

2014-06-25

A significant fraction of our nation’s electricity use goes to lift, convey, and treat water, while the resulting expenditures on electricity represent a key budgetary consideration for water service providers. In order to improve understanding of the electricity-for-water interdependency, electricity used in providing water services is mapped at the regional, state and county level for the 17-conterminous states in the Western U.S. Our study is unique in estimating electricity use for large-scale conveyance and agricultural pumping as well as mapping these electricity uses along with that for drinking and wastewater services at a state and county level. These results indicatemore » that drinking and wastewater account for roughly 2% of total West-wide electricity use, while an additional 1.2% is consumed by large-scale conveyance projects and 2.6% is consumed by agricultural pumping. The percent of electricity used for water services varies strongly by state with some as high as 34%, while other states expend less than 1%. Every county in the West uses some electricity for water services; however, there is a large disparity in use ranging from 10 MWh/yr to 5.8 TWh/yr. Finally, our results support long-term transmission planning in the Western U.S. by characterizing an important component of the electric load.« less

Impact of emergency medical services stroke routing protocols on Primary Stroke Center certification in California.

PubMed

Schuberg, Sam; Song, Sarah; Saver, Jeffrey L; Mack, William J; Cen, Steven Y; Sanossian, Nerses

2013-12-01

Organized stroke systems of care include Primary Stroke Center (PSC) certification and preferential emergency medical services (EMS) routing of suspected patients with stroke to designated PSCs. Stroke EMS routing is not nationally governed; in California, routing is determined by county. EMS routing policies might provide an incentive for PSC accreditation. We evaluated the relationship between independent adoption of EMS routing protocols and PSC designation acquisition in California. Dates of PSC certification were obtained through The Joint Commissions Website and confirmatory calls to stroke coordinators. Starting date of county EMS PSC routing policies was obtained from county EMS agencies. We provide descriptive analysis of number of hospitals achieving PSC designation relative to implementation of EMS routing policies for all counties with PSCs. By June 2012, there were 131 California PSCs in 27 counties, and 22 of 58 counties had implemented EMS routing policies. The greatest number of PSCs was in Los Angeles (30) followed by San Diego (11), Orange (9), and Santa Clara (9) counties. Achievement of PSC designation occurred more frequently immediately before and after EMS routing: 51 PSCs (39%) within 1 year; 85 PSCs (65%) within 2 years. The yearly rate of eligible hospital conversion to PSC designation accelerated concurrent with EMS diversion policy adoption from 3.8% before to 16.2% during and decelerated afterward to 7.6%. Implementation of EMS routing policies may be an important factor driving PSC certification. National adoption of stroke routing policies may lead to more PSCs, positively impacting patient care.

Economic regulation of ambulance services in California.

PubMed

Narad, R A

1997-01-01

This study was intended to identify economic regulatory programs used by California counties (including ambulance franchising and rate setting), to inventory their foci and application, and to identify differences around the state. By studying the variety of programs used in one state, this study establishes a framework for evaluation of state and local regulatory programs elsewhere. This study surveyed all California local EMS agencies (LEMSAs); these are California's equivalent of regional EMS organizations. The survey achieved a 100% response rate, and all data involve population parameters obviating the need for inferential statistics. Seventy-three percent of California counties use economic regulations. Large-population counties and those that operate their own LEMSAs are more likely to use economic regulations than are small counties and those that participate in multicounty EMS agencies. Despite a preference for competition in the authorizing statute, most franchises were granted without competition to existing providers. The majority of franchises in the state were granted to public services. Most ambulance rate setting occurs outside of a competitive process. Economic regulations that were intended to provide a structured marketplace are often being used to protect existing providers, particularly public services, from competition. The growing interest by fire departments in entering the market for emergency ambulance service, along with the existing bias toward them in granting of franchises, does not bode well for use of the competitive process. The growth of managed care may change or eliminate the need for economic regulations but, if they are to continue, more state oversight should be considered.

Approaches to child protection case management for cases involving people with disabilities.

