EAP: Employee Assistance Programs in the Public Schools. Reference & Resource Series.

ERIC Educational Resources Information Center

Hacker, Carol

Employee assistance programs (EAP's) have been set up by many businesses and organizations to help employees resolve their personal problems so they can maintain or resume an acceptable job performance level. So far, only a few public school districts have considered or implemented such programs. This monograph examines EAP's in general and…

Characteristics of School Districts That Participate in Rigorous National Educational Evaluations

PubMed Central

Stuart, Elizabeth A.; Bell, Stephen H.; Ebnesajjad, Cyrus; Olsen, Robert B.; Orr, Larry L.

2017-01-01

Given increasing interest in evidence-based policy, there is growing attention to how well the results from rigorous program evaluations may inform policy decisions. However, little attention has been paid to documenting the characteristics of schools or districts that participate in rigorous educational evaluations, and how they compare to potential target populations for the interventions that were evaluated. Utilizing a list of the actual districts that participated in 11 large-scale rigorous educational evaluations, we compare those districts to several different target populations of districts that could potentially be affected by policy decisions regarding the interventions under study. We find that school districts that participated in the 11 rigorous educational evaluations differ from the interventions’ target populations in several ways, including size, student performance on state assessments, and location (urban/rural). These findings raise questions about whether, as currently implemented, the results from rigorous impact studies in education are likely to generalize to the larger set of school districts—and thus schools and students—of potential interest to policymakers, and how we can improve our study designs to retain strong internal validity while also enhancing external validity. PMID:29276552

The Influence of Inclusion on the Academic Performance of General Education Students on the New Jersey Assessment of Skills and Knowledge in Grades 6, 7, and 8

ERIC Educational Resources Information Center

Robinson, Christie M.; Babo, Gerard

2014-01-01

This study examined the influence of student demographic variables (i.e., SES, race, attendance, and gender) and the school variable of placement in an inclusion setting on the academic achievement of general education students in grades 6, 7, and 8 (n = 1200) in an urban school district as measured by the 2010-2011 NJASK, the state's annual…

Little Things Count: Principal and New Teacher Feedback about District Support in the Hiring Process

ERIC Educational Resources Information Center

Mac Iver, Martha Abele

2006-01-01

This study examines the role of district central offices in recruiting and hiring teachers and principals in an urban setting. Findings indicate many district human resources offices, particularly in urban settings, often lose quality candidates to suburban districts whose HR offices are better organized and pay closer attention to managing…

[Jennings Randolph Forum (3rd, Washington, District of Columbia, May 20-22, 1984).

ERIC Educational Resources Information Center

CAC Citizenship Education News, 1984

1984-01-01

This overview of the third annual Jennings Randolph Forum focuses on the role that election campaigns and the political process are capable of playing in citizenship education. Council for the Advancement of Citizenship (CAC) testimony on citizenship education follows a general overview of the conference proceedings. A set of mandates for…

New York State School Bus Driver Instructional Program for Transporting Students with Handicapping Conditions. Basic Unit V (Revised).

ERIC Educational Resources Information Center

New York State Education Dept., Albany. Div. of Educational Management Services.

Intended to be used as part of the existing school bus driver training program in New York State, the guide sets forth responsibilities and suggestions for transporting students with handicapping conditions. School district and BOCES (Board of Cooperative Educational Services) responsibilities for transportation are outlined. General guidelines…

The Academic Achievement Rate of Students with Disabilities in a Co-Teaching Setting on End-of-Course Algebra Exams

ERIC Educational Resources Information Center

Randolph, Cassandra Jones

2017-01-01

The passing of the Education for All Handicapped Children Act---later renamed the Individuals With Disabilities Education Act---mandated that schools and districts ensure that all available education services were comparable between students with disabilities and general education students. This mandate led to students with disabilities and…

Paediatric dental general anaesthesia rates and dental caries regionally and in districts in the former north western region.

PubMed

Jones, C; Taylor, G; Morrant, A; Cook, G

1998-09-01

To chart paediatric dental general anaesthesia activity following implementation of the Poswillo Report recommendations and to characterise the relationship between dmft/DMFT and rates of paediatric dental general anaesthesia. An ecological study, using results of the NHS dental epidemiological surveys and routine NHS activity data. The general, community and hospital dental services. Former regional and district health authorities' residents. Correlations between the regional and district rates of dental general anaesthesia and dmft/DMFT from the NHS dental epidemiology surveys. About half of all paediatric dental general anaesthetics are carried out in the General Dental Service. There were significant correlations between regional mean dmft/DMFT and under 18 combined dental general anaesthesia rates in 1991/2 and 1992/3. In the North West Region there were significant correlations between 0-4-year-old district dental general anaesthesia rates and dmft of 5-year-old children in 1989/90 (r = 0.45, P < 0.05) and 0-17-year-old district dental general anaesthesia rates and 12-year-old DMFT (r = 0.49, P < 0.05) in 1992/3. The number of paediatric dental general anaesthetics provided since the Poswillo Report was implemented (1991) has increased in the last two years (1993/4 and 1994/5). District rates of dental general anaesthesia bore little relation to dental need as measured by dmft/DMFT, except in 1989/90 for 5-year-old children and in 1992/3 for 12-year-old children. This suggests dental general anaesthesia is not provided in response to dental needs at a district health authority level.

Achieving Competitive Advantage in Human Resource Management in General School District of Riyadh in Saudi Arabia

ERIC Educational Resources Information Center

Al dakeel, Taghreed M.; Almannie, Mohamed A.

2015-01-01

The general school district of Riyadh is one of largest in the country of (45) school districts in Saudi Arabia. The school districts play an important roles in the development of education, therefore the objective of the study is to examine the roles of the management in the school districts to see if it is achieving competitive advantage. After…

Relationships between lung cancer incidences and air pollutants.

PubMed

Yue, Shihong; Wang, Yaru; Wang, Jianpei; Chen, Jun

2017-07-20

Statistics on lung cancer incidences and air pollutants show a strong correlation between air pollutant concentrations and pulmonary diseases. And environmental effects on lung cancer incidences remain highly unknown and uncertain in China. This study aims to measure the relationships between different air pollutants and lung cancer incidences in Tianjin. One thusand five hundred patients across 27 districts in Tianjin were studied for lung cancer incidences. The patients had come into contact with various air pollutants such as PM2.5, PM10, SO2, NO2, CO, and O3. These pollutants were measured daily and were published via a Geographic Information System across the 27 districts of Tianjin. The air pollutant compositions of environments the patients lived in were determined using the nearest air monitoring station to the patient. And we used rough set theory to measure the relationships between different air pollutants and lung cancer incidences. Different air pollutants and combinations of pollutants impacted lung cancer incidences differently across different districts, sexes, and lung cancer types in Tianjin. Based on data analysis and interpretation, rough set theory provided data relationships that were objective and interpretable. The method is simple, general, and efficient, and lays the foundation for further applications in other cities.

Cost of delivering secondary-level health care services through public sector district hospitals in India

PubMed Central

Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

2017-01-01

Background & objectives: Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Methods: Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. Results: The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was 844 (USD 15.5), i; 3481 (USD 64) and 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was 139 (USD 2.5). Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India. PMID:29355142

ADULT EDUCATION AND THE ADOPTION OF INNOVATIONS BY ORCHARDISTS IN THE OKANAGAN VALLEY OF BRITISH COLUMBIA.

ERIC Educational Resources Information Center

MILLERD, FRANK W.; VERNER, COOLIE

THIS STUDY ANALYZED THE GENERAL BEHAVIOR OF ORCHARDISTS IN THE OKANAGAN VALLEY, BRITISH COLUMBIA, AND THE FACTORS RELATED TO ADOPTION OF INNOVATIONS IN THIS SETTING. FIVE PERCENT SAMPLES WERE DRAWN FROM 19 DISTRICTS CONSISTING OF 2,721 ORCHARDS, AND DATA WERE GATHERED BY RESIDENT AGRICULTURISTS. THE DATA WERE ANALYZED BY STAGE IN THE ADOPTION…

Comparing the performance of cluster random sampling and integrated threshold mapping for targeting trachoma control, using computer simulation.

PubMed

Smith, Jennifer L; Sturrock, Hugh J W; Olives, Casey; Solomon, Anthony W; Brooker, Simon J

2013-01-01

Implementation of trachoma control strategies requires reliable district-level estimates of trachomatous inflammation-follicular (TF), generally collected using the recommended gold-standard cluster randomized surveys (CRS). Integrated Threshold Mapping (ITM) has been proposed as an integrated and cost-effective means of rapidly surveying trachoma in order to classify districts according to treatment thresholds. ITM differs from CRS in a number of important ways, including the use of a school-based sampling platform for children aged 1-9 and a different age distribution of participants. This study uses computerised sampling simulations to compare the performance of these survey designs and evaluate the impact of varying key parameters. Realistic pseudo gold standard data for 100 districts were generated that maintained the relative risk of disease between important sub-groups and incorporated empirical estimates of disease clustering at the household, village and district level. To simulate the different sampling approaches, 20 clusters were selected from each district, with individuals sampled according to the protocol for ITM and CRS. Results showed that ITM generally under-estimated the true prevalence of TF over a range of epidemiological settings and introduced more district misclassification according to treatment thresholds than did CRS. However, the extent of underestimation and resulting misclassification was found to be dependent on three main factors: (i) the district prevalence of TF; (ii) the relative risk of TF between enrolled and non-enrolled children within clusters; and (iii) the enrollment rate in schools. Although in some contexts the two methodologies may be equivalent, ITM can introduce a bias-dependent shift as prevalence of TF increases, resulting in a greater risk of misclassification around treatment thresholds. In addition to strengthening the evidence base around choice of trachoma survey methodologies, this study illustrates the use of a simulated approach in addressing operational research questions for trachoma but also other NTDs.

Cost and cost-effectiveness of nationwide school-based helminth control in Uganda

PubMed Central

BROOKER, SIMON; KABATEREINE, NARCIS B; FLEMING, FIONA; DEVLIN, NANCY

2009-01-01

Estimates of cost and cost-effectiveness are typically based on a limited number of small-scale studies with no investigation of the existence of economies to scale or intra-country variation in cost and cost-effectiveness. This information gap hinders the efficient allocation of health care resources and the ability to generalize estimates to other settings. The current study investigates the intra-country variation in the cost and cost-effectiveness of nationwide school-based treatment of helminth (worm) infection in Uganda. Programme cost data were collected through semi-structured interviews with districts officials and from accounting records in six of the 23 intervention districts. Both financial and economic costs were assessed. Costs were estimated on the basis of cost in US$ per schoolchild treated and an incremental cost effectiveness ratio (cost in US$ per case of anaemia averted) was used to evaluate programme cost-effectiveness. Sensitivity analysis was performed to assess the effect of discount rate and drug price. The overall economic cost per child treated in the six districts was US$ 0.54 and the cost-effectiveness was US$ 3.19 per case of anaemia averted. Analysis indicated that estimates of both cost and cost-effectiveness differ markedly with the total number of children which received treatment, indicating economies of scale. There was also substantial variation between districts in the cost per individual treated (US$ 0.41-0.91) and cost per anaemia case averted (US$ 1.70-9.51). Independent variables were shown to be statistically associated with both sets of estimates. This study highlights the potential bias in transferring data across settings without understanding the nature of observed variations. PMID:18024966

Decentralized health care priority-setting in Tanzania: evaluating against the accountability for reasonableness framework.

PubMed

Maluka, Stephen; Kamuzora, Peter; San Sebastiån, Miguel; Byskov, Jens; Olsen, Øystein E; Shayo, Elizabeth; Ndawi, Benedict; Hurtig, Anna-Karin

2010-08-01

Priority-setting has become one of the biggest challenges faced by health decision-makers worldwide. Fairness is a key goal of priority-setting and Accountability for Reasonableness has emerged as a guiding framework for fair priority-setting. This paper describes the processes of setting health care priorities in Mbarali district, Tanzania, and evaluates the descriptions against Accountability for Reasonableness. Key informant interviews were conducted with district health managers, local government officials and other stakeholders using a semi-structured interview guide. Relevant documents were also gathered and group priority-setting in the district was observed. The results indicate that, while Tanzania has a decentralized public health care system, the reality of the district level priority-setting process was that it was not nearly as participatory as the official guidelines suggest it should have been. Priority-setting usually occurred in the context of budget cycles and the process was driven by historical allocation. Stakeholders' involvement in the process was minimal. Decisions (but not the reasoning behind them) were publicized through circulars and notice boards, but there were no formal mechanisms in place to ensure that this information reached the public. There were neither formal mechanisms for challenging decisions nor an adequate enforcement mechanism to ensure that decisions were made in a fair and equitable manner. Therefore, priority-setting in Mbarali district did not satisfy all four conditions of Accountability for Reasonableness; namely relevance, publicity, appeals and revision, and enforcement. This paper aims to make two important contributions to this problematic situation. First, it provides empirical analysis of priority-setting at the district level in the contexts of low-income countries. Second, it provides guidance to decision-makers on how to improve fairness, legitimacy, and sustainability of the priority-setting process. (c) 2010 Elsevier Ltd. All rights reserved.

[Computerized monitoring for integrated cervical screening. Rationale, methods and indicators of participation].

PubMed

Bucchi, L; Pierri, C; Caprara, L; Cortecchia, S; De Lillo, M; Bondi, A

2003-02-01

This paper presents a computerised system for the monitoring of integrated cervical screening, i.e. the integration of spontaneous Pap smear practice into organised screening. The general characteristics of the system are described, including background and rationale (integrated cervical screening in European countries, impact of integration on monitoring, decentralised organization of screening and levels of monitoring), general methods (definitions, sections, software description, and setting of application), and indicators of participation (distribution by time interval since previous Pap smear, distribution by screening sector--organised screening centres vs public and private clinical settings--, distribution by time interval between the last two Pap smears, and movement of women between the two screening sectors). Also, the paper reports the results of the application of these indicators in the general database of the Pathology Department of Imola Health District in northern Italy.

Using Collaborative Planning and Teaching Practices to Improve the Academic Achievement of Students with Disabilities: A Case Study of Inclusive Classrooms in Two Schools

ERIC Educational Resources Information Center

Terranoud, Timothy Gerard

2010-01-01

This study examines the collaborative practices between three sets of special education and English/Language Arts teachers involved in the co-teaching of inclusive classrooms--classrooms consisting of both general education and special education students (SWDs). The study took place in two middle schools in two different school districts in New…

General topographic view of Lakeview Historic District, view looking south ...

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

General topographic view of Lakeview Historic District, view looking south on G Street toward intersection of G and Center Streets - Lakeview Downtown Historic District, E, F & G Streets between Second Street North & First Street South, Lakeview, Lake County, OR

Typology of alcohol consumers in five Australian nighttime entertainment districts.

PubMed

Peacock, Amy; Norman, Thomas; Bruno, Raimondo; Pennay, Amy; Droste, Nicolas; Jenkinson, Rebecca; Quinn, Brendan; Lubman, Dan I; Miller, Peter

2016-09-01

Understanding how types of alcohol consumers differ is important for public policy targeted at reducing adverse events. The aims of the present study were to identify typologies of alcohol consumers in Australian nighttime entertainment districts based on risk factors for harm and to examine variation between the identified groups in drinking setting and harms. Street-intercept surveys were conducted with 5556 alcohol consumers in and around licensed venues in five Australian cities between November 2011 and June 2012. Latent class analysis identified groups based on age and sex, and blood alcohol concentration, pre-drinking, energy drink use and illicit drug use during that night. Four classes were identified: general patron group (33%), young pre-drinker group (27%), intoxicated male pre-drinker group (31%) and intoxicated illicit drug male group (9%). The proportion of the general patron group interviewed decreased over the night, while the other groups increased (particularly in regional cities). As compared with the general patron group, the remaining three groups reported increased odds of being involved in aggression and any alcohol-related injuries in the past 3 months, with highest rates of harm amongst the intoxicated illicit drug male group. Alcohol consumers in nighttime entertainment districts are not a homogeneous group. One-third have a low likelihood of risky consumption practices; however, representation of this consumer class diminishes throughout the night. Elevated harms amongst groups characterised by certain risk factors (e.g. pre-drinking and illicit drug use) emphasise the importance of addressing these behaviours in public policy. [Peacock A, Norman T, Bruno B, Pennay, Droste N, Jenkinson R, Quinn B, Lubman DI, Miller P. Typology of alcohol consumers in five Australian nighttime entertainment districts. Drug Alcohol Rev 2016;35:539-548]. © 2015 Australasian Professional Society on Alcohol and other Drugs.

Trust, but Verify: Standard Setting That Honors and Validates Professional Teacher Judgment. Subtitle: A Tenuous Titanic Tale of Testy Testing and Titillating Touchstones (A Screen Play with an Unknown Number of Acts).

ERIC Educational Resources Information Center

Matter, M. Kevin

The Cherry Creek School district (Englewood, Colorado) is a growing district of 37,000 students in the Denver area. The 1988 Colorado State School Finance Act required district-set proficiencies (standards), and forced agreement on a set of values for student knowledge and skills. State-adopted standards added additional requirements for the…

Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods.

PubMed

Odaga, John; Henriksson, Dorcus K; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K; Valadez, Joseph J

2016-01-01

Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting priority interventions for child survival.

Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods

PubMed Central

Odaga, John; Henriksson, Dorcus K.; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K.; Valadez, Joseph J.

2016-01-01

Background Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Design Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. Results All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. Conclusions In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting priority interventions for child survival. PMID:27225791

Goal Setting to Achieve Results

ERIC Educational Resources Information Center

Newman, Rich

2012-01-01

Both districts and individual schools have a very clear set of goals and skills for their students to achieve and master. In fact, except in rare cases, districts and schools develop very detailed goals they wish to pursue. In most cases, unfortunately, only the teachers and staff at a particular school or district-level office are aware of the…

Vital signs for vital people: an exploratory study into the role of the Healthcare Assistant in recognising, recording and responding to the acutely ill patient in the general ward setting.

PubMed

James, Jayne; Butler-Williams, Carole; Hunt, Julian; Cox, Helen

2010-07-01

To examine the contribution of the Healthcare Assistant (HCA) as the recogniser, responder and recorder of acutely ill patients within the general ward setting. Concerns have been highlighted regarding the recognition and management of the acutely ill patient within the general ward setting. The contribution of the HCA role to this process has been given limited attention. A postal survey of HCAs was piloted and conducted within two district general hospitals. Open and closed questions were used. Results suggest that on a regular basis HCAs are caring for acutely ill patients. Contextual issues and inaccuracies in some aspects of patient assessment were highlighted. It would appear normal communication channels and hierarchies were bypassed when patients' safety was of concern. Educational needs were identified including scenario-based learning and the importance of ensuring mandatory training is current. HCAs play a significant role in the detection and monitoring of acutely ill patients. Acknowledgement is needed of the contextual factors in the general ward setting which may influence the quality of this process. The educational needs identified by this study can assist managers to improve clinical supervision and educational input in order to improve the quality of care for acutely ill patients.

An Analysis of the Impact of the Public School District Food Service Director on the Development and Implementation of Food-Related Policies and Practices

ERIC Educational Resources Information Center

Mincher, Jeanine L.

2010-01-01

Since former Surgeon General David Satcher first identified childhood obesity as a threat to the nation's health in 2001, health professionals have investigated potential solutions. Venues in which to address this problem have also been explored. The school setting was identified by the Institute of Medicine as a viable location in which to…

The Influence of Placement in an Inclusive Classroom on the Academic Performance of Non-Disabled Eleventh Grade Students in a Suburban New Jersey School District

ERIC Educational Resources Information Center

Brown, Jocelyn Easley; Babo, Gerard

2017-01-01

The purpose of this study was to determine the influence, if any; assignment to an inclusive secondary language arts classroom setting has on the academic performance of grade 11 nondisabled general education students in two suburban New Jersey High Schools. Using a sampling process known as Propensity Score Matching (PSM), a statistical technique…

Low anastomotic leak rate after colorectal surgery: a single-centre study.

PubMed

Jones, O M; John, S K P; Horseman, N; Lawrance, R J; Fozard, J B J

2007-10-01

Anastomotic leak after colorectal surgery is a serious event associated with significant morbidity and mortality. There is little consensus regarding 'acceptable' rates of leakage, however. This study describes the experience of anastomotic leakage after both elective and emergency colorectal surgery in a district general hospital. A prospectively collected database of all patients with a diagnosis of colorectal cancer in a single hospital formed the basis of the study. Leak was defined as breakdown of the anastomosis contributing to death or requiring reoperation or reintervention. A total of 949 patients underwent surgery with an anastomosis between 1996 and 2004, including 331 patients treated with anterior resection. Anastomotic leaks requiring reoperation occurred in eight patients (0.8%). Thirty-day and in-hospital mortality was 4%. A very low rate of anastomotic leakage after colorectal surgery is possible in a district general hospital setting. Given the impact of anastomotic leakage on function, tumour recurrence and long-term survival, it should be considered as a marker of surgical quality when evaluating surgical performance.

Some insights into the relationship between urban air pollution and noise levels.

PubMed

Kim, Ki-Hyun; Ho, Duy Xuan; Brown, Richard J C; Oh, J-M; Park, Chan Goo; Ryu, In Cheol

2012-05-01

The relationship between noise and air pollution was investigated in eight different districts across Seoul, Korea, between September and November 2010. The noise levels in each district were measured at both roadside and non-roadside locations. It was found that the maximum levels of noise were generally at frequencies of around 1000 Hz. The equivalent noise levels (L(eq)), over all districts, averaged 61.4 ± 7.36 dB which is slightly lower than the noise guidelines set by the World Health Organization (WHO) of 70 dB for industrial, commercial, traffic, and outdoor areas. Comparison of L(eq) levels in each district consistently indicates that noise levels are higher at roadside sites than non-roadside sites. In addition the relative dominance of noise during daytime as compared to nighttime was also apparent. Moreover, the results of an analysis relating sound levels with air pollutant levels indicate strongly that the correlation between these two parameters is the strongest at roadside sites (relative to non-roadside sites) and during nighttime (relative to daytime). The results of our data analysis point to a positive, but complex, correlation between noise levels and air pollution. Copyright © 2012 Elsevier B.V. All rights reserved.

Variation in cervical and breast cancer screening coverage in England: a cross-sectional analysis to characterise districts with atypical behaviour

PubMed Central

Massat, Nathalie J; Douglas, Elaine; Waller, Jo; Wardle, Jane; Duffy, Stephen W

2015-01-01

Objectives Reducing cancer screening inequalities in England is a major focus of the 2011 Department of Health cancer outcome strategy. Screening coverage requires regular monitoring in order to implement targeted interventions where coverage is low. This study aimed to characterise districts with atypical coverage levels for cervical or breast screening. Design Observational study of district-level coverage in the English Cervical and Breast screening programmes in 2012. Setting England, UK. Participants All English women invited to participate in the cervical (age group 25–49 and 50–64) and breast (age group 50–64) screening programmes. Outcomes Risk adjustment models for coverage were developed based on district-level characteristics. Funnel plots of adjusted coverage were constructed, and atypical districts examined by correlation analysis. Results Variability in coverage was primarily explained by population factors, whereas general practice characteristics had little independent effect. Deprivation and ethnicity other than white, Asian, black or mixed were independently associated with poorer coverage in both screening programmes, with ethnicity having the strongest effect; by comparison, the influence of Asian, black or mixed ethnic minority was limited. Deprivation, ethnicity and urbanisation largely accounted for the lower cervical screening coverage in London. However, for breast screening, being located in London remained a strong negative predictor. A subset of districts was identified as having atypical coverage across programmes. Correlates of deprivation in districts with relatively low adjusted coverage were substantially different from overall correlates of deprivation. Discussion These results inform the continuing drive to reduce avoidable cancer deaths in England, and encourage implementation of targeted interventions in communities residing in districts identified as having atypically low coverage. Sequential implementation to monitor the impact of local interventions would help accrue evidence on ‘what works’. PMID:26209119

46 CFR 1.01-15 - Organization; Districts; National Maritime Center.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Organization; Districts; National Maritime Center. 1.01... General Flow of Functions § 1.01-15 Organization; Districts; National Maritime Center. (a) To assist the... navigation, vessel inspection and seaman laws in general. (c) The Commanding Officer of the National Maritime...

Feasibility study of geospatial mapping of chronic disease risk to inform public health commissioning

PubMed Central

Smith, Dianna; Mathur, Rohini; Robson, John; Greenhalgh, Trisha

2012-01-01

Objective To explore the feasibility of producing small-area geospatial maps of chronic disease risk for use by clinical commissioning groups and public health teams. Study design Cross-sectional geospatial analysis using routinely collected general practitioner electronic record data. Sample and setting Tower Hamlets, an inner-city district of London, UK, characterised by high socioeconomic and ethnic diversity and high prevalence of non-communicable diseases. Methods The authors used type 2 diabetes as an example. The data set was drawn from electronic general practice records on all non-diabetic individuals aged 25–79 years in the district (n=163 275). The authors used a validated instrument, QDScore, to calculate 10-year risk of developing type 2 diabetes. Using specialist mapping software (ArcGIS), the authors produced visualisations of how these data varied by lower and middle super output area across the district. The authors enhanced these maps with information on examples of locality-based social determinants of health (population density, fast food outlets and green spaces). Data were piloted as three types of geospatial map (basic, heat and ring). The authors noted practical, technical and information governance challenges involved in producing the maps. Results Usable data were obtained on 96.2% of all records. One in 11 adults in our cohort was at ‘high risk’ of developing type 2 diabetes with a 20% or more 10-year risk. Small-area geospatial mapping illustrated ‘hot spots’ where up to 17.3% of all adults were at high risk of developing type 2 diabetes. Ring maps allowed visualisation of high risk for type 2 diabetes by locality alongside putative social determinants in the same locality. The task of downloading, cleaning and mapping data from electronic general practice records posed some technical challenges, and judgement was required to group data at an appropriate geographical level. Information governance issues were time consuming and required local and national consultation and agreement. Conclusions Producing small-area geospatial maps of diabetes risk calculated from general practice electronic record data across a district-wide population was feasible but not straightforward. Geovisualisation of epidemiological and environmental data, made possible by interdisciplinary links between public health clinicians and human geographers, allows presentation of findings in a way that is both accessible and engaging, hence potentially of value to commissioners and policymakers. Impact studies are needed of how maps of chronic disease risk might be used in public health and urban planning. PMID:22337817

Detection of Anaplasma phagocytophilum DNA in Ixodes Ticks (Acari: Ixodidae) from Madeira Island and Setúbal District, Mainland Portugal

PubMed Central

Santos-Silva, Maria Margarida; Almeida, Victor Carlos; Bacellar, Fátima; Dumler, John Stephen

2004-01-01

A total of 278 Ixodes ticks, collected from Madeira Island and Setúbal District, mainland Portugal, were examined by polymerase chain reaction (PCR) for the presence of Anaplasma phagocytophilum. Six (4%) of 142 Ixodes ricinus nymphs collected in Madeira Island and 1 nymph and 1 male (2%) of 93 I. ventalloi collected in Setúbal District tested positive for A. phagocytophilum msp2 genes or rrs. Infection was not detected among 43 I. ricinus on mainland Portugal. All PCR products were confirmed by nucleotide sequencing to be identical or to be most closely related to A. phagocytophilum. To our knowledge, this is the first evidence of A. phagocytophilum in ticks from Setúbal District, mainland Portugal, and the first documentation of Anaplasma infection in I. ventalloi. Moreover, these findings confirm the persistence of A. phagocytophilum in Madeira Island's I. ricinus. PMID:15498168

Texas ports and navigation districts : overview.

DOT National Transportation Integrated Search

2017-01-01

The first Navigation District was established in 1909, and there are now 24 Navigation Districts statewide.1 Navigation districts generally provide for the construction and improvement of waterways in Texas for the purpose of navigation. The creation...

Survey of Emergency and Essential Surgical, Obstetric and Anaesthetic Services Available in Bangladeshi Government Health Facilities.

PubMed

Loveday, Jonathan; Sachdev, Sonal P; Cherian, Meena N; Katayama, Francisco; Akhtaruzzaman, A K M; Thomas, Joe; Huda, N; Faragher, E Brian; Johnson, Walter D

2017-07-01

Evaluate the capacity of government-run hospitals in Bangladesh to provide emergency and essential surgical, obstetric and anaesthetic services. Cross-sectional survey of 240 Bangladeshi Government healthcare facilities using the World Health Organisation Situational Analysis Tool to Assess Emergency and Essential Surgical Care (SAT). This tool evaluates the ability of a healthcare facility to provide basic surgical, obstetric and anaesthetic care based on 108 queries that detail the infrastructure and population demographics, human resources, surgical interventions and reason for referral, and available surgical equipment and supplies. For this survey, the Bangladeshi Ministry of Health sent the SAT to sub-district, district/general and teaching hospitals throughout the country in April 2013. Responses were received from 240 healthcare facilities (49.5% response rate): 218 sub-district and 22 district/general hospitals. At the sub-district level, caesarean section was offered by 55% of facilities, laparotomy by 7% and open fracture repair by 8%. At the district/general hospital level, 95% offered caesarean section, 86% offered laparotomy and 77% offered open fracture treatment. Availability of anaesthesia services, general equipment and supplies reflected this trend, where district/general hospitals were better equipped than sub-district hospitals, though equipment and infrastructure shortages persist. There has been overall impressive progress by the Bangladeshi Government in providing essential surgical services. Areas for improvement remain across all key areas, including infrastructure, human resources, surgical interventions offered and available equipment. Investment in surgical services offers a cost-effective opportunity to continue to improve the health of the Bangladeshi population and move the country towards universal healthcare coverage.

Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania

PubMed Central

Maluka, Stephen Oswald

2011-01-01

Health care systems are faced with the challenge of resource scarcity and have insufficient resources to respond to all health problems and target groups simultaneously. Hence, priority setting is an inevitable aspect of every health system. However, priority setting is complex and difficult because the process is frequently influenced by political, institutional and managerial factors that are not considered by conventional priority-setting tools. In a five-year EU-supported project, which started in 2006, ways of strengthening fairness and accountability in priority setting in district health management were studied. This review is based on a PhD thesis that aimed to analyse health care organisation and management systems, and explore the potential and challenges of implementing Accountability for Reasonableness (A4R) approach to priority setting in Tanzania. A qualitative case study in Mbarali district formed the basis of exploring the sociopolitical and institutional contexts within which health care decision making takes place. The study also explores how the A4R intervention was shaped, enabled and constrained by the contexts. Key informant interviews were conducted. Relevant documents were also gathered and group priority-setting processes in the district were observed. The study revealed that, despite the obvious national rhetoric on decentralisation, actual practice in the district involved little community participation. The assumption that devolution to local government promotes transparency, accountability and community participation, is far from reality. The study also found that while the A4R approach was perceived to be helpful in strengthening transparency, accountability and stakeholder engagement, integrating the innovation into the district health system was challenging. This study underscores the idea that greater involvement and accountability among local actors may increase the legitimacy and fairness of priority-setting decisions. A broader and more detailed analysis of health system elements, and socio-cultural context is imperative in fostering sustainability. Additionally, the study stresses the need to deal with power asymmetries among various actors in priority-setting contexts. PMID:22072991

Patient satisfaction at accredited antiretroviral treatment sites in the Gert Sibande District

PubMed Central

Ogunsanwo, Damilola A.; Helberg, Elvera A.

2014-01-01

Background Patient satisfaction has been used as a significant indicator of quality services provided by healthcare personnel. With the largest antiretroviral therapy (ART) programme in the world, the healthcare industry is struggling increasingly with challenges of meeting patients’ requirements and expectations for quality ART service provision. This study was conducted in order to identify the importance of factors contributing to satisfaction or dissatisfaction. Aim This study sought to explore and describe the general satisfaction or dissatisfaction of patients with accredited ART hospital sites at public health facilities in the Gert Sibande District, Mpumalanga and to identify factors contributing to either satisfaction or dissatisfaction. Setting Six hospitals that initiated ART in the district, participated in the study. Method The study was conducted using a sample of 300 patients. Proportional random sampling was used in selecting the number of patients from each facility. A structured interview with each participating patient was conducted using a standardised structured questionnaire. The first available required number of patients that complied with requirements from each of the six hospitals was selected for the interview. Descriptive statistics were used to analyse data and data with qualitative aspects were captured and categorised manually. Results The major factors contributing to satisfaction included the availability of medicines and knowledge regarding how to take medication. Factors contributing to dissatisfaction on the part of the patients included confidentiality issues, long waiting periods, shortage of staff and dirty toilets. Conclusion This study indicated general satisfaction with the ART-related services at the accredited ART hospital sites in the Gert Sibande District. Regular monitoring and evaluation are recommended. PMID:26245422

General paediatric surgery for patients aged under 5 years: a 5-year experience at a district general hospital.

PubMed

Kwok, C-S; Gordon, A C

2016-09-01

Introduction The gradual shift of general paediatric surgery (GPS) provision from district general hospitals (DGH) to specialised units is well recognised in the UK. The consequences of centralisation include a reduction in exposure to GPS for current surgical trainees. The GPS practice of a DGH is examined here. Methods All operations performed on children aged under 5 years over a 5-year period were identified using the local electronic operation database. Electronic hospital records and clinic letters were accessed to collect data on demographics, operations performed and outcome measures. Results 472 GPS operations were performed on children between the age of 22 days and 5 years between 2009 and 2014, of which 43 were on an emergency basis and 105 were performed on patients aged less than 1 year. Three patients were admitted following day case surgery. Six patients were readmitted within 30 days. Complication rates for all procedures and the four most common procedures were similar to those found in published literature. Conclusions GPS for patients aged less than 5 years is comparatively safe in the DGH setting. The training opportunities available at DGHs are invaluable to surgical trainees and vital for sustaining the future provision of GPS by such hospitals.

The Creative Cost Management Strategies of Two School Districts.

ERIC Educational Resources Information Center

Pheasant, Marilyn

1984-01-01

Two Oregon schools districts that have been effective in managing their resources are Reedsport, a smaller district and the subject of part 1 of this bulletin; and Beaverton, one of the largest districts in the state, the focus of part 2. The Reedsport district plans the use of its funds based on a goal-setting process in the areas of instruction,…

Spatiotemporal database of US congressional elections, 1896–2014

PubMed Central

Wolf, Levi John

2017-01-01

High-quality historical data about US Congressional elections has long provided common ground for electoral studies. However, advances in geographic information science have recently made it efficient to compile, distribute, and analyze large spatio-temporal data sets on the structure of US Congressional districts. A single spatio-temporal data set that relates US Congressional election results to the spatial extent of the constituencies has not yet been developed. To address this, existing high-quality data sets of elections returns were combined with a spatiotemporal data set on Congressional district boundaries to generate a new spatio-temporal database of US Congressional election results that are explicitly linked to the geospatial data about the districts themselves. PMID:28809849

Using pathology-specific laboratory profiles in Clinical Pathology to reduce inappropriate test requesting: two completed audit cycles

PubMed Central

2012-01-01

Background Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo né Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Methods Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo nè Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs’ request forms. Results Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (p < 0.001); 2) the provisional diagnosis on the request forms was 52.8% in the trial district and 42% in the control district (P < 0.001); 3) the decrease of the number of tests on each request form was much more marked in the trial district (8.73 vs. 10.77; p < 0.001). Conclusions The first audit cycle showed a significant decrease in the number of tests ordered only in the trial district. The combined strategy used in this study improved the prescriptive compliance of most of the GPs involved. The presence of the clinical pathologist is seen as an added value. PMID:22759353

Using pathology-specific laboratory profiles in clinical pathology to reduce inappropriate test requesting: two completed audit cycles.