PubMed

Lightfoot, Elizabeth B; LaLiberte, Traci L

2006-04-01

This exploratory study examines the delivery of child protection services by county child protection agencies involving cases with a family member with a disability. Telephone surveys were conducted with the directors or their designees of 89% of the child protection agencies in a Midwestern state. Respondents were asked about the policies and/or procedures for approaching cases involving a person with a disability and the barriers and strengths agencies have in serving people with disabilities. Only 6.7% of respondents reported their agency had a written policy related to serving persons with a disability. There were 18 different approaches to serving clients with a disability within child protection, with the most common being informally teaming for information, dual case assignment, and teaming with an outside consultant. Five counties had specialty workers who were experts in both child protection and disability. Barriers reported varied between rural and non-rural counties, with the most important barriers being lack of resources, lack of knowledge regarding disabilities, systems conflicts, and rural issues, such as lack of providers and lack of transportation. Strengths included accessing and coordinating services, individualizing services, good collaboration and creativity. While few county agencies had any written policies, both formal and informal collaboration is happening at the individual level. The lack of standardization in providing services indicates a need for more attention to issues regarding disability within child protection, including more training for workers, the development of models of collaborative case management and the removal of systemic barriers.

47 CFR 90.373 - Eligibility in the DSRCS.

Code of Federal Regulations, 2011 CFR

2011-10-01

... MOBILE RADIO SERVICES Intelligent Transportation Systems Radio Service Regulations Governing the... to operate Roadside units in the DSRCS: (a) Any territory, possession, state, city, county, town or...

Towards Prenatal Biomonitoring in North Carolina: Assessing Arsenic, Cadmium, Mercury, and Lead Levels in Pregnant Women

PubMed Central

Sanders, Alison P.; Flood, Kaye; Chiang, Shu; Herring, Amy H.; Wolf, Leslie; Fry, Rebecca C.

2012-01-01

Exposure to toxic metals during the prenatal period carries the potential for adverse developmental effects to the fetus, yet such exposure remains largely unmonitored in the United States. The aim of this study was to assess maternal exposure to four toxic metals (arsenic (As), cadmium (Cd), mercury (Hg), and lead (Pb)) in a cohort of pregnant women in North Carolina. We analyzed blood samples submitted to the North Carolina Department of Health and Human Services for blood typing to assess toxic metal levels in pregnant women (n = 211) across six North Carolina counties. Whole blood metal concentrations were measured by inductively coupled plasma mass spectrometry. The association between maternal characteristics, including county of residence, age, and race, and metal exposure was analyzed using multiple linear regression analysis. A large fraction of the blood samples showed detectable levels for each of the four metals. Specifically, As (65.7%), Cd (57.3%), Hg (63.8%), and Pb (100%) were detected in blood samples. Moreover, compared with adult females participating in the Fourth National Report on Human Exposure to Environmental Chemicals and guidelines for pregnant women, some women in the sample population exceeded benchmark levels of Cd, Hg, and Pb. Evidence from this pilot study indicates that pregnant women in North Carolina are exposed to As, Cd, Hg, and Pb and suggests that factors related to maternal county of residence and race may impact maternal exposure levels. As increased levels of one or more of these metals in utero have been associated with detrimental developmental and reproductive outcomes, further study is clearly warranted to establish the impacts to newborns. PMID:22427803

Toward the 21st Century: Preparing Proactive Visionary Transformational Leaders for Building Learning Communities. Human Resource Development. Orange County Cluster.

ERIC Educational Resources Information Center

Groff, Warren H.

This document describes the Orange County Cluster human resources development (HRD) seminar that was conducted as part of Nova University's nontraditional practitioner-oriented, problem-solving, field-based distance education program in higher education. Discussed first are HRD in the agricultural and business industrial eras and changing HRD…

Family Life and Human Development (Sex Education): The Prince George's County Public Schools Experience.

ERIC Educational Resources Information Center

Schaffer, Michael J.

1981-01-01

The Prince George's County schools' sex education program for grades K-12 was developed and implemented in the late 1960s and has three focus areas: family life and interpersonal relationships; the physiological and personality changes during puberty; and advanced physiology and psychology of human sexual behavior. The program augments what the…

Existing Whole-House Solutions Case Study: Habitat for Humanity South Sarasota County, Venice, Florida

DOE Office of Scientific and Technical Information (OSTI.GOV)

none,

2011-11-01

PNNL and Calcs Plus helped the South Sarasota County Florida Habitat for Humanity retrofit a 1978 single-story home by stripping old drywall, air sealing concrete block walls, and installing rigid insulation, furring strips, and new drywall. The attic was sealed and insulated with spray foam to house a new heat pump.

Ecological study of ruffed grouse broods in Virginia

USGS Publications Warehouse

Stewart, R.E.