PubMed

Baricchi, Roberto; Zini, Michele; Nibali, Maria Grazia; Vezzosi, Walter; Insegnante, Vincenzo; Manfuso, Clotilde; Polese, Alessandra; Costoli, Valmer; Spelti, Antonio; Formisano, Debora; Orlandini, Danilo; Nicolini, Fausto; Poli, Antonio

2012-07-03

Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo né Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo nè Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs' request forms. Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (p < 0.001); 2) the provisional diagnosis on the request forms was 52.8% in the trial district and 42% in the control district (P < 0.001); 3) the decrease of the number of tests on each request form was much more marked in the trial district (8.73 vs. 10.77; p < 0.001). The first audit cycle showed a significant decrease in the number of tests ordered only in the trial district. The combined strategy used in this study improved the prescriptive compliance of most of the GPs involved. The presence of the clinical pathologist is seen as an added value.

Inside story on the legal challenge to EPA`s municipal waste combustor rule: The mouse that roared, Round 1

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

Jenkins, L.S.

1997-12-01

An article in the Deseret News, one of two general circulation newspapers in Salt Lake City, Utah, dated December 13, 1996, reported that {open_quotes}David{close_quotes} took on {open_quotes}Goliath{close_quotes} and won. The article referred to the Davis County Solid Waste Management and Energy Recovery Special Service District`s (the {open_quotes}District{close_quotes}) victory on its challenge to the EPA`s municipal waste combustor rules. On December 6, 1996, the United States Court of Appeals for the District of Columbia Circuit ruled that the EPA violated the plain language of Section 129 of the Clean Air Act, when it wrote size categories for municipal waste combustors ({open_quotes}MWCs{close_quotes})more » based on aggregate plant capacity, rather than unit capacity. The District argued that Congress divided the universe of MWC units into two categories: those with unit capacities above 250 tons per day, and those with unit capacities equal to or less than 250 tons per day. The EPA, however, had set the dividing line at 248 tons per day aggregate plant capacity in its municipal waste combustor rule. The Court said this was wrong. The Deseret News report certainly echoed the feelings of the District. Those of you familiar with the EPA, the process of judicial review of administrative rule making, and the Biblical story of David and Goliath, however, will quickly see that this is not the best metaphor to describe what happened. When David slew Goliath, that was the end of Goliath. He didn`t get back up. Of course, that will not happen to the EPA in the Davis County case. Like an 800-pound gorilla, it will always get back up after being challenged by a mouse. This paper tells the story of the challenge to the MWC rule from the District`s perspective. The District has not been popular with either the EPA or many industry players. But, the District was faced with a real problem that, given the District`s location and the local economy, forced its hand in this case.« less

20 CFR 725.401 - Claims development-general.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Claims development-general. 725.401 Section 725.401 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR FEDERAL COAL MINE... development—general. After a claim has been received by the district director, the district director shall...

20 CFR 725.401 - Claims development-general.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Claims development-general. 725.401 Section 725.401 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL COAL... Claims development—general. After a claim has been received by the district director, the district...

46 CFR 50.10-5 - Coast Guard District Commander or District Commander.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 2 2010-10-01 2010-10-01 false Coast Guard District Commander or District Commander. 50.10-5 Section 50.10-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 50.10-5 Coast Guard District...

Link Data to Learning Goals: Common District Assessments Connect Teaching Effectiveness to Student Performance

ERIC Educational Resources Information Center

Psencik, Kay; Baldwin, Rhonda

2012-01-01

In 2010, district leaders of Douglas County Public Schools, Douglasville, Georgia, launched an ambitious initiative to ensure that teachers set goals that focus on increasing their effectiveness and show student growth. To achieve this goal, the district leadership team focused on common district assessments to establish common learning…

Teacher Trust in District Administration: A Promising Line of Inquiry

ERIC Educational Resources Information Center

Adams, Curt M.; Miskell, Ryan C.

2016-01-01

Purpose: We set out in this study to establish a foundation for a line of inquiry around teacher trust in district administration by (1) describing the role of trust in capacity building, (2) conceptualizing trust in district administration, (3) developing a scale to measure teacher trust in district administration, and (4) testing the…

Ensuring patient safety when implementing a new diagnostic pathway for thyroid nodules.

PubMed

Brimioulle, M; Al-Lami, A; Marzouk, S; Emerson, H; Balfour, A; Dhar, V; Nixon, I J

2018-05-01

Introduction The aim of this study was to determine whether ultrasound alone is sufficient to safely exclude malignancy in thyroid nodules in a district general hospital setting, to comply with the latest British Thyroid Association guidelines. Methods This retrospective study investigated the quality of ultrasound reporting and the correlation between ultrasound report and histology for individual thyroid nodules. Cases were selected from the thyroid multidisciplinary meeting and included all patients having undergone surgery for a thyroid malignancy in a one-year period. Results Forty-seven patients were included in the study. Ultrasound reports were reviewed and assessed, in which 21 clinicians were involved; 36% of scans included a summary of whether the nodule(s) overall appeared benign, equivocal, suspicious or malignant; 4% of reports included a U classification; 81% of reports commented on cervical lymph nodes. Ultrasound was compared with histology. The sensitivity of ultrasound in correctly identifying nodules requiring further investigation was of 56% and specificity was 81%. Positive predictive value was 81% and negative predictive value was 56%. Discussion These findings suggest that, in a district general hospital setting without a dedicated head and neck radiologist, using only ultrasound and limiting fine-needle aspiration cytology to identify suspicious nodules may not be safe, as a high number of nodules appearing benign on ultrasound may ultimately prove to be malignant.

Overhauling and Regulating Schools Set Up by Migrants: The Reason for Overhaul

ERIC Educational Resources Information Center

Jianzhong, Ding

2004-01-01

The article presents information on overhauling and regulating schools set up by migrants in the Pudong New District of China. As the number of migrants has risen sharply in the Pudong New District in recent years, so has the number of migrant children. An overall investigation of the fifty-nine schools set up by migrants was conducted and the…

Determination of heavy metals concentrations in airborne particulates matter (APM) from Manjung district, Perak using energy dispersive X-ray fluorescence (EDXRF) spectrometer

NASA Astrophysics Data System (ADS)

Arshad, Nursyairah; Hamzah, Zaini; Wood, Ab. Khalik; Saat, Ahmad; Alias, Masitah

2015-04-01

Airborne particulates trace metals are considered as public health concern as it can enter human lungs through respiratory system. Generally, any substance that has been introduced to the atmosphere that can cause severe effects to living things and the environment is considered air pollution. Manjung, Perak is one of the development districts that is active with industrial activities. There are many industrial activities surrounding Manjung District area such as coal fired power plant, quarries and iron smelting which may contribute to the air pollution into the environment. This study was done to measure the concentrations of Hg, U, Th, K, Cu, Fe, Cr, Zn, As, Se, Pb and Cd in the Airborne Particulate Matter (APM) collected at nine locations in Manjung District area within 15 km radius towards three directions (North, North-East and South-East) in 5 km intervals. The samples were collected using mini volume air sampler with cellulose filter through total suspended particulate (TSP). The sampler was set up for eight hours with the flow rate of 5 L/min. The filter was weighed before and after sample collection using microbalance, to get the amount of APM and kept in desiccator before analyzing. The measurement was done using calibrated Energy Dispersive X-Ray Fluorescence (EDXRF) Spectrometer. The air particulate concentrations were found below the Malaysia Air Quality Guidelines for TSP (260 µg/m3). All of the metals concentrations were also lower than the guidelines set by World Health Organization (WHO), Ontario Ministry of the Environment and Argonne National Laboratory, USA NCRP (1975). From the concentrations, the enrichment factor were calculated.

Management of spontaneous pneumothorax compared to British Thoracic Society (BTS) 2003 guidelines: a district general hospital audit.

PubMed

Medford, Andrew Rl; Pepperell, Justin Ct

2007-10-01

In 1993, the British Thoracic Society (BTS) issued guidelines for the management of spontaneous pneumothorax (SP). These were refined in 2003. To determine adherence to the 2003 BTS SP guidelines in a district general hospital. An initial retrospective audit of 52 episodes of acute SP was performed. Subsequent intervention involved a junior doctor educational update on both the 2003 BTS guidelines and the initial audit results, and the setting up of an online guideline hyperlink. After the educational intervention a further prospective re-audit of 28 SP episodes was performed. Management of SP deviated considerably from the 2003 BTS guidelines in the initial audit - deviation rate 26.9%. After the intervention, a number of clinical management deviations persisted (32.1% deviation rate); these included failure to insert a chest drain despite unsuccessful aspiration, and attempting aspiration of symptomatic secondary SPs. Specific tools to improve standards might include a pneumothorax proforma to improve record keeping and a pneumothorax care pathway to reduce management deviations compared to BTS guidelines. Successful change also requires identification of the total target audience for any educational intervention.

Improving patient recruitment to multicentre clinical trials: the case for employing a data manager in a district general hospital-based oncology centre.

PubMed

Street, A; Strong, J; Karp, S

2001-01-01

One of the most frequently cited reasons for poor recruitment to multicentre randomized clinical trials is the additional workload placed on clinical staff. We report the effect on patient recruitment of employing a data manager to support clinical staff in an English district general hospital (DGH). In addition, we explore the effect data managers have on the quality of data collected, proxied by the number of queries arising with the trial organizers. We estimate that the cost of employing a data manager on a full-time basis is 502 per patient recruited but may amount to 326 if the appointment is part-time. Data quality is high when full responsibility lies with a data manager but falls when responsibility is shared. Whether the costs of employing a data manager to recruit patients from a DGH are worth incurring depends on the value placed on the speed at which multicentre trials can be completed, how important it is to broaden the research base beyond the traditional setting of teaching hospitals, and the amount of evaluative data required.

Kenya’s emergency-hire nursing programme: a pilot evaluation of health service delivery in two districts

PubMed Central

2014-01-01

Objective To assess the feasibility of utilizing a small-scale, low-cost, pilot evaluation in assessing the short-term impact of Kenya’s emergency-hire nursing programme (EHP) on the delivery of health services (outpatient visits and maternal-child health indicators) in two underserved health districts with high HIV/AIDS prevalence. Methods Six primary outcomes were assessed through the collection of data from facility-level health management forms—total general outpatient visits, vaginal deliveries, caesarean sections, antenatal care (ANC) attendance, ANC clients tested for HIV, and deliveries to HIV-positive women. Data on outcome measures were assessed both pre-and post-emergency-hire nurse placement. Informal discussions were also conducted to obtain supporting qualitative data. Findings The majority of EHP nurses were placed in Suba (15.5%) and Siaya (13%) districts. At the time of the intervention, we describe an increase in total general outpatient visits, vaginal deliveries and caesarean sections within both districts. Similar significant increases were seen with ANC attendance and deliveries to HIV-positive women. Despite increases in the quantity of health services immediately following nurse placement, these levels were often not sustained. We identify several factors that challenge the long-term sustainability of these staffing enhancements. Conclusions There are multiple factors beyond increasing the supply of nurses that affect the delivery of health services. We believe this pilot evaluation sets the foundation for future, larger and more comprehensive studies further elaborating on the interface between interventions to alleviate nursing shortages and promote enhanced health service delivery. We also stress the importance of strong national and local relationships in conducting future studies. PMID:24636052

Environmental exposure to pesticides and cancer risk in multiple human organ systems.

PubMed

Parrón, Tesifón; Requena, Mar; Hernández, Antonio F; Alarcón, Raquel

2014-10-15

There is growing evidence on the association between long-term exposure to pesticides in occupational settings and an elevated rate of chronic diseases, including different types of cancer. However, data on non-occupational exposures are scarce to draw any conclusion. The objective of this study was to investigate the putative associations of environmental pesticide exposures in the general population with several cancer sites and to discuss potential carcinogenic mechanisms by which pesticides develop cancer. A population-based case-control study was conducted among people residing in 10 Health districts from Andalusia (South Spain) to estimate the risk of cancer at different sites. Health districts were categorized into areas of high and low environmental pesticide exposure based on two quantitative criteria: number of hectares devoted to intensive agriculture and pesticide sales per capita. The study population consisted of 34,205 cancer cases and 1,832,969 age and health district matched controls. Data were collected by computerized hospital records (minimum dataset) between 1998 and 2005. Prevalence rates and the risk of cancer at most organ sites were significantly higher in districts with greater pesticide use related to those with lower pesticide use. Conditional logistic regression analyses showed that the population living in areas with high pesticide use had an increased risk of cancer at all sites studied (odds ratios between 1.15 and 3.45) with the exception of Hodgkin's disease and non-Hodgkin lymphoma. The results of this study support and extend previous evidence from occupational studies indicating that environmental exposure to pesticides may be a risk factor for different types of cancer at the level of the general population. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Oregon School Bond Manual. Seventh Edition.

ERIC Educational Resources Information Center

Oregon State Dept. of Education, Salem.

To help school districts comply with Oregon's school bond laws, this manual provides guidelines for school district attorneys and personnel in the issuance and sale of school district bonds. The manual deals with the three primary types of Oregon school district borrowings: (1) general obligation bonds; (2) tax and revenue anticipation notes; and…

Developing, Managing, and Gaining Public Support for the School District Budget.

ERIC Educational Resources Information Center

Holly, William J.

1987-01-01

This bulletin focuses on four aspects of budget development and management in local school districts. Chapter 1 describes the general budget development process, highlighting variations some Oregon districts have found useful. The chapter outlines the responsibilities of educational agencies and district staff members at various levels and reviews…

The wheels on the bus go "buy buy buy": school bus advertising laws.

PubMed

Pomeranz, Jennifer L

2012-09-01

School buses, a practical necessity for millions of children, are at the center of new efforts to raise revenue. School bus advertising laws bring public health and commercialization concerns to the school setting. In doing so, they potentially expose school districts to First Amendment lawsuits. I examined various school bus advertising bills and laws. I reviewed First Amendment "forum analysis" as applied in the transit and school settings to clarify how this legal test may affect school districts subject to such laws. I have made recommendations for school districts to enact appropriate policies to ensure that such advertising does not undermine public health and to enable the districts to maintain control over their property.

Educational Technology in Public School Districts: Fall 2008. First Look. NCES 2010-003

ERIC Educational Resources Information Center

Gray, Lucinda; Lewis, Laurie

2009-01-01

This report provides national data on the availability and use of educational technology in public school districts during fall 2008. The data are the results of a national district-level survey that is one of a set that includes district, school, and teacher surveys on educational technology. Every year between 1994 and 2005 (with the exception…

Return on Educational Investment: 2014. A District-by-District Evaluation of U.S. Educational Productivity

ERIC Educational Resources Information Center

Boser, Ulrich

2014-01-01

In 2011, the Center of American Progress (CAP) released the first-ever attempt to evaluate the productivity of almost every major school district in the country. That project developed a set of relatively simple productivity metrics in order to measure the achievement that a school district produces relative to its spending, while controlling for…

The Case for District-Based Reform: Leading, Building, and Sustaining School Improvement

ERIC Educational Resources Information Center

Supovitz, Jonathan A.

2006-01-01

In 1999, the Duval County (Fla.) school system set out to improve every school in the district. Over the next five years, the district achieved stunning results that have drawn nationwide attention. Jonathan A. Supovitz uses the unfolding story of Duval County to develop a sophisticated and thoughtful analysis of the role of the school district in…

Drivers of routine immunization coverage improvement in Africa: findings from district-level case studies

PubMed Central

LaFond, Anne; Kanagat, Natasha; Steinglass, Robert; Fields, Rebecca; Sequeira, Jenny; Mookherji, Sangeeta

2015-01-01

There is limited understanding of why routine immunization (RI) coverage improves in some settings in Africa and not in others. Using a grounded theory approach, we conducted in-depth case studies to understand pathways to coverage improvement by comparing immunization programme experience in 12 districts in three countries (Ethiopia, Cameroon and Ghana). Drawing on positive deviance or assets model techniques we compared the experience of districts where diphtheria–tetanus–pertussis (DTP3)/pentavalent3 (Penta3) coverage improved with districts where DTP3/Penta3 coverage remained unchanged (or steady) over the same period, focusing on basic readiness to deliver immunization services and drivers of coverage improvement. The results informed a model for immunization coverage improvement that emphasizes the dynamics of immunization systems at district level. In all districts, whether improving or steady, we found that a set of basic RI system resources were in place from 2006 to 2010 and did not observe major differences in infrastructure. We found that the differences in coverage trends were due to factors other than basic RI system capacity or service readiness. We identified six common drivers of RI coverage performance improvement—four direct drivers and two enabling drivers—that were present in well-performing districts and weaker or absent in steady coverage districts, and map the pathways from driver to improved supply, demand and coverage. Findings emphasize the critical role of implementation strategies and the need for locally skilled managers that are capable of tailoring strategies to specific settings and community needs. The case studies are unique in their focus on the positive drivers of change and the identification of pathways to coverage improvement, an approach that should be considered in future studies and routine assessments of district-level immunization system performance. PMID:24615431

Predictors of primary health care pharmaceutical expenditure by districts in Uganda and implications for budget setting and allocation.

PubMed

Mujasi, Paschal N; Puig-Junoy, Jaume

2015-08-20

There is need for the Uganda Ministry of Health to understand predictors of primary health care pharmaceutical expenditure among districts in order to guide budget setting and to improve efficiency in allocation of the set budget among districts. Cross sectional, retrospective observational study using secondary data. The value of pharmaceuticals procured by primary health care facilities in 87 randomly selected districts for the Financial Year 2011/2012 was collected. Various specifications of the dependent variable (pharmaceutical expenditure) were used: total pharmaceutical expenditure, Per capita district pharmaceutical expenditure, pharmaceutical expenditure per district health facility and pharmaceutical expenditure per outpatient department visit. Andersen's behaviour model of health services utilisation was used as conceptual framework to identify independent variables likely to influence health care utilisation and hence pharmaceutical expenditure. Econometric analysis was conducted to estimate parameters of various regression models. All models were significant overall (P < 0.01), with explanatory power ranging from 51 to 82%. The log linear model for total pharmaceutical expenditure explained about 80% of the observed variation in total pharmaceutical expenditure (Adjusted R(2) = 0.797) and contained the following variables: Immunisation coverage, Total outpatient department attendance, Urbanisation, Total number of government health facilities and total number of Health Centre IIs. The model based on Per capita Pharmaceutical expenditure explained about 50% of the observed variation in per capita pharmaceutical expenditure (Adjusted R(2) = 0.513) and was more balanced with the following variables: Outpatient per capita attendance, percentage of rural population below poverty line 2005, Male Literacy rate, Whether a district is characterised by MOH as difficult to reach or not and the Human poverty index. The log-linear model based on total pharmaceutical expenditure works acceptably well and can be considered useful for predicting future total pharmaceutical expenditure following observed trends. It can be used as a simple tool for rough estimation of the potential overall national primary health pharmaceutical expenditure to guide budget setting. The model based on pharmaceutical expenditure per capita is a more balanced model containing both need and enabling factor variables. These variables would be useful in allocating any set budget to districts.

[District "Information Centers" Display Brochures About District Services.

ERIC Educational Resources Information Center

Sacramento City Unified School District, CA.

A brief description of the information dissemination program of the Sacramento City Unified School District (California) and eight informational brochures are presented. The program involves setting up "information centers" (display boards with pockets for eight brochures) in schools, school administrative offices, and public libraries…

General perspective view of Vale Commercial Historic District's historiccontributing buildings ...

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

General perspective view of Vale Commercial Historic District's historic-contributing buildings (from left to right: Buildings P, L, and K), located on A Street between Court and Main Streets, view looking southeast - Vale Commercial Historic District, A Street between Holland & Longfellow Streets, north side of B Street between Holland & Main Streets, Main Street South from A Street through B Street, & Stone House at 283 Main Street South, Vale, Malheur County, OR

78 FR 53454 - Filing Dates for the Louisiana Special Elections in the 5th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-29

... the 5th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Louisiana has scheduled a Special General Election on October 19, 2013, to fill... Special General and Special Runoff Elections shall file a 12-day Pre-General Report on October 7, 2013; a...

75 FR 17742 - Filing Dates for the Georgia Special Election in the 9th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-07

... 9th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Georgia has scheduled a special general election on May 11, 2010, to fill the U... participate in the Georgia Special General and Special Runoff Elections shall file a 12-day Pre-General Report...

The Application of Research Generalizations from Staff Development to a Rural School District: A Case Study-Research Report.

ERIC Educational Resources Information Center

Kilgore, Alvah M.; And Others

This paper describes the effects of applying research generalizations about inservice teacher education to the practices of a local school district. Generalizations considered include: (1) short- and long-range planning needs; (2) joint planning and participation by administrators and teachers; (3) relationships among inservice and curriculum…

The Effect of Local Limitations on General State Aid in Illinois.

ERIC Educational Resources Information Center

Bush, Erik

2002-01-01

Study to determine if a substantive relationship exits between the progression of a federal Tax Increment Financing (TIF) district, the long-term effects of the state Property Tax Extension Limitation Law (PTELL), and the General State Aid funding of school districts in Illinois. Finds that both TIF and PTELL lead to an increase in General State…

Community and facility-level engagement in planning and budgeting for the government health sector--a district perspective from Kenya.

PubMed

O'Meara, Wendy Prudhomme; Tsofa, Benjamin; Molyneux, Sassy; Goodman, Catherine; McKenzie, F Ellis

2011-03-01

Health systems reform processes have increasingly recognized the essential contribution of communities to the success of health programs and development activities in general. Here we examine the experience from Kilifi district in Kenya of implementing annual health sector planning guidelines that included community participation in problem identification, priority setting, and planning. We describe challenges in the implementation of national planning guidelines, how these were met, and how they influenced final plans and budgets. The broad-based community engagement envisaged in the guidelines did not take place due to the delay in roll out of the Ministry of Health-trained community health workers. Instead, community engagement was conducted through facility management committees, though in a minority of facilities, even such committees were not involved. Some overlap was found in the priorities highlighted by facility staff, committee members and national indicators, but there were also many additional issues raised by committee members and not by other groups. The engagement of the community through committees influenced target and priority setting, but the emphasis on national health indicators left many local priorities unaddressed by the final work plans. Moreover, it appears that the final impact on budgets allocated at district and facility level was limited. The experience in Kilifi highlights the feasibility of engaging the community in the health planning process, and the challenges of ensuring that this engagement feeds into consolidated plans and future implementation. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Surveying School Facilities Needs.

ERIC Educational Resources Information Center

Weichel, Harry J.; Dennell, James

1990-01-01

Ralston (Nebraska) Public School District's communitywide survey helped set school facilities priorities while keeping the district's finite resources firmly in mind. With an outline of maintenance costs for the next 10 years, the district can develop a strategic construction schedule. The board also has the option of financing projects through a…

A passive cold storage device economic model to evaluate selected immunization location scenarios.

PubMed

Norman, Bryan A; Nourollahi, Sevnaz; Chen, Sheng-I; Brown, Shawn T; Claypool, Erin G; Connor, Diana L; Schmitz, Michelle M; Rajgopal, Jayant; Wateska, Angela R; Lee, Bruce Y

2013-10-25

The challenge of keeping vaccines cold at health posts given the unreliability of power sources in many low- and middle-income countries and the expense and maintenance requirements of solar refrigerators has motivated the development of passive cold storage devices (PCDs), containers that keep vaccines cold without using an active energy source. With different PCDs under development, manufacturers, policymakers and funders need guidance on how varying different PCD characteristics may affect the devices' cost and utility. We developed an economic spreadsheet model representing the lowest two levels of a typical Expanded Program on Immunization (EPI) vaccine supply chain: a district store, the immunization locations that the district store serves, and the transport vehicles that operate between the district store and the immunization locations. The model compares the use of three vaccine storage device options [(1) portable PCDs, (2) stationary PCDs, or (3) solar refrigerators] and allows the user to vary different device (e.g., size and cost) and scenario characteristics (e.g., catchment area population size and vaccine schedule). For a sample set of select scenarios and equipment specification, we found the portable PCD to generally be better suited to populations of 5,000 or less. The stationary PCD replenished once per month can be a robust design especially with a 35L capacity and a cost of $2,500 or less. The solar device was generally a reasonable alternative for most of the scenarios explored if the cost was $2,100 or less (including installation). No one device type dominated over all explored circumstances. Therefore, the best device may vary from country-to-country and location-to-location within a country. This study introduces a quantitative model to help guide PCD development. Although our selected set of explored scenarios and device designs was not exhaustive, future explorations can further alter model input values to represent additional scenarios and device designs. Copyright © 2013 Elsevier Ltd. All rights reserved.

Perceptions on diabetes care provision among health providers in rural Tanzania: a qualitative study

PubMed Central

Geubbels, Eveline; Klatser, Paul; Dieleman, Marjolein

2017-01-01

Abstract Diabetes prevalence in Tanzania was estimated at 9.1% in 2012 among adults aged 24–65 years — higher than the HIV prevalence in the general population at that time. Health systems in lower- and middle-income countries are not designed for chronic health care, yet the rising burden of non-communicable diseases such as diabetes demands chronic care services. To inform policies on diabetes care, we conducted a study on the health services in place to diagnose, treat and care for diabetes patients in rural Tanzania. The study was an exploratory and descriptive study involving qualitative methods (in-depth interviews, observations and document reviews) and was conducted in a rural district in Tanzania. Fifteen health providers in four health facilities at different levels of the health care system were interviewed. The health care organization elements of the Innovative Care for Chronic Conditions (ICCC) framework were used to guide assessment of the diabetes services in the district. We found that diabetes care in this district was centralized at the referral and district facilities, with unreliable supply of necessary commodities for diabetes care and health providers who had some knowledge of what was expected of them but felt ill-prepared for diabetes care. Facility and district level guidance was lacking and the continuity of care was broken within and between facilities. The HMIS could not produce reliable data on diabetes. Support for self-management to patients and their families was weak at all levels. In conclusion, the rural district we studied did not provide diabetes care close to the patients. Guidance on diabetes service provision and human resource management need strengthening and policies related to task-shifting need adjustment to improve quality of service provision for diabetes patients in rural settings. PMID:27935802

The Wheels on the Bus Go “Buy Buy Buy”: School Bus Advertising Laws

PubMed Central

2012-01-01

School buses, a practical necessity for millions of children, are at the center of new efforts to raise revenue. School bus advertising laws bring public health and commercialization concerns to the school setting. In doing so, they potentially expose school districts to First Amendment lawsuits. I examined various school bus advertising bills and laws. I reviewed First Amendment “forum analysis” as applied in the transit and school settings to clarify how this legal test may affect school districts subject to such laws. I have made recommendations for school districts to enact appropriate policies to ensure that such advertising does not undermine public health and to enable the districts to maintain control over their property. PMID:22742065

1 District, 1 Set of Math Goals

ERIC Educational Resources Information Center

Kanold, Timothy; Ebert, Jhone

2010-01-01

In March 2008, teachers and leaders of the mathematics programs grades 6-12 in the Clark County School District (Las Vegas, Nevada) found themselves under the urgent spotlight of failed expectations. District leaders and teachers had been bold enough to create highstakes, districtwide common assessment semester exams in five subject areas of…

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…

Elementary General Education Teachers' Knowledge of and Experience Teaching Students with Disabilities in Science and Social Studies

NASA Astrophysics Data System (ADS)

Rice, Diane

In Grades 3 to 5 at a suburban southeastern elementary school, the percentage of students with disabilities (SWDs) who do not meet state standards in science and social studies is greater than that of their nondisabled peers. To address this disparity, district administrators required that proficiency ratings increase for SWDs without providing general education (GE) teachers with training. A qualitative bounded case study was used to understand how GE teachers constructed their knowledge of and met SWDs instructional needs and to understand GE teachers' needs as they worked toward meeting the district goals. Piaget's constructivist learning theory served as the conceptual framework for this study. A purposeful sample of 6 GE teachers, 2 each from Grades 3-5 whose classrooms included SWDs, volunteered to participate in open-ended interviews. Qualitative data were analyzed using provisional coding and pattern coding. A primary finding was that the participants identified teacher collaboration and professional development necessary to accommodate SWDs in the GE setting. This finding led to a recommendation that school leaders provide ongoing professional development for GE teachers as well as ongoing opportunities for collaboration between GE and special education teachers. These endeavors may contribute to positive social change by providing GE teachers instructional strategies and accommodations for meeting the learning needs of SWDs to increase the number and percentage of SWDs who meet the state standards and district goals in science and social studies.

Improving infection control in general practice.

PubMed

Farrow, S C; Zeuner, D; Hall, C

1999-03-01

Infection control measures in the health care setting should protect patients and staff from cross-infection. The prevention of harm is an essential part of good medical practice and failure might result in professional misconduct proceedings by the General Medical Council (GMC) and prosecution under the Health and Safety at Work legislation, as well as civil liability. For a health authority, overall responsibility for public health includes arrangements for the control of communicable diseases and infection in hospital and the community (NHS Management Executive, 1993), a function usually led by the Consultant in Communicable Disease Control (CCDC). This paper describes one district's collaborative approach between public health and GPs to assess and improve local infection control standards.

General practitioners' referrals to specialist outpatient clinics. II. Locations of specialist outpatient clinics to which general practitioners refer patients.

PubMed Central

Coulter, A.; Noone, A.; Goldacre, M.

1989-01-01

Although linkage by computer of hospital administration systems across all clinics in a health district is becoming a practical possibility, complete records of general practitioners' referrals to outpatient clinics will be difficult to achieve. Data from a large study of general practitioners' referrals to such clinics were used to calculate the proportion of referrals that crossed district boundaries, the proportion that were made to the private sector; and the number of locations that each practice referred patients to. Of the 17,601 referrals from practices in Oxford Regional Health Authority, 13,857 (78.7%) were made to NHS outpatient clinics within practices' own districts, 1524 (8.7%) to clinics in other districts in the same region, 420 (2.4%) to NHS clinics in other regions, and 1800 (10.2%) to the private sector; but these proportions varied considerably among the practices. The mean number of different NHS hospitals or clinics that each practice referred patients to was 15.8 (range 4-42). PMID:2504414

A Systems Theory Approach to the District Central Office's Role in School-Level Improvement

ERIC Educational Resources Information Center

Mania-Singer, Jackie

2017-01-01

This qualitative case study used General Systems Theory and social network analysis to explore the relationships between the members of a district central office and principals of elementary schools within an urban school district in the Midwest. Findings revealed sparse relationships between members of the district central office and principals,…

Tracking Progress, Engaging Communities: Abbott Indicators Summary Report--Trenton, New Jersey

ERIC Educational Resources Information Center

Hirsch, Lesley; Applewhite-Coney, Erain

2005-01-01

Trenton is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Trenton receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Trenton Abbott Indicators Report presents the status of educational…

Tracking Progress, Engaging Communities: Abbott Indicators Summary Report-- Newark, New Jersey

ERIC Educational Resources Information Center

Hirsch, Lesley; Applewhite-Coney, Erain

2005-01-01

Newark is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Newark receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Newark Abbott Indicators Report presents the status of educational…

Tracking Progress, Engaging Communities: Abbott Indicators Summary Report--Camden, New Jersey

ERIC Educational Resources Information Center

Hirsch, Lesley; Applewhite-Coney, Erain

2005-01-01

Camden is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Camden receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Camden Abbott Indicators Report presents the status of educational…

Tracking Progress, Engaging Communities: Abbott Indicators Technical Report--Camden, New Jersey

ERIC Educational Resources Information Center

Hirsch, Lesley; Applewhite-Coney, Erain

2005-01-01

Camden is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Camden receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Camden Abbott Indicators Report presents the status of educational…

Tracking Progress, Engaging Communities: Abbott Indicators Technical Report--Trenton, New Jersey

ERIC Educational Resources Information Center

Hirsch, Lesley; Applewhite-Coney, Erain

2005-01-01

Trenton is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Trenton receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Trenton Abbott Indicators Report presents the status of educational…

Tracking Progress, Engaging Communities: Abbott Indicators Technical Report-- Newark, New Jersey

ERIC Educational Resources Information Center

Hirsch, Lesley; Applewhite-Coney, Erain

2005-01-01

Newark is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Newark receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Newark Abbott Indicators Report presents the status of educational…

What do District Health Planners in Tanzania think about improving priority setting using 'Accountability for Reasonableness'?

PubMed Central

Mshana, Simon; Shemilu, Haji; Ndawi, Benedict; Momburi, Roman; Olsen, Oystein Evjen; Byskov, Jens; Martin, Douglas K

2007-01-01

Background Priority setting in every health system is complex and difficult. In less wealthy countries the dominant approach to priority setting has been Burden of Disease (BOD) and cost-effectiveness analysis (CEA), which is helpful, but insufficient because it focuses on a narrow range of values – need and efficiency – and not the full range of relevant values, including legitimacy and fairness. 'Accountability for reasonableness' is a conceptual framework for legitimate and fair priority setting and is empirically based and ethically justified. It connects priority setting to broader, more fundamental, democratic deliberative processes that have an impact on social justice and equity. Can 'accountability for reasonableness' be helpful for improving priority setting in less wealthy countries? Methods In 2005, Tanzanian scholars from the Primary Health Care Institute (PHCI) conducted 6 capacity building workshops with senior health staff, district planners and managers, and representatives of the Tanzanian Ministry of Health to discussion improving priority setting in Tanzania using 'accountability for reasonableness'. The purpose of this paper is to describe this initiative and the participants' views about the approach. Results The approach to improving priority setting using 'accountability for reasonableness' was viewed by district decision makers with enthusiastic favour because it was the first framework that directly addressed their priority setting concerns. High level Ministry of Health participants were also very supportive of the approach. Conclusion Both Tanzanian district and governmental health planners viewed the 'accountability for reasonableness' approach with enthusiastic favour because it was the first framework that directly addressed their concerns. PMID:17997824

Spatial Patterns of Heat-Related Cardiovascular Mortality in the Czech Republic

PubMed Central

Urban, Aleš; Burkart, Katrin; Kyselý, Jan; Schuster, Christian; Plavcová, Eva; Hanzlíková, Hana; Štěpánek, Petr; Lakes, Tobia

2016-01-01

The study examines spatial patterns of effects of high temperature extremes on cardiovascular mortality in the Czech Republic at a district level during 1994–2009. Daily baseline mortality for each district was determined using a single location-stratified generalized additive model. Mean relative deviations of mortality from the baseline were calculated on days exceeding the 90th percentile of mean daily temperature in summer, and they were correlated with selected demographic, socioeconomic, and physical-environmental variables for the districts. Groups of districts with similar characteristics were identified according to socioeconomic status and urbanization level in order to provide a more general picture than possible on the district level. We evaluated lagged patterns of excess mortality after hot spell occurrences in: (i) urban areas vs. predominantly rural areas; and (ii) regions with different overall socioeconomic level. Our findings suggest that climatic conditions, altitude, and urbanization generally affect the spatial distribution of districts with the highest excess cardiovascular mortality, while socioeconomic status did not show a significant effect in the analysis across the Czech Republic as a whole. Only within deprived populations, socioeconomic status played a relevant role as well. After taking into account lagged effects of temperature on excess mortality, we found that the effect of hot spells was significant in highly urbanized regions, while most excess deaths in rural districts may be attributed to harvesting effects. PMID:26959044

Accelerated Districts--The Next Step. A Summary of Research and Design.

ERIC Educational Resources Information Center

Driver, Cyrus; And Others

The National Center for the Accelerated Schools Project at Stanford University has recognized that district-level change is necessary if changes at accelerated schools are to gain permanence and become widespread. The Center has therefore initiated a research and development project to design a set of models on which districts can reconstitute…

Preassessment Team Practices in Rural Settings: An Analysis of Team Activities.

ERIC Educational Resources Information Center

Ormsbee, Christine K.; Haring, Kathryn

A study in a small rural school district used district preassessment records of students referred for a comprehensive, special education evaluation to determine if preassessment practices had improved. The district was located in a midwestern state that mandated preassessment practices in the mid-1980s in an effort to control special education…

Maximizing Basic Education Subsidy in Pennsylvania Public School Districts by Accounting for Children in Educational Settings

ERIC Educational Resources Information Center

McCook, Byron Alexander

2009-01-01

Pennsylvania public school districts are largely funded through basic education subsidy for providing educational services for resident students and non-resident students who are placed in residential programs within the school district boundaries. Non-resident placements occur through, but are not limited to, adjudication proceedings, foster home…

Certificated Master Contract Agreement for 1987-90, Shasta-Tehama-Trinity Joint Community College District.

ERIC Educational Resources Information Center

Shasta-Tehama-Trinity Joint Community Coll. District, Redding, CA.

This collective bargaining agreement between the Shasta-Tehama-Trinity Joint Community College District and the Shasta College Faculty Association establishes conditions of employment for all full- and part-time regular or contracted certificated employees of the district. The articles of the agreement set forth provisions related to: (1)…

Policy Poison or Promise: Exploring the Dual Nature of California School District Collective Bargaining Agreements

ERIC Educational Resources Information Center

Strunk, Katharine O.

2012-01-01

Purpose: This study examines policies set in the collective bargaining agreements (CBAs) negotiated between teachers' unions and school boards and explores what kinds of districts have contract provisions that restrict district administrators, enhance administrative flexibility, and/or improve teachers' professional work lives and that have…

Tracking Progress, Engaging Communities: Abbott Indicators Summary Report--Union City, New Jersey

ERIC Educational Resources Information Center

Hirsch, Lesley; Applewhite-Coney, Erain

2005-01-01

Union City is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Union City receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Union City Abbott Indicators Report presents the status of…

Tracking Progress, Engaging Communities: Abbott Indicators Technical Report: Union City, New Jersey

ERIC Educational Resources Information Center

Applewhite-Coney, Erain; Hirsch, Lesley

2005-01-01

Union City is one of 31 urban school districts in New Jersey known as Abbott districts. As an Abbott district, Union City receives funding to equalize its per student general education budget with the most successful suburban districts in the state. Through a series of indicators, the Union City Abbott Indicators Report presents the status of…

Distribution of the Population at Risk of Cholangiocarcinoma in Bua Yai District, Nakhon Ratchasima of Thailand Using Google Map.

PubMed

Kaewpitoon, Soraya J; Rujirakul, Ratana; Sangkudloa, Amnat; Kaewthani, Sarochinee; Khemplila, Kritsakorn; Cherdjirapong, Karuna; Kujapun, Jirawoot; Norkaew, Jun; Chavengkun, Wasugree; Ponphimai, Sukanya; Polsripradist, Poowadol; Padchasuwan, Natnapa; Joosiri, Apinya; Wakkhuwattapong, Parichart; Loyd, Ryan A; Matrakool, Likit; Tongtawee, Taweesak; Panpimanmas, Sukij; Kaewpitoon, Natthawut

2016-01-01

Cholangiocarcinoma (CCA), a major problem of health in Thailand, particularly in Northeastern and Northern regions, is generally incurable and rapidly lethal because of presentation in stage 3 or 4. Early diagnosis of stage 1 and 2 could allow better survival. Therefore, this study aimed to provide a distribution map of populations at risk for CCA in BuaYai district of Nakhon Ratchasima province, Northeast Thailand. A cross-sectional survey was carried out in 10 sub-districts and 122 villages, during June and November 2015. The populations at risk for CCA were screened using the Korat CCA verbal screening test (KCVST) and then risk areas were displayed by using Google map (GM). A total of 11,435 individuals from a 26,198 population completed the KCVST. The majority had a low score of risk for CCA (1-4 points; 93.3%). High scores with 6, 7 and 8 points accounted for 1.20%, 0.13% and 0.02%. The population at risk was found frequently in sub-district municipalities, followed by sub-district administrative organization and town municipalities, (F=396.220, P-value=0.000). Distribution mapping comprised 11 layers: 1, district; 2, local administrative organization; 3, hospital; 4, KCVST opisthorchiasis; 5, KCVST praziquantel used; 6, KCVST cholelithiasis; 7, KCVST raw fish consumption; 8, KCVST alcohol consumption; 9, KCVST pesticide used; 10, KCVST relative family with CCA; and 11, KCVST naive northeastern people. Geovisual display is now available online. This study indicated that the population at high risk of CCA in Bua Yai district is low, therefore setting a zero model project is possible. Key success factors for disease prevention and control need further study. GM production is suitable for further CCA surveillance and monitoring of the population with a high risk score in this area.

Perspectives of Key Central Office Staff and School Principals Regarding Resource Allocation Policies and Procedures. A Report Prepared for Los Angeles Unified School District. SSFR Research Report #02 (LAUSD)

ERIC Educational Resources Information Center

Chambers, Jay G.; Jubb, Steve; Manship, Karen; Rosas, Rigo; Brown, James R.

2010-01-01

This report summarizes the perspectives and attitudes of a selected set of district and school site administrators whom the authors interviewed in Los Angeles Unified School District (LAUSD) during the fall and winter of the 2009-2010 school year. The authors carried out interviews with selected district administrators and a series of focus groups…

Characteristics of Students Receiving Special Education Services in a Central Minnesota School District According to Setting, Classification, and Level of Service.

ERIC Educational Resources Information Center

Ittenbach, Richard F.; And Others

The records of 1,231 preschool, elementary, and secondary students receiving special education services in a central Minnesota school district were evaluated to provide information on differences according to setting, classification, and level of service. Data were analyzed within the context of four broad domains: demographics (age, race, gender,…

Policy Analysis: A Tool for Setting District Computer Use Policy. Paper and Report Series No. 97.

ERIC Educational Resources Information Center

Gray, Peter J.

This report explores the use of policy analysis as a tool for setting computer use policy in a school district by discussing the steps in the policy formation and implementation processes and outlining how policy analysis methods can contribute to the creation of effective policy. Factors related to the adoption and implementation of innovations…

A Model Plan for the Supervision and Evaluation of Therapy Services in Educational Settings. TIES: Therapy in Educational Settings.

ERIC Educational Resources Information Center

Reed, Penny; And Others

The manual serves as a model for school districts developing procedures for supervising and evaluating their therapy services. The narrative is addressed to therapists rather than supervisors so that school districts can photocopy or adapt sections of the manual and assemble customized manuals for therapists in their programs. The first chapter,…

A preliminary analysis of the US dental health care system's capacity to treat children with special health care needs.

PubMed

Kerins, Carolyn; Casamassimo, Paul S; Ciesla, David; Lee, Yosuk; Seale, N Sue

2011-01-01

The purpose of this study was to use existing data to determine capacity of the US dental care system to treat children with special health care needs (CSHCN). A deductive analysis using recent existing data was used to determine the: possible available appointments for CSHCN in hospitals and educational programs/institutions; and the ratio of CSHCN to potential available and able providers in the United States sorted by 6 American Academy of Pediatric Dentistry (AAPD) districts. Using existing data sets, this analysis found 57 dental schools, 61 advanced education in general dentistry programs, 174 general practice residencies, and 87 children's hospital dental clinics in the United States. Nationally, the number of CSHCN was determined to be 10,221,436. The distribution, on average, of CSHCN per care source/provider ranged from 1,327 to 2,357 in the 6 AAPD districts. Children's hospital dental clinics had fewer than 1 clinic appointment or 1 operating room appointment available per CSHCN. The mean number of CSHCN patients per provider, if distributed equally, was 1,792. The current US dental care system has extremely limited capacity to care for children with special health care needs.

Disinfection methods in general practice and health authority clinics: a telephone survey

PubMed Central

Farrow, S.C.; Kaul, S.; Littlepage, B.C.

1988-01-01

Concern about the epidemic of the acquired immune deficiency syndrome led to discussions in one health district about the dangers of cross-infection from instruments in general practice and health authority clinics. In order to establish what current disinfection practices were in use a telephone survey was adopted as a quick and easy method of data collection. Information was collected on who was responsible for disinfection as well as details of how each instrument was disinfected. Results from 69 general practices and 21 health authority clinice in one health district are reported. Some form of sterilizer was used in 63 general practices. These included water boilers (49%), dry heat sterilizers (41%), autoclaves (5%) and pressure cookers (5%). Sixty one practices were using metal vaginal specula and of these 29 were disinfecting by boiling, three were using pressure cookers, 18 dry heat, seven chemical methods, three autoclaves and one the central sterile department of the local hospital. Of those who were boiling after simple washing, three practices boiled for five to 10 minutes and reused instruments during the same clinic. Of the 29 using simple boiling 20 (69%) were boiling for less than 20 minutes. The study highlights the fact that no formal advice has been given on disinfection practice by the DHSS, the health authorities or the family practitioner committees. The need to set up local guidelines and develop practical steps for their introduction are discussed. PMID:3271009

40 CFR 503.9 - General definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., sanitary district, utility district, drainage district, or similar entity, or an integrated waste... that can be applied to a unit area of land (e.g., gallons per acre). (v) Runoff is rainwater, leachate... owned, publicly owned, or privately owned device or system used to treat (including recycle and reclaim...

Oakland and San Francisco Create Course Pathways through Common Core Mathematics. White Paper

ERIC Educational Resources Information Center

Daro, Phil

2014-01-01

The Common Core State Standards for Mathematics (CCSS-M) set rigorous standards for each of grades 6, 7 and 8. Strategic Education Research Partnership (SERP) has been working with two school districts, Oakland Unified School District and San Francisco Unified School District, to evaluate extant policies and practices and formulate new policies…

Evaluation in the Seventies: What We Have Learned About Program Development and Implementation.

ERIC Educational Resources Information Center

Holley, Freda M.

This paper, generated by the Austin, Texas, Independent School District's Office of Research and Evaluation, offers a set of working hypotheses about what a school district must do in the implementation of programs to improve the cost/effectiveness ratio of educational innovations. The author draws on three years of the Austin school district's…

Historical Review of Teacher and Student Diversity in an Urban Kentucky School District

ERIC Educational Resources Information Center

Francis, James L.

2010-01-01

Drawing on court records, state archival information, and local school district reports, this project examined student diversity and teacher diversity over more than five decades in an urban school district established in 1974 by court mandate. This study especially focused on the impact of a ratio set by the federal court regarding the high…

As Food Prices Rise, Setting Menus Is Cause of Heartburn for Schools

ERIC Educational Resources Information Center

Samuels, Christina A.

2008-01-01

With food and fuel prices increasing sharply, food and nutrition directors in school districts around the country are finding themselves facing some uncomfortable choices. In some districts, school lunch menus are being pared down to fewer selections, instead of the array of healthy options districts would like to offer. In other areas, canned and…

Teacher Incentive Pay Programs in the United States: Union Influence and District Characteristics

ERIC Educational Resources Information Center

Liang, Guodong; Zhang, Ying; Huang, Haigen; Qiao, Zhaogang

2015-01-01

This study examined the characteristics of teacher incentive pay programs in the United States. Using the 2007-08 SASS data set, it found an inverse relationship between union influence and districts' incentive pay offerings. Large and ethnically diverse districts in urban areas that did not meet the requirements for Adequate Yearly Progress as…

Implementing a Cross-District Principal Mentoring Program: A Human Resources Approach to Developing Midcareer Principals' Leadership Capacities

ERIC Educational Resources Information Center

Della Sala, Matthew R.; Klar, Hans W.; Lindle, Jane Clark; Reese, Kenyae L.; Knoeppel, Robert C.; Campbell, Michael; Buskey, Frederick C.

2013-01-01

Despite the key role that principals play in leading schoolwide change, districts' efforts to support principals are often limited, particularly in rural settings. In this article, we report the preliminary findings of a cross-district mentoring program for nine midcareer rural school principals. The collaboratively developed human resource…

Hidalgo Sets Sail: A School District Supports All Students in Earning College Credits

ERIC Educational Resources Information Center

Nodine, Thad R.

2011-01-01

In 2005, the Hidalgo Independent School District made an ambitious commitment. In partnership with nearby University of Texas-Pan American, the University of Texas System, the Communities Foundation of Texas/Texas High School Project, and the Bill & Melinda Gates Foundation, the district promised that all of its students, not just a select…

Knowledge about HIV and AIDS among Young South Africans in the Capricorn District, Limpopo Province

ERIC Educational Resources Information Center

Melwa, Irene T.; Oduntan, Olalekan A.

2012-01-01

Objective: To assess the basic knowledge about HIV and AIDS among young South Africans in the Capricorn District of Limpopo Province, South Africa. Design: A questionnaire-based cohort study, involving data collection from senior high school students. Setting: Randomly selected high schools in the Capricorn District, Limpopo Province, South…

It Is in the Contract: How the Policies Set in Teachers' Unions' Collective Bargaining Agreements Vary across States and Districts

ERIC Educational Resources Information Center

Strunk, Katharine O.; Cowen, Joshua M.; Goldhaber, Dan; Marianno, Bradley D.; Kilbride, Tara; Theobald, Roddy

2018-01-01

We examine more than 1,000 collective bargaining agreements (CBAs) in place across California, Michigan, and Washington. We investigate the prevalence of a set of 43 key provisions between and within these states, providing the first comprehensive comparison of CBA terms using data drawn from economically and demographically different districts,…

Lessons Learned from the Development and Implementation of a Parent Nutrition Education Program with Low-Income Latina Mothers in an Urban School District Setting

ERIC Educational Resources Information Center

Thai, Chan Le; Prelip, Michael; Erausquin, Jennifer Toller; Slusser, Wendelin

2012-01-01

This article describes the steps involved in the development and implementation of a parent nutrition education workshop series for a low-income, primarily Spanish-speaking population in an urban school district setting. Overall, those parents who participated in the nutrition education workshops showed positive changes in their knowledge,…

11 CFR 300.31 - Receipt of Levin funds.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Levin funds. (a) General rule. Levin funds expended or disbursed by any State, district, or local...) Donation amount limitation—(1) General rule. A State, district, or local committee of a political party... 11 Federal Elections 1 2010-01-01 2010-01-01 false Receipt of Levin funds. 300.31 Section 300.31...

75 FR 34450 - Filing Dates for the Indiana Special Election in the 3rd Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-17

... 3rd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Indiana has scheduled a Special General Election on November 2, 2010, to fill.... Committees required to file reports in connection with the Special General Election on November 2, 2010...

75 FR 10483 - Filing Dates for the Pennsylvania Special Election in the 12th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-08

... in the 12th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Pennsylvania has scheduled a Special General Election on May 18... John P. Murtha. Committees required to file reports in connection with the Special General Election on...

76 FR 17124 - Filing Dates for the California Special Election in the 36th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-28

... the 36th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: California has scheduled a special general election on May 17, 2011, to... committees of candidates who participate in the California Special General and Special Runoff Elections shall...

76 FR 29750 - Filing Dates for the Nevada Special Election in the 2nd Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-23

... 2nd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Nevada has scheduled a Special General Election on September 13, 2011, to fill... Heller. Committees required to file reports in connection with the Special General Election on September...

76 FR 45797 - Filing Dates for the New York Special Election in the 9th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-01

... 9th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on September 13, 2011, to.... Committees required to file reports in connection with the Special General Election on September 13, 2011...

36 CFR 67.5 - Standards for evaluating significance within registered historic districts.

Code of Federal Regulations, 2014 CFR

2014-07-01

... a district is one which by location, design, setting, materials, workmanship, feeling and..., workmanship, feeling and association have been so altered or have so deteriorated that the overall integrity...

36 CFR 67.5 - Standards for evaluating significance within registered historic districts.

Code of Federal Regulations, 2012 CFR

2012-07-01

... a district is one which by location, design, setting, materials, workmanship, feeling and..., workmanship, feeling and association have been so altered or have so deteriorated that the overall integrity...

36 CFR 67.5 - Standards for evaluating significance within registered historic districts.

Code of Federal Regulations, 2011 CFR

2011-07-01

... a district is one which by location, design, setting, materials, workmanship, feeling and..., workmanship, feeling and association have been so altered or have so deteriorated that the overall integrity...

36 CFR 67.5 - Standards for evaluating significance within registered historic districts.

Code of Federal Regulations, 2013 CFR

2013-07-01

... a district is one which by location, design, setting, materials, workmanship, feeling and..., workmanship, feeling and association have been so altered or have so deteriorated that the overall integrity...

Postings and transfers in the Ghanaian health system: a study of health workforce governance.

PubMed

Kwamie, Aku; Asiamah, Miriam; Schaaf, Marta; Agyepong, Irene Akua

2017-09-15

Decision-making on postings and transfers - that is, the geographic deployment of the health workforce - is a key element of health workforce governance. When poorly managed, postings and transfers result in maldistribution, absenteeism, and low morale. At stake is managing the balance between organisational (i.e., health system) and individual (i.e., staff preference) needs. The negotiation of this potential convergence or divergence of interests provides a window on practices of postings and transfers, and on the micro-practices of governance in health systems more generally. This article explores the policies and processes, and the interplay between formal and informal rules and norms which underpin postings and transfers practice in two rural districts in the Greater Accra Region of Ghana. Semi-structured interviews were conducted with eight district managers and 87 frontline staff from the district health administration, district hospital, polyclinic, health centres and community outreach compounds across two districts. Interviews sought to understand how the postings and transfers process works in practice, factors in frontline staff and district manager decision-making, personal experiences in being posted, and study leave as a common strategy for obtaining transfers. Differential negotiation-spaces at regional and district level exist and inform postings and transfers in practice. This is in contrast to the formal cascaded rules set to govern decision-making authority for postings and transfers. Many frontline staff lack policy clarity of postings and transfers processes and thus 'test' the system through informal staff lobbying, compounding staff perception of the postings and transfers process as being unfair. District managers are also challenged with limited decision-space embedded in broader policy contexts of systemic hierarchy and resource dependence. This underscores the negotiation process as ongoing, rather than static. These findings point to tensions between individual and organisational goals. This article contributes to a burgeoning literature on postings and transfers as a distinct dynamic which bridges the interactions between health systems governance and health workforce development. Importantly, this article helps to expand the notion of health systems governance beyond 'good' governance towards understanding governance as a process of negotiation.

19 CFR 111.2 - License and district permit required.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 19 Customs Duties 1 2011-04-01 2011-04-01 false License and district permit required. 111.2 Section 111.2 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS BROKERS General Provisions § 111.2 License and district permit required...

19 CFR 111.2 - License and district permit required.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 19 Customs Duties 1 2014-04-01 2014-04-01 false License and district permit required. 111.2 Section 111.2 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS BROKERS General Provisions § 111.2 License and district permit required...

19 CFR 111.2 - License and district permit required.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 19 Customs Duties 1 2013-04-01 2013-04-01 false License and district permit required. 111.2 Section 111.2 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS BROKERS General Provisions § 111.2 License and district permit required...

19 CFR 111.2 - License and district permit required.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 19 Customs Duties 1 2012-04-01 2012-04-01 false License and district permit required. 111.2 Section 111.2 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS BROKERS General Provisions § 111.2 License and district permit required...

19 CFR 111.2 - License and district permit required.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 19 Customs Duties 1 2010-04-01 2010-04-01 false License and district permit required. 111.2 Section 111.2 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS BROKERS General Provisions § 111.2 License and district permit required...

Strengthening Teacher Evaluation: What District Leaders Can Do

ERIC Educational Resources Information Center

Donaldson, Morgaen L.; Donaldson, Gordon A., Jr.

2012-01-01

School districts have typically not done a good job of managing the human side of teacher evaluation. In general, neither supervisors nor teachers find performance assessment a constructive, interpersonally respectful experience. District leaders can cultivate high-quality teaching--and attend to the human side of assessment--by taking five…

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

46 CFR 188.10-13 - Coast Guard District Commander.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Coast Guard District Commander. 188.10-13 Section 188.10-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 188.10-13 Coast Guard District Commander...

Got Risk? Using Risk Transfers to Control Costs

ERIC Educational Resources Information Center

Bambino, Robert

2010-01-01

For public school districts, risk financing is the financial outlay associated with litigation, such as settlements, verdicts, and the cost of legal defense. Even when districts purchase insurance to finance risk, a viable risk transfer program can still benefit districts in different ways: (1) Liability policies are generally experience-rated;…

Understanding the Code: acting in a patient's best interests.

PubMed

Griffith, Richard

2015-09-01

The revised Code of the Nursing and Midwifery Council (NMC), the statutory professional regulator for registered district nurses, makes clear that while district nurses can interpret the values and principles for use in community settings, the standards are not negotiable or discretionary. They must be applied or the district nurse's fitness to practice will be called into question. In this article in the continuing series analysing the legal implications of the Code on district nurse practice, the author considers the fourth standard that requires district nurses to act in the best interests of people at all times.

Education Service Districts in Oregon. A Progress Report to the 61st Legislative Assembly, as Required by Chapter 445, Oregon Laws 1979, House Bill 2393, ORS 334.175 Sec. 2.

ERIC Educational Resources Information Center

Oregon State Dept. of Education, Salem.

Through a wide variety of programs and services, Oregon's 25 educational service districts (ESDs) link the state Department of Education with local school districts while helping districts provide a cost-effective education and fostering equal educational opportunity statewide. This report lists the general ESD programs and services required by…

Spatial distribution of soil-transmitted helminths, including Strongyloides stercoralis, among children in Zanzibar.

PubMed

Knopp, Stefanie; Mohammed, Khalfan A; Simba Khamis, I; Mgeni, Ali F; Stothard, J Russell; Rollinson, David; Marti, Hanspeter; Utzinger, Jürg

2008-11-01

A programme periodically distributing anthelminthic drugs to school-aged children for the control of soiltransmitted helminthiasis was launched in Zanzibar in the early 1990s. We investigated the spatial distribution of soiltransmitted helminth infections, including Strongyloides stercoralis, in 336 children from six districts in Unguja, Zanzibar, in 2007. One stool sample per child was examined with the Kato-Katz, Koga agar plate and Baermann methods. The point prevalence of the different helminth infections was compared to the geological characteristics of the study sites. The observed prevalences for Trichuris trichiura, Ascaris lumbricoides, hookworm and S. stercoralis were 35.5%, 12.2%, 11.9% and 2.2%, respectively, with considerable spatial heterogeneity. Whilst T. trichiura and hookworm infections were found in all six districts, no A. lumbricoides infections were recorded in the urban setting and only a low prevalence (2.2%) was observed in the South district. S. stercoralis infections were found in four districts with the highest prevalence (4.0%) in the West district. The prevalence of infection with any soil-transmitted helminth was highest in the North A district (69.6%) and lowest in the urban setting (22.4%). A. lumbricoides, hookworm and, with the exception of the North B district, S. stercoralis infections were observed to be more prevalent in the settings north of Zanzibar Town, which are characterized by alluvial clayey soils, moist forest regions and a higher precipitation. After a decade of large-scale administration of anthelminthic drugs, the prevalence of soil-transmitted helminth infections across Unguja is still considerable. Hence, additional measures, such as improving access to adequate sanitation and clean water and continued health education, are warranted to successfully control soil-transmitted helminthiasis in Zanzibar.

36 CFR 67.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... structure encompasses the historic building and its site, landscape features, and environment, generally... means a building and its site and landscape features. Registered Historic District means any district...

36 CFR 67.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... structure encompasses the historic building and its site, landscape features, and environment, generally... means a building and its site and landscape features. Registered Historic District means any district...

36 CFR 67.2 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... structure encompasses the historic building and its site, landscape features, and environment, generally... means a building and its site and landscape features. Registered Historic District means any district...

36 CFR 67.2 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... structure encompasses the historic building and its site, landscape features, and environment, generally... means a building and its site and landscape features. Registered Historic District means any district...

Use of hospital data for Safe Motherhood programmes in south Kalimantan, Indonesia.

PubMed

Ronsmans, C; Achadi, E; Sutratikto, G; Zazri, A; McDermott, J

1999-07-01

The evaluation of Safe Motherhood programmes has been hampered by difficulties in measuring the preferred outcomes of maternal mortality and morbidity. The need for adequate indicators has led researchers and programme managers alike to resort to indicators of utilization and quality of health services. In this study we assess the magnitude of four indicators of use of essential obstetric care (EOC) and one indicator of quality of care in health facilities in three districts in South Kalimantan, Indonesia. The general picture which emerges for South Kalimantan is that the use of obstetric services is low. Even in the more urban district of Banjar where facility-based coverage is highest, fewer than 14% of all deliveries take place in an EOC facility, 2% of expected births are admitted to such a facility with a major obstetric intervention (MOI), and 1% of expected births have an MOI for an absolute maternal indication. The use of facility-based EOC is consistently lower in Barito Kuala compared to the other districts, and the differences persist regardless of the indicators used. In this setting with low utilization rates, general rates of utilization of EOC facilities seem to be as satisfactory an indicator of relative access to EOC as more elaborate indicators specifying the reasons for admission. The inequalities in access to care revealed by the various indicators of use of EOC services may prove to be a more powerful stimulus for change than the widely reported and highly inaccurate accounts of the high levels of maternal mortality.

Effective team management by district nurses.

PubMed

Bliss, Julie

2004-12-01

This article considers the key role played by the district nurse in managing the district nursing team in order to provide high quality health care. It considers how the district nurse can use key managerial roles (interpersonal, informational and decision-making) in order to ensure unity within the team. The importance of shared goals and trust to achieve unity is explored and a strategy for managing conflict is discussed. Finally, the article suggests a set of ground rules which could be used to facilitate effective team working.

Agreement between Coast Federation of Employees/American Federation of Teachers Local 1911 Faculty Unit and Coast Community College District, January 14, 1987.

ERIC Educational Resources Information Center

Coast Community Coll. District, Costa Mesa, CA.

This collective bargaining agreement between the faculty unit of the Coast Federation of Employees and Coast Community College District establishes conditions of employment for all full-time certificated employees of the district. The articles in the agreement set forth provisions related to: (1) union recognition; (2) definitions; (3) the…

Linked Learning in Pasadena: Creating a Collaborative Culture for Sustainable District Reform. Linked Learning Case Study Series

ERIC Educational Resources Information Center

Rice, Erik; Rutherford-Quach, Sara

2012-01-01

This is the story of how Pasadena Unified School District (PUSD) is creating sustainable high school reform. PUSD, through a set of district leadership practices, thoughtfully built the capacity of and sense of ownership among essential stakeholders to design, implement, and support a system of Linked Learning pathways. Though firmly anchored by…

75 FR 62131 - Filing Dates for the New York Special Election in the 29th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-07

... 29th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on November 2, 2010, to fill.... Committees required to file reports in connection with the Special General Election on November 2, 2010...

76 FR 16419 - Filing Dates for the New York Special Election in the 26th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-23

... 26th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on May 24, 2011, to fill the.... Committees required to file reports in connection with the Special General Election on May 24, 2011, shall...

78 FR 7781 - Filing Dates for the South Carolina Special Elections in the 1st Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-04

... in the 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates... Primary Election, the top two vote-getters will participate in a Special Runoff Election. General Election... participating in the South Carolina Special Primary and Special General Elections shall file a 12-day Pre...

78 FR 68443 - Filing Dates for the Florida Special Elections in the 13th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-14

... 13th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Primary and the Special General Election on March 11, 2014, shall file a 12-day Pre-Primary Report, 12-day... committees of candidates who participate in the Florida Special Primary and Special General Elections shall...

78 FR 9916 - Filing Dates for the Missouri Special Election in the 8th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-12

... 8th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Missouri has scheduled a Special General Election on June 4, 2013, to fill the.... Committees required to file reports in connection with the Special General Election on June 4, 2013, shall...

28 CFR 51.10 - Requirement of action for declaratory judgment or submission to the Attorney General.

Code of Federal Regulations, 2011 CFR

2011-07-01

... JUSTICE (CONTINUED) PROCEDURES FOR THE ADMINISTRATION OF SECTION 5 OF THE VOTING RIGHTS ACT OF 1965, AS... Attorney General. Section 5 requires that, prior to enforcement of any change affecting voting, the... determination from the U.S. District Court for the District of Columbia that the voting change neither has the...

28 CFR 51.10 - Requirement of action for declaratory judgment or submission to the Attorney General.

Code of Federal Regulations, 2010 CFR

2010-07-01

... JUSTICE (CONTINUED) PROCEDURES FOR THE ADMINISTRATION OF SECTION 5 OF THE VOTING RIGHTS ACT OF 1965, AS... Attorney General. Section 5 requires that, prior to enforcement of any change affecting voting, the... determination from the U.S. District Court for the District of Columbia that denial or abridgment of the right...

ARSENIC REMOVAL FROM DRINKING WATER BY ADSORPTIVE MEDIA. U.S. EPA DEMONSTRATION PROJECT AT SOUTH TRUCKEE MEADOWS GENERAL IMPROVEMENT DISTRICT (STMIG), NV. INTERIM EVALUATION REPORT

EPA Science Inventory

This report documents the activities performed during and the results obtained from the first 32 weeks of operation of an arsenic and antimony removal technology currently being demonstrated at the South Truckee Meadows General Improvement District (STMGID) in Washoe County, NV. ...

78 FR 51189 - Filing Dates for the Alabama Special Elections in the 1st Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-20

... 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Congressional District vacated by Representative Jo Bonner. There are three possible special elections, but only... Election, the top two vote-getters will participate in a Special Runoff Election. General Election...

Right Game, Wrong Field? The Pursuit of School Funding Equity.

ERIC Educational Resources Information Center

Hertert, Linda

1995-01-01

District-level fiscal equity, when achieved, will not necessarily result in a fairer distribution of educational resources. School-level inequities generally exceed those found at the district level in most states. If districts were required to distribute funds to schools on a per-pupil basis, school-level equalization could be accomplished…

Antiretroviral Therapy Program Expansion in Zambézia Province, Mozambique: Geospatial Mapping of Community-Based and Health Facility Data for Integrated Health Planning

PubMed Central

Moon, Troy D.; Ossemane, Ezequiel B.; Green, Ann F.; Ndatimana, Elisée; José, Eurico; Buehler, Charlotte P.; Wester, C. William; Vermund, Sten H.; Olupona, Omo

2014-01-01

Objective To generate maps reflecting the intersection of community-based Voluntary Counseling and Testing (VCT) delivery points with facility-based HIV program demographic information collected at the district level in three districts (Ile, Maganja da Costa and Chinde) of Zambézia Province, Mozambique; in order to guide planning decisions about antiretroviral therapy (ART) program expansion. Methods Program information was harvested from two separate open source databases maintained for community-based VCT and facility-based HIV care and treatment monitoring from October 2011 to September 2012. Maps were created using ArcGIS 10.1. Travel distance by foot within a 10 km radius is generally considered a tolerable distance in Mozambique for purposes of adherence and retention planning. Results Community-based VCT activities in each of three districts were clustered within geographic proximity to clinics providing ART, within communities with easier transportation access, and/or near the homes of VCT volunteers. Community HIV testing results yielded HIV seropositivity rates in some regions that were incongruent with the Ministry of Health’s estimates for the entire district (2–13% vs. 2% in Ile, 2–54% vs. 11.5% in Maganja da Costa, and 23–43% vs. 14.4% in Chinde). All 3 districts revealed gaps in regional disbursement of community-based VCT activities as well as access to clinics offering ART. Conclusions Use of geospatial mapping in the context of program planning and monitoring allowed for characterizing the location and size of each district’s HIV population. In extremely resource limited and logistically challenging settings, maps are valuable tools for informing evidence-based decisions in planning program expansion, including ART. PMID:25329169

Collective Bargaining Agreement between Board of Trustees of Lower Columbia College District 13 and Lower Columbia Faculty Association, 1987-1990.

ERIC Educational Resources Information Center

Lower Columbia Coll., Longview, WA.

This contractual agreement between the Board of Trustees of Lower Columbia College (LCC) District 13 and the Lower Columbia College Faculty Association outlines the terms of employment for all academic employees of the district. The 13 articles in the agreement set forth provisions related to: (1) recognition of the association as exclusive…

The Impact of the GE Foundation "Developing Futures"™ in Education Program on Mathematics Performance Trends in Four Districts. Research Report # RR-74

ERIC Educational Resources Information Center

Sirinides, Philip; Supovitz, Jonathan; Tognatta, Namrata; May, Henry

2013-01-01

Beginning in 2005, the GE Foundation initiated a commitment of expertise and financial resources to a set of urban school districts to improve public education and enhance student achievement in mathematics and science. This report analyzes the impacts of the GE Foundation commitment to the partner districts by examining trends in student…

Healthcare priority setting in Kenya: a gap analysis applying the accountability for reasonableness framework.

PubMed

Bukachi, Salome A; Onyango-Ouma, Washington; Siso, Jared Maaka; Nyamongo, Isaac K; Mutai, Joseph K; Hurtig, Anna Karin; Olsen, Oystein Evjen; Byskov, Jens

2014-01-01

In resource-poor settings, the accountability for reasonableness (A4R) has been identified as an important advance in priority setting that helps to operationalize fair priority setting in specific contexts. The four conditions of A4R are backed by theory, not evidence, that conformance with them improves the priority setting decisions. This paper describes the healthcare priority setting processes in Malindi district, Kenya, prior to the implementation of A4R in 2008 and evaluates the process for its conformance with the conditions for A4R. In-depth interviews and focus group discussions with key players in the Malindi district health system and a review of key policy documents and national guidelines show that the priority setting process in the district relies heavily on guidelines from the national level, making it more of a vertical, top-down orientation. Multilateral and donor agencies, national government, budgetary requirements, traditions and local culture influence the process. The four conditions of A4R are present within the priority setting process, albeit to varying degrees and referred to by different terms. There exists an opportunity for A4R to provide a guiding approach within which its four conditions can be strengthened and assessed to establish whether conformance helps improve on the priority setting process. Copyright © 2013 John Wiley & Sons, Ltd.

Cost Evaluation of Reproductive and Primary Health Care Mobile Service Delivery for Women in Two Rural Districts in South Africa

PubMed Central

Schnippel, Kathryn; Lince-Deroche, Naomi; van den Handel, Theo; Molefi, Seithati; Bruce, Suann; Firnhaber, Cynthia

2015-01-01

Background Cervical cancer screening is a critical health service that is often unavailable to women in under-resourced settings. In order to expand access to this and other reproductive and primary health care services, a South African non-governmental organization established a van-based mobile clinic in two rural districts in South Africa. To inform policy and budgeting, we conducted a cost evaluation of this service delivery model. Methods The evaluation was retrospective (October 2012–September 2013 for one district and April–September 2013 for the second district) and conducted from a provider cost perspective. Services evaluated included cervical cancer screening, HIV counselling and testing, syndromic management of sexually transmitted infections (STIs), breast exams, provision of condoms, contraceptives, and general health education. Fixed costs, including vehicle purchase and conversion, equipment, operating costs and mobile clinic staffing, were collected from program records and public sector pricing information. The number of women accessing different services was multiplied by ingredients-based variable costs, reflecting the consumables required. All costs are reported in 2013 USD. Results Fixed costs accounted for most of the total annual costs of the mobile clinics (85% and 94% for the two districts); the largest contributor to annual fixed costs was staff salaries. Average costs per patient were driven by the total number of patients seen, at $46.09 and $76.03 for the two districts. Variable costs for Pap smears were higher than for other services provided, and some services, such as breast exams and STI and tuberculosis symptoms screening, had no marginal cost. Conclusions Staffing costs are the largest component of providing mobile health services to rural communities. Yet, in remote areas where patient volumes do not exceed nursing staff capacity, incorporating multiple services within a cervical cancer screening program is an approach to potentially expand access to health care without added costs. PMID:25751528

Cost evaluation of reproductive and primary health care mobile service delivery for women in two rural districts in South Africa.