1956-01-01

The Ruffed Grouse (Bonasa umbellus), commonly called "pheasant" throughout the southern Appalachian region, is a popular game bird in the mountains of Virginia. Unfortunately, however, the grouse populations in this State have declined noticeably during the past fifty years. Because of this, special field studies were designed through the cooperation of the U. S. Fish and Wildlife Service and U. S. Forest Service, which would provide information that could be used in devising more efficient grouse management practices. As part of this program, I was assigned to investigate the ecology and habits of this species in the Shenandoah Mountains during the spring and summer of 1941. These studies were conducted within the George Washington National Forest in northwestern Augusta County, southwestern Rockingham County, and northeastern Highland County, Virginia.

Raising awareness of Medicare member rights among seniors and caregivers in California.

PubMed

Olson, Rebecca; Grossman, Ruth M; Fu, Patricia L; Sabogal, Fabio

2010-01-01

Many Medicare recipients do not understand their health care rights. Lumetra, formerly California's Medicare quality improvement organization, developed a multifaceted outreach program to increase beneficiary awareness of its services and of the right to file quality-of-care complaints and discharge appeals. Layered outreach activities to Medicare members and their caregivers in 2 targeted counties consisted of paid media, direct mailings, community outreach, and online marketing. Calls to Lumetra's helpline and visits to its Web site--measures of beneficiary awareness of case review services--increased by 106% and 1214%, respectively, in the targeted counties during the 4-month outreach period. Only small increases occurred in nontargeted counties. Increases in quality-of-care complaints and discharge appeal rates were detected during a longer follow-up period.

ROE Carbon Storage - Forest Biomass

EPA Pesticide Factsheets

This polygon dataset depicts the density of forest biomass in counties across the United States, in terms of metric tons of carbon per square mile of land area. These data were provided in spreadsheet form by the U.S. Department of Agriculture (USDA) Forest Service. To produce the Web mapping application, EPA joined the spreadsheet with a shapefile of U.S. county (and county equivalent) boundaries downloaded from the U.S. Census Bureau. EPA calculated biomass density based on the area of each county polygon. These data sets were converted into a single polygon feature class inside a file geodatabase.

The effect of Philadelphia and Pennsylvania Clean Indoor Air Act on food services and drinking places sales and numbers, 1998-2011.

PubMed

Ma, Zhen-Qiang; Fisher, Monica A

2013-11-27

Philadelphia enacted its Clean Indoor Air Act (CIAA) nearly 2 years before the statewide CIAA. In this study, we assessed the economic impact of CIAAs on 4 types of food services and drinking places and addressed the predominant limitation of previous pre-post ban studies, namely the lack of control for confounders and changes in secular trends over time. We analyzed data from Pennsylvania Department of Revenue Quarterly 1998-2011 taxable county-level revenue sales and number of food services and drinking places. Region-specific and type-specific adjusted sales and number of food services and drinking places accounted for consumer spending as a general economic indicator. Segmented regression analysis of interrupted time-series methodology assessed changes in trend and level. Pennsylvania CIAA had no significant effect on adjusted sales or numbers except for an increase in sales in Philadelphia for limited-service eating places and in the surrounding 4 counties for special food services. Philadelphia CIAA was associated with an increase in adjusted numbers of full-service restaurants in Philadelphia and the rest of the state, special food services in Philadelphia, and drinking places in the rest of the state, and a decrease in the number of special food services in the surrounding counties. Philadelphia CIAA had no significant effect on adjusted sales except for an increase in special food services in the rest of the state. Overall, CIAAs had no negative business-related impact and, for the most part, suggest a positive impact on restaurant sales and numbers. Our results provide further support for comprehensive CIAA ordinance for restaurants.

The Effect of Philadelphia and Pennsylvania Clean Indoor Air Act on Food Services and Drinking Places Sales and Numbers, 1998-2011

PubMed Central

Fisher, Monica A.