PubMed

Schnippel, Kathryn; Lince-Deroche, Naomi; van den Handel, Theo; Molefi, Seithati; Bruce, Suann; Firnhaber, Cynthia

2015-01-01

Cervical cancer screening is a critical health service that is often unavailable to women in under-resourced settings. In order to expand access to this and other reproductive and primary health care services, a South African non-governmental organization established a van-based mobile clinic in two rural districts in South Africa. To inform policy and budgeting, we conducted a cost evaluation of this service delivery model. The evaluation was retrospective (October 2012-September 2013 for one district and April-September 2013 for the second district) and conducted from a provider cost perspective. Services evaluated included cervical cancer screening, HIV counselling and testing, syndromic management of sexually transmitted infections (STIs), breast exams, provision of condoms, contraceptives, and general health education. Fixed costs, including vehicle purchase and conversion, equipment, operating costs and mobile clinic staffing, were collected from program records and public sector pricing information. The number of women accessing different services was multiplied by ingredients-based variable costs, reflecting the consumables required. All costs are reported in 2013 USD. Fixed costs accounted for most of the total annual costs of the mobile clinics (85% and 94% for the two districts); the largest contributor to annual fixed costs was staff salaries. Average costs per patient were driven by the total number of patients seen, at $46.09 and $76.03 for the two districts. Variable costs for Pap smears were higher than for other services provided, and some services, such as breast exams and STI and tuberculosis symptoms screening, had no marginal cost. Staffing costs are the largest component of providing mobile health services to rural communities. Yet, in remote areas where patient volumes do not exceed nursing staff capacity, incorporating multiple services within a cervical cancer screening program is an approach to potentially expand access to health care without added costs.

Environmental flows for rivers and economic compensation for irrigators.

PubMed

Sisto, Nicholas P

2009-02-01

Securing flows for environmental purposes from an already fully utilized river is an impossible task--unless users are either coerced into freeing up water, or offered incentives to do so. One sensible strategy for motivating users to liberate volumes is to offer them economic compensation. The right amount for that compensation then becomes a key environmental management issue. This paper analyses a proposal to restore and maintain ecosystems on a stretch of the Río Conchos in northern Mexico, downstream from a large irrigation district that consumes nearly all local flows. We present here estimates of environmental flow requirements for these ecosystems and compute compensation figures for irrigators. These figures are derived from crop-specific irrigation water productivities we statistically estimate from a large set of historical production and irrigation data obtained from the district. This work has general implications for river ecosystem management in water-stressed basins, particularly in terms of the design of fair and effective water sharing mechanisms.

A Comparative Study of Specific Skill Requirements of Selected Employers and Clerical Course Content in a Community College District.

ERIC Educational Resources Information Center

Hall, Gerry

A questionnaire designed to ascertain the typing, office machines, and mathematics computations skills needs of clerical employees was mailed to 107 employers of general clerical workers in the College of Sequoias district. The responses, received from 73.8 percent of the employers representing 1,013 general office employers, were compared with…

78 FR 48869 - Filing Dates for the Massachusetts Special Elections in the 5th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-12

... in the 5th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates... Special Primary and the Special General Election on December 10, 2013, shall file a 12-day Pre-Primary... Elections shall file a 12-day Pre-Primary Report on October 3, 2013; a 12-day Pre- General Report on...

77 FR 43823 - Filing Dates for the Michigan Special Election in the 11th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-26

... 11th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on November 6, 2012, shall file a 12-day Pre-Primary Report... Elections shall file a 12-day Pre-Primary Report on August 24, 2012; a 12-day Pre-General Report on October...

77 FR 22574 - Filing Dates for the Washington Special Election In the 1st Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-16

... the 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on November 6, 2012, shall file a 12-day Pre-Primary Report... Elections shall file a 12-day Pre-Primary Report on July 26, 2012; a 12-day Pre-General Report on October 25...

77 FR 75161 - Filing Dates for the Illinois Special Election in the 2nd Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-19

... 2nd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on April 9, 2013, shall file a 12- day Pre-Primary Report, a... Elections shall file a 12-day Pre-Primary Report on February 14, 2013; a 12-day Pre-General Report on March...

11 CFR 100.14 - State committee, subordinate committee, district, or local committee (2 U.S.C. 431(15)).

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false State committee, subordinate committee, district, or local committee (2 U.S.C. 431(15)). 100.14 Section 100.14 Federal Elections FEDERAL ELECTION COMMISSION GENERAL SCOPE AND DEFINITIONS (2 U.S.C. 431) General Definitions § 100.14 State committee...

A Model for the Determination of the Costs of Special Education as Compared with That for General Education. Reading Draft.

ERIC Educational Resources Information Center

Ernst and Ernst, Chicago, IL.

Proposed in the report is a model quantitative cost accounting system designed to help school districts gather and report data useful in determining equitable reimbursement formulas for special education as compared with general education. Included are sections on the approach and methodology used to construct a hypothetical school district,…

Arsenic and Antimony Removal from Drinking Water by Adsorptive Media - U.S. EPA Demonstration Project at South Truckee Meadows General Improvement District (STMGID), NV, Final Performance Evaluation Report

EPA Science Inventory

This report documents the activities performed during and the results obtained from the operation of an arsenic and antimony removal technology demonstrated at the South Truckee Meadows General Improvement District (STMGID) in Washoe County, NV. The objectives of the project wer...

Medicaid provider reimbursement policy for adult immunizations☆

PubMed Central

Stewart, Alexandra M.; Lindley, Megan C.; Cox, Marisa A.

2015-01-01

Background State Medicaid programs establish provider reimbursement policy for adult immunizations based on: costs, private insurance payments, and percentage of Medicare payments for equivalent services. Each program determines provider eligibility, payment amount, and permissible settings for administration. Total reimbursement consists of different combinations of Current Procedural Terminology codes: vaccine, vaccine administration, and visit. Objective Determine how Medicaid programs in the 50 states and the District of Columbia approach provider reimbursement for adult immunizations. Design Observational analysis using document review and a survey. Setting and participants Medicaid administrators in 50 states and the District of Columbia. Measurements Whether fee-for-service programs reimburse providers for: vaccines; their administration; and/or office visits when provided to adult enrollees. We assessed whether adult vaccination services are reimbursed when administered by a wide range of providers in a wide range of settings. Results Medicaid programs use one of 4 payment methods for adults: (1) a vaccine and an administration code; (2) a vaccine and visit code; (3) a vaccine code; and (4) a vaccine, visit, and administration code. Limitations Study results do not reflect any changes related to implementation of national health reform. Nine of fifty one programs did not respond to the survey or declined to participate, limiting the information available to researchers. Conclusions Medicaid reimbursement policy for adult vaccines impacts provider participation and enrollee access and uptake. While programs have generally increased reimbursement levels since 2003, each program could assess whether current policies reflect the most effective approach to encourage providers to increase vaccination services. PMID:26403369

The use of audit to identify maternal mortality in different settings: is it just a difference between the rich and the poor?

PubMed

van Dillen, Jeroen; Stekelenburg, Jelle; Schutte, Joke; Walraven, Gijs; van Roosmalen, Jos

2007-01-01

To illustrate how maternal mortality audit identifies different causes of and contributing factors to maternal deaths in different settings in low- and high-income countries and how this can lead to local solutions in reducing maternal deaths. Descriptive study of maternal mortality from different settings and review of data on the history of reducing maternal mortality in what are now high-income countries. Kalabo district in Zambia, Farafenni division in The Gambia, Onandjokwe district in Namibia, and the Netherlands. Population of rural areas in Zambia and The Gambia, peri-urban population in Namibia and nationwide data from the Netherlands. Data from facility-based maternal mortality audits from three African hospitals and data from the latest confidential enquiry in the Netherlands. Maternal mortality ratio (MMR), causes (direct and indirect) and characteristics. MMR ranged from 10 per 100,000 (the Netherlands) to 1,540 per 100,000 (The Gambia). Differences in causes of deaths were characterized by HIV/AIDS in Namibia, sepsis and HIV/AIDS in Zambia, (pre-)eclampsia in The Netherlands and obstructed labour in The Gambia. Differences in maternal mortality are more than just differences between the rich and poor. Acknowledging the magnitude of maternal mortality and harnessing a strong political will to tackle the issues are important factors. However, there is no single, general solution to reduce maternal mortality, and identification of problems needs to be promoted through audit, both national and local.

Requests for electroencephalography in a district general hospital: retrospective and prospective audit

PubMed Central

Smith, D; Bartolo, R; Pickles, R M; Tedman, B M

2001-01-01

Objectives To determine the number of inappropriate requests for electroencephalography (EEG) and whether guidelines on use could reduce this number. Design Audit with retrospective and prospective components. Setting EEG department in district general hospital and centre for neurology and neurosurgery. Participants Retrospective: 368 at the general hospital and 143 patients at the neurology centre. Prospective: 241 patients undergoing EEG at the general hospital. Interventions Guidelines for EEG issued to users of service at the general hospital. Outcomes Retrospective: differences in requesting practice, result in different clinical scenarios, relative roles of procedure, clinical acumen in establishing diagnosis, usefulness of procedure. Prospective: change of requesting practice, impact on use. Results There were considerable differences in requesting practice. Non-specialists seem to use EEG as a diagnostic tool, especially in patients with “funny turns,” when it is much more likely to yield potentially misleading than clinically useful information. The overall proportion of procedures considered to influence management, to be justifiable, and to be inappropriate were 16% (59), 28.3% (104), and 55.7% (205), respectively. In the prospective study the total number of requests was significantly reduced (χ2=33.85, df=5, P<0.0001), mainly because of fewer requests in patients with non-specific “funny turns” (χ2=21.90, df=6, P=0.0013). There was a concomitant change in the usefulness of EEG (χ2 =26.99, df=2, P<0.0001). Conclusions This original audit informed clinical practice and had potential benefits for patients, clinicians, and provision of service. Systematic replication of this project, possibly on a regional basis, could result in financial savings, which would allow development of accessible local neurophysiology services. What is already known on this topicThere is unrestricted access to EEG in most district general hospitals throughout the United KingdomThe combination of equivocal symptoms and non-specific abnormalities carries a risk of misdiagnosis of epilepsyWhat this study addsAn audit of requests for EEG showed that a large proportion were inappropriate, mainly because of the prevalent misconception that the procedure could prove or exclude a diagnosis of epilepsy in patients with “funny turns”After intervention with clinicians, which used an educative approach, there was a considerable and sustained change in requesting practice PMID:11312226

11 CFR 108.8 - Exemption for the District of Columbia.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Exemption for the District of Columbia. 108.8 Section 108.8 Federal Elections FEDERAL ELECTION COMMISSION GENERAL FILING COPIES OF REPORTS AND STATEMENTS WITH STATE OFFICERS (2 U.S.C. 439) § 108.8 Exemption for the District of Columbia. Any copy of a...

Private Management of Public Schools: Early Experiences in Four School Districts. Report to Congressional Committees.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

School districts nationwide are experimenting with a range of reform options, one of which is private management of public schools. This General Accounting Office (GAO) report describes the early experiences of four school districts that contracted with private companies for management of their public schools. Specifically, the report describes:…

Consultant-led, multidisciplinary balance clinic: process evaluation of a specialist model of care in a district general hospital.

PubMed

Trinidade, A; Yung, M W

2014-04-01

A specialist balance clinic to effectively deal with dizzy patients is recommended by ENT-UK. We audit the patient pathway before and following the introduction of a consultant-led dedicated balance clinic. Process evaluation and audit. ENT outpatients department of a district general hospital. The journey of dizzy patients seen in the general ENT clinic was mapped from case notes and recorded retrospectively. A consultant-led, multidisciplinary balance clinic involving an otologist, a senior audiologist and a neurophysiotherapist was then set up, and the journey was prospectively recorded and compared with that before the change. Of the 44 dizzy patients seen in the general clinic, 41% had further follow-up consultations; 64% were given definitive or provisional diagnoses; 75% were discharged without a management plan. Oculomotor examination was not systematically performed. The mean interval between Visits 1 and 2 was 8.4 weeks and the mean number of visits was 3. In the consultant-led dedicated balance clinic, following Visit 1, only 8% of patients required follow-up; 97% received definitive diagnoses, which guided management; all patients left with definitive management plans in place. In all patients, oculomotor assessment was systematically performed and all patients received consultant and, where necessary, allied healthcare professional input. By standardising the management experience for dizzy patients, appropriate and timely treatment can be achieved, allowing for a more seamless and efficient patient journey from referral to treatment. A multidisciplinary balance clinic led by a consultant otologist is the ideal way to achieve this. © 2014 John Wiley & Sons Ltd.

District decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia.

PubMed

Avan, Bilal Iqbal; Berhanu, Della; Umar, Nasir; Wickremasinghe, Deepthi; Schellenberg, Joanna

2016-09-01

Low-resource settings often have limited use of local data for health system planning and decision-making. To promote local data use for decision-making and priority setting, we propose an adapted framework: a data-informed platform for health (DIPH) aimed at guiding coordination, bringing together key data from the public and private sectors on inputs and processes. In working to transform this framework from a concept to a health systems initiative, we undertook a series of implementation research activities including background assessment, testing and scaling up of the intervention. This first paper of four reports the feasibility of the approach in a district health systems context in five districts of India, Nigeria and Ethiopia. We selected five districts using predefined criteria and in collaboration with governments. After scoping visits, an in-depth field visit included interviews with key health stakeholders, focus group discussions with service-delivery staff and record review. For analysis, we used five dimensions of feasibility research based on the TELOS framework: technology and systems, economic, legal and political, operational and scheduling feasibility. We found no standardized process for data-based district level decision-making, and substantial obstacles in all three countries. Compared with study areas in Ethiopia and Nigeria, the health system in Uttar Pradesh is relatively amenable to the DIPH, having relative strengths in infrastructure, technological and technical expertise, and financial resources, as well as a district-level stakeholder forum. However, a key challenge is the absence of an effective legal framework for engagement with India's extensive private health sector. While priority-setting may depend on factors beyond better use of local data, we conclude that a formative phase of intervention development and pilot-testing is warranted as a next step. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

District decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia

PubMed Central

Avan, Bilal Iqbal; Berhanu, Della; Umar, Nasir; Wickremasinghe, Deepthi; Schellenberg, Joanna

2016-01-01

Low-resource settings often have limited use of local data for health system planning and decision-making. To promote local data use for decision-making and priority setting, we propose an adapted framework: a data-informed platform for health (DIPH) aimed at guiding coordination, bringing together key data from the public and private sectors on inputs and processes. In working to transform this framework from a concept to a health systems initiative, we undertook a series of implementation research activities including background assessment, testing and scaling up of the intervention. This first paper of four reports the feasibility of the approach in a district health systems context in five districts of India, Nigeria and Ethiopia. We selected five districts using predefined criteria and in collaboration with governments. After scoping visits, an in-depth field visit included interviews with key health stakeholders, focus group discussions with service-delivery staff and record review. For analysis, we used five dimensions of feasibility research based on the TELOS framework: technology and systems, economic, legal and political, operational and scheduling feasibility. We found no standardized process for data-based district level decision-making, and substantial obstacles in all three countries. Compared with study areas in Ethiopia and Nigeria, the health system in Uttar Pradesh is relatively amenable to the DIPH, having relative strengths in infrastructure, technological and technical expertise, and financial resources, as well as a district-level stakeholder forum. However, a key challenge is the absence of an effective legal framework for engagement with India’s extensive private health sector. While priority-setting may depend on factors beyond better use of local data, we conclude that a formative phase of intervention development and pilot-testing is warranted as a next step. PMID:27591204

The rationale and cost-effectiveness of a confirmatory mapping tool for lymphatic filariasis: Examples from Ethiopia and Tanzania

PubMed Central

Pelletreau, Sonia; Barbre, Kira A.; Deming, Michael S.; Rebollo, Maria P.

2017-01-01

Endemicity mapping is required to determining whether a district requires mass drug administration (MDA). Current guidelines for mapping LF require that two sites be selected per district and within each site a convenience sample of 100 adults be tested for antigenemia or microfilaremia. One or more confirmed positive tests in either site is interpreted as an indicator of potential transmission, prompting MDA at the district-level. While this mapping strategy has worked well in high-prevalence settings, imperfect diagnostics and the transmission potential of a single positive adult have raised concerns about the strategy’s use in low-prevalence settings. In response to these limitations, a statistically rigorous confirmatory mapping strategy was designed as a complement to the current strategy when LF endemicity is uncertain. Under the new strategy, schools are selected by either systematic or cluster sampling, depending on population size, and within each selected school, children 9–14 years are sampled systematically. All selected children are tested and the number of positive results is compared against a critical value to determine, with known probabilities of error, whether the average prevalence of LF infection is likely below a threshold of 2%. This confirmatory mapping strategy was applied to 45 districts in Ethiopia and 10 in Tanzania, where initial mapping results were considered uncertain. In 42 Ethiopian districts, and all 10 of the Tanzanian districts, the number of antigenemic children was below the critical cutoff, suggesting that these districts do not require MDA. Only three Ethiopian districts exceeded the critical cutoff of positive results. Whereas the current World Health Organization guidelines would have recommended MDA in all 55 districts, the present results suggest that only three of these districts requires MDA. By avoiding unnecessary MDA in 52 districts, the confirmatory mapping strategy is estimated to have saved a total of $9,293,219. PMID:28976981

The rationale and cost-effectiveness of a confirmatory mapping tool for lymphatic filariasis: Examples from Ethiopia and Tanzania.

PubMed

Gass, Katherine M; Sime, Heven; Mwingira, Upendo J; Nshala, Andreas; Chikawe, Maria; Pelletreau, Sonia; Barbre, Kira A; Deming, Michael S; Rebollo, Maria P

2017-10-01

Endemicity mapping is required to determining whether a district requires mass drug administration (MDA). Current guidelines for mapping LF require that two sites be selected per district and within each site a convenience sample of 100 adults be tested for antigenemia or microfilaremia. One or more confirmed positive tests in either site is interpreted as an indicator of potential transmission, prompting MDA at the district-level. While this mapping strategy has worked well in high-prevalence settings, imperfect diagnostics and the transmission potential of a single positive adult have raised concerns about the strategy's use in low-prevalence settings. In response to these limitations, a statistically rigorous confirmatory mapping strategy was designed as a complement to the current strategy when LF endemicity is uncertain. Under the new strategy, schools are selected by either systematic or cluster sampling, depending on population size, and within each selected school, children 9-14 years are sampled systematically. All selected children are tested and the number of positive results is compared against a critical value to determine, with known probabilities of error, whether the average prevalence of LF infection is likely below a threshold of 2%. This confirmatory mapping strategy was applied to 45 districts in Ethiopia and 10 in Tanzania, where initial mapping results were considered uncertain. In 42 Ethiopian districts, and all 10 of the Tanzanian districts, the number of antigenemic children was below the critical cutoff, suggesting that these districts do not require MDA. Only three Ethiopian districts exceeded the critical cutoff of positive results. Whereas the current World Health Organization guidelines would have recommended MDA in all 55 districts, the present results suggest that only three of these districts requires MDA. By avoiding unnecessary MDA in 52 districts, the confirmatory mapping strategy is estimated to have saved a total of $9,293,219.

North Coast Unified Air Quality Management District: PSD Delegation Agreements

EPA Pesticide Factsheets

Agreements for Partial Delegation of the Federal Prevention of Significant Deterioration (PSD) Program Set Forth in 40 CPR 52.21 by the United States Environmental Protection Agency, Region 9 to the North Coast Unified Air Quality Management District.

7 CFR 634.4 - Responsibilities.

Code of Federal Regulations, 2014 CFR

2014-01-01

... practices that are set forth in the contracts, (4) Where practicable, enter into agreements with soil conservation districts, State soil and water conservation agencies, or State water quality agencies to... practicable for soil conservation districts, State soil and water conservation agencies, or State water...

7 CFR 634.4 - Responsibilities.

Code of Federal Regulations, 2012 CFR

2012-01-01

... practices that are set forth in the contracts, (4) Where practicable, enter into agreements with soil conservation districts, State soil and water conservation agencies, or State water quality agencies to... practicable for soil conservation districts, State soil and water conservation agencies, or State water...

7 CFR 634.4 - Responsibilities.

Code of Federal Regulations, 2013 CFR

2013-01-01

... practices that are set forth in the contracts, (4) Where practicable, enter into agreements with soil conservation districts, State soil and water conservation agencies, or State water quality agencies to... practicable for soil conservation districts, State soil and water conservation agencies, or State water...

Knowledge, attitudes and acceptability to provider-initiated HIV testing and counseling: patients' perspectives in Moshi and Rombo Districts, Tanzania.

PubMed

Manongi, Rachel; Mahande, Michael; Njau, Bernard

2014-10-01

Provider-initiated HIV testing and counseling (PITC) is referred to as routine testing in a clinical setting as part of a standard programme of medical services. PITC is initiated in order to avoid missed opportunities for people to get tested for HIV. While advocated as a strategy, there is dearth of information on patients' views on PITC in a number of districts in Tanzania. The objective of this study was to assess the knowledge, attitude and acceptability to PITC services among patients attending health care facilities in rural and urban settings in Kilimanjaro region A total of 12 focus group discussions (FGDs) were conducted with 99 (73 female and 26 male) patients enrolled into out-patient clinics in 8 (2 hospitals and 6 primary care centers) health facilities in Moshi Urban and Rombo districts in northern Tanzania. The study explored on knowledge, attitudes and acceptability of PITC, perceived benefits and barriers of PITC, and ethical issues related to PITC. Interviews were audio taped, transcribed, translated, and analyzed using Non-numerical Unstructured Data Indexing and Theorizing (NUDIST) software. Knowledge about PITC services was generally low. Compared to men, women had a more positive attitude towards PITC services, because of its ability to identify and treat undiagnosed HIV cases. HIV stigma was regarded as a major barrier to patients' uptake of PITC. Institutional factors such as lack of supplies and human resources were identified as barriers to successful provision of PITC. In conclusion, the findings highlight both opportunities and potential barriers in the successful uptake of PITC, and underscore the importance of informed consent, counseling and confidentiality and the need for specific strategies on advocacy for the service.

Food insecurity among people with severe mental disorder in a rural Ethiopian setting: a comparative, population-based study.

PubMed

Tirfessa, K; Lund, C; Medhin, G; Hailemichael, Y; Fekadu, A; Hanlon, C

2017-11-16

In low-income African countries, ensuring food security for all segments of the population is a high priority. Mental illness is associated consistently with poverty, but there is little evidence regarding the association with food insecurity. The aim of this study was to compare the levels of food insecurity in people with severe mental disorders (SMD) with the general population in a rural African setting with a high burden of food insecurity. Households of 292 community-ascertained people with a specialist-confirmed diagnosis of SMD (including schizophrenia and bipolar disorder) were compared with 284 households without a person with SMD in a rural district in south Ethiopia. At the time of the study, no mental health services were available within the district. Food insecurity was measured using a validated version of the Household Food Insecurity Access Scale. Disability was measured using the World Health Organisation Disability Assessment Schedule 2.0. Severe household food insecurity was reported by 32.5% of people with SMD and 15.9% of respondents from comparison households: adjusted odds ratio 2.82 (95% confidence interval 1.62 to 4.91). Higher annual income was associated independently with lower odds of severe food insecurity. When total disability scores were added into the model, the association between SMD and food insecurity became non-significant, indicating a possible mediating role of disability. Efforts to alleviate food insecurity need to target people with SMD as a vulnerable group. Addressing the disabling effects of SMD would also be expected to reduce food insecurity. Access to mental health care integrated into primary care is being expanded in this district as part of the Programme for Improving Mental health carE (PRIME). The impact of treatment on disability and food insecurity will be evaluated.

A User's Guide to the Four-Day School Week: How to Assess District Readiness and Evaluate the Results

ERIC Educational Resources Information Center

Heyward, Georgia

2017-01-01

This guide was created to help district leaders understand the benefits and drawbacks of the four-day school week, assess their district's readiness to make the switch, and evaluate the results of implementing the new schedule. This guide begins with an overview of common goals and outcomes for the four-day school week. It then provides a set of…

Comparative anatomy of epithermal precious- and base-metal districts hosted by volcanic rocks: A talk presented at the GAC/MSC/GGU Joint Annual Meeting, May 11-13, 1983, Victoria, British Columbia

USGS Publications Warehouse

Heald-Wetlaufer, Pamela; Hayba, Daniel O.; Foley, Nora K.; Goss, J.A.

1983-01-01

In order to distinguish dissimilar from similar features of epithermal districts, lithotectonic, mineralogical and geochemical traits are compiled for 15 such districts. The districts occur in structurally complex settings associated with silicic to intermediate volcanics. Affiliation with subduction environments on a continental scale and caldera settings on a regional scale is common but is not demonstrable for all districts. Most deposits formed near the end of major volcanism, but some formed considerably later. Paleodepth to the top of the ore is 300-600m for most districts, although Au-rich districts appear to be shallower. The lateral extent of the ore zone is highly variable and far exceeds the limited vertical range (300-800m). Most ore was deposited from dominantly meteoric fluids ranging in temperature from 220°-290°C. Salinities ranged from 0-13 wt% NaCl equiv., and typical values were 1-3 wt%. Although noted for eight deposits, boiling is clearly associated with precious-metal deposition in only two deposits. Four districts, typified by Goldfield, Nev., are characterized by a highly sulfidized mineral assemblage, advanced argillic alteration, and ore deposition closely following emplacement of the host rock. The remaining eleven districts highlight a second, discrete type of deposit. They contain adularia, exhibit sericitic ± argillic alteration, and were mineralized significantly after emplacement of the host rock. The latter category includes two subgroups: Ag- and base-metal-rich deposits (e.g., Creede, Colo.), and Au-rich, base-metal-poor deposits (e.g., Round Mtn., Nev.).

The Paris Declaration in practice: challenges of health sector aid coordination at the district level in Zambia

PubMed Central

Sundewall, Jesper; Forsberg, Birger C; Jönsson, Kristina; Chansa, Collins; Tomson, Göran

2009-01-01

Background The increasing resources available for and number of partners providing health sector aid have stimulated innovations, notably, the Paris Declaration on Aid Effectiveness, which aim to improve aid coordination. In this, one of the first studies to analyse implementation of aid coordination below national level, the aim was to investigate the effect of the Paris Declaration on coordination of health sector aid at the district level in Zambia. Methods The study was carried out in three districts of Zambia. Data were collected via interviews with health centre staff, district managers and officials from the Ministry of Health, and from district action plans, financial reports and accounts, and health centre ledger cards. Four indicators of coordination related to external-partner activity, common arrangements used by external partners and predictability of funding were analysed and assessed in relation to the 2010 targets set by the Paris Declaration. Findings While the activity of external partners at the district level has increased, funding and activities provided by these partners are often not included in local plans. HIV/AIDS support show better integration in planning and implementation at the district level than other support. Regarding common arrangements used for fund disbursement, the share of resources provided as programme-based support is not increasing. The predictability of funds coming from outside the government financing mechanism is low. Conclusion Greater efforts to integrate partners in district level planning and implementation are needed. External partners must improve the predictability of their support and be more proactive in informing the districts about their intended contributions. With the deadline for achieving the targets set by the Paris Declaration fast approaching, it is time for the signatories to accelerate its implementation. PMID:19505300

Restraint and Seclusion of Students with a Disability Continue to Be Common in Some School Districts. Patterns Remain Relatively Consistent Despite Recent Policy Changes. National Issue Brief Number 78

ERIC Educational Resources Information Center

Gagnon, Douglas; Mattingly, Marybeth; Connelly, Vincent J.

2014-01-01

In 2013, Carsey released a brief that analyzed rates of restraint and seclusion using a large, nationally representative data set of U.S. school districts. This brief, which analyzes a more comprehensive data set and the most current Civil Rights Data Collection, serves as a follow-up to the previous brief. Authors Douglas Gagnon, Marybeth…

Stakeholders’ participation in planning and priority setting in the context of a decentralised health care system: the case of prevention of mother to child transmission of HIV programme in Tanzania

PubMed Central

2013-01-01

Background In Tanzania, decentralisation processes and reforms in the health sector aimed at improving planning and accountability in the sector. As a result, districts were given authority to undertake local planning and set priorities as well as allocate resources fairly to promote the health of a population with varied needs. Nevertheless, priority setting in the health care service has remained a challenge. The study assessed the priority setting processes in the planning of the prevention of mother to child transmission of HIV (PMTCT) programme at the district level in Tanzania. Methods This qualitative study was conducted in Mbarali district, south-western Tanzania. The study applied in-depth interviews and focus group discussions in the data collection. Informants included members of the Council Health Management Team, regional PMTCT managers and health facility providers. Results Two plans were reported where PMTCT activities could be accommodated; the Comprehensive Council Health Plan and the Regional PMTCT Plan that was donor funded. As donors had their own globally defined priorities, it proved difficult for district and regional managers to accommodate locally defined PMTCT priorities in these plans. As a result few of these were funded. Guidelines and main priority areas of the Ministry of Health and Social Welfare (MoHSW) also impacted on the ability of the districts and regions to act, undermining the effectiveness of the decentralisation policy in the health sector. Conclusion The challenges in the priority setting processes revealed within the PMTCT initiative indicate substantial weaknesses in implementing the Tanzania decentralisation policy. There is an urgent need to revive the strategies and aims of the decentralisation policy at all levels of the health care system with a view to improving health service delivery. PMID:23849730

Toxicity and oxidative stress induced by chromium in workers exposed from different occupational settings around the globe: A review.

PubMed

Junaid, Muhammad; Hashmi, Muhammad Zaffar; Malik, Riffat Naseem; Pei, De-Sheng

2016-10-01

The present review focused on the levels and toxicological status of heavy metals especially chromium (Cr) in the exposed workers from different occupational settings around the globe and in Pakistan. It was found that exposed workers from leather tanning and metal plating units showed elevated levels of Cr than the workers from other occupational settings. Cr and other heavy metals level in biological matrices of the exposed workers in different occupational settings revealed that developing countries are severely contaminated. Occupational settings from the Sialkot district, Pakistan exhibited elevated level of Cr in biological entities of the exposed workers. Review suggested that higher level of Cr exposure to the workers enhance the oxidative stress (reactive oxygen species (ROS) and hydroxyl (OH) radical generation) which may cause; cellular and molecular damage such as genotoxicity and chromosomal aberration formations, and carcinogenic effects. This review will help to understand the Cr contamination mechanisms and associated health implications in different occupational settings around the globe in general and particularly to Pakistan. This study will also assist occupational health and safety management authorities to devise or change the Cr recommended exposure limits (REL) for different occupational settings.

The interface between the national tuberculosis control programme and district hospitals in Cameroon: missed opportunities for strengthening the local health system -a multiple case study.

PubMed

Keugoung, Basile; Macq, Jean; Buve, Anne; Meli, Jean; Criel, Bart

2013-03-22

Tuberculosis remains a major public health problem in sub-Saharan Africa. District hospitals (DHs) play a central role in district-based health systems, and their relation with vertical programmes is very important. Studies on the impact of vertical programmes on DHs are rare. This study aims to fill this gap. Its purpose is to analyse the interaction between the National Tuberculosis Control Programme (NTCP) and DHs in Cameroon, especially its effects on the human resources, routine health information system (HIS) and technical capacity at the hospital level. We used a multiple case study methodology. From the Adamaoua Region, we selected two DHs, one public and one faith-based. We collected qualitative and quantitative data through document reviews, semi-structured interviews with district and regional staff, and observations in the two DHs. The NTCP trained and supervised staff, designed and provided tuberculosis data collection and reporting tools, and provided anti-tuberculosis drugs, reagents and microscopes to DHs. However, these interventions were limited to the hospital units designated as Tuberculosis Diagnostic and Treatment Centres and to staff dedicated to tuberculosis control activities. The NTCP installed a parallel HIS that bypassed the District Health Services. The DH that performs well in terms of general hospital care and that is well managed was successful in tuberculosis control. Based on the available resources, the two hospitals adapt the organisation of tuberculosis control to their settings. The management teams in charge of the District Health Services are not involved in tuberculosis control. In our study, we identified several opportunities to strengthen the local health system that have been missed by the NTCP and the health system managers. Well-managed DHs perform better in terms of tuberculosis control than DHs that are not well managed. The analysis of the effects of the NTCP on the human resources, HIS and technical capacity of DHs indicates that the NTCP supports, rather than strengthens, the local health system. Moreover, there is potential for this support to be enhanced. Positive synergies between the NTCP and district health systems can be achieved if opportunities to strengthen the district health system are seized. The question remains, however, of why managers do not take advantage of the opportunities to strengthen the health system.

The interface between the national tuberculosis control programme and district hospitals in Cameroon: missed opportunities for strengthening the local health system –a multiple case study

PubMed Central

2013-01-01

Background Tuberculosis remains a major public health problem in sub-Saharan Africa. District hospitals (DHs) play a central role in district-based health systems, and their relation with vertical programmes is very important. Studies on the impact of vertical programmes on DHs are rare. This study aims to fill this gap. Its purpose is to analyse the interaction between the National Tuberculosis Control Programme (NTCP) and DHs in Cameroon, especially its effects on the human resources, routine health information system (HIS) and technical capacity at the hospital level. Methods We used a multiple case study methodology. From the Adamaoua Region, we selected two DHs, one public and one faith-based. We collected qualitative and quantitative data through document reviews, semi-structured interviews with district and regional staff, and observations in the two DHs. Results The NTCP trained and supervised staff, designed and provided tuberculosis data collection and reporting tools, and provided anti-tuberculosis drugs, reagents and microscopes to DHs. However, these interventions were limited to the hospital units designated as Tuberculosis Diagnostic and Treatment Centres and to staff dedicated to tuberculosis control activities. The NTCP installed a parallel HIS that bypassed the District Health Services. The DH that performs well in terms of general hospital care and that is well managed was successful in tuberculosis control. Based on the available resources, the two hospitals adapt the organisation of tuberculosis control to their settings. The management teams in charge of the District Health Services are not involved in tuberculosis control. In our study, we identified several opportunities to strengthen the local health system that have been missed by the NTCP and the health system managers. Conclusion Well-managed DHs perform better in terms of tuberculosis control than DHs that are not well managed. The analysis of the effects of the NTCP on the human resources, HIS and technical capacity of DHs indicates that the NTCP supports, rather than strengthens, the local health system. Moreover, there is potential for this support to be enhanced. Positive synergies between the NTCP and district health systems can be achieved if opportunities to strengthen the district health system are seized. The question remains, however, of why managers do not take advantage of the opportunities to strengthen the health system. PMID:23521866

Increased fairness in priority setting processes within the health sector: the case of Kapiri-Mposhi District, Zambia

PubMed Central

2014-01-01

Background The challenge of priority setting (PS) in health care within contexts of severe resource limitations has continued to receive attention. Accountability for Reasonableness (AFR) has emerged as a useful framework to guide the implementation of PS processes. In 2006, the AFR approach to enhance legitimate and fair PS was introduced by researchers and decision makers within the health sector in the EU funded research project entitled ‘Response to Accountable priority setting for Trust in health systems’ (REACT). The project aimed to strengthen fairness and accountability in the PS processes of health systems at district level in Zambia, Tanzania and Kenya. This paper focuses on local perceptions and practices of fair PS (baseline study) as well as at the evolution of such perceptions and practices in PS following an AFR based intervention (evaluation study), carried out at district level in Kapiri-Mposhi District in Zambia. Methods Data was collected using in depth interviews (IDIs), focus group discussions (FGDs) and review of documents from national to district level. The study population for this paper consisted of health related stakeholders employed in the district administration, in non-governmental organizations (NGO) and in health facilities. Results During the baseline study, concepts of legitimacy and fairness in PS processes were found to be grounded in local values of equity and impartiality. Government and other organizational strategies strongly supported devolution of PS and decision making procedures. However, important gaps were identified in terms of experiences of stakeholder involvement and fairness in PS processes in practice. The evaluation study revealed that a transformation of the views and methods regarding fairness in PS processes was ongoing in the study district, which was partly attributed to the AFR based intervention. Conclusions The study findings suggest that increased attention was given to fairness in PS processes at district level. The changes were linked to a number of simultaneous factors among them the concepts introduced by the present project with its emphasis on fairness and enhanced participation. A responsive leadership that was increasingly accountable to its operational staff and communities emerged as one of the key elements in driving the processes forward. PMID:24548767

Increased fairness in priority setting processes within the health sector: the case of Kapiri-Mposhi District, Zambia.

PubMed

Zulu, Joseph M; Michelo, Charles; Msoni, Carol; Hurtig, Anna-Karin; Byskov, Jens; Blystad, Astrid

2014-02-18

The challenge of priority setting (PS) in health care within contexts of severe resource limitations has continued to receive attention. Accountability for Reasonableness (AFR) has emerged as a useful framework to guide the implementation of PS processes. In 2006, the AFR approach to enhance legitimate and fair PS was introduced by researchers and decision makers within the health sector in the EU funded research project entitled 'Response to Accountable priority setting for Trust in health systems' (REACT). The project aimed to strengthen fairness and accountability in the PS processes of health systems at district level in Zambia, Tanzania and Kenya. This paper focuses on local perceptions and practices of fair PS (baseline study) as well as at the evolution of such perceptions and practices in PS following an AFR based intervention (evaluation study), carried out at district level in Kapiri-Mposhi District in Zambia. Data was collected using in depth interviews (IDIs), focus group discussions (FGDs) and review of documents from national to district level. The study population for this paper consisted of health related stakeholders employed in the district administration, in non-governmental organizations (NGO) and in health facilities. During the baseline study, concepts of legitimacy and fairness in PS processes were found to be grounded in local values of equity and impartiality. Government and other organizational strategies strongly supported devolution of PS and decision making procedures. However, important gaps were identified in terms of experiences of stakeholder involvement and fairness in PS processes in practice. The evaluation study revealed that a transformation of the views and methods regarding fairness in PS processes was ongoing in the study district, which was partly attributed to the AFR based intervention. The study findings suggest that increased attention was given to fairness in PS processes at district level. The changes were linked to a number of simultaneous factors among them the concepts introduced by the present project with its emphasis on fairness and enhanced participation. A responsive leadership that was increasingly accountable to its operational staff and communities emerged as one of the key elements in driving the processes forward.

Severe sepsis and septic shock in pre-hospital emergency medicine: survey results of medical directors of emergency medical services concerning antibiotics, blood cultures and algorithms.

PubMed

Casu, Sebastian; Häske, David

2016-06-01

Delayed antibiotic treatment for patients in severe sepsis and septic shock decreases the probability of survival. In this survey, medical directors of different emergency medical services (EMS) in Germany were asked if they are prepared for pre-hospital sepsis therapy with antibiotics or special algorithms to evaluate the individual preparations of the different rescue areas for the treatment of patients with this infectious disease. The objective of the survey was to obtain a general picture of the current status of the EMS with respect to rapid antibiotic treatment for sepsis. A total of 166 medical directors were invited to complete a short survey on behalf of the different rescue service districts in Germany via an electronic cover letter. Of the rescue districts, 25.6 % (n = 20) stated that they keep antibiotics on EMS vehicles. In addition, 2.6 % carry blood cultures on the vehicles. The most common antibiotic is ceftriaxone (third generation cephalosporin). In total, 8 (10.3 %) rescue districts use an algorithm for patients with sepsis, severe sepsis or septic shock. Although the German EMS is an emergency physician-based rescue system, special opportunities in the form of antibiotics on emergency physician vehicles are missing. Simultaneously, only 10.3 % of the rescue districts use a special algorithm for sepsis therapy. Sepsis, severe sepsis and septic shock do not appear to be prioritized as highly as these deadly diseases should be in the pre-hospital setting.

Managing Ebola from rural to urban slum settings: experiences from Uganda.

PubMed

Okware, Sam I; Omaswa, Francis; Talisuna, Ambrose; Amandua, Jacinto; Amone, Jackson; Onek, Paul; Opio, Alex; Wamala, Joseph; Lubwama, Julius; Luswa, Lukwago; Kagwa, Paul; Tylleskar, Thorkild

2015-03-01

Five outbreaks of ebola occurred in Uganda between 2000-2012. The outbreaks were quickly contained in rural areas. However, the Gulu outbreak in 2000 was the largest and complex due to insurgency. It invaded Gulu municipality and the slum- like camps of the internally displaced persons (IDPs). The Bundigugyo district outbreak followed but was detected late as a new virus. The subsequent outbreaks in the districts of Luwero district (2011, 2012) and Kibaale (2012) were limited to rural areas. Detailed records of the outbreak presentation, cases, and outcomes were reviewed and analyzed. Each outbreak was described and the outcomes examined for the different scenarios. Early detection and action provided the best outcomes and results. The ideal scenario occurred in the Luwero outbreak during which only a single case was observed. Rural outbreaks were easier to contain. The community imposed quarantine prevented the spread of ebola following introduction into Masindi district. The outbreak was confined to the extended family of the index case and only one case developed in the general population. However, the outbreak invasion of the town slum areas escalated the spread of infection in Gulu municipality. Community mobilization and leadership was vital in supporting early case detection and isolations well as contact tracing and public education. Palliative care improved survival. Focusing on treatment and not just quarantine should be emphasized as it also enhanced public trust and health seeking behavior. Early detection and action provided the best scenario for outbreak containment. Community mobilization and leadership was vital in supporting outbreak control. International collaboration was essential in supporting and augmenting the national efforts.

Evaluation of the district health management fellowship training programme: a case study in Iran

PubMed Central

Gholipour, Kamal; Tabrizi, Jafar Sadegh; Farahbakhsh, Mostafa; Iezadi, Shabnam; Ghiasi, Akbar; Jahanbin, Hasan

2018-01-01

Objective To evaluate the district health management fellowship training programme in the north-west of Iran. Data sources/study setting The programme was introduced to build the managerial capacity of district health managers in Iran. Eighty-nine heads of units in the province’s health centre, district health managers and the health deputies of the district health centres in the north-west provinces of Iran had registered for the district health management fellowship training programme in Tabriz in 2015–2016. Study design This was an educational evaluation study to evaluate training courses to measure participants' reactions and learning and, to a lesser extent, application of training to their job and the organisational impact. Data collection/extraction methods Valid and reliable questionnaires were used to assess learning techniques and views towards the fellowship, and self-assessment of health managers’ knowledge and skills. Also, pretest and post-test examinations were conducted in each course and a portfolio was provided to the trainees to be completed in their work settings. Principal findings About 63% of the participants were medical doctors and 42.3% of them had over 20 years of experience. Learning by practice (scored 18.37 out of 20) and access to publications (17.27) were the most useful methods of training in health planning and management from the participants’ perspective. Moreover, meeting peers from other districts and the academic credibility of teachers were the most important features of the current programme. Based on the managers’ self-assessment, they were most skilful in quality improvement, managing, planning and evaluation of the district. The results of the post-test analysis on data collected from district health managers showed the highest scores in managing the district (77 out of 100) and planning and evaluation (69) of the courses. Conclusion The results of this study indicated that training courses, methods and improvement in managers' knowledge about the health system and the skills necessary to manage their organisation were acceptable. PMID:29525773

Update on Indiana School District Referenda: Legislative Changes and Primary Election Outcomes of 2011. Education Policy Brief. Volume 9, Number 1

ERIC Educational Resources Information Center

Hiller, Stephen C.; Spradlin, Terry E.

2011-01-01

The May primary election added seven school district referenda to the total number occurring in Indiana since 2008, three of which passed and four of which were rejected by voters. In the 2011 primary election, there were five General Fund referenda and two construction referenda. Of General Fund referenda, two passed (Crown Point Community School…

General perspective view of historiccontributing properties in the Vale Commercial ...

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

General perspective view of historic-contributing properties in the Vale Commercial Historic District (view from left to right: Buildings T, U, L, and O), view looking northwest on Main Street - Vale Commercial Historic District, A Street between Holland & Longfellow Streets, north side of B Street between Holland & Main Streets, Main Street South from A Street through B Street, & Stone House at 283 Main Street South, Vale, Malheur County, OR

The administrative costs of community-based health insurance: a case study of the community health fund in Tanzania

PubMed Central

Borghi, Josephine; Makawia, Suzan; Kuwawenaruwa, August

2015-01-01

Community-based health insurance expansion has been proposed as a financing solution for the sizable informal sector in low-income settings. However, there is limited evidence of the administrative costs of such schemes. We assessed annual facility and district-level costs of running the Community Health Fund (CHF), a voluntary health insurance scheme for the informal sector in a rural and an urban district from the same region in Tanzania. Information on resource use, CHF membership and revenue was obtained from district managers and health workers from two facilities in each district. The administrative cost per CHF member household and the cost to revenue ratio were estimated. Revenue collection was the most costly activity at facility level (78% of total costs), followed by stewardship and management (13%) and pooling of funds (10%). Stewardship and management was the main activity at district level. The administration cost per CHF member household ranged from USD 3.33 to USD 12.12 per year. The cost to revenue ratio ranged from 50% to 364%. The cost of administering the CHF was high relative to revenue generated. Similar studies from other settings should be encouraged. PMID:24334331

School District Officials Face Problems in Dealing with Asbestos in Their Schools. Report to the Chairman, Subcommittee on HUD--Independent Agencies.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC.

To determine how school districts are handling the problems of asbestos in their schools, the General Accounting Office (GAO) conducted interviews and asked standarized questions of officials at 6 Environmental Protection Agency (EPA) regional offices, 12 state offices, and 36 school districts in 12 states. This report presents information on the…

An Examination of State Takeover as a School Reform Strategy in a Small Rural School District

ERIC Educational Resources Information Center

Brookover, Chester Wayne

2010-01-01

The purpose of this qualitative study was to explore state takeover as a school reform strategy in a small rural school district. Since 1988, more than 50 U.S. school districts in 20 states have been subject to some form of state takeover. A number of factors generally contribute to a state takeover, some of which include: poor student…

The influence of neighborhood unemployment on mortality after stroke.

PubMed

Unrath, Michael; Wellmann, Jürgen; Diederichs, Claudia; Binse, Lisa; Kalic, Marianne; Heuschmann, Peter Ulrich; Berger, Klaus

2014-07-01

Few studies have investigated the impact of neighborhood characteristics on mortality after stroke. Aim of our study was to analyze the influence of district unemployment as indicator of neighborhood socioeconomic status (SES-NH) on poststroke mortality, and to compare these results with the mortality in the underlying general population. Our analyses involve 2 prospective cohort studies from the city of Dortmund, Germany. In the Dortmund Stroke Register (DOST), consecutive stroke patients (N=1883) were recruited from acute care hospitals. In the Dortmund Health Study (DHS), a random general population sample was drawn (n=2291; response rate 66.9%). Vital status was ascertained in the city's registration office and information on district unemployment was obtained from the city's statistical office. We performed multilevel survival analyses to examine the association between district unemployment and mortality. The association between neighborhood unemployment and mortality was weak and not statistically significant in the stroke cohort. Only stroke patients exposed to the highest district unemployment (fourth quartile) had slightly higher mortality risks. In the general population sample, higher district unemployment was significantly associated with higher mortality following a social gradient. After adjustment for education, health-related behavior and morbidity was made the strength of this association decreased. The impact of SES-NH on mortality was different for stroke patients and the general population. Differences in the association between SES-NH and mortality may be partly explained by disease-related characteristics of the stroke cohort such as homogeneous lifestyles, similar morbidity profiles, medical factors, and old age. Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.

Kern Community College District Information Technology Plan.

ERIC Educational Resources Information Center

Kern Community Coll. District, Bakersfield, CA.

The Information Technology Plan as set forth in this document provides the organizational structure, assignment of duties, infrastructure, and philosophic environment that should permit the Kern Community College District to proceed in an orderly manner in developing information technology to enhance student learning, serve the faculty, and…

Supreme Court Upholds Religious Liberty: Educational Implications.

ERIC Educational Resources Information Center

Mawdsley, Ralph D.; Russo, Charles J.

1994-01-01

Reviews a set of Supreme Court rulings that may dramatically alter the landscape of First Amendment jurisprudence: "Church of the Lukumi Babalu Aye v. City of Hialeah"; "Jones v. Clear Creek Independent School District"; "Lambs Chapel v. Center Moriches Union Free School District"; and Zobrest v. Catalina Foothills…

What Districts Know--and Need to Know--about Their Principals

ERIC Educational Resources Information Center

George W. Bush Institute, Education Reform Initiative, 2016

2016-01-01

Research on school leadership has highlighted the impact principals have on student achievement through their influence on classroom instruction, organizational conditions, community support, and setting the teaching and learning conditions in schools. However, there is limited rigorous quantitative research on the best district policies and…

Group cognitive and behavioural treatment for hypochondriasis.

PubMed Central

Stern, R; Fernandez, M

1991-01-01

OBJECTIVE--To assess the feasibility of carrying out group cognitive and behavioural treatment for hypochondriasis in a general hospital setting. DESIGN--Assessment of patients referred for therapy. SETTING--District general hospital. PATIENTS--Six patients aged 35 to 55 (mean 43) years with a mean duration of symptoms of 12 years who fulfilled the Diagnostic and Statistical Manual for Mental Disorders (DSM III-R) criteria for hypochondriasis. MAIN OUTCOME MEASURES--Number of visits to their doctors, time spent thinking about illness, and scores on the hospital anxiety and depression scales. RESULTS--The mean number of visits to a doctor fell significantly after treatment (3 before treatment v 0.8 after treatment; p = 0.03) as did the time spent thinking about illness (57.3 v 40.6; p = 0.14). The depression and anxiety scores also fell, although the differences were not significant (depression: 9.5 before v 8.5 after; anxiety: 13 before v 12 after). CONCLUSION--It is feasible to carry out group cognitive and behavioural treatment in patients with hypochondriasis, and controlled studies are now indicated. PMID:1747641

Building Public Confidence in Urban Schools: It Begins inside the District. A Guide for Administrators and Board Members. A Public Relations Executives Network Project of the Council of the Great City Schools, 2009-2010

ERIC Educational Resources Information Center

Council of the Great City Schools, 2010

2010-01-01

Effective organizational communication begins with employees, who should be communications ambassadors for a district. From administrators to teachers to school bus drivers to custodians, employees set the tone for a district. The informal conversations they have at church, the bowling alley, the barbershop and other venues can make or break the…

5 CFR 330.1101 - Purpose.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS RECRUITMENT, SELECTION, AND PLACEMENT (GENERAL) Federal Employment Priority Consideration Program for Displaced Employees of the District of Columbia Department of Corrections § 330.1101 Purpose. A displaced employee of the District of...

[The compatibility of housing needs and housing conditions and and its impact on experiencing attachment to a district].

PubMed

Hieber, A; Oswald, F; Wahl, H-W; Mollenkopf, H

2005-08-01

Based on the "complementary-congruence model" of person-environment (p-e) fit, this study focuses on housing in old age as an interaction between housing needs and housing conditions in urban settings. The research aims are: (1) To establish a set of housing-related p-e fit indices based on the relationship between environmental needs and existing conditions in different physical and social domains, and to describe housing among elders aged 51-80 years and in different urban districts with these indices. The study distinguishes between basic, higher-order and social needs relating to housing; (2) To explain outdoor place attachment as an indicator for quality of life in different urban districts with a set of predictors including these person-environment fit indices. Data were drawn from telephone-based interviews with 365 older adults (51-80 years) who were questioned about individual housing needs and housing conditions. Results revealed higher p-e fit scores in the domains of higher-order and social housing needs and conditions in the districts which were considered to be more pleasant but had poor access to the city and to public transportation. In contrast, age was more important in explaining differences in the domain of basic housing needs and conditions with higher p-e fit scores among older participants in all settings. In explaining outdoor place attachment, the fit between basic and social housing needs and conditions was important, but the higher-order fit did not play a role.

Paediatric home care in the UK.

PubMed Central

Tatman, M A; Woodroffe, C

1993-01-01

Paediatric home care services in the UK were ascertained in 1991 and 1992. Respondents from 209 (97%) UK health districts and boards identified 62 general and 124 specialist paediatric home care services by January 1993, 15% having opened in the previous year. Of all UK children, 30% lived in a district with a general home care service. Five health regions had only specialist services. Districts differed widely in the availability of home care for different disorders. The home care services were small, general services employing a mean (SD) of 2.5 (1.6) whole time equivalent (WTE) nurses, and specialist services 1.3 (0.8) WTE nurses. Few services were available 24 hours a day. Funding arrangements were diverse and some services had difficulties in obtaining consumables and equipment for home use. Despite rapid growth there remains considerable scope for the development of paediatric home care throughout the UK. PMID:8285782

Understanding Standards and Assessment Policy in Science Education: Relating and Exploring Variations in Policy Implementation by Districts and Teachers in Wisconsin

NASA Astrophysics Data System (ADS)

Anderson, Kevin John Boyett

Current literature shows that many science teachers view policies of standards-based and test-based accountability as conflicting with research-based instruction in science education. With societal goals of improving scientific literacy and using science to spur economic growth, improving science education policy becomes especially important. To understand perceived influences of science education policy, this study looked at three questions: 1) How do teachers perceive state science standards and assessment and their influence on curriculum and instruction? 2) How do these policy perspectives vary by district and teacher level demographic and contextual differences? 3) How do district leaders' interpretations of and efforts within these policy realms relate to teachers' perceptions of the policies? To answer these questions, this study used a stratified sample of 53 districts across Wisconsin, with 343 middle school science teachers responding to an online survey; science instructional leaders from each district were also interviewed. Survey results were analyzed using multiple regression modeling, with models generally predicting 8-14% of variance in teacher perceptions. Open-ended survey and interview responses were analyzed using a constant comparative approach. Results suggested that many teachers saw state testing as limiting use of hands-on pedagogy, while standards were seen more positively. Teachers generally held similar views of the degree of influence of standards and testing regardless of their experience, background in science, credentials, or grade level taught. District SES, size and past WKCE scores had some limited correlations to teachers' views of policy, but teachers' perceptions of district policies and leadership consistently had the largest correlation to their views. District leadership views of these state policies correlated with teachers' views. Implications and future research directions are provided. Keywords: science education, policy, accountability, standards, assessment, district leadership

Assessment of the population-level effectiveness of the Avahan HIV-prevention programme in South India: a preplanned, causal-pathway-based modelling analysis.

PubMed

Pickles, Michael; Boily, Marie-Claude; Vickerman, Peter; Lowndes, Catherine M; Moses, Stephen; Blanchard, James F; Deering, Kathleen N; Bradley, Janet; Ramesh, Banadakoppa M; Washington, Reynold; Adhikary, Rajatashuvra; Mainkar, Mandar; Paranjape, Ramesh S; Alary, Michel

2013-11-01

Avahan, the India AIDS initiative of the Bill & Melinda Gates Foundation, was a large-scale, targeted HIV prevention intervention. We aimed to assess its overall effectiveness by estimating the number and proportion of HIV infections averted across Avahan districts, following the causal pathway of the intervention. We created a mathematical model of HIV transmission in high-risk groups and the general population using data from serial cross-sectional surveys (integrated behavioural and biological assessments, IBBAs) within a Bayesian framework, which we used to reproduce HIV prevalence trends in female sex workers and their clients, men who have sex with men, and the general population in 24 South Indian districts over the first 4 years (2004-07 or 2005-08 dependent on the district) and the full 10 years (2004-13) of the Avahan programme. We tested whether these prevalence trends were more consistent with self-reported increases in consistent condom use after the implementation of Avahan or with a counterfactual (assuming consistent condom use increased at slower, pre-Avahan rates) using a Bayes factor, which gave a measure of the strength of evidence for the effectiveness estimates. Using regression analysis, we extrapolated the prevention effect in the districts covered by IBBAs to all 69 Avahan districts. In 13 of 24 IBBA districts, modelling suggested medium to strong evidence for the large self-reported increase in consistent condom use since Avahan implementation. In the remaining 11 IBBA districts, the evidence was weaker, with consistent condom use generally already high before Avahan began. Roughly 32700 HIV infections (95% credibility interval 17900-61600) were averted over the first 4 years of the programme in the IBBA districts with moderate to strong evidence. Addition of the districts with weaker evidence increased this total to 62800 (32000-118000) averted infections, and extrapolation suggested that 202000 (98300-407000) infections were averted across all 69 Avahan districts in South India, increasing to 606000 (290000-1 193000) over 10 years. Over the first 4 years of the programme 42% of HIV infections were averted, and over 10 years 57% were averted. This is the first assessment of Avahan to account for the causal pathway of the intervention, that of changing risk behaviours in female sex workers and high-risk men who have sex with men to avert HIV infections in these groups and the general population. The findings suggest that substantial preventive effects can be achieved by targeted behavioural HIV prevention initiatives. Bill & Melinda Gates Foundation. Copyright © 2013 Pickles et al. Open Access article distributed under the terms of CC BY-NC-ND. Published by .. All rights reserved.

Factors influencing the work efficiency of district health managers in low-resource settings: a qualitative study in Ghana.

PubMed

Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Wyss, Kaspar

2016-01-14

There is increasing evidence that good district management practices can improve health system performance and conversely, that poor and inefficient management practices have detrimental effects. The aim of the present study was to identify factors contributing to inefficient management practices of district health managers and ways to improve their overall efficiency. Nineteen semi-structured interviews were conducted with district health managers in three districts of the Eastern Region in Ghana. The 19 interviews conducted comprised 90% of the managerial workforce in these districts in 2013. A thematic analysis was carried out using the WHO's leadership and management strengthening framework to structure the results. Key factors for inefficient district health management practices were identified to be: human resource shortages, inadequate planning and communication skills, financial constraints, and a narrow decision space that constrains the authority of district health managers and their ability to influence decision-making. Strategies that may improve managerial efficiency at both an individual and organizational level included improvements to planning, communication, and time management skills, and ensuring the timely release of district funds. Filling District Health Management Team vacancies, developing leadership and management skills of district health managers, ensuring a better flow of district funds, and delegating more authority to the districts seems to be a promising intervention package, which may result in better and more efficient management practices and stronger health system performance.

Community and District Empowerment for Scale-up (CODES): a complex district-level management intervention to improve child survival in Uganda: study protocol for a randomized controlled trial.

PubMed

Waiswa, Peter; O'Connell, Thomas; Bagenda, Danstan; Mullachery, Pricila; Mpanga, Flavia; Henriksson, Dorcus Kiwanuka; Katahoire, Anne Ruhweza; Ssegujja, Eric; Mbonye, Anthony K; Peterson, Stefan Swartling

2016-03-11

Innovative and sustainable strategies to strengthen districts and other sub-national health systems and management are urgently required to reduce child mortality. Although highly effective evidence-based and affordable child survival interventions are well-known, at the district level, lack of data, motivation, analytic and planning capacity often impedes prioritization and management weaknesses impede implementation. The Community and District Empowerment for Scale-up (CODES) project is a complex management intervention designed to test whether districts when empowered with data and management tools can prioritize and implement evidence-based child survival interventions equitably. The CODES strategy combines management, diagnostic, and evaluation tools to identify and analyze the causes of bottlenecks to implementation, build capacity of district management teams to implement context-specific solutions, and to foster community monitoring and social accountability to increase demand for services. CODES combines UNICEF tools designed to systematize priority setting, allocation of resources and problem solving with Community dialogues based on Citizen Report Cards and U-Reports used to engage and empower communities in monitoring health service provision and to demand for quality services. Implementation and all data collection will be by the districts teams or local Community-based Organizations who will be supported by two local implementing partners. The study will be evaluated as a cluster randomized trial with eight intervention and eight comparison districts over a period of 3 years. Evaluation will focus on differences in uptake of child survival interventions and will follow an intention-to-treat analysis. We will also document and analyze experiences in implementation including changes in management practices. By increasing the District Health Management Teams' capacity to prioritize and implement context-specific solutions, and empowering communities to become active partners in service delivery, coverage of child survival interventions will increase. Lessons learned on strengthening district-level managerial capacities and mechanisms for community monitoring may have implications, not only in Uganda but also in other similar settings, especially with regard to accelerating effective coverage of key child survival interventions using locally available resources. ISRCTN15705788 , Date of registration; 24 July 2015.

Health Facility Graduation from Donor-Supported Intensive Technical Assistance and Associated Factors in Zambia.

PubMed

Koni, Phillip; Chishinga, Nathaniel; Nyirenda, Lameck; Kasonde, Prisca; Nsakanya, Richard; Welsh, Michael

2015-01-01

The FHI360-led Zambia Prevention Care and Treatment partnership II (ZPCT II) with funding from United States Agency for International Development, supports the Zambian Ministry of Health in scaling up HIV/AIDS services. To improve the quality of HIV/AIDS services, ZPCT II provides technical assistance until desired standards are met and districts are weaned-off intensive technical support, a process referred to as district graduation. This study describes the graduation process and determines performance domains associated with district graduation. Data were collected from 275 health facilities in 39 districts in 5 provinces of Zambia between 2008 and 2012. Performance in technical capacity, commodity management, data management and human resources domains were assessed in the following services areas: HIV counselling and testing and prevention of mother to child transmission, antiretroviral therapy/clinical care, pharmacy and laboratory. The overall mean percentage score was calculated by obtaining the mean of mean percentage scores for the four domains. Logistic regression models were used to obtain odds ratios (OR) and 95% confidence intervals (CI) for the domain mean percentage scores in graduated versus non-graduated districts; according to rural-urban, and province strata. 24 districts out of 39 graduated from intensive donor supported technical assistance while 15 districts did not graduate. The overall mean percentage score for all four domains was statistically significantly higher in graduated than non-graduated districts (93.2% versus 91.2%, OR = 1.34, 95%CI:1.20-1.49); including rural settings (92.4% versus 89.4%, OR = 1.43,95%CI:1.24-1.65). The mean percentage score in human resource domain was statistically significantly higher in graduated than non-graduated districts (93.6% versus 71.6%, OR = 5.81, 95%CI: 4.29-7.86) and in both rural and urban settings. QA/QI tools can be used to assess performance at health facilities and determine readiness for district graduation. Human resources management domain was found to be an important factor associated with district graduation.

Health Facility Graduation from Donor-Supported Intensive Technical Assistance and Associated Factors in Zambia

PubMed Central

Koni, Phillip; Chishinga, Nathaniel; Nyirenda, Lameck; Kasonde, Prisca; Nsakanya, Richard; Welsh, Michael

2015-01-01

Introduction The FHI360-led Zambia Prevention Care and Treatment partnership II (ZPCT II) with funding from United States Agency for International Development, supports the Zambian Ministry of Health in scaling up HIV/AIDS services. To improve the quality of HIV/AIDS services, ZPCT II provides technical assistance until desired standards are met and districts are weaned-off intensive technical support, a process referred to as district graduation. This study describes the graduation process and determines performance domains associated with district graduation. Methods Data were collected from 275 health facilities in 39 districts in 5 provinces of Zambia between 2008 and 2012. Performance in technical capacity, commodity management, data management and human resources domains were assessed in the following services areas: HIV counselling and testing and prevention of mother to child transmission, antiretroviral therapy/clinical care, pharmacy and laboratory. The overall mean percentage score was calculated by obtaining the mean of mean percentage scores for the four domains. Logistic regression models were used to obtain odds ratios (OR) and 95% confidence intervals (CI) for the domain mean percentage scores in graduated versus non-graduated districts; according to rural-urban, and province strata. Results 24 districts out of 39 graduated from intensive donor supported technical assistance while 15 districts did not graduate. The overall mean percentage score for all four domains was statistically significantly higher in graduated than non-graduated districts (93.2% versus 91.2%, OR = 1.34, 95%CI:1.20–1.49); including rural settings (92.4% versus 89.4%, OR = 1.43,95%CI:1.24–1.65). The mean percentage score in human resource domain was statistically significantly higher in graduated than non-graduated districts (93.6% versus 71.6%, OR = 5.81, 95%CI: 4.29–7.86) and in both rural and urban settings. Conclusions QA/QI tools can be used to assess performance at health facilities and determine readiness for district graduation. Human resources management domain was found to be an important factor associated with district graduation. PMID:26098555

Examination of District Technology Coordinators in South Central Texas

ERIC Educational Resources Information Center

Egeolu, Charity Nnenna

2013-01-01

The profusion of computers and educational technologies in schools has precipitated the need for staff with technological skill sets necessary for the integration and support of educational technology infrastructures across multiple platforms at schools and district levels. The purpose of the quantitative survey study was to explore technology…

Philadelphia's Renaissance Schools: A Report on Start up and Early Implementation

ERIC Educational Resources Information Center

Gold, Eva; Good, Deborah; Robertson-Kraft, Claire; Callahan, M. Kate

2011-01-01

In April 2009, Superintendent Arlene Ackerman announced her reform plan for the School District of Philadelphia (the District)--"Imagine 2014". Among other major initiatives, "Imagine 2014" laid the groundwork for Philadelphia's Renaissance Schools Initiative. The Renaissance Initiative, set to enter its second year in 2011-12,…

Health Services Manual. Hicksville Public Schools.

ERIC Educational Resources Information Center

1987

This procedure manual describes the uniform procedures used by the Hicksville, New York School District's Health Services Program. Its objectives are to establish a uniform set of health services guidelines and procedures, to update all health forms, to maintain an awareness of the current changes in health laws that govern school districts, and…

Background Variables, Levels of Aggregation, and Standardized Test Scores

ERIC Educational Resources Information Center

Paulson, Sharon E.; Marchant, Gregory J.

2009-01-01

This article examines the role of student demographic characteristics in standardized achievement test scores at both the individual level and aggregated at the state, district, school levels. For several data sets, the majority of the variance among states, districts, and schools was related to demographic characteristics. Where these background…

Factors Influencing Belize District Primary School Teachers' Attitudes toward Inclusive Education

ERIC Educational Resources Information Center

McKay, Maxine

2012-01-01

Inclusive education continues to be a reoccurring challenge as various factors affect to what extent teachers or educators are willing to educate children with disabilities in the regular education setting alongside their non-disabled peers. This quantitative study examined factors influencing Belize District Primary School teachers' attitudes…

Cluster Analysis of Minnesota School Districts. A Research Report.

ERIC Educational Resources Information Center

Cleary, James

The term "cluster analysis" refers to a set of statistical methods that classify entities with similar profiles of scores on a number of measured dimensions, in order to create empirically based typologies. A 1980 Minnesota House Research Report employed cluster analysis to categorize school districts according to their relative mixtures…

Looking within to Improve Office Organization

ERIC Educational Resources Information Center

Malinowski, Matthew J.

2009-01-01

When tough economic times set in, school business administrators heighten their normal zeal in finding ways to reduce costs and improve efficiency. The author's school district recently underwent a yearlong internal self-analysis to examine and determine the proper staffing levels for the administrative functions within the school district's…

Structuring Education for Business Management.

ERIC Educational Resources Information Center

Whitt, Robert L.

Studies of school district organization generally include an examination of enrollments, average daily attendance, assessed valuation, potential and predicted growth rate, bonded indebtedness, school district boundaries, transportation, special services, and other factors, but little concern or attention is given to the business functions because…

The WHO/PEPFAR collaboration to prepare an operations manual for HIV prevention, care, and treatment at primary health centers in high-prevalence, resource-constrained settings: defining laboratory services.

PubMed

Spira, Thomas; Lindegren, Mary Lou; Ferris, Robert; Habiyambere, Vincent; Ellerbrock, Tedd

2009-06-01

The expansion of HIV/AIDS care and treatment in resource-constrained countries, especially in sub-Saharan Africa, has generally developed in a top-down manner. Further expansion will involve primary health centers where human and other resources are limited. This article describes the World Health Organization/President's Emergency Plan for AIDS Relief collaboration formed to help scale up HIV services in primary health centers in high-prevalence, resource-constrained settings. It reviews the contents of the Operations Manual developed, with emphasis on the Laboratory Services chapter, which discusses essential laboratory services, both at the center and the district hospital level, laboratory safety, laboratory testing, specimen transport, how to set up a laboratory, human resources, equipment maintenance, training materials, and references. The chapter provides specific information on essential tests and generic job aids for them. It also includes annexes containing a list of laboratory supplies for the health center and sample forms.

Mapping the governance of human resources for health in Serbia.

PubMed

Santric Milicevic, Milena; Vasic, Milena; Edwards, Matt

2015-12-01

This article maps the current governance of human resources for health (HRH) in relation to universal health coverage in Serbia since the health sector reforms in 2003. The study adapts the Global Health Workforce Alliance/World Health Organization four-dimensional framework of HRH in the context of governance for universal health coverage. A set of proxies was established for the availability, accessibility, acceptability and quality of HRH. Analysis of official HRH documentation from relevant institutions and reports were used to construct a governance profile of HRH for Serbia from the introduction of the reform in 2003 up to 2013. The results show that all Serbian districts (except Sremski) surpass the availability threshold of 59.4 skilled midwives, nurses and physicians per 10,000 inhabitants. District accessibility of health workforce greatly differed from the national average with variances from +26% to -34%. Analysis of national averages and patient load of general practitioners showed variances among districts by ± 21%, whilst hospital discharges per 100 inhabitants deviated between +52% and -45%. Pre-service and in-service education of health workforce is regulated and accredited. However, through its efforts to respond to population health needs Serbia lacks a single coordinating entity to take overall responsibility for effective and coordinated HRH planning, management and development within the broader landscape of health strategy development. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

COST OF PRIMARY HEALTH CARE IN PAKISTAN.

PubMed

Malik, Muhammad Ashar; Gul, Wahid; Iqbal, Saleem Perwaiz; Abrejo, Farina

2015-01-01

Detailed cost analysis is an important tool for review of health policy and reforms. We provide an estimate of cost of service and its detailed breakup on out-door patient visits (OPV) to basic health units (BHU) in Pakistan. Six BHUs were randomly selected from each of the five districts in Khyber Pukhtonkhawa (KPK) and two agencies in Federally Administered Tribal Areas (FATA) of Pakistan for this study. Actual expenditure data and utilization data in the year 2005-06 of 42 BHUs was collected from selected district health offices in KPK and FATA. Costs were estimated for outpatient visits to BHUs. Perspective on cost estimates was district-based health planning and management of BHUs. Average recurring cost was PKR.245 (USD 4.1) per OPV to BHU. Staff salaries constituted 90% of recurrent cost. On the average there were 16 OPV per day to the BHUs. CONCLUDION: Recurrent cost per OPV has doubled from the previous estimates of cost of OPV in Baluchistan. The estimated recurrent cost was six times higher than average consultation charges with the private general practitioner (GP) in the country (i.e., PKR 50/ GP consultation). Performance of majority of the BHUs was much lower than the performance target (50 patients per day) set in the sixth five-year plan of the government of Pakistan. The Government of Pakistan may use these analyses to revisit the performance target, staffinL and location of BHUs.