2013-01-01

Introduction Philadelphia enacted its Clean Indoor Air Act (CIAA) nearly 2 years before the statewide CIAA. In this study, we assessed the economic impact of CIAAs on 4 types of food services and drinking places and addressed the predominant limitation of previous pre–post ban studies, namely the lack of control for confounders and changes in secular trends over time. Methods We analyzed data from Pennsylvania Department of Revenue Quarterly 1998–2011 taxable county-level revenue sales and number of food services and drinking places. Region-specific and type-specific adjusted sales and number of food services and drinking places accounted for consumer spending as a general economic indicator. Segmented regression analysis of interrupted time-series methodology assessed changes in trend and level. Results Pennsylvania CIAA had no significant effect on adjusted sales or numbers except for an increase in sales in Philadelphia for limited-service eating places and in the surrounding 4 counties for special food services. Philadelphia CIAA was associated with an increase in adjusted numbers of full-service restaurants in Philadelphia and the rest of the state, special food services in Philadelphia, and drinking places in the rest of the state, and a decrease in the number of special food services in the surrounding counties. Philadelphia CIAA had no significant effect on adjusted sales except for an increase in special food services in the rest of the state. Conclusion Overall, CIAAs had no negative business-related impact and, for the most part, suggest a positive impact on restaurant sales and numbers. Our results provide further support for comprehensive CIAA ordinance for restaurants. PMID:24286275

76 FR 31935 - Tuolumne-Mariposa Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-02

... Advisory Committee will meet on June 13, 2011 at the City of Sonora Fire Department, in Sonora, California... held at the City of Sonora Fire Department located at 201 South Shepherd Street, in Sonora, California... DEPARTMENT OF AGRICULTURE Forest Service Tuolumne-Mariposa Counties Resource Advisory Committee...

Humboldt County Employer Survey.

ERIC Educational Resources Information Center

Lyons, Dave

A project was undertaken in Humboldt County to collect information from large and small businesses in the areas of agriculture, mining, manufacturing, transportation, wholesale and retail, finance, services, and public information with respect to their employee requirements and needs. In all, 451 firms were surveyed to determine the size of the…

County Business Patterns: United States, 2002.

ERIC Educational Resources Information Center

US Department of Commerce, 2004

2004-01-01

In this report, subnational economic data by industry, including Educational Services, is provided. County Business Patterns is useful for studying the economic activity of small areas; analyzing economic changes over time; and as a benchmark for statistical series, surveys, and databases between economic censuses. The number of establishments,…

75 FR 31463 - Comal County Regional Habitat Conservation Plan, Comal County, TX

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-03

... as school development, road construction and maintenance, and parkland. The ITP will cover Comal... activities including, but not limited to: Public or private construction and development, utility... Wildlife Service, 10711 Burnet Road, Suite 200, Austin, TX 78758 or 512-490-0057. SUPPLEMENTARY INFORMATION...

77 FR 13072 - Salmon-Challis National Forest, Butte, Custer and Lemhi Counties, ID, Supplemental Environmental...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-05

... DEPARTMENT OF AGRICULTURE Forest Service Salmon-Challis National Forest, Butte, Custer and Lemhi Counties, ID, Supplemental Environmental Impact Statement to the 2009 Salmon- Challis National Forest... of intent to prepare a supplemental environmental impact statement. SUMMARY: The Salmon-Challis...

Vocational Rehabilitation Services for Handicapped Individuals.

ERIC Educational Resources Information Center

Goodwill Industries of North Central Pennsylvania, Inc., DuBois.

The manual describes the vocational rehabilitation program and services for handicapped individuals that are provided by Goodwill Industries of North Central Pennsylvania, Inc., which services an eight-county outreach area. An introductory section provides general background information regarding program objectives, philosophy, and organizational…

7 CFR 1925.4 - Servicing delinquent taxes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 12 2011-01-01 2011-01-01 false Servicing delinquent taxes. 1925.4 Section 1925.4... REGULATIONS TAXES Real Estate Tax Servicing § 1925.4 Servicing delinquent taxes. (a) The County Supervisor will contact each borrower with a delinquent tax and make every practical effort to have him pay the...

75 FR 3746 - Ryan White HIV/AIDS Part C Early Intervention Services (EIS) Program

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-22

... HIV/AIDS Part C Early Intervention Services (EIS) Program AGENCY: Health Resources and Services... Department, Orlando, Florida, that will ensure continuity of Part C, Early Intervention Services (EIS), HIV...: Critical funding for HIV/AIDS care and treatment to the target populations in Orange County, Orlando...

Multiperspective analysis of workforce challenges and their effects on consumer and family quality of life.