District heating campaign in Sweden

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

Stalebrant, R.E.

During the fall of 1994 a district heating campaign was conducted in Sweden. The campaign was initiated because the Swedish district heating companies agreed that it was time to increase knowledge and awareness of district heating among the general public, especially among potential customers. The campaign involved many district heating companies and was organized as a special project. Advertising companies, media advisers, consultants and investigators were also engaged. The campaign was conducted in two stages, a national campaign followed by local campaign was conducted in two stages, a national campaign followed by local campaigns. The national campaign was conducted duringmore » two weeks of November 1994 and comprised advertising on commercial TV and in the press.« less

Improving district level health planning and priority setting in Tanzania through implementing accountability for reasonableness framework: Perceptions of stakeholders.

PubMed

Maluka, Stephen; Kamuzora, Peter; San Sebastián, Miguel; Byskov, Jens; Ndawi, Benedict; Hurtig, Anna-Karin

2010-12-01

In 2006, researchers and decision-makers launched a five-year project - Response to Accountable Priority Setting for Trust in Health Systems (REACT) - to improve planning and priority-setting through implementing the Accountability for Reasonableness framework in Mbarali District, Tanzania. The objective of this paper is to explore the acceptability of Accountability for Reasonableness from the perspectives of the Council Health Management Team, local government officials, health workforce and members of user boards and committees. Individual interviews were carried out with different categories of actors and stakeholders in the district. The interview guide consisted of a series of questions, asking respondents to describe their perceptions regarding each condition of the Accountability for Reasonableness framework in terms of priority setting. Interviews were analysed using thematic framework analysis. Documentary data were used to support, verify and highlight the key issues that emerged. Almost all stakeholders viewed Accountability for Reasonableness as an important and feasible approach for improving priority-setting and health service delivery in their context. However, a few aspects of Accountability for Reasonableness were seen as too difficult to implement given the socio-political conditions and traditions in Tanzania. Respondents mentioned: budget ceilings and guidelines, low level of public awareness, unreliable and untimely funding, as well as the limited capacity of the district to generate local resources as the major contextual factors that hampered the full implementation of the framework in their context. This study was one of the first assessments of the applicability of Accountability for Reasonableness in health care priority-setting in Tanzania. The analysis, overall, suggests that the Accountability for Reasonableness framework could be an important tool for improving priority-setting processes in the contexts of resource-poor settings. However, the full implementation of Accountability for Reasonableness would require a proper capacity-building plan, involving all relevant stakeholders, particularly members of the community since public accountability is the ultimate aim, and it is the community that will live with the consequences of priority-setting decisions.

Exploring the use of routinely-available, retrospective data to study the association between malaria control scale-up and micro-economic outcomes in Zambia.

PubMed

Comfort, Alison; Leegwater, Anthony; Nakhimovsky, Sharon; Kansembe, Henry; Hamainza, Busiku; Bwalya, Benson; Alilio, Martin; Johns, Ben; Olsho, Lauren

2017-01-04

Country-level evidence on the impact of malaria control on micro-economic outcomes is vital for mobilizing domestic and donor resources for malaria control. Using routinely available survey data could facilitate this investigation in a cost-efficient way. The authors used Malaria Indicator Surveys (MIS) and Living Conditions Monitoring Survey (LCMS) data from 2006 to 2010 for all 72 districts in Zambia to relate malaria control scale-up with household food spending (proxy for household well-being), educational attainment and agricultural production. The authors used two quasi-experimental designs: (1) a generalized propensity score for a continuous treatment variable (defined as coverage from owning insecticide-treated bed nets and/or receipt of indoor residual spraying); and, (2) a district fixed effects model to assess changes in the outcome relative to changes in treatment pre-post scale-up. The unit of analysis was at district level. The authors also conducted simulations post-analysis to assess statistical power. Micro-economic outcomes increased (33% increase in food spending) concurrently with malaria control coverage (62% increase) from 2006 to 2010. Despite using data from all 72 districts, both analytic methods yielded wide confidence intervals that do not conclusively link outcomes and malaria control coverage increases. The authors cannot rule out positive, null or negative effects. The upper bound estimates of the results show that if malaria control coverage increases from 60 to 70%, food spending could increase up to 14%, maize production could increase up to 57%, and years of schooling could increase up to 0.5 years. Simulations indicated that the generalized propensity score model did not have good statistical power. While it is technically possible to use routinely available survey data to relate malaria control scale-up and micro-economic outcomes, it is not clear from this analysis that meaningful results can be obtained when survey data are highly aggregated. Researchers in similar settings should assess the feasibility of disaggregating existing survey data. Additionally, large surveys, such as LCMS and MIS, could incorporate data on both malaria coverage and household expenditures, respectively.

[Optimization of Community Health Care: First Experiences of the Office for Medical Care in Districts and Municipalities of Bavaria].

PubMed

Geuter, Gunnar; Ewert, Thomas; Deiters, Timo; Hollederer, Alfons

2017-01-01

Background: Demographic changes pose serious challenges for the healthcare system. One important goal is to sustain the local healthcare provision in the future - especially in rural areas. In this context, more attention must be given to the statutory health service by communal as well as state authorities. Most of the municipalities have to tackle this problem for the first time and, due to lack of support, are faced with serious impediments. The aim of this paper is to describe the sphere of action of the Office for Medical Care in Districts and Municipalities (OMCDM) as well as its core outcome. Methods: The Bavarian Ministry of Health and Care (StMGP) established the OMCDM at the Bavarian Health and Food Safety Authority to support communal authorities. On behalf of the StMGP, this office analyses the existing set-ups of local health services and advises local authorities on improvement. For 2012-2015, the OMCDM database was analyzed for frequency and main reasons of contact with health services. Results: The action of the OMCDM is driven by a comprehensive assessment, specialist counseling, and networking to develop action potential for the individual local health authorities. Over the past four years, there has been an increasing demand for support. Until 2015-11-30, 233 cases of counseling and 155 intensive counseling cases were recorded. The topics most frequently mentioned in these consultations were primary care by General Practitioners (68%) and specialist care (29%). Other important issues were the search for successors (33%), the establishment of new practices (23%) and opening of branch practices (18%). Conclusion: On behalf of Bavarian government, the OMCDM offers easy access to objective and neutral counseling about statutory health services for Bavarian municipalities. This offer has been used frequently by districts and municipalities. Primary care by general practitioners on the local level was the most common reason to contact the OMCDM. The establishment of the Office for Medical Care in Districts and Municipality is a comprehensive support for local authorities and can be regarded as a pattern for other states in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

De-adoption of an evidence-based trauma intervention in schools: A retrospective report from an urban school district

PubMed Central

Nadeem, Erum; Ringle, Vanesa

2017-01-01

The de-adoption of evidence-based practices (EBPs) is a largely understudied topic. The present study examined factors related to the de-adoption of an EBP for students exposed to traumatic events in a large urban school district. Qualitative interviews conducted with school clinicians and district administrators two years after the district embarked on a large-scale roll-out of the EBP distinguished between factors that impacted partial de-adoption after one year (phase 1) and complete de-adoption by the district after two years (phase 2). Phase 1 factors included organizational consistency, workforce stability, prior success, positive student outcomes, school- and district- level supports, innovation-setting fit, and innovation-related issues. Phase 2 factors included district-level leadership changes, financial and workforce instability, and shifting priorities. Study results suggest that sustainment-enhancing strategies should be included in the early stages of program implementation to most effectively adapt to school- and system- level changes. PMID:28775793

Integration of leprosy services into the General Health Service in Sri Lanka: overcoming challenges to implementation in a remote district.

PubMed

Wijesinghe, Thushanthi S; Wijesinghe, Pushpa Ranjan

2013-01-01

Sri Lanka took a policy decision to integrate leprosy services into the general health services (GHS) in 1999. This paper aims to summarize the emergence of new, specific challenges and how they were overcome during the integration of leprosy services to the GHS in a remote, leprosy endemic district in Sri Lanka. In this article, the regional epidemiologist as the team leader describes the principles used for transition to an effective integrated model of leprosy services from a centralized leprosy control model in the district. In addition, rationale for integration is viewed from the epidemiological and operational perspectives. National and district leprosy epidemiological data from secondary sources are also reviewed for corroborating the effectiveness of integration. Challenges surfaced were mainly related to the transfer of ownership of the programme, selection of appropriate service providing institutions easily accessible to clients, sustainability of leprosy services at the GHS, ensuring participation of all stakeholders in capacity building programmes and co-ordination of patient care in the absence of a dermatologist in the district. An empowered district team leader with specified roles and responsibilities, his sound technical and managerial know how and ability to translate 'team work' concept to practice were found to be essential for successful implementation of integration. Decision-making powers at the district level and flexibility to introduce new, area-specific changes to the centrally prepared core activities of integration were also vital to overcome locally surfaced challenges.

An ethnobotanical survey of medicinal plants used in the Siwai and Buin districts of the Autonomous Region of Bougainville.

PubMed

Waruruai, Julie; Sipana, Beulah; Koch, Michael; Barrows, Louis R; Matainaho, Teatulohi K; Rai, Prem P

2011-11-18

Traditional knowledge of medicinal plant use in many regions of Papua New Guinea and the Autonomous Region of Bougainville is poorly described and rapidly disappearing. A program initiated by the University of Papua New Guinea to systematically document and preserve traditional knowledge of medicinal plant use was initiated with WHO help in 2001. To document and compare medicinal plant use in the Siwai and Buin districts of the Island of Bougainville. Siwai and Buin districts represent two adjacent geographic regions of differing language traditions. This report is a combination of two University of Papua New Guinea reports generated using a University of Papua New Guinea and Papua New Guinea Department of Health approved survey questionnaire "Information sheet on traditional herbal reparations and medicinal plants of Papua New Guinea". Although Siwai and Buin districts are adjacent in Southern Bougainville, there is considerable variation in the specific plants used medicinally and the specific uses of those plants that are used commonly in the two regions. In addition, many of the plants used in the region are widely distributed species that are used medicinally in other settings. Nevertheless, the high endemicity of plants and the extraordinary cultural diversity in the Autonomous Region of Bougainville has yielded description of the medicinal use of many plants that have not previously been reported in the wider scientific literature. Efforts to document and preserve traditional knowledge of plant use in Papua New Guinea have yielded important new records of plants with potential application in the provision of health care for a developing nation with an under developed Western style rural health care system. This report documents substantial commonality in the general modes of medicinal plant preparation and in the health care applications of plant use in the Siwai and Buin traditions, however, there was considerable difference noted in the particular uses of the specific plants used in one or another of the districts. Copyright © 2011. Published by Elsevier Ireland Ltd.

Diurnal and Intra-Annual Variations in Greenhouse Gases at Fixed Sites in the San Francisco Bay Area

NASA Astrophysics Data System (ADS)

Newman, S.; Guha, A.; Martien, P. T.; Bower, J.; Perkins, I.; Randall, S.; Young, A.; Stevenson, E.; Hilken, H.

2017-12-01

The Bay Area Air Quality Management District, the San Francisco Bay Area's air quality regulatory agency, has set a goal to reduce the region's greenhouse gas (GHG) emissions to 80% below 1990 levels by 2050, consistent with the State of California's climate goals. Recently, the Air District's governing board adopted a 2017 Clean Air Plan which lays out the agency's vision and includes actions to put the region on a path towards achieving the 2050 goal while also reducing air pollution and related health impacts. The Plan includes GHG rule-making efforts, policy initiatives, local government partnerships, outreach, grants, and incentives, encompassing over 250 specific implementation actions across all economic sectors to effect ambitious emission reductions in the region. To track trends in atmospheric observations of GHGs and associated species and monitor changes in regional emission patterns, the Air District has established a fixed site network (CO2, CH4, CO) of one generally upwind site (Bodega Bay - on the coast north of Marin County) and three receptor sites (Bethel Island - east of the major refineries, in the Sacramento River Delta; Livermore - east of the bulk of the East Bay cities; and San Martin - south of the major city of San Jose). Having collected over a year of data for each of the fixed sites, the Air District is now investigating spatial and temporal variations in GHG emissions. Concentrating on variations in diurnal cycles, we see the commonly observed pattern of seasonal changes in diurnal amplitude at all sites, with larger variations during the winter than the summer, consistent with seasonally varying daily changes in planetary boundary layer heights. Investigations explore the weekday/weekend effect on the diurnal patterns and the effect of seasonal wind direction changes on the intra-annual variations of the local enhancements. The Air District is beginning to investigate the ways in which the fixed site network reflects the dominant upwind GHG emissions.

Patterns of acute stroke care in three districts of southern England.

PubMed Central

Wolfe, C D; Taub, N A; Woodrow, J; Richardson, E; Warburton, F G; Burney, P G

1993-01-01

OBJECTIVE--To quantify the use of health care services by acutely ill stroke patients in three district health authorities. DESIGN--A follow up study of all patients recorded in population based registers who had a first ever stroke in three district health authorities, with assessment following the onset and three months after the stroke. SETTING--West Lambeth, Lewisham and North Southwark, and Tunbridge Wells District Health Authorities in south east England. SUBJECTS--All first time stroke patients under the age of 75 years who presented between 15 August 1989 and 14 August 1990. MEASUREMENTS AND MAIN RESULTS--Hospital admission rates, rates of use of rehabilitation services, and contact with medical practitioners together with assessment of disability and handicap were determined. A total of 386 strokes were registered. Seventy eight per cent were treated in hospital and younger and incontinent patients were significantly more likely to be admitted. The median stay was 21 days. Patients in West Lambeth, those paralysed, and those who stayed longer in hospital were more likely to receive physiotherapy. Altogether 265 patients were followed up, 117 having died within three months of the stroke. During the three months, 150 (57%) had seen a hospital physician and 181 (69%) their general practitioner, but 18 (7%) had seen neither. Sixty seven (26%) patients were moderately or severely disabled. Twenty seven per cent of inpatients had received no inpatient physiotherapy and 67% of all patients no outpatient physiotherapy during the three months. CONCLUSIONS--The hospital admission rates were high, with long lengths of stay. There were significant differences in the amount of rehabilitation received in each district. This was low overall, especially for those not admitted to hospital. As expected, patients admitted for long periods were the most likely to receive therapy. Before district policies for admission and management of stroke patients can be drawn up, increased knowledge of which aspects of stroke management are effective is needed. Policies should aim to provide planned, coordinated care between hospital and the community. It is striking that many patients received no form of rehabilitation therapy. PMID:8326273

The importance of family caregiving to achieving palliative care at home: a case report of end-of-life breast cancer in an area struck by the 2011 Fukushima nuclear crisis: A case report.

PubMed

Ozaki, Akihiko; Tsubokura, Masaharu; Leppold, Claire; Sawano, Toyoaki; Tsukada, Manabu; Nemoto, Tsuyoshi; Kosugi, Kazuhiro; Nishikawa, Yoshitaka; Kato, Shigeaki; Ohira, Hiromichi

2017-11-01

The primary setting of palliative care has shifted from inpatient care to patients' residences. Family caregiving is essential for patients with life-limiting illnesses to receive palliative care at home, however little information is available regarding potential interventions to achieve palliative homecare for those without sufficient support from family members in various settings, including disasters. In March 2011, Fukushima, Japan experienced an earthquake, tsunami and nuclear disaster. In August 2015, a 59-year-old Japanese female presented to our hospital, located 23 km north of Fukushima Daiichi Nuclear Power Plant, with a right breast ulcer. The patient was diagnosed with stage IV breast cancer. The patient's general condition gradually worsened despite a one-year course of chemotherapy, and she became bedridden after a fall in October 2016. Although the patient wished to receive palliative homecare, this appeared challenging to achieve because she resided alone in a temporary housing shelter. Although she originally lived with her family in Odaka District, Fukushima, she relocated outside of the city following evacuation orders after the disaster. The evacuation orders for Odaka District were still in effect when she returned to the city alone in 2014. We contacted her sister who moved apart from her during the evacuation, and explained the necessity of family caregiving to enable her palliative homecare. The sister decided to move back to their original residence in Odaka District and live with the patient again. The patient successfully spent her end-of-life period and died at home. Health care providers and community health workers may need to take a pro-active approach to communicating with family members to draw informal support to enable patients' end-of-life management according to their values and preferences. This is a lesson which may be applicable to broader healthcare settings beyond cancer, or disaster contexts, considering that population ageing and social isolation may continue to advance worldwide.

Can States Take Over and Turn Around School Districts? Evidence from Lawrence, Massachusetts

ERIC Educational Resources Information Center

Schueler, Beth E.; Goodman, Joshua S.; Deming, David J.

2017-01-01

The Every Student Succeeds Act (ESSA) requires states to identify and turn around struggling schools, with federal school improvement money required to fund evidence-based policies. Most research on turnarounds has focused on individual schools, whereas studies of district-wide turnarounds have come from relatively exceptional settings and…

The Challenge of Teacher Retention in Urban Schools: Evidence of Variation from a Cross-Site Analysis

ERIC Educational Resources Information Center

Papay, John P.; Bacher-Hicks, Andrew; Page, Lindsay C.; Marinell, William H.

2017-01-01

Substantial teacher turnover poses a challenge to staffing public schools with effective teachers. The scope of the teacher retention challenge across school districts, however, remains poorly defined. Applying consistent data practices and analytical techniques to administrative data sets from 16 urban districts, we document substantial…

Connecting Leaders and Learning--"In Conversation"

ERIC Educational Resources Information Center

Macpherson, Wendy; Dorgan, Fran

2012-01-01

Last September ten Australian educators set out to explore how the Paradise Valley School District in Phoenix Arizona cultivates world class thinkers and leaders. Over the course of a week, study Tour delegates were immersed in K-12 schools where a district-wide approach fosters equity and empowers teachers and students to use technology…

Transforming School Communities: Creating Dialogue Using Web 2.0 Tools

ERIC Educational Resources Information Center

Soule, Helen

2008-01-01

Web 2.0 tools should be an important part of every district's communication strategy, creating environments for collaboration in ways never possible before. Most of them are free, inexpensive, easy to use, and require little set up. When combined with basic communication principles and careful planning, they can expand a district's reach, increase…

Philadelphia's Renaissance Schools: Start up and Early Implementation. Executive Summary

ERIC Educational Resources Information Center

Research for Action, 2011

2011-01-01

In April 2009, Superintendent Arlene Ackerman announced her reform plan for the School District of Philadelphia (the District)--"Imagine 2014". Among other major initiatives, "Imagine 2014" laid the groundwork for Philadelphia's Renaissance Schools Initiative. The Renaissance Initiative, set to enter its second year in 2011-12, is an effort to…

Setting Our Sights on a Culture of Safety

ERIC Educational Resources Information Center

Cowart, Kerry; Miller, Karin; Strasburger, Tom

2012-01-01

Providing a comprehensive approach for achieving the goal of a safe environment where the priority can be teaching and learning is vital to every district's success. To attain this goal, school districts must educate students, staff, and the community and provide tools that help anticipate potential problems and prevent them from escalating into…

10 Principles for Building a High-Quality System of Assessments

ERIC Educational Resources Information Center

Jobs for the Future, 2018

2018-01-01

Many states and districts are working toward developing and implementing high-quality systems that align assessments with each other, and to college and career readiness, and a comprehensive set of higher-order thinking skills. In order to support states, districts, and communities in this, the following 10 principles as guidance and common…

Connections, the Newsletter of the Foothill-De Anza Community College District, 1997-1998.

ERIC Educational Resources Information Center

Connections, the Newsletter of the Foothill-De Anza Community College District, 1998

1998-01-01

This document presents a set of ten newsletters, entitled "Connections," published by the Foothill-De Anza Community College District from September 1997 through December 1998. The following articles appear in the newsletters: "Futurist Wolfe,""Local Success Fong," and "Fourth Annual Day at the 'Stick Is a Big…

Measuring the Outcomes of State Policies for Gifted Education: An Equity Analysis of Texas School Districts.

ERIC Educational Resources Information Center

Baker, Bruce D.

2001-01-01

This article introduces a set of policy tools for measuring outcomes of gifted education policies and applies these tools to data on the distribution of Texas gifted education spending. Results indicate continued vast inequities across school districts and unacceptable correlations among student population characteristics, community wealth, and…

Information for a Vocational Education Plan. Individual School Districts.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus.

Providing information for simulation activity, the materials in this document are intended to help train administrators in the utilization of a set of reporting/planning forms developed as a statewide model for local school district use in vocational education planning and development in Ohio. The information is presented in two parts: state…

Information for a Vocational Education Plan. Joint Vocational School Districts.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus.

Providing information for simulation activity, the materials in this document are intended to help train administrators in the utilization of a set of reporting/planning forms developed as a statewide model for local school district use in vocational education planning and development in Ohio. The information is presented in three parts: state…

Information for a Vocational Education Plan. Contracting Districts.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus.

Providing information for simulation activity, the materials in this document are intended to help train administrators in the utilization of a set of reporting/planning forms developed as a statewide model for local school district use in vocational education planning and development in Ohio. The information is presented in two parts: state…

State Education Finance and Governance Profile: Arkansas

ERIC Educational Resources Information Center

Zhang, Chi

2010-01-01

This article presents the state education finance and governance profile of Arkansas. Arkansas has 254 school districts, which operate 1,114 schools. More than two thirds (68.4%) of all schools are Title I schools. All school districts in Arkansas receive foundation funding--a set amount of money per student. In addition to the foundation funding…

A Manual for the Anchorage School District Bilingual Education Program Revised Scope and Sequence, K-3.

ERIC Educational Resources Information Center

Heinrich, Maria Nieves Bumanlag Lilagan

The manual offers a systematic set of procedures and relevant information to facilitate effective use of the Anchorage school district (ASD) bilingual education program (BEP). The historical background of the program's development is presented, available manuals for teaching English to limited English proficiency (LEP) students and related…

Mariachi and Spanish Speaking English Learners: District Initiatives, Models, and Education Policy

ERIC Educational Resources Information Center

Neel, Marcia MacCagno

2017-01-01

Districts nationwide are challenged with how best to address the needs of an increasing number of non-English or limited-English speaking students. These young people are similarly challenged as they face new environs, unfamiliar cultural settings, and significant communication issues. Findings have indicated that an arts-rich education can assist…

Application of the National Assessment of Educational Progress Philosophy in San Bernardino City Unified School District.

ERIC Educational Resources Information Center

Bonney, Lewis A.

the steps taken by a large urban school district to develop and implement an objectives-based curriculum with criterion-referenced assessment of student progress are described. These steps include: goal setting, development of curriculum objectives, construction of assessment exercises, matrix sampling in test administration, and reporting of…

Using Data to Guide Action for School Improvement

ERIC Educational Resources Information Center

North Central Comprehensive Center, 2012

2012-01-01

Schools and school districts are data-rich environments, with heaps of data on student demographics, achievement, outcomes, and perceptions. With so much data available, it can be easy to get caught up in the sheer enormity of the data sets. A cohesive data analysis and decision-making process can help schools, districts, and additional…

20 CFR 702.312 - Informal conferences; called by and held before whom.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Informal conferences; called by and held...; called by and held before whom. Informal conferences shall be called by the district director or his... unavailable. When so assigned, the designee shall perform the duties set forth below assigned to the district...

Research Evidence and School Board Deliberations: Lessons from Three Wisconsin School Districts

ERIC Educational Resources Information Center

Asen, Robert; Gurke, Deb; Conners, Pamela; Solomon, Ryan; Gumm, Elsa

2013-01-01

This article analyzes the use of research evidence in school-board deliberations in three school districts in Wisconsin. In these settings, the circulation, meaning, and function of research depended importantly on the interests and backgrounds of advocates, the composition of audiences, and the values and contexts of decision-making. Board…

The Social Structure of Criminalized and Medicalized School Discipline

ERIC Educational Resources Information Center

Ramey, David M.

2015-01-01

In this article, the author examines how school- and district-level racial/ethnic and socioeconomic compositions influence schools' use of different types of criminalized and medicalized school discipline. Using a large data set containing information on over 60,000 schools in over 6,000 districts, the authors uses multilevel modeling and a…

The Straightforwardness of Advice: Advice-Giving in Interactions Between Swedish District Nurses and Patients.

ERIC Educational Resources Information Center

Leppanen, Vesa

1998-01-01

A study examined advice-giving interactions between Swedish district nurses and patients, comparing these sequences with parallel interactions between British health visitors and first-time mothers in previous research. Analysis focused on how advice-giving is organized in the settings, including how advice is initiated and designed, its…

School District and University Leadership Development Collaborations: How Do Three Partnerships Line up with Best Practices?

ERIC Educational Resources Information Center

Stevenson, Zollie, Jr.; Shetley, Pamela R.

2015-01-01

This article explores the application of Whitaker, King, and Vogel's (2004) best practices for the implementation of partnerships regarding school leadership preparation programs in 3 school district-university collaboratives located in urban settings with large minority student populations. The 3 partnerships studied include the Nashville…

San Diego Schools Set a New Agenda after Backlash

ERIC Educational Resources Information Center

Sparks, Sarah D.

2010-01-01

Ten years after the San Diego school district gained national attention for its short-lived "Blueprint for Student Success," a crowd of district officials last week rolled out a new improvement plan that is almost the opposite of its controversial predecessor. The city's blueprint reforms--largely dismantled after a charismatic and…

Factors Associated with the Performance and Cost-Effectiveness of Using Lymphatic Filariasis Transmission Assessment Surveys for Monitoring Soil-Transmitted Helminths: A Case Study in Kenya

PubMed Central

Smith, Jennifer L.; Sturrock, Hugh J. W.; Assefa, Liya; Nikolay, Birgit; Njenga, Sammy M.; Kihara, Jimmy; Mwandawiro, Charles S.; Brooker, Simon J.

2015-01-01

Transmission assessment surveys (TAS) for lymphatic filariasis have been proposed as a platform to assess the impact of mass drug administration (MDA) on soil-transmitted helminths (STHs). This study used computer simulation and field data from pre- and post-MDA settings across Kenya to evaluate the performance and cost-effectiveness of the TAS design for STH assessment compared with alternative survey designs. Variations in the TAS design and different sample sizes and diagnostic methods were also evaluated. The district-level TAS design correctly classified more districts compared with standard STH designs in pre-MDA settings. Aggregating districts into larger evaluation units in a TAS design decreased performance, whereas age group sampled and sample size had minimal impact. The low diagnostic sensitivity of Kato-Katz and mini-FLOTAC methods was found to increase misclassification. We recommend using a district-level TAS among children 8–10 years of age to assess STH but suggest that key consideration is given to evaluation unit size. PMID:25487730

Student Rights and Responsibilities. Derechos y Responsabilidades de Estudiantes.

ERIC Educational Resources Information Center

Washington Office of the State Superintendent of Public Instruction, Olympia.

Developed to enable teachers, counselors, and administrators in local school districts to provide Mexican American parents and students with needed information regarding student rights and responsibilities, this Spanish translation for the state of Washington provides general information concerning state regulations which school districts and…

41 CFR 60-1.26 - Enforcement proceedings.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., the Attorney General may bring a civil action in the appropriate district court of the United States... civil action in the appropriate district court of the United States requesting a temporary restraining... Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS, EQUAL EMPLOYMENT OPPORTUNITY, DEPARTMENT OF LABOR...

The Future of Principal Evaluation

ERIC Educational Resources Information Center

Clifford, Matthew; Ross, Steven

2012-01-01

The need to improve the quality of principal evaluation systems is long overdue. Although states and districts generally require principal evaluations, research and experience tell that many state and district evaluations do not reflect current standards and practices for principals, and that evaluation is not systematically administered. When…

Early warning and response system (EWARS) for dengue outbreaks: Recent advancements towards widespread applications in critical settings

PubMed Central

Kroeger, Axel; Olliaro, Piero; Rocklöv, Joacim; Sewe, Maquins Odhiambo; Tejeda, Gustavo; Benitez, David; Gill, Balvinder; Hakim, S. Lokman; Gomes Carvalho, Roberta; Bowman, Leigh; Petzold, Max

2018-01-01

Background Dengue outbreaks are increasing in frequency over space and time, affecting people’s health and burdening resource-constrained health systems. The ability to detect early emerging outbreaks is key to mounting an effective response. The early warning and response system (EWARS) is a toolkit that provides countries with early-warning systems for efficient and cost-effective local responses. EWARS uses outbreak and alarm indicators to derive prediction models that can be used prospectively to predict a forthcoming dengue outbreak at district level. Methods We report on the development of the EWARS tool, based on users’ recommendations into a convenient, user-friendly and reliable software aided by a user’s workbook and its field testing in 30 health districts in Brazil, Malaysia and Mexico. Findings 34 Health officers from the 30 study districts who had used the original EWARS for 7 to 10 months responded to a questionnaire with mainly open-ended questions. Qualitative content analysis showed that participants were generally satisfied with the tool but preferred open-access vs. commercial software. EWARS users also stated that the geographical unit should be the district, while access to meteorological information should be improved. These recommendations were incorporated into the second-generation EWARS-R, using the free R software, combined with recent surveillance data and resulted in higher sensitivities and positive predictive values of alarm signals compared to the first-generation EWARS. Currently the use of satellite data for meteorological information is being tested and a dashboard is being developed to increase user-friendliness of the tool. The inclusion of other Aedes borne viral diseases is under discussion. Conclusion EWARS is a pragmatic and useful tool for detecting imminent dengue outbreaks to trigger early response activities. PMID:29727447

Early warning and response system (EWARS) for dengue outbreaks: Recent advancements towards widespread applications in critical settings.

PubMed

Hussain-Alkhateeb, Laith; Kroeger, Axel; Olliaro, Piero; Rocklöv, Joacim; Sewe, Maquins Odhiambo; Tejeda, Gustavo; Benitez, David; Gill, Balvinder; Hakim, S Lokman; Gomes Carvalho, Roberta; Bowman, Leigh; Petzold, Max

2018-01-01

Dengue outbreaks are increasing in frequency over space and time, affecting people's health and burdening resource-constrained health systems. The ability to detect early emerging outbreaks is key to mounting an effective response. The early warning and response system (EWARS) is a toolkit that provides countries with early-warning systems for efficient and cost-effective local responses. EWARS uses outbreak and alarm indicators to derive prediction models that can be used prospectively to predict a forthcoming dengue outbreak at district level. We report on the development of the EWARS tool, based on users' recommendations into a convenient, user-friendly and reliable software aided by a user's workbook and its field testing in 30 health districts in Brazil, Malaysia and Mexico. 34 Health officers from the 30 study districts who had used the original EWARS for 7 to 10 months responded to a questionnaire with mainly open-ended questions. Qualitative content analysis showed that participants were generally satisfied with the tool but preferred open-access vs. commercial software. EWARS users also stated that the geographical unit should be the district, while access to meteorological information should be improved. These recommendations were incorporated into the second-generation EWARS-R, using the free R software, combined with recent surveillance data and resulted in higher sensitivities and positive predictive values of alarm signals compared to the first-generation EWARS. Currently the use of satellite data for meteorological information is being tested and a dashboard is being developed to increase user-friendliness of the tool. The inclusion of other Aedes borne viral diseases is under discussion. EWARS is a pragmatic and useful tool for detecting imminent dengue outbreaks to trigger early response activities.

District decision-making for health in low-income settings: a systematic literature review

PubMed Central

Avan, Bilal Iqbal

2016-01-01

Health management information systems (HMIS) produce large amounts of data about health service provision and population health, and provide opportunities for data-based decision-making in decentralized health systems. Yet the data are little-used locally. A well-defined approach to district-level decision-making using health data would help better meet the needs of the local population. In this second of four papers on district decision-making for health in low-income settings, our aim was to explore ways in which district administrators and health managers in low- and lower-middle-income countries use health data to make decisions, to describe the decision-making tools they used and identify challenges encountered when using these tools. A systematic literature review, following PRISMA guidelines, was undertaken. Experts were consulted about key sources of information. A search strategy was developed for 14 online databases of peer reviewed and grey literature. The resources were screened independently by two reviewers using pre-defined inclusion criteria. The 14 papers included were assessed for the quality of reported evidence and a descriptive evidence synthesis of the review findings was undertaken. We found 12 examples of tools to assist district-level decision-making, all of which included two key stages—identification of priorities, and development of an action plan to address them. Of those tools with more steps, four included steps to review or monitor the action plan agreed, suggesting the use of HMIS data. In eight papers HMIS data were used for prioritization. Challenges to decision-making processes fell into three main categories: the availability and quality of health and health facility data; human dynamics and financial constraints. Our findings suggest that evidence is available about a limited range of processes that include the use of data for decision-making at district level. Standardization and pre-testing in diverse settings would increase the potential that these tools could be used more widely. PMID:27591202

Portland cement based fast-setting concrete demonstration, district 07, Los Angeles County

DOT National Transportation Integrated Search

2001-09-01

The California Department of Transportation currently uses fast-setting concrete to accommodate short working windows. The current special provision for fast-setting concrete requires that the concrete reach a flexural strength of 2.8 MPa (400 psi) b...

World Epidemiology Review, Number 85.

DTIC Science & Technology

1977-08-10

95 percent of the population of the district of Proveito and all of the inhabitants of the district of Bom Jesus . Up to now, the Ministry of Health...Jauregui General Hospital of the zone, and 47 belonging to other areas were treated in various other medical facilities. It was pointed out that there... hospital , 165 came from that area, 108 from several places in the south of Santa Fe, and the remaining 87 from other Buenos Aires districts. The

76 FR 18783 - United States et al.

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-05

... containers. Dean, Foremost, and other school milk suppliers often use distributors to supply and service school districts. Dairy processors generally use one distributor per service area. While school milk... capability to deliver to all of the schools in the district. Many require early morning or other specific...

School Restructuring: The Superintendent's View.

ERIC Educational Resources Information Center

Mitchell, Douglas E.; Beach, Sara Ann

Findings from a study that examined the attitudes of California school district superintendents toward school restructuring are presented in this paper. Interviews were conducted with a total of 30 superintendents and senior staff members in 22 California school districts to explore their orientations toward school restructuring in general and…

Teacher Leadership Academy: Achieving Systemic School Improvement.

ERIC Educational Resources Information Center

Davidson, Lynn; Garton, Susan; Manges, Charles D.

This study investigated professional development as provided through the Teacher Leadership Academy (TLA) model used in rural Illinois area school districts and district consortia. Surveys were distributed to TLA participants that sought their perceptions of the desirability, involvement, and feasibility of school reform in general and the…

26 CFR 601.401 - Employment taxes.

Code of Federal Regulations, 2010 CFR

2010-04-01

... various classes of taxes are intended only to indicate their general character. Specific information... over income, social security, or railroad retirement tax due on wages of employees, the employer may be... Form SS-4 from the district director of internal revenue or from a district office of the Social...

30 CFR 75.161 - Plans for training programs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Plans for training programs. 75.161 Section 75... Provision] § 75.161 Plans for training programs. Each operator must submit to the district manager, of the Coal Mine Safety and Health District in which the mine is located, a program or plan setting forth what...