PubMed

Larson, Sheryl A; Hewitt, Amy S; Lakin, K Charlie

2004-11-01

The impacts of direct support professional turnover, wages, and vacancy rates as reported in interviews with 372 adult service recipients and 20 county managers and surveys of 183 families, 520 service coordinators, 228 direct support professionals, and 184 residential and 82 vocational managers were examined. Direct support professional turnover, wages, and vacancy rates were reported to be barriers to high quality supports, serving people waiting for services, and providing in-home or respite services. Higher direct support professional turnover was associated with lower wages and supports in urban counties. Multivariate analyses of covariance revealed a complex pattern of significant associations between quality of life outcomes; level of mental retardation, medical status, site size (for vocational settings); and direct support professional vacancy rates, average wage, and turnover rates.

An Ecological Approach to Exploring Rural Food Access and Active Living for Families With Preschoolers.

PubMed

Buro, Brandy; Gold, Abby; Contreras, Dawn; Keim, Ann L; Mobley, Amy R; Oscarson, Renee; Peters, Paula; Procter, Sandy; Smathers, Carol

2015-01-01

To identify factors using the Ecological Model of Childhood Overweight related to accessing nutritious foods and physical activity opportunities from the perspectives of rural parents of preschoolers. A mixed-methods study using a quantitative survey (Active Where?) and qualitative interviews. Analyzed interview themes provided context to the survey results. The setting was Head Start centers, county human service offices, and Women, Infants, and Children Program sites in rural counties in the Midwest. Rural parents (n = 377) of preschoolers took part in the survey in 7 Midwestern states; 15 similar participants were interviewed from 1 of the states. Transcribed interviews were coded. Frequencies and chi-square tests were computed; significance was set at P < .05. The Active Where? survey and interviews revealed that close proximity to recreation spaces and traffic safety issues influenced physical activity. For food access, close proximity to full service grocery stores did not influence access to healthy foods because respondents traveled to urban communities to purchase healthy foods. Public transportation solutions and enhanced neighborhood safety are potential community-wide obesity prevention strategies in rural communities. However, interventions should be tailored to the community's stage of readiness. Strong social networks should be considered an asset for community change in these regions. Copyright © 2015 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

77 FR 73045 - Draft Environmental Impact Statement and Draft Pima County Multi-Species Habitat Conservation...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-07

... County, Arizona, has had one of the fastest growing human populations of any county in the United States... opportunities. Urban growth has resulted in significant development, which is expected to continue in the foreseeable future. A significant proportion of the predicted future development is anticipated to occur in...

Spatial Differences and Costs of Emissions at U.S. Airport Hubs.

PubMed

Nahlik, Matthew J; Chester, Mikhail V; Ryerson, Megan S; Fraser, Andrew M

2016-04-19

As local governments plan to expand airport infrastructure and build air service, monetized estimates of damages from air pollution are important for balancing environmental impacts. While it is well-known that aircraft emissions near airports directly affect nearby populations, it is less clear how the airport-specific aircraft operations and impacts result in monetized damages to human health and the environment. We model aircraft and ground support equipment emissions at major U.S. airports and estimate the monetized human health and environmental damages of near airport (within 60 miles) emissions. County-specific unit damage costs for PM, SOx, NOx, and VOCs and damage valuations for CO and CO2 are used along with aircraft emissions estimations at airports to determine impacts. We find that near-airport emissions at major U.S. airports caused a total of $1.9 billion in damages in 2013, with airports contributing between $720 thousand and $190 million each. These damages vary by airport from $1 to $9 per seat per one-way flight and costs per passenger are often greater than airport charges levied on airlines for infrastructure use. As the U.S. aviation system grows, it is possible to minimize human and environmental costs by shifting aircraft technologies and expanding service into airports where fewer impacts are likely to occur.

Invasive Cancer Incidence, 2004–2013, and Deaths, 2006–2015, in Nonmetropolitan and Metropolitan Counties — United States

PubMed Central

Anderson, Robert N.; Thomas, Cheryll C.; Massetti, Greta M.; Peaker, Brandy; Richardson, Lisa C.

2017-01-01

Problem/Condition Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. Reporting Period 2004–2015. Description of System Cancer incidence data from CDC’s National Program of Cancer Registries and the National Cancer Institute’s Surveillance, Epidemiology, and End Results program were used to calculate average annual age-adjusted incidence rates for 2009–2013 and trends in annual age-adjusted incidence rates for 2004–2013. Cancer mortality data from the National Vital Statistics System were used to calculate average annual age-adjusted death rates for 2011–2015 and trends in annual age-adjusted death rates for 2006–2015. For 5-year average annual rates, counties were classified into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan with population <1 million, and metropolitan with population ≥1 million). For the trend analysis, which used annual rates, these categories were combined into two categories (nonmetropolitan and metropolitan). Rates by county classification were examined by sex, age, race/ethnicity, U.S. census region, and cancer site. Trends in rates were examined by county classification and cancer site. Results During the most recent 5-year period for which data were available, nonmetropolitan rural areas had lower average annual age-adjusted cancer incidence rates for all anatomic cancer sites combined but higher death rates than metropolitan areas. During 2006–2015, the annual age-adjusted death rates for all cancer sites combined decreased at a slower pace in nonmetropolitan areas (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the differences in these rates. In contrast, annual age-adjusted incidence rates for all cancer sites combined decreased approximately 1% per year during 2004–2013 both in nonmetropolitan and metropolitan counties. Interpretation This report provides the first comprehensive description of cancer incidence and mortality in nonmetropolitan and metropolitan counties in the United States. Nonmetropolitan rural counties had higher incidence of and deaths from several cancers related to tobacco use and cancers that can be prevented by screening. Differences between nonmetropolitan and metropolitan counties in cancer incidence might reflect differences in risk factors such as cigarette smoking, obesity, and physical inactivity, whereas differences in cancer death rates might reflect disparities in access to health care and timely diagnosis and treatment. Public Health Action Many cancer cases and deaths could be prevented, and public health programs can use evidence-based strategies from the U.S. Preventive Services Task Force and Advisory Committee for Immunization Practices (ACIP) to support cancer prevention and control. The U.S. Preventive Services Task Force recommends population-based screening for colorectal, female breast, and cervical cancers among adults at average risk for these cancers and for lung cancer among adults at high risk; screening adults for tobacco use and excessive alcohol use, offering counseling and interventions as needed; and using low-dose aspirin to prevent colorectal cancer among adults considered to be at high risk for cardiovascular disease based on specific criteria. ACIP recommends vaccination against cancer-related infectious diseases including human papillomavirus and hepatitis B virus. The Guide to Community Preventive Services describes program and policy interventions proven to increase cancer screening and vaccination rates and to prevent tobacco use, excessive alcohol use, obesity, and physical inactivity. PMID:28683054

Use of human remains detection dogs for wide area search after wildfire: a new experience for TexasTask Force 1 Search and Rescue resources.

PubMed

Migala, Alexandre F; Brown, Susann E

2012-12-01

In September 2011, wildfires in Bastrop County, TX, were the most destructive in the state's history, consuming more than 34000 acres (13759 hectares) and more than 1600 homes in the process. The wildfires began by consuming more than 30 homes across 2 miles (3.2 km) in 17 minutes, raising the fear that local residents may not have had sufficient time to escape the conflagration. Texas Task Force 1 deployed for a new mission, the search and recovery of human remains. Although there have been other larger and more widespread fires in the past, it was the speed at which this fire spread that created the environment requiring such a search. The mission was focused primarily on human detection, searching an area almost 72 square miles (186 km(2)) between September 7 and 11, 2011. To our knowledge, never before have human remains detection dogs been tasked with such an undertaking. Lessons learned from this event will educate all levels of government agencies, emergency medical services, fire departments, law enforcement, utilities, veterinary services, and search and rescue/recovery activities in the future. The utilization of human remains detection canines integrated with search teams trained in larger scale events is one such area that will benefit from this experience, with a final area searched of 15 598 acres (6312 hectares). Copyright © 2012 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

77 FR 52680 - Foreign-Trade Zone 242-Boundary County, ID, Notification of Proposed Production Activity, AREVA...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-30

... County, ID, Notification of Proposed Production Activity, AREVA Enrichment Services, LLC, (Gas Centrifuge... being requested for the storage, manipulation, assembly and installation of gas centrifuge production... pipework, centrifuge floor-mounting elements, UF6 pipework/fittings, parts of cascades, vacuum pumps, UF6...

Cluster of Ebola Virus Disease, Bong and Montserrado Counties, Liberia.

PubMed

Nyenswah, Tolbert G; Fallah, Mosaka; Calvert, Geoffrey M; Duwor, Stanley; Hamilton, E Dutch; Mokashi, Vishwesh; Arzoaquoi, Sampson; Dweh, Emmanuel; Burbach, Ryan; Dlouhy, Diane; Oeltmann, John E; Moonan, Patrick K

2015-07-01

Lack of trust in government-supported services after the death of a health care worker with symptoms of Ebola resulted in ongoing Ebola transmission in 2 Liberia counties. Ebola transmission was facilitated by attempts to avoid cremation of the deceased patient and delays in identifying and monitoring contacts.