Districts Weigh Benefits and Drawbacks of Setting Up Student E-Mail Accounts

ERIC Educational Resources Information Center

Ash, Katie

2008-01-01

Some school districts hoping to improve communication and student engagement in learning are taking a step many educators still view warily: providing students with their own e-mail accounts. However, making e-mail a regular part of students' school lives raises a host of concerns about inappropriate use. In addition, many teachers doubt that the…

Plate Waste Study. State of Utah.

ERIC Educational Resources Information Center

Utah State Board of Education, Salt Lake City.

In a study to evaluate various factors affecting food waste in the school lunch program, data were collected from grades 1-6 in four districts, using three schools from each district on three consecutive days. The average number of participants per school was 384. More than 13,824 individual sets of data were collected. Thirty-six menus were…

The Role of the School District toward Preparing Students for the 21st Century

ERIC Educational Resources Information Center

Aguilar-Torres, Gloria

2010-01-01

This dissertation reflects the outcomes of a small school district that is successfully incorporating 21st century skills with the demands set forth by our current educational policy, No Child Left Behind. Considerations regarding globalization, future work force and work skills, definition of 21st century skills, supporting 21st century skills in…

Flexibility on SES Pleases Districts, Worries Industry

ERIC Educational Resources Information Center

McNeil, Michele

2011-01-01

The author reports on some $800 million in money set aside for Supplemental Education Services which is being freed up under the Obama administration's NCLB waiver plan. The U.S. Department of Education's plan to grant states broad flexibility under the No Child Left Behind Act will free up as much as $800 million in money school districts now…

Texas Assessment of Basic Skills (TABS). Austin Independent School District. Final Report, 1985.

ERIC Educational Resources Information Center

Defino, Maria E.

This report presents the Austin (Texas) Independent School District's 1985 test results on the Texas Assessment of Basic Skills (TABS). It was administered to all third, fifth, and ninth grade students and to high school students not meeting ninth grade state-set mastery criteria, the minimum competency requirement for graduation. Results are…

Perspectives on an Induction Process for International Exchange Teachers: A Leadership Perspective

ERIC Educational Resources Information Center

Siler, James Thomas

2012-01-01

This study traces the first year experiences of six international exchange teachers employed in three public and charter schools settings from three districts in two southeastern states. Interviews with these teachers from China, Germany and Colombia, and with their school and district leaders enabled me to produce a narrative of how international…

Team Check-Up: Use 4 Goals to Assess a Professional Learning Community's Effectiveness

ERIC Educational Resources Information Center

Moirao, Daniel R.; Morris, Susan C.; Klein, Victor; Jackson, Joyce W.

2012-01-01

The experiences in the school districts highlighted in this article clarify a set of broad goals that all professional learning communities can use to assess their effectiveness: (1) Culture; (2) Knowledge; (3) Practice; and (4) Achievement. These schools and districts have an ongoing commitment to all four goals. All of them have instituted…

Amarillo Independent School District: Accumulating Democracy

ERIC Educational Resources Information Center

Breier, Betsy Broyles

2011-01-01

This case, set in the high plateau of the Texas Panhandle, covers the years 1998-2004. The focus is on voting rights. The Amarillo board members, like board members in most Texas districts, were elected at large. Faced with a voting rights lawsuit filed by the Mexican American Legal Defense and Educational Fund, the League of United Latin American…

Teacher Certification and Academic Growth among English Learner Students in the Houston Independent School District. REL 2018-284

ERIC Educational Resources Information Center

Ruiz de Castilla, Verónica

2018-01-01

Aware of the challenges set before the Houston Independent school District by rapid growth in the numbers of English learner students, and a critical shortage of teachers with bilingual certification for more than a decade, members of Regional Educational Laboratory Southwest's English Learners Research Alliance sought information that districts…

Get the Drop on Setting School Health Plans

ERIC Educational Resources Information Center

Education Digest: Essential Readings Condensed for Quick Review, 2005

2005-01-01

There is a federal law passed recently by U.S. President Bush and Congress that requires school districts to develop wellness policies and have them in place by July 2006. The wellness mandate, which was included in the Child Nutrition Act of 2004, requires all school districts which are participating in federal school meal programs to develop a…

The Influence of Finance and Accountability Policies on Location of New York State Charter Schools

ERIC Educational Resources Information Center

Bifulco, Robert; Buerger, Christian

2015-01-01

This article identifies a set of location incentives created by New York's charter school financing and accountability provisions. We then use regression models to examine the location of charter schools across and within districts. We find that charter schools (1) are significantly more likely to locate in districts with high operating expenses…

Assertiveness: making yourself heard in district nursing.

PubMed

Lawton, Sally; Stewart, Fiona

2005-06-01

Being assertive is not the same as being aggressive. Assertiveness is a tool for expressing ourselves confidently, and a way of saying 'yes' and 'no' in an appropriate way. This article explores issues concerned with assertiveness in district nurse settings. It outlines helpful techniques to develop assertiveness, such as the broken record, fogging, negative assertion and negative inquiry.

Specialisation of spinal services: consequences for cervical trauma management in the district hospital

PubMed Central

Rethnam, Ulfin; Cordell-Smith, James; Sinha, Amit

2007-01-01

Background Specialisation in spinal services has lead to a low threshold for referral of cervical spine injuries from district general hospitals. We aim to assess the capability of a district general hospital in providing the halo vest device and the expertise available in applying the device for unstable cervical spine injuries prior to transfer to a referral centre. Methods The study was a postal questionnaire survey of trauma consultants at district general hospitals without on-site spinal units in the United Kingdom. Seventy institutions were selected randomly from an electronic NHS directory. We posed seven questions on the local availability, expertise and training with halo vest application, and transferral policies in patients with spinal trauma. Results The response rate was 51/70 (73%). Nineteen of the hospitals (37%) did not stock the halo vest device. Also, one third of the participants (18/51, 35%, 95% confidence interval 22 – 50%) were not confident in application of the halo vest device and resorted to transfer of patients to referral centres without halo immobilization. Conclusion The lack of equipment and expertise to apply the halo vest device for unstable cervical spine injuries is highlighted in this study. Training of all trauma surgeons in the application of the halo device would overcome this deficiency. PMID:18271985

Forging Multidisciplinary Collaboration to Improve Mental/Behavioral Health.

PubMed

Vaughn, Wanda M; Bunde, Paula K; Remick-Erickson, Kara; Rebeck, Shelby; Denny, Darla

2017-09-01

Five Johnson and Johnson fellows validated the lack of communication regarding students with mental/behavioral health issues and took a leadership position within their school district to address the problem. An open-ended survey revealed inconsistent and fragmented support given to students with mental/behavioral health concerns. A multidisciplinary task force was formed consisting of stakeholders including district and nondistrict community members. The procedure for district staff to address students' behavioral/mental health concerns was adapted by representatives from all stakeholders and was distributed district wide and uploaded to the district's staff website for general access. Training of district employees in Youth Mental Health First Aid has provided the foundation for communicating and implementing a standardized approach for identifying, responding, and referring students with mental/behavioral health concerns. Open dialog, better communication and understanding of disciplines, and more initiatives aimed at improving the mental health of all students has resulted from the collaboration started with this initiative.

Evaluation of a Smartphone Decision-Support Tool for Diarrheal Disease Management in a Resource-Limited Setting

PubMed Central

Khatun, Selina; Ahmed, Mujaddeed; Kache, Saraswati; Chisti, Mohammod Jobayer; Sarker, Shafiqul Alam; Maples, Stace D.; Pieri, Dane; Vardhan Korrapati, Teja; Sarnquist, Clea; Federspiel, Nancy; Rahman, Muhammad Waliur; Andrews, Jason R.; Rahman, Mahmudur; Nelson, Eric Jorge

2017-01-01

The emergence of mobile technology offers new opportunities to improve clinical guideline adherence in resource-limited settings. We conducted a clinical pilot study in rural Bangladesh to evaluate the impact of a smartphone adaptation of the World Health Organization (WHO) diarrheal disease management guidelines, including a modality for age-based weight estimation. Software development was guided by end-user input and evaluated in a resource-limited district and sub-district hospital during the fall 2015 cholera season; both hospitals lacked scales which necessitated weight estimation. The study consisted of a 6 week pre-intervention and 6 week intervention period with a 10-day post-discharge follow-up. Standard of care was maintained throughout the study with the exception that admitting clinicians used the tool during the intervention. Inclusion criteria were patients two months of age and older with uncomplicated diarrheal disease. The primary outcome was adherence to guidelines for prescriptions of intravenous (IV) fluids, antibiotics and zinc. A total of 841 patients were enrolled (325 pre-intervention; 516 intervention). During the intervention, the proportion of prescriptions for IV fluids decreased at the district and sub-district hospitals (both p < 0.001) with risk ratios (RRs) of 0.5 and 0.2, respectively. However, when IV fluids were prescribed, the volume better adhered to recommendations. The proportion of prescriptions for the recommended antibiotic azithromycin increased (p < 0.001 district; p = 0.035 sub-district) with RRs of 6.9 (district) and 1.6 (sub-district) while prescriptions for other antibiotics decreased; zinc adherence increased. Limitations included an absence of a concurrent control group and no independent dehydration assessment during the pre-intervention. Despite limitations, opportunities were identified to improve clinical care, including better assessment, weight estimation, and fluid/ antibiotic selection. These findings demonstrate that a smartphone-based tool can improve guideline adherence. This study should serve as a catalyst for a randomized controlled trial to expand on the findings and address limitations. PMID:28103233

Beyond the biomedical: community resources for mental health care in rural Ethiopia.

PubMed

Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw

2015-01-01

The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention.

Beyond the Biomedical: Community Resources for Mental Health Care in Rural Ethiopia

PubMed Central

Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw

2015-01-01

Background The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. Method We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. Results The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. Discussion The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention. PMID:25962075

Evaluation of a Smartphone Decision-Support Tool for Diarrheal Disease Management in a Resource-Limited Setting.

PubMed

Haque, Farhana; Ball, Robyn L; Khatun, Selina; Ahmed, Mujaddeed; Kache, Saraswati; Chisti, Mohammod Jobayer; Sarker, Shafiqul Alam; Maples, Stace D; Pieri, Dane; Vardhan Korrapati, Teja; Sarnquist, Clea; Federspiel, Nancy; Rahman, Muhammad Waliur; Andrews, Jason R; Rahman, Mahmudur; Nelson, Eric Jorge

2017-01-01

The emergence of mobile technology offers new opportunities to improve clinical guideline adherence in resource-limited settings. We conducted a clinical pilot study in rural Bangladesh to evaluate the impact of a smartphone adaptation of the World Health Organization (WHO) diarrheal disease management guidelines, including a modality for age-based weight estimation. Software development was guided by end-user input and evaluated in a resource-limited district and sub-district hospital during the fall 2015 cholera season; both hospitals lacked scales which necessitated weight estimation. The study consisted of a 6 week pre-intervention and 6 week intervention period with a 10-day post-discharge follow-up. Standard of care was maintained throughout the study with the exception that admitting clinicians used the tool during the intervention. Inclusion criteria were patients two months of age and older with uncomplicated diarrheal disease. The primary outcome was adherence to guidelines for prescriptions of intravenous (IV) fluids, antibiotics and zinc. A total of 841 patients were enrolled (325 pre-intervention; 516 intervention). During the intervention, the proportion of prescriptions for IV fluids decreased at the district and sub-district hospitals (both p < 0.001) with risk ratios (RRs) of 0.5 and 0.2, respectively. However, when IV fluids were prescribed, the volume better adhered to recommendations. The proportion of prescriptions for the recommended antibiotic azithromycin increased (p < 0.001 district; p = 0.035 sub-district) with RRs of 6.9 (district) and 1.6 (sub-district) while prescriptions for other antibiotics decreased; zinc adherence increased. Limitations included an absence of a concurrent control group and no independent dehydration assessment during the pre-intervention. Despite limitations, opportunities were identified to improve clinical care, including better assessment, weight estimation, and fluid/ antibiotic selection. These findings demonstrate that a smartphone-based tool can improve guideline adherence. This study should serve as a catalyst for a randomized controlled trial to expand on the findings and address limitations.

Implementation Recommendations for School Districts. GASB Statement No. 34.

ERIC Educational Resources Information Center

Association of School Business Officials International, Reston, VA.

Statement 34 is the most significant change in the history of governmental accounting. It is a dramatic change in the way school districts report and present financial information. This new reporting model affects every public-school organization that issues financial statements in conformity with generally accepted accounting principles (GAAP).…

Tips for School Districts: GASB's New Fund Balance Standards

ERIC Educational Resources Information Center

Mead, Dean Michael

2010-01-01

In March 2009, the Governmental Accounting Standards Board (GASB) issued Statement No. 54, "Fund Balance Reporting and Governmental Fund Type Definitions." School districts that prepare financial reports based on generally accepted accounting principles are required to implement this standard no later than the first fiscal year that starts after…

Project Ideals: Special Services of the School District (Area I).

ERIC Educational Resources Information Center

Nunnery, Michael Y.

This pamphlet surveys the research and literature concerned with such local school district services as school plant planning and services, school community communication, school food services, school transportation services, and research and evaluation services. A series of generalizations is listed for each topic based on information reported in…

33 CFR 326.5 - Legal action.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Legal action. 326.5 Section 326.5... § 326.5 Legal action. (a) General. For cases the district engineer determines to be appropriate, he will... the district engineer determines that legal action is appropriate, he will prepare a litigation report...

33 CFR 326.5 - Legal action.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Legal action. 326.5 Section 326.5... § 326.5 Legal action. (a) General. For cases the district engineer determines to be appropriate, he will... the district engineer determines that legal action is appropriate, he will prepare a litigation report...

33 CFR 326.5 - Legal action.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Legal action. 326.5 Section 326.5... § 326.5 Legal action. (a) General. For cases the district engineer determines to be appropriate, he will... the district engineer determines that legal action is appropriate, he will prepare a litigation report...

33 CFR 326.5 - Legal action.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Legal action. 326.5 Section 326.5... § 326.5 Legal action. (a) General. For cases the district engineer determines to be appropriate, he will... the district engineer determines that legal action is appropriate, he will prepare a litigation report...

Social Studies Framework: Kindergarten-Grade 12.

ERIC Educational Resources Information Center

Texas Education Agency, Austin.

This document provides general instructional guidelines for district administrators and teachers in Texas as they attempt to meet the goal of preparing students for citizenship in a democracy. The framework includes the legal requirements for social studies and provides guidelines to school districts in planning social studies programs for grades…

33 CFR 3.70-20 - Activities Far East Marine Inspection Zone.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Activities Far East Marine... SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Fourteenth Coast Guard District § 3.70-20 Activities Far East Marine Inspection Zone. (a...

33 CFR 3.70-20 - Activities Far East Marine Inspection Zone.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Activities Far East Marine... SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Fourteenth Coast Guard District § 3.70-20 Activities Far East Marine Inspection Zone. (a...

The Promise of a College Scholarship Transforms a District

ERIC Educational Resources Information Center

Ritter, Gary W.; Ash, Jennifer

2016-01-01

Promise programs are place-based scholarships, generally tied to a city or school district, offering near-universal access to all living in the "place." While Promise programs share some characteristics with other scholarship programs, they're unique because they seek to change communities and schools. Underlying such promise programs is…

School Employees and the 1965 Voting Rights Act.

ERIC Educational Resources Information Center

Phay, Robert E.

1979-01-01

The Supreme Court has now made clear that, in covered states, school governing boards may not require employees to take a leave of absence while campaigning for public office unless they clear such policy with the District Court for the District of Columbia or the U.S. Attorney General. (Author/IRT)

A 21st Century School System in the Mile-High City

ERIC Educational Resources Information Center

Osborne, David

2016-01-01

Some of the most dramatic gains in urban education have come from school districts using what many call a "portfolio strategy." Others call it "reinvention," a "21st century approach," or "relinquishment." By whatever name, it generally means that districts negotiate performance agreements with some mix of…

Perspective view of IOOF Building (5 North F Street), retail ...

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

Perspective view of IOOF Building (5 North F Street), retail store (11 North F Street), and general merchandise (15 North F Street), all historic-contributing features of the district - Lakeview Downtown Historic District, E, F & G Streets between Second Street North & First Street South, Lakeview, Lake County, OR

Health Education Curriculum Content--Abstinence

ERIC Educational Resources Information Center

North Dakota Department of Public Instruction, 2011

2011-01-01

As a result of House Bill 1229, introduced and passed during the 2011 North Dakota legislative session, every school district, both public and nonpublic, must expand health education to include abstinence education, if teaching sexuality education as part of the general health curriculum. This fact sheet provides guidance for districts in meeting…

75 FR 55274 - Change of Address for Region 5 State and Local Agencies; Technical Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-10

... Health District, Air Pollution Control, 33 Mill Street, Painesville, OH 44077. (xiv) Mahoning and...; Director, Canton City Health Department, Air Pollution Control Division, 420 Market Avenue North, Canton.... (xiii) Geauga and Lake Counties; Lake County General Health District, Air Pollution Control, 33 Mill...

A History of the Rock Island District U.S. Army Corps of Engineers 1866-1983

DTIC Science & Technology

1984-01-01

well. A similar expansion of duties in the Rock Island District occurred when Major Francis U. Farquhar 9 10 THE RIVER AND THE ROCK ISLAND... case with his immediate predecessor, Major Mackenzie made several attempts to move the Rock Island Office away from Rock Island. In 11 12 THE...District. He went on to become a Major General and Chief of Engineers (1904-1908). During World War I he came out of retirement to return to Rock Island

Laboratory-Enhanced Dengue Sentinel Surveillance in Colombo District, Sri Lanka: 2012-2014

PubMed Central

Tissera, Hasitha; Amarasinghe, Ananda; Gunasena, Sunethra; DeSilva, Aruna Dharshan; Yee, Leong Wei; Sessions, October; Muthukuda, Chanaka; Palihawadana, Paba; Lohr, Wolfgang; Byass, Peter; Gubler, Duane J.; Wilder-Smith, Annelies

2016-01-01

Introduction Dengue has emerged as a significant public health problem in Sri Lanka. Historically surveillance was passive, with mandatory dengue notifications based on clinical diagnosis with only limited laboratory confirmation. To obtain more accurate data on the disease burden of dengue, we set up a laboratory-based enhanced sentinel surveillance system in Colombo District. Here we describe the study design and report our findings of enhanced surveillance in the years 2012–2014. Methods Three outpatient clinics and three government hospitals in Colombo District that covered most of the Colombo metropolitan area were selected for the sentinel surveillance system. Up to 60 patients per week presenting with an undifferentiated fever were enrolled. Acute blood samples from each patient were tested by dengue specific PCR, NS1 ELISA and IgM ELISA. A sub-set of samples was sent to Duke-NUS Singapore for quality assurance, virus isolation and serotyping. Trained medical research assistants used a standardized case report form to record clinical and epidemiological data. Clinical diagnoses by the clinicians-in-charge were recorded for hospitalized cases. Results Of 3,127 febrile cases, 43.6% were PCR and/or NS1 positive for dengue. A high proportion of lab confirmed dengue was observed from inpatients (IPD) (53.9%) compared to outpatient (clinics in hospitals and general practice) (7.6%). Dengue hemorrhagic fever (DHF) was diagnosed in 11% of patients at the time of first contact, and the median day of illness at time of presentation to the sentinel sites was 4. Dengue serotype 1 was responsible for 85% of the cases and serotype 4 for 15%. The sensitivity and specificity of the clinicians’ presumptive diagnosis of dengue was 84% and 34%, respectively. Conclusion DENV-1, and to a lesser degree DENV-4, infection were responsible for a high proportion of febrile illnesses in Colombo in the years 2012 to 2014. Clinicians’ diagnoses were associated with high sensitivity, but laboratory confirmation is required to enhance specificity. PMID:26927901

Are Health Facility Management Committees in Kenya ready to implement financial management tasks: findings from a nationally representative survey.

PubMed

Waweru, Evelyn; Opwora, Antony; Toda, Mitsuru; Fegan, Greg; Edwards, Tansy; Goodman, Catherine; Molyneux, Sassy

2013-10-10

Community participation in peripheral public health facilities has in many countries focused on including community representatives in Health Facility Management Committees (HFMCs). In Kenya, HFMC roles are being expanded with the phased implementation of the Health Sector Services Fund (HSSF). Under HSSF, HFMCs manage facility funds which are dispersed directly from central level into facility bank accounts. We assessed how prepared HFMCs were to undertake this new role in advance of HSSF roll out, and considered the implications for Kenya and other similar settings. Data were collected through a nationally representative sample of 248 public health centres and dispensaries in 24 districts in 2010. Data collection included surveys with in-charges (n = 248), HFMC members (n = 464) and facility users (n = 698), and record reviews. These data were supplemented by semi-structured interviews with district health managers in each district. Some findings supported preparedness of HFMCs to take on their new roles. Most facilities had bank accounts and HFMCs which met regularly. HFMC members and in-charges generally reported positive relationships, and HFMC members expressed high levels of motivation and job satisfaction. Challenges included users' low awareness of HFMCs, lack of training and clarity in roles among HFMCs, and some indications of strained relations with in-charges. Such challenges are likely to be common to many similar settings, and are therefore important considerations for any health facility based initiatives involving HFMCs. Most HFMCs have the basic requirements to operate. However to manage their own budgets effectively and meet their allocated roles in HSSF implementation, greater emphasis is needed on financial management training, targeted supportive supervision, and greater community awareness and participation. Once new budget management roles are fully established, qualitative and quantitative research on how HFMCs are adapting to their expanded roles, especially in financial management, would be valuable in informing similar financing mechanisms in Kenya and beyond.

Are Health Facility Management Committees in Kenya ready to implement financial management tasks: findings from a nationally representative survey

PubMed Central

2013-01-01

Background Community participation in peripheral public health facilities has in many countries focused on including community representatives in Health Facility Management Committees (HFMCs). In Kenya, HFMC roles are being expanded with the phased implementation of the Health Sector Services Fund (HSSF). Under HSSF, HFMCs manage facility funds which are dispersed directly from central level into facility bank accounts. We assessed how prepared HFMCs were to undertake this new role in advance of HSSF roll out, and considered the implications for Kenya and other similar settings. Methods Data were collected through a nationally representative sample of 248 public health centres and dispensaries in 24 districts in 2010. Data collection included surveys with in-charges (n = 248), HFMC members (n = 464) and facility users (n = 698), and record reviews. These data were supplemented by semi-structured interviews with district health managers in each district. Results Some findings supported preparedness of HFMCs to take on their new roles. Most facilities had bank accounts and HFMCs which met regularly. HFMC members and in-charges generally reported positive relationships, and HFMC members expressed high levels of motivation and job satisfaction. Challenges included users’ low awareness of HFMCs, lack of training and clarity in roles among HFMCs, and some indications of strained relations with in-charges. Such challenges are likely to be common to many similar settings, and are therefore important considerations for any health facility based initiatives involving HFMCs. Conclusion Most HFMCs have the basic requirements to operate. However to manage their own budgets effectively and meet their allocated roles in HSSF implementation, greater emphasis is needed on financial management training, targeted supportive supervision, and greater community awareness and participation. Once new budget management roles are fully established, qualitative and quantitative research on how HFMCs are adapting to their expanded roles, especially in financial management, would be valuable in informing similar financing mechanisms in Kenya and beyond. PMID:24107094

Nursing and midwifery use, perceptions and barriers to evidence-based practice: a cross-sectional survey.

PubMed

Fry, Margaret; Attawet, Jutharat

2018-03-01

The study aimed to explore how nurses and midwives obtain, use and embed evidence in everyday practice. The study design was cross-sectional survey method. The setting was one local health district in metropolitan Sydney, Australia. All nurses and midwives working within the local health district, with access to an email account, were invited to participate in the study. An online survey questionnaire was distributed to explore how evidence is obtained, used and embedded within the clinical setting. The data were analysed using descriptive statistics (frequency and percentages). Pearson's Chi-square tests were used for comparison between groups. There were 204 survey respondents. The findings identified that the majority (n = 157; 76.96%) of respondents obtained evidence primarily from clinical practice guidelines. The majority (n = 149; 73.04%) of respondents reportedly searched databases and used evidence related to general clinical practice. There was a statistical difference (χ = 17.069; df = 8; P = 0.029) when comparing leadership positions and other registered practitioner groups in the frequency of searching for evidence. Most respondents (n = 138; 67.65%) were confident in their ability to change practice on the basis of available evidence. Thematic analysis identified four barriers to sustaining evidence-based practice, which included: the need for time; the need for organizational and management support; the need for educational opportunities and challenges to accessing evidence. The study provided an understanding of how nurses and midwives obtain, use and embed evidence into everyday practice. More importantly, the role of leadership is significant to support a process of knowledge generation, research translation and the implementation of evidence into clinical settings.

33 CFR 126.31 - Termination or suspension of general permit.

Code of Federal Regulations, 2010 CFR

2010-07-01

... such termination, the general permit may be revived by the District Commander with respect to such... unlikely to recur. After such suspension, the general permit shall be revived by the Captain of the Port...

Interpreting guidance on prosecution for assisted dying for district nurses.

PubMed

Griffith, Richard

2014-11-01

Following a ruling by the House of Lords in 2009, the Director of Public Prosecutions issued guidance setting out the circumstances that would be likely to lead to the prosecution of a person for encouraging or assisting suicide under the Suicide Act 1961, section 2. In that guidance, a district nurse assisting a person to commit suicide would be one of the circumstances that would lead to prosecution. The Director of Public Prosecutions recently unexpectedly amended her guidance in relation to health professionals. This article discusses the implications of the amendment and argues that it will cause confusion among district nurses and give rise to an unrealistic expectation about the role a district nurse can lawfully take in assisting a person to die.

Medicaid provider reimbursement policy for adult immunizations.

PubMed

Stewart, Alexandra M; Lindley, Megan C; Cox, Marisa A

2015-10-26

State Medicaid programs establish provider reimbursement policy for adult immunizations based on: costs, private insurance payments, and percentage of Medicare payments for equivalent services. Each program determines provider eligibility, payment amount, and permissible settings for administration. Total reimbursement consists of different combinations of Current Procedural Terminology codes: vaccine, vaccine administration, and visit. Determine how Medicaid programs in the 50 states and the District of Columbia approach provider reimbursement for adult immunizations. Observational analysis using document review and a survey. Medicaid administrators in 50 states and the District of Columbia. Whether fee-for-service programs reimburse providers for: vaccines; their administration; and/or office visits when provided to adult enrollees. We assessed whether adult vaccination services are reimbursed when administered by a wide range of providers in a wide range of settings. Medicaid programs use one of 4 payment methods for adults: (1) a vaccine and an administration code; (2) a vaccine and visit code; (3) a vaccine code; and (4) a vaccine, visit, and administration code. Study results do not reflect any changes related to implementation of national health reform. Nine of fifty one programs did not respond to the survey or declined to participate, limiting the information available to researchers. Medicaid reimbursement policy for adult vaccines impacts provider participation and enrollee access and uptake. While programs have generally increased reimbursement levels since 2003, each program could assess whether current policies reflect the most effective approach to encourage providers to increase vaccination services. Copyright © 2015 Elsevier Ltd. All rights reserved.

Knowledge and practices of general practitioners at district hospitals towards cervical cancer prevention in Burundi, 2015: a cross-sectional study.

PubMed

Ndizeye, Zacharie; Vanden Broeck, Davy; Vermandere, Heleen; Bogers, John Paul; Van Geertruyden, Jean-Pierre

2018-01-16

Well-organized screening and treatment programmes are effective to prevent Invasive Cervical Cancer (ICC) in LMICs. To achieve this, the World Health Organization (WHO) recommends the involvement of existing health personnel in casu doctors, nurses, midwives in ICC prevention. A necessary precondition is that health personnel have appropriate knowledge about ICC. Therefore, to inform policy makers and training institutions in Burundi, we documented the knowledge and practices of general practitioners (GPs) at district hospital level towards ICC control. A descriptive cross-sectional survey was conducted from February to April, 2015 among all GPs working in government district hospitals. A structured questionnaire and a scoring system were used to assess knowledge and practices of GPs. The participation rate was 58.2%. Majority of GPs (76.3%) had appropriate knowledge (score > 70%) on cervical cancer disease; but some risk factors were less well known as smoking and the 2 most important oncogenic HPV. Only 8.4% of the participants had appropriate knowledge on ICC prevention: 55% of the participants were aware that HPV vaccination exists and 48.1% knew cryotherapy as a treatment method for CIN. Further, 15.3% was aware of VIA as a screening method. The majority of the participants (87%) never or rarely propose screening tests to their clients. Only 2 participants (1.5%) have already performed VIA/VILI. Wrong thoughts were also reported: 39.7% thought that CIN could be treated with radiotherapy; 3.1% thought that X-ray is a screening method. In this comprehensive assessment, we observed that Burundian GPs have a very low knowledge level about ICC prevention, screening and treatment. Suboptimal practices and wrong thoughts related to ICC screening and treatments have also been documented. We therefore recommend an adequate pre- and in-service training of GPs and most probably nurses on ICC control before setting up any public health intervention on ICC control.

Every School Day Counts: The Forum Guide to Collecting and Using Attendance Data. NFES 2009-804

ERIC Educational Resources Information Center

National Forum on Education Statistics, 2009

2009-01-01

This Forum guide offers best practice suggestions on collecting and using student attendance data to improve performance. It includes a standard set of codes to make attendance data comparable across districts and states. There are real-life examples of how attendance information has been used by school districts. Chapter 1 discusses the…

Principal Perceptions toward the Leadership Responsibilities and Practices of the Superintendency in High and Low Achievement School Districts with High and Low Superintendent Turnover

ERIC Educational Resources Information Center

Colby-Rooney, Danielle M.

2013-01-01

The purpose of this study was to determine the perceptions of building principals toward superintendent leadership responsibilities and practices of goal setting, nonnegotiable goals for achievement and instruction, board alignment with support of district goals, monitoring goals for achievement and instruction, use of resources to support the…

Challenging School Segregation in the Twenty-First Century: How Districts Can Leverage Dual Language Education to Increase School and Classroom Diversity

ERIC Educational Resources Information Center

Kotok, Stephen; DeMatthews, David

2018-01-01

Nationally, schools are increasingly segregated by race and poverty as a result of demographic shifts and a changing legal and political landscape. Based on evidence that students benefit academically and socially from attending integrating settings, many school districts are exploring options for providing diverse learning experiences. We examine…

Use and Distribution of Rehabilitation Services: A Register Linkage Study in One Hospital District Area in Finland

ERIC Educational Resources Information Center

Pulkki, Jutta Maarit; Rissanen, Pekka; Raitanen, Jani A.; Viitanen, Elina A.

2011-01-01

This study focuses on a large set of rehabilitation services used between 2004 and 2005 in one hospital district area in Finland. The rehabilitation system consists of several subsystems. This complex system is suggested to produce arbitrary rehabilitation services. Despite the criticisms against the system during decades, no attempts have been…

The Press Relations of a Local School District: An Analysis of the Emergence of School Issues.

ERIC Educational Resources Information Center

Morris, Jon R.; Guenter, Cornelius

Press coverage of a suburban midwest school district is analyzed as a set of time series of observations including the amount and quality of coverage. Possible shifts in these series because of the emergence of controversial issues are analyzed statistically using the Integrated Moving Average Time Series Model. Evidence of significant shifts in…

GATEWAY Report Brief: Tuning the Light in Classrooms: Evaluating Trial LED Lighting Systems in Three Classrooms at the Carrollton-Farmers Branch Independent School District in Carrollton, TX

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

None

Summary of GATEWAY report evaluating a trial installation of tunable-white LED lighting systems in three classrooms in the Carrollton-Farmers Branch Independent School District in Carrollton, TX. The report provides valuable insights into the use of this technology in a real-world setting.

GATEWAY Report: Tuning the Light in Classrooms: Evaluating Trial LED Lighting Systems in Three Classrooms at the Carrollton-Farmers Branch Independent School District in Carrollton, TX

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

Davis, Robert G.; Wilkerson, Andrea

The GATEWAY program evaluated a trial installation of tunable-white LED lighting systems in three classrooms in the Carrollton-Farmers Branch Independent School District in Carrollton, TX. The report provides valuable insights into the use of this technology in a real-world setting.

Becoming a Learning Organization: The Espoused Values of Police Managers from Two Norwegian Districts

ERIC Educational Resources Information Center

Filstad, Cathrine; Gottschalk, Petter

2011-01-01

Purpose: The aim of this paper is to investigate the extent to which espoused values among police managers in the Norwegian police force are compatible with those of a learning organization. Design/methodology/approach: A questionnaire was developed and administered to police managers in two police districts in Norway. A set of values was…

Agreement between Lakeshore Vocational, Technical and Adult Education District Board and Lakeshore Education Association, 1987-1989.

ERIC Educational Resources Information Center

1987

The agreement between the Lakeshore Vocational, Technical and Adult Education District Board and the Lakeshore Education Association is presented for the period 1987-1989. The articles in the agreement set forth provisions related to: (1) recognition and composition of the bargaining unit; (2) pay variations for various or unusual conditions; (3)…

Mobile Computing: 5 Solutions for Your Tablet Management Woes

ERIC Educational Resources Information Center

Raths, David

2013-01-01

At the end of the 2010-2011 school year, San Diego Unified School District, had 10,000 iPads in use and was set to add 18,000 more the next semester. Teachers and students were enthusiastic about using the devices yet the district faced a serious problem: Teachers were reporting to the instructional tech team that using Apple Configurator and…

The Budget and Priority Setting Process--Los Angeles Community College District.

ERIC Educational Resources Information Center

Koltai, Leslie

The nine-college Los Angeles Community College District, which has an enrollment of 135,000 and a payroll of 11,000 and which receives 80% of its operating budget from local property taxes, faced post-Proposition 13 cutbacks of 52% of its non-restricted operating revenue. Three types of alternative budgets based on state funding possibilities were…

A Logic Model for Coaching Experienced Rural Leaders: Lessons from Year One of a Pilot Program

ERIC Educational Resources Information Center

Lindle, Jane Clark; Della Sala, Matthew R.; Reese, Kenyae L.; Klar, Hans W.; Knoeppel, Robert Charles; Buskey, Frederick C.

2017-01-01

Rural schools dominate the United States, yet scant research exists on rural school leaders' development. Urban districts can transfer leaders to different locations, but rural districts, with few school sites, need leaders who stay and adapt to changing conditions. Mid-career rural leaders require a refreshed set of skills to carry school…

Case Note: Dougherty County Board of Education v. White.

ERIC Educational Resources Information Center

Phay, Robert E.

1978-01-01

The Court has made it clear that in covered states school governing boards may not require employees to take a leave of absence while campaigning for public office unless they clear such policy with the District Court of the District of Columbia or with the U.S. Attorney General. (Author/IRT)

School Districts of South Carolina: Organization and Administration.

ERIC Educational Resources Information Center

Stuckey, Dale C.; Haines, Preston B.

This publication is an update and expansion of earlier studies on the legal organization and administration of school districts in South Carolina. The treatment of this topic progresses from the general to the specific and includes detailed data about the geographical, organizational, financial, and legal aspects of the topic. The report attempts…

School District Fiscal Strain: Implications for State and Federal Financial Assistance.

ERIC Educational Resources Information Center

Hentschke, Guilbert; Yagielski, John

1982-01-01

Uses a model portraying school district decision makers as "consumers" to analyze fiscal strain's causes (enrollment decline, input price increases, and changes in input mix) as variants of the general consumer model. Measures the impact of each cause of fiscal strain and discusses implications for state and federal aid. (Author/RW)

Title I Funding: Poor Children Benefit though Funding Per Poor Child Differs. Report to Congressional Addressees.