A Manpower Survey of Semi-Skilled and Unskilled Job Opportunities in Sarasota County.

ERIC Educational Resources Information Center

Jones, Robert Y.

Surveyed were 201 business establishments in Sarasota County, Florida, to determine available jobs suitable for educable mentally retarded (EMR) graduates of high school vocational education program. Types of businesses surveyed were automobile dealers; cleaners and janitorial services; general construction; government, utilities, and schools;…

75 FR 68319 - Paulina Ranger District; Ochoco National Forest; Crook and Wheeler Counties, OR; Jackson...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-05

... and Wheeler Counties, OR; Jackson Vegetation Management Project EIS AGENCY: Forest Service, USDA... fuels and vegetation management activities in the project area by comparing the existing condition to.... Excessive fuel from management activities in this project and past projects would be reduced on...

Brevard District Plan for Career Education Development.

ERIC Educational Resources Information Center

Thomas, Olive W.

The Brevard County Plan was written to include goals and objectives for the years 1974-77. Goals for 1974-75 include promoting the career education concept in all district schools (emphasizing the various career education elements at appropriate grade levels), setting up placement services, coordinating county and district goals, program…

Waukesha County Technical College 1998 Comprehensive Annual Financial Report.

ERIC Educational Resources Information Center

Tessmann, Cary A.

Waukesha County Technical College (WCTC) is one of 16 institutions in the Wisconsin Technical College System. The college offers associate of applied science degree programs, technical diplomas and certificates, apprenticeship programs and other adult education services. This financial report covers fiscal year 1998 and is divided into four…

Life Skills Project

ERIC Educational Resources Information Center

Jalazo, Michael D.

2005-01-01

In this article, the author, Program Administrator of the Pinellas County Sheriff's Office (PCSO) Project New Attitudes in Clearwater, Florida, describes the project. The PCSO is the country's largest law enforcement agency, providing law enforcement services to over 400,000 of its residents who reside in the unincorporated areas of the county and…

75 FR 79293 - Amendment and Revocation of Class E Airspace; Vero Beach, FL

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-20

... geographic coordinates of the St. Lucie County International Airport to aid in the navigation of our National... the National Aeronautical Navigation Services to update the geographic coordinates of the St. Lucie.... Also, this action will update the geographic coordinates of the St. Lucie County International Airport...

Coast redwood ecological types of southern Monterey County, California

Treesearch

Mark Borchert; Daniel Segotta; Michael D. Purser

1988-01-01

An ecological classification system has been developed for the Pacific Southwest Region of the Forest Service. As part of this classification effort, coast redwood (Sequoia sempervirens) forests of southern Monterey County in the Los Padres National Forest were classified into six ecological types using vegetation, soils and geomorphology taken from...

Washington State Annual Rural Manpower Report, 1973.

ERIC Educational Resources Information Center

Washington State Dept. of Employment Security, Olympia.

The annual report of the Rural Manpower Program, Employment Service Division, contains narrative and statistical data that describe important developments in Washington State during 1973. In terms of man-months of labor, rural counties provided less than 25% of the total seasonal farm employment in 1973, while urban Yakima County alone provided…

Putting It All Together in Suffolk County

ERIC Educational Resources Information Center

Baker, B. Kimball

1976-01-01

The Suffolk County Coordinated Manpower Program in New York is a pilot project whose purpose is to eliminate duplication in employer contacts and services delivered. Agencies at the Federal, State, and local levels work together for a common goal. Definitive results await data analysis, but developments are encouraging. (Author/AJ)

76 FR 53665 - Nevada and Placer Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-29

... relationships and to provide advice and recommendations to the Forest Service concerning projects and funding... discuss and vote on projects submitted for funding and the expenditure of Title II funds benefiting National Forest System lands in Nevada and Placer Counties. DATES: The meeting will be held Wednesday...

76 FR 53663 - Sierra County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-29

... provide advice and recommendations to the Forest Service concerning projects and funding consistent with... and vote on projects submitted for funding and the expenditure of Title II funds benefiting National Forest System lands in Sierra County. DATES: The meeting will be held Monday, September 12, 2011 at 9 a.m...

76 FR 53664 - Nevada and Placer Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-29

... relationships and to provide advice and recommendations to the Forest Service concerning projects and funding... discuss and vote on projects submitted for funding and the expenditure of Title II funds benefiting National Forest System lands in Nevada and Placer Counties. DATES: The meeting will be held Friday...

76 FR 53664 - Nevada and Placer Counties Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-29

... relationships and to provide advice and recommendations to the Forest Service concerning projects and funding... discuss and vote on projects submitted for funding and the expenditure of Title II funds benefiting National Forest System lands in Nevada and Placer Counties. DATES: The meeting will be held Tuesday...

A technical report on structural evaluation of the Meade County reinforced concrete bridge : research [summary].

DOT National Transportation Integrated Search

2009-01-01

Meade County Bridge is a two-lane highway reinforced concrete bridge with two girders each with 20 continuous spans. The bridge was built in 1965. It has been reported that in early years of the bridge service period, a considerable amount of cracks ...

Review of Procurement Practices in the Montgomery County Public Schools. Final Report.

ERIC Educational Resources Information Center

Touche Ross and Co., Washington, DC.

Following a management summary and introduction, chapters 3 and 4 of this report present findings and recommendations related to the Montgomery County, Maryland, Public Schools process of procuring supplies and equipment (food supplies, fuel oil, warehouse supplies, and maintenance parts) and contractual services (data processing maintenance,…

75 FR 4839 - Endangered and Threatened Wildlife and Plants; Permit, St. Lucie County, FL

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-29

...] Endangered and Threatened Wildlife and Plants; Permit, St. Lucie County, FL AGENCY: Fish and Wildlife Service...-jay) breeding, feeding, and sheltering habitat incidental to lot preparation for the construction of a...)) of Florida scrub-jay breeding, feeding and sheltering habitat incidental to land preparation for...

7 CFR 614.10 - Appeals before the Farm Service Agency county committee.

Code of Federal Regulations, 2010 CFR

2010-01-01

... section are completed, provide the FSA county committee with a written technical determination in the form... part 780, a participant may appeal a final technical determination or a program decision to the FSA... appeal requests review of the technical determination by the applicable State Conservationist prior to...

76 FR 56191 - Notice of Application; ANR Pipeline Company

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-12

... Project (MRP), comprised of a new 6,300 horsepower compressor station in Portage County, Wisconsin, all as... TTY, (202) 502-8659. Located in Portage County, Wisconsin, north of Stevens Point, Wisconsin, the MRP... service commitments of ANR's shippers in Wisconsin. ANR states that the MRP will increase the reliability...

31 CFR 215.1 - Scope of part.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE WITHHOLDING OF DISTRICT OF COLUMBIA, STATE, CITY AND... Columbia), cities or counties for withholding of State, city or county income or employment taxes from the... prescribes the procedures to be followed in entering into an agreement for the withholding of State, city or...

31 CFR 215.1 - Scope of part.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE WITHHOLDING OF DISTRICT OF COLUMBIA, STATE, CITY AND... Columbia), cities or counties for withholding of State, city or county income or employment taxes from the... prescribes the procedures to be followed in entering into an agreement for the withholding of State, city or...

76 FR 28415 - Fresno County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-17

... items to be covered include: (1) Accept new project proposals and (2) Review progress and monitoring... Service, USDA. ACTION: Notice of meeting. SUMMARY: The Fresno County Resource Advisory Committee will be meeting in Prather, California, June 29, 2011 and July 27, 2011. The purpose of these meetings will be to...

Certification Manual for Wisconsin Public Library Directors.

ERIC Educational Resources Information Center

Wisconsin State Dept. of Public Instruction, Madison.

This manual is intended to serve as a guide for public library directors and boards of trustees in meeting the requirements of Wisconsin's public librarian certification law which requires certification for administrators of public library systems, county libraries, county library services, and municipal public libraries. The manual contains the…

Optimum bus system and water transportation study : staff report to the Board of Directors of Marin County Transit District

DOT National Transportation Integrated Search

1969-08-01

Describes an optimum bus system replacing existing Greyhound service and designed primarily for the purpose of meeting commuter travel demands in the San Francisco-Marin corridor as well as intra-county travel, and mid-day and weekend trips between M...

Ride through SaFIRES : lessons learned from SaFIRES - an APTS operational test in Prince William County, Virginia.

DOT National Transportation Integrated Search

2002-06-01

This interim report documents the lessons learned to date from the Smart Flex-route Integrated Real-time Enhancement System (SaFIRES) operational test in Prince William County, Virginia. This route deviation service has proven to be popular with Coun...