ERIC Educational Resources Information Center

Shaul, Marnie S.

This study examined Title I funding allocations for school years 1999-2002 and actual allocations received by school districts, interviewing state Title I directors, surveying school district administrators nationwide, and interviewing representatives from relevant federal and national organizations. Title I funds were generally targeted based on…

School Renovation and the Importance of Maintenance. [Interview with Charles Boney, Jr.].

ERIC Educational Resources Information Center

Butterfield, Eric

Charles Boney, Jr., Director of Boney Architects, offers his views on school districts that build schools that have to be replaced too soon, general problems concerning renovation of older buildings, and keeping maintenance costs down. He discusses the types of flooring materials school districts should consider using to lower maintenance costs…

Equalizing School District Funding: Option for a Sliding Scale COLA. An LAO Report.

ERIC Educational Resources Information Center

Lee, Jannelle

Pursuant to Chapter 156, the Legislative Analyst's Office has developed options for the California Legislature to implement a sliding-scale cost-of-living-adjustment (COLA) as a means of equalizing general purpose funding for school districts. Chapter 156 declares the Legislature's intent to replace the existing "uniform" COLA approach…

26 CFR 302.1-7 - Claims for credit or refund.

Code of Federal Regulations, 2010 CFR

2010-04-01

... AND ADMINISTRATION TAXES UNDER THE INTERNATIONAL CLAIMS SETTLEMENT ACT, AS AMENDED AUGUST 9, 1955... the claim and should be filed with the district director of the district in which the tax was paid... and former owner. (c) Refund payable to Attorney General. All refund of taxes paid by the Attorney...

Realistic Fiscal Bases for Federal Programs.

ERIC Educational Resources Information Center

James, H. Thomas

School districts generally reduce taxes upon receiving federal and state aid. State-aided districts increase their expenditures to education only about 15 percent of the amount of the state aid, and reduce local tax levies by 85 percent. This substitution effect also accompanies federal aid to states. To meet this problem, Congress defines federal…

An Analysis of Due Process Cases and Doctrines: Implications for School Districts

ERIC Educational Resources Information Center

Bleakney, William; Glass, Thomas

1977-01-01

Identifies criteria relating to procedural due process from current judicial opinions, rulings of state attorneys general, and state administrative codes; applies the criteria to an analysis of school policies; and suggests guidelines for public school districts in the assessment, implementation, and revision of policies relating to procedural due…

4-Year Cohort Graduation Rate: FAQ

ERIC Educational Resources Information Center

Pennsylvania Department of Education, 2010

2010-01-01

This paper offers a list of questions and corresponding answers about the 4-year cohort graduation rate. Answers to the following questions are presented: (1) Why don't GED (General Educational Development) students count as graduates?; (2) How does a district code students who have moved out of state? How should a district code a student who…

Accounting Manual for Educational Service Districts in the State of Washington

ERIC Educational Resources Information Center

Lunghofer, Daniel S.

2010-01-01

This manual provides principles that are an integral part of the accounting requirements for educational service districts (ESDs) in the state of Washington. They are in conformance with generally accepted accounting principles, except where referenced in the ESD principles that follow. This manual provides guidance on the following topics:(1)…

Public Education in Milwaukee: A Survey of Public Opinion

ERIC Educational Resources Information Center

Public Policy Forum, 2006

2006-01-01

Telephone interviews were conducted in May-June 2006 with 900 adult residents of the City of Milwaukee, which is contiguous with the Milwaukee public school district. Respondents were representative of the general adult population of the school district with respect to race, gender, education, income and geography. The goal in conducting the…

77 FR 56208 - Filing Dates for the Kentucky Special Election in the 4th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-12

... FEDERAL ELECTION COMMISSION [Notice 2012-06] Filing Dates for the Kentucky Special Election in the 4th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Kentucky has scheduled a general election on November 6, 2012, to fill the U.S...

A Descriptive Analysis of Undergraduate PETE Programs in the Central District

ERIC Educational Resources Information Center

Hetland, Kristen M.; Strand, Bradford

2010-01-01

The current study described physical education teacher education (PETE) programs at institutions located within the Central District of the United States (CDAAAHPERD). Of the 72 institutions invited to participate, 44 institutions completed the survey (58% response rate). The purpose of this study was to describe the general profile/practices of…

Benefits of 25 Years of School District-University Partnerships to Improve Teacher Preparation and Advance School Renewal

ERIC Educational Resources Information Center

Holen, Michael C.; Yunk, Dan C.

2014-01-01

Generalizing about school district-teacher education program relationships across the long history and broad landscape of teacher preparation in America can prove challenging. However, if partnerships imply stable, long-term, mutually beneficial arrangements characterized by shared decision-making and resources, even a relatively cursory scan…

Suicide and general elections in Austria: do preceding regional suicide rate differentials foreshadow subsequent voting behavior swings?

PubMed

Voracek, Martin; Formann, Anton K; Fülöp, Gerhard; Sonneck, Gernot

2003-05-01

Suicide-epidemiological research on short-term effects of elections on national/regional suicide and parasuicide incidence has yielded contradictory evidence. Reversing the cause-effect relationship of this line of research we investigated whether preceding regional suicide rates are related to subsequent election results. For Austria's 121 districts, we regressed averaged standardized suicide rates for the preceding period (1988-1994) on political parties' subsequent electoral gains/losses (1999-to-1995) while controlling for a set of 12 domain-relevant psychosocial/economic indices. Stepwise weighted multiple regression led to a significant model. The 1999-to-1995 electoral gains/losses of two opposition parties, together with the population variation caused by migration balance and by births/deaths balance, accounted for a substantial part (30%) of the variability in preceding district-level suicide rates. Various other social indices failed to contribute further substantial increments to this model. This finding suggests that variations in preceding regional suicide incidence might be mirrored in subsequent changes in voting behavior. A speculative post hoc explanation for the finding is offered: on a community level, suicide's aftermath might produce socially and politically alienated survivors of suicide who co-shape swings towards opposition parties in subsequent general elections. The finding calls for more research on suicide's long-term aftermath. Within-country replicability and cross-national generalizability await further investigation. At present, the factor/mechanism accounting for this finding is neither well-established nor has been directly tested.

An assessment of priority setting process and its implication on availability of emergency obstetric care services in Malindi District, Kenya.

PubMed

Nyandieka, Lilian Nyamusi; Kombe, Yeri; Ng'ang'a, Zipporah; Byskov, Jens; Njeru, Mercy Karimi

2015-01-01

In spite of the critical role of Emergency Obstetric Care in treating complications arising from pregnancy and childbirth, very few facilities are equipped in Kenya to offer this service. In Malindi, availability of EmOC services does not meet the UN recommended levels of at least one comprehensive and four basic EmOC facilities per 500,000 populations. This study was conducted to assess priority setting process and its implication on availability, access and use of EmOC services at the district level. A qualitative study was conducted both at health facility and community levels. Triangulation of data sources and methods was employed, where document reviews, in-depth interviews and focus group discussions were conducted with health personnel, facility committee members, stakeholders who offer and/ or support maternal health services and programmes; and the community members as end users. Data was thematically analysed. Limitations in the extent to which priorities in regard to maternal health services can be set at the district level were observed. The priority setting process was greatly restricted by guidelines and limited resources from the national level. Relevant stakeholders including community members are not involved in the priority setting process, thereby denying them the opportunity to contribute in the process. The findings illuminate that consideration of all local plans in national planning and budgeting as well as the involvement of all relevant stakeholders in the priority setting exercise is essential in order to achieve a consensus on the provision of emergency obstetric care services among other health service priorities.

Ear, nose and throat day-case surgery at a district general hospital.

PubMed

Pézier, T; Stimpson, P; Kanegaonkar, R G; Bowdler, D A

2009-03-01

In 2000, The NHS Plan in the UK set a target of 75% for all surgical activity to be performed as day-cases. We aim to assess day-case turnover for ENT procedures and, in particular, day-case rates for adult and paediatric otological procedures together with re-admissions within 72 h as a proxy measure of safety. Retrospective collection of data (procedure and length of stay) from the computerised theatre system (Galaxy) and Patient Information Management System (PIMS) of all elective patients operated over one calendar year. The setting was a district general hospital ENT department in South East England. All ENT operations are performed with the exception of oncological head and neck procedures and complex skull-base surgery. Overall, 2538 elective operations were performed during the study period. A total of 1535 elective adult procedures were performed with 74% (1137 of 1535) performed as day-cases. Of 1003 paediatric operations, 73% (730 of 1003) were day-cases. Concerning otological procedures, 93.4% (311 of 333) of paediatric procedures were day-cases. For adults, we divided the procedures into major and minor, achieving day-case rates of 88% (93 of 101) and 91% (85 of 93), respectively. The overall day-case rate for otological procedures was 91% (528 of 580). Re-admission rates overall were 0.7% (11 of 1535) for adults and 0.9% (9 of 1003) for paediatric procedures. The most common procedure for re-admission was tonsillectomy accounting for 56% of all adult re-admissions and 78% of paediatric re-admissions. The were no deaths following day-case procedures. ENT surgery is well-suited to a day-case approach. UK Government targets are attainable when considering routine ENT surgery. Day-case rates for otology in excess of targets are possible even when considering major ear surgery.

Association between Childhood Diarrhoeal Incidence and Climatic Factors in Urban and Rural Settings in the Health District of Mbour, Senegal

PubMed Central

Thiam, Sokhna; Diène, Aminata N.; Sy, Ibrahima; Winkler, Mirko S.; Schindler, Christian; Ndione, Jacques A.; Faye, Ousmane; Vounatsou, Penelope; Utzinger, Jürg; Cissé, Guéladio

2017-01-01

We assessed the association between childhood diarrhoeal incidence and climatic factors in rural and urban settings in the health district of Mbour in western Senegal. We used monthly diarrhoeal case records among children under five years registered in 24 health facilities over a four-year period (2011–2014). Climatic data (i.e., daily temperature, night temperature and rainfall) for the same four-year period were obtained. We performed a negative binomial regression model to establish the relationship between monthly diarrhoeal incidence and climatic factors of the same and the previous month. There were two annual peaks in diarrhoeal incidence: one during the cold dry season and one during the rainy season. We observed a positive association between diarrhoeal incidence and high average temperature of 36 °C and above and high cumulative monthly rainfall at 57 mm and above. The association between diarrhoeal incidence and temperature was stronger in rural compared to urban settings, while higher rainfall was associated with higher diarrhoeal incidence in the urban settings. Concluding, this study identified significant health–climate interactions and calls for effective preventive measures in the health district of Mbour. Particular attention should be paid to urban settings where diarrhoea was most common in order to reduce the high incidence in the context of climatic variability, which is expected to increase in urban areas in the face of global warming. PMID:28895927

District wellness policies and school-level practices in Minnesota, USA.

PubMed

Larson, Nicole; Davey, Cynthia; Hoffman, Pamela; Kubik, Martha Y; Nanney, Marilyn S

2016-01-01

To compare the strength of district wellness policies with corresponding school-level practices reported by principals and teachers. District-level wellness policy data were collected from school district websites and, if not available online, by requests made to district administrators in the autumn of 2013. The strength of district policies was scored using the Wellness School Assessment Tool. School-level data were drawn from the 2012 Minnesota School Health Profiles principal and teacher surveys and the National Center for Education Statistics Common Core Data. Generalized estimating equations which accounted for school-level demographics and the nesting of up to two schools within some districts were used to examine ten district policy items and fourteen school-level practices of relevance to nutrition standards, nutrition education and wellness promotion, and physical activity promotion. State-wide sample of 180 districts and 212 public schools in Minnesota, USA. The mean number of energy-dense, nutrient-poor snack foods and beverages available for students to purchase at school was inversely related to the strength of district wellness policies regulating vending machines and school stores (P=0·01). The proportion of schools having a joint use agreement for shared use of physical activity facilities was inversely related to the strength of district policies addressing community use of school facilities (P=0·03). No associations were found between the strength of other district policies and school-level practices. Nutrition educators and other health professionals should assist schools in periodically assessing their wellness practices to ensure compliance with district wellness policies and environments supportive of healthy behaviours.

GPs’ use of defibrillators and the national radio network in emergency primary healthcare in Norway

PubMed Central

Zakariassen, Erik; Hunskaar, Steinar

2008-01-01

Objective To study the geographic size of out-of-hours districts, the availability of defibrillators and use of the national radio network in Norway. Design Survey. Setting The emergency primary healthcare system in Norway. Subjects A total of 282 host municipalities responsible for 260 out-of-hours districts. Main outcome measures Size of out-of-hours districts, use of national radio network and access to a defibrillator in emergency situations. Results The out-of-hours districts have a wide range of areas, which gives a large variation in driving time for doctors on call. The median longest transport time for doctors in Norway is 45 minutes. In 46% of out-of-hours districts doctors bring their own defibrillator on emergency callouts. Doctors always use the national radio network in 52% of out-of-hours districts. Use of the radio network and access to a defibrillator are significantly greater in out-of-hours districts with a host municipality of fewer then 5000 inhabitants compared with host municipalities of more than 20 000 inhabitants. Conclusion In half of out-of-hours districts doctors on call always use the national radio network. Doctors in out-of-hours districts with a host municipality of fewer than 5000 inhabitants are in a better state of readiness to attend an emergency, compared with doctors working in larger host municipalities. PMID:18570012

Sharing resources to create a district drug formulary: a countywide controlled trial.

PubMed Central

Hill-Smith, I

1996-01-01

BACKGROUND: Creating a drug formulary takes considerable time, but merely adopting one lacks local perspective and ownership. Sharing resources between several practices treads a middle path between these extremes, but is it effective? AIM: The aim of the study was to audit the influence of a district primary care drug formulary on prescribing by general practitioners. METHOD: A controlled trial was carried out to compare prescribing by 50 general practitioners from 11 urban and semirural practices in south Bedfordshire that participated in creating a district drug formulary with prescribing by all other general practitioners in the county. RESULTS: The proportion of prescription items that were for drugs listed in the formulary rose significantly in three therapeutics groups: cardiovascular (by 7-12% above control practice values); musculoskeletal (by 1-11% above control practice values); and obstetrics and gynaecology (by 6-9% above control practice values). The number of items prescribed per prescribing unit fell significantly in three therapeutic groups: musculoskeletal (by 1-7% below control practice values); nervous (by 7-12% below control practice values); and nutrition and blood (by 15-21% below control practice values). The estimated saving resulting from the creation of the formulary was 150,000 pounds (3000 pounds per doctor) per year. CONCLUSIONS: Sharing resources between practices to create a district-wide primary care drug formulary can lead to changes in prescribing and reduce costs sustained over 3 years. PMID:8762741

Institutionalizing Sex Education in Diverse U.S. School Districts.

PubMed

Saul Butler, Rebekah; Sorace, Danene; Hentz Beach, Kathleen

2018-02-01

This paper describes the Working to Institutionalize Sex Education (WISE) Initiative, a privately funded effort to support ready public school districts to advance and sustain comprehensive sexuality programs, and examines the degree to which WISE has been successful in increasing access to sex education, removing barriers, and highlighting best practices. The data for this study come from a set of performance indicators, guidance documents, and tools designed for the WISE Initiative to capture changes in sex education institutionalization at WISE school districts. The evaluation includes the analysis of 186 school districts across 12 states in the U.S. As a result of the WISE Initiative, 788,865 unique students received new or enhanced sex education in school classrooms and 88 school districts reached their sex education institutionalization goals. In addition to these school district successes, WISE codified the WISE Method and toolkit-a practical guide to help schools implement sex education. Barriers to implementing sexuality education can be overcome with administrative support and focused technical assistance and training, resulting in significant student reach in diverse school districts nationwide. Copyright © 2017 The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Spread the Word: In New York City, Encouraging Successful Schools to Share and Grow

ERIC Educational Resources Information Center

Dubin, Jennifer

2017-01-01

In New York City, which has the largest school district in the country, there are 1,700 public schools--and one contract for all of them. Often, schools want to make changes to the contract on a limited set of topics, a practice the district has long allowed. The Progressive Redesign Opportunity Schools for Excellence (PROSE) provides a structure…

A Mixed Methods Study Identifying Reoccurring Themes in Policies and Processes in Grow Your Own Teacher Recruitment and Retention Programs

ERIC Educational Resources Information Center

McCollum, Dixie

2011-01-01

Research revealed teachers are the most influential factor on student achievement and districts face their own unique set of challenges as they attempt to maintain a highly qualified teaching staff. Therefore, the purpose of this study is to examine the extent to which Grow Your Own Teacher (GYOT) programs assist districts in meeting the demand…

Designing Transparent Teacher Evaluation: The Role of Oversight Panels for Professional Accountability

ERIC Educational Resources Information Center

Goldstein, Jennifer

2009-01-01

Background/Context: Peer Assistance and Review (PAR), or peer review as it has historically been called, has existed in a handful of school districts since the early 1980s. In 1999, California became the first state to pass PAR legislation; at that time, a major district had not implemented the policy in over a decade. Setting: This is an in-depth…

Performance Indicators Workbook: Edition I, for Calculating School District Performance in Elementary School Reading and Arithmetic.

ERIC Educational Resources Information Center

New York State Education Dept., Albany. Bureau of School Programs Evaluation.

The Performance Indicators in Education program is designed to develop methods of measuring the performance in reading and arithmetic achievement at the elementary school level of the schools of New York State. From data on file at the State Education Department, a set of profiles was developed for each of 628 school districts indicating how the…

District decision-making for health in low-income settings: a systematic literature review.

PubMed

Wickremasinghe, Deepthi; Hashmi, Iram Ejaz; Schellenberg, Joanna; Avan, Bilal Iqbal

2016-09-01

Health management information systems (HMIS) produce large amounts of data about health service provision and population health, and provide opportunities for data-based decision-making in decentralized health systems. Yet the data are little-used locally. A well-defined approach to district-level decision-making using health data would help better meet the needs of the local population. In this second of four papers on district decision-making for health in low-income settings, our aim was to explore ways in which district administrators and health managers in low- and lower-middle-income countries use health data to make decisions, to describe the decision-making tools they used and identify challenges encountered when using these tools. A systematic literature review, following PRISMA guidelines, was undertaken. Experts were consulted about key sources of information. A search strategy was developed for 14 online databases of peer reviewed and grey literature. The resources were screened independently by two reviewers using pre-defined inclusion criteria. The 14 papers included were assessed for the quality of reported evidence and a descriptive evidence synthesis of the review findings was undertaken. We found 12 examples of tools to assist district-level decision-making, all of which included two key stages-identification of priorities, and development of an action plan to address them. Of those tools with more steps, four included steps to review or monitor the action plan agreed, suggesting the use of HMIS data. In eight papers HMIS data were used for prioritization. Challenges to decision-making processes fell into three main categories: the availability and quality of health and health facility data; human dynamics and financial constraints. Our findings suggest that evidence is available about a limited range of processes that include the use of data for decision-making at district level. Standardization and pre-testing in diverse settings would increase the potential that these tools could be used more widely. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

School District Policies and Adolescents’ Soda Consumption

PubMed Central

Miller, Gabrielle F.; Sliwa, Sarah; Brener, Nancy D.; Park, Sohyun; Merlo, Caitlin L.

2016-01-01

Purpose Sugar-sweetened beverages (SSBs) are a significant source of calories and added sugars for youth ages 14–18 years in the United States. This study examined the relationship between district-level policies and practices and students’ consumption of regular soda, one type of SSB, in 12 large urban school districts. Methods Data from the 2012 School Health Policies and Practices Study and 2013 Youth Risk Behavior Surveillance System were linked by district. The outcome variable was soda consumption and exposure variables were district policies. We used multivariable logistic regression analyses to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) after controlling for student characteristics and district free/reduced-price meal eligibility. Results About 18% of students reported consuming regular soda at least once per day. Most districts required high schools to have nutrition education, maintain closed campuses, and required/recommended that schools restrict promotional products and sale of beverages. Fewer districts required/recommended that schools offer healthful alternative beverages. Students in districts that restricted promotional products had lower odds of regular soda consumption (AOR = .84, 95% CI = .71–1.00), as did students in districts that restricted access to SSBs and offered healthful beverages when other beverages were available (AOR = .72, 95% CI = .54–.93, AOR = .76, 95% CI = .63–.91). Conclusions This study demonstrates that certain district-level policies are associated with student consumption of regular soda. These findings add to a growing consensus that policies and practices that influence the availability of healthier foods and beverages are needed across multiple settings. PMID:27021401

School District Policies and Adolescents' Soda Consumption.

PubMed

Miller, Gabrielle F; Sliwa, Sarah; Brener, Nancy D; Park, Sohyun; Merlo, Caitlin L

2016-07-01

Sugar-sweetened beverages (SSBs) are a significant source of calories and added sugars for youth ages 14-18 years in the United States. This study examined the relationship between district-level policies and practices and students' consumption of regular soda, one type of SSB, in 12 large urban school districts. Data from the 2012 School Health Policies and Practices Study and 2013 Youth Risk Behavior Surveillance System were linked by district. The outcome variable was soda consumption and exposure variables were district policies. We used multivariable logistic regression analyses to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) after controlling for student characteristics and district free/reduced-price meal eligibility. About 18% of students reported consuming regular soda at least once per day. Most districts required high schools to have nutrition education, maintain closed campuses, and required/recommended that schools restrict promotional products and sale of beverages. Fewer districts required/recommended that schools offer healthful alternative beverages. Students in districts that restricted promotional products had lower odds of regular soda consumption (AOR = .84, 95% CI = .71-1.00), as did students in districts that restricted access to SSBs and offered healthful beverages when other beverages were available (AOR = .72, 95% CI = .54-.93, AOR = .76, 95% CI = .63-.91). This study demonstrates that certain district-level policies are associated with student consumption of regular soda. These findings add to a growing consensus that policies and practices that influence the availability of healthier foods and beverages are needed across multiple settings. Published by Elsevier Inc.

Quality improvement in emergency obstetric referrals: qualitative study of provider perspectives in Assin North district, Ghana

PubMed Central

Afari, Henrietta; Hirschhorn, Lisa R; Michaelis, Annie; Barker, Pierre; Sodzi-Tettey, Sodzi

2014-01-01

Objective To describe healthcare worker (HCW)-identified system-based bottlenecks and the value of local engagement in designing strategies to improve referral processes related to emergency obstetric care in rural Ghana. Design Qualitative study using semistructured interviews of participants to obtain provider narratives. Setting Referral systems in obstetrics in Assin North Municipal Assembly, a rural district in Ghana. This included one district hospital, six health centres and four local health posts. This work was embedded in an ongoing quality improvement project in the district addressing barriers to existing referral protocols to lessen delays. Participants 18 HCWs (8 midwives, 4 community health officers, 3 medical assistants, 2 emergency room nurses, 1 doctor) at different facility levels within the district. Results We identified important gaps in referral processes in Assin North, with the most commonly noted including recognising danger signs, alerting receiving units, accompanying critically ill patients, documenting referral cases and giving and obtaining feedback on referred cases. Main root causes identified by providers were in four domains: (1) transportation, (2) communication, (3) clinical skills and management and (4) standards of care and monitoring, and suggested interventions that target these barriers. Mapping these challenges allowed for better understanding of next steps for developing comprehensive, evidence-based solutions to identified referral gaps within the district. Conclusions Providers are an important source of information on local referral delays and in the development of approaches to improvement responsive to these gaps. Better engagement of HCWs can help to identify and evaluate high-impact holistic interventions to address faulty referral systems which result in poor maternal outcomes in resource-poor settings. These perspectives need to be integrated with patient and community perspectives. PMID:24833695

Estimation of content of anti-TB drugs supplied at centres of the Revised National TB Control Programme in Tamil Nadu, India.

PubMed

Ramachandran, Geetha; Chandrasekaran, Vedachalam; Hemanth Kumar, Agibothu Kupparam; Dewan, Puneet; Swaminathan, Soumya; Thomas, Aleyamma

2013-09-01

To determine the content of certain antituberculosis (TB) drugs supplied at TB treatment centres of the Revised National TB Control Programme (RNTCP) in the state of Tamil Nadu, India. Eight districts across the state were selected, and the following drugs were collected from five settings (District TB centre, TB unit, designated microscopy centres, DOT providers) in each district: rifampicin (150 and 450 mg), isoniazid (300 mg), pyrazinamide (500 and 750 mg), ethambutol (400 and 600 mg), ethionamide (250 mg), levofloxacin (500 mg) and cycloserine (250 mg). A maximum of 10 tablets/capsules were collected from each setting. The drugs were coded prior to analysis. All drugs were assayed by validated spectrophotometric methods. The acceptable limits for drug content were taken as 90-110% of the stated content. More than 90% of tablets of rifampicin 450 mg, isoniazid 300 mg, pyrazinamide 500 and 750 mg, ethambutol 400 and 600 mg and ethionamide 250 mg were within acceptable limits. Eighty per cent of rifampicin 150 mg, 21% of cycloserine 250 mg and 87% of levofloxacin 500 mg were within acceptable limits. The mean cycloserine content was below the acceptable limit in all districts, the mean drug content being 200 mg (range: 108-245 mg). This systematic study showed that the stated drug content of cycloserine was not reached in all districts. Deterioration of cycloserine could be minimised by storing the drug in refrigerators. The geographical location of the districts had no influence on the drug content. © 2013 John Wiley & Sons Ltd.

Geographical Areas and Plant Facilities for Educational Purposes in Vermont.

ERIC Educational Resources Information Center

Dunham, Paul C.

School districts in Vermont are organized generally along town boundary lines with no clear distinction between town and school governmental units. State financial distributions are usually made to the town, and taxes are billed and collected by the town. There is a need for school district reorganization in terms of larger unified or 12-grade…

11 CFR 100.144 - Office building for State, local, or district party committees or organizations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Office building for State, local, or district party committees or organizations. 100.144 Section 100.144 Federal Elections FEDERAL ELECTION COMMISSION GENERAL SCOPE AND DEFINITIONS (2 U.S.C. 431) Exceptions to Expenditures § 100.144 Office building for...

11 CFR 100.84 - Office building for State, local, or district party committees or organizations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Office building for State, local, or district party committees or organizations. 100.84 Section 100.84 Federal Elections FEDERAL ELECTION COMMISSION GENERAL SCOPE AND DEFINITIONS (2 U.S.C. 431) Exceptions to Contributions § 100.84 Office building for...

Using Technology To Support Comprehensive Guidance Program Operations: A Variety of Strategies.

ERIC Educational Resources Information Center

Bowers, Judy

The Tucson Unified School District made a goal for 2000-2001 for all counselors to have their own computer at school. This article looks at how these computers are used to enhance the counselors' jobs. At the district level, the staff communicates with counselors through e-mail. Meeting reminders, general information, and upcoming events are…

IS YOUR DISTRICT READY TO START A JUNIOR COLLEGE.

ERIC Educational Resources Information Center

PATTERSON, DOW

TO DETERMINE IF A DISTRICT IS READY TO ESTABLISH A JUNIOR COLLEGE, CERTAIN QUESTIONS MUST BE ANSWERED--(1) ARE THERE ENOUGH HIGH SCHOOL GRADUATES TO WARRANT THE PROGRAM WITHOUT UNDUE TAXATION. (2) WILL THE COLLEGE BE ABLE TO OFFER THE USUAL PROGRAMS OF TRANSFER, VOCATIONAL TRAINING, GUIDANCE, AND GENERAL EDUCATION. (3) SHOULD IT BE AN EXTENSION OF…

Dashboard Lights: Monitoring Implementation of District Instructional Reform Strategies

ERIC Educational Resources Information Center

Supovitz, Jonathan A.; Weathers, John

2004-01-01

Duval County Florida superintendent John Fryer was not used to flying blind. A retired Air Force major general and former tactical fighter wing commander new to school district leadership, Fryer was used to having a control panel packed with information. In front of him in the cockpit, Fryer had a wide range of continually updated data from which…

District-Charter Collaborations on the Rise

ERIC Educational Resources Information Center

Finkel, Ed

2011-01-01

The Synergy Charter Academy, one of three charter schools in the Los Angeles Unified School District (LAUSD), used to occupy a cramped church space in south LA. Despite the facilities challenges, its more than 300 K students have generally scored in the top 10% on statewide tests in reading and math over the past seven years. When the district…

26 CFR 301.6311-1 - Payment by check or money order.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 18 2013-04-01 2013-04-01 false Payment by check or money order. 301.6311-1... by check or money order. (a) Authority to receive—(1) In general. (i) District directors, Service... District of Columbia, or any possession of the United States, or money orders in payment for internal...

26 CFR 301.6311-1 - Payment by check or money order.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 18 2011-04-01 2011-04-01 false Payment by check or money order. 301.6311-1... by check or money order. (a) Authority to receive—(1) In general. (i) District directors, Service... District of Columbia, or any possession of the United States, or money orders in payment for internal...

26 CFR 301.6311-1 - Payment by check or money order.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 18 2014-04-01 2014-04-01 false Payment by check or money order. 301.6311-1... by check or money order. (a) Authority to receive—(1) In general. (i) District directors, Service... District of Columbia, or any possession of the United States, or money orders in payment for internal...

26 CFR 301.6311-1 - Payment by check or money order.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 18 2012-04-01 2012-04-01 false Payment by check or money order. 301.6311-1... by check or money order. (a) Authority to receive—(1) In general. (i) District directors, Service... District of Columbia, or any possession of the United States, or money orders in payment for internal...

The Illinois General Purpose Grant-in-Aid System, 1979-1980.

ERIC Educational Resources Information Center

Lundeen, Virginia; And Others

This discussion begins with the five major political values that were reflected in the 1973 reform of the Illinois school aid system. The lawmakers wanted to spend state dollars for education in a way that would improve student and taxpayer equity, maintain local control of school districts, aid poverty-impacted districts, not discriminate against…

42 CFR 405.904 - Medicare initial determinations, redeterminations and appeals: General description.

Code of Federal Regulations, 2010 CFR

2010-10-01

... beneficiary may be entitled to file suit in Federal district court. (2) Claim appeals. The Medicare contractor... may file suit in Federal district court if the amount remaining in controversy and the other... beneficiary was not confined to the home or did not need skilled nursing care on an intermittent basis (see...

75 FR 71668 - Cibota National Forest, Mount Taylor Ranger District, NM, Roca Honda Mine

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-24

... develop and conduct underground uranium mining operations on their mining claims on and near Jesus Mesa in... open to mineral entry under the General Mining Law of 1872. Section 16 is State of New Mexico land... statement (EIS) to assess the development of a uranium mining operation on the Mount Taylor Ranger District...

Superintendents' Perceptions of the School Improvement Planning Process in the Southeastern USA

ERIC Educational Resources Information Center

Dunaway, David M.; Bird, James J.; Wang, Chuang; Hancock, Dawson

2014-01-01

The purpose of this study of school improvement planning in the southeastern USA was to establish the current view of the process through the eyes of the district superintendents. The answers to the questions were consistently mixed. Generally, the presence of school improvement planning is prevalent in the large majority of districts. However,…

Mayoral School Leadership and Integrated Governance

ERIC Educational Resources Information Center

Center for the Study of Education Policy, 2009

2009-01-01

The past two decades have seen an emerging trend in urban school governance: mayors taking the reins of school district leadership. The impetus for putting the mayor in charge of a city's schools usually stems from at least one of the following being documented or generally perceived about an urban school district: (1) Lack of accountability; (2)…

General geology and mines of the East Tintic mining district, Utah and Juab counties, Utah, with sections on the geology of the Burgin mine and the geology of the Trixie mine

USGS Publications Warehouse

Morris, H.T.; Lovering, Thomas Seward; Mogensen, A.P.; Shepard, W.M.; Perry, L.I.; Smith, S.M.

1979-01-01

This report is a study of the rocks, geologic structures, and mines of a highly productive silver, gold, and base-metal mining district in the east-central Great Basin. The East Tintic mining district is in the east-central part of the East Tintic Mountains, near the east margin of the Basin and Range province in Utah and Juab Counties, Utah. The district occupies the northeastern part of the Eureka quadrangle and is about 5 mi (8 km) wide and 6 mi (9.7 km) long. Officially it is within the designated boundaries of the Tintic mining district, but it generally though erroneously has been regarded as a separate district since the late 1800's.Prospecting was first undertaken in East Tintic in 1870; although small quantities of ore were produced in 1899 and from 1909 to 1913, the district first achieved prominence in 1916 with the discovery of the totally concealed Central ore body of the Tintic Standard mine. Within a few years of this discovery, the Tintic Standard became one of the most productive silver mines in the world. Additional discoveries of important concealed ore deposits have continued to be made in the district, including the North Lily mine in 1927, the Eureka Lilly and Eureka Standard mines in 1928, the Burgin mine in 1958, and the Trixie mine in 1969.To December 31, 1975, the East Tintic mining district has yielded approximately 4.83 million short tons (4.38 million tonnes) of silver, gold, and base-metal ores, largely from concealed deposits overlain by many hundreds of feet of barren rocks. These ores have a gross valuation of approximately $231 million. The district first achieved prominence in 1916 with the discovery of the ore bodies of the Tintic Standard mine, which for a time was the world's richest silver producer (Lindgren, 1933, p. 588). By 1946 this deposit and a number of other deposits discovered and developed nearby had been exhausted, and the district became dormant. A dramatic revival of, mining activities in the East Tintic district began in 1956 after the discovery and subsequent development of the concealed Burgin ore bodies in an area 1 mile (1.6 km) southeast of the Tintic Standard that previously had been only superficially prospected. As in the earlier history of the district, the Burgin development has led to the discovery of other concealed deposits, focusing international attention on the revitalization of a nearly abandoned mining district by the application of geologic and geochemical techniques.

Analysis of exceptionally large tremors in two gold mining districts of South Africa

USGS Publications Warehouse

McGarr, A.; Bicknell, J.; Sembera, E.; Green, R.W.E.

1989-01-01

An investigation of ground motion, recorded using broad-band, wide dynamic-range digital seismographs, of large mine tremors from two South African mining districts with different geologic settings, reveals some essential differences in both seismic source and ground motion parameters. In the Klerksdorp district where the strata are offset by major throughgoing normal faults, the largest tremors, with magnitudes ranging as high as 5.2, tend to be associated with slip on these pre-existing faults. Moreover, the seismic source and ground motion parameters are quite similar to those of natural crustal earthquakes. In the Carletonville district, by contrast, where substantial faults do not exist, the large-magnitude tremors appear to result from the failure of relatively intact rock and cause seismic stress drops and ground motion parameters higher than normally observed for natural shocks. Additionally, there appears to be an upper magnitude limit of about 4 in the Carletonville district. Detailed analyses of an exceptionally large event recorded locally from each of these districts serve to highlight these contrasts. ?? 1989 Birkha??user Verlag.

Joint and constrained inversions in a complex geological setting, example from the Skellefte District

NASA Astrophysics Data System (ADS)

Garcia Juanatey, M. A.; Lelievre, P. G.; Juhlin, C.; Farquharson, C. G.

2015-12-01

The Skellefte District is a very rich metallogenic province in northern Sweden. It is of Paleoproterozoic age and consists of mainly metavolcanic rocks. Even though the district has been intensively studied, many questions still remain about its emplacement. The complicated structural setting, and the great extension of post-glacial sediments, pose a challenge for geophysical and geological investigations. Most recent research efforts in the area have been directed at the construction of 3D geological models through the combined interpretation of independently modeled geophysical and geological data. Our aim is to take these studies further and derive, through joint and constraint inversions, a common 3D earth model consistent with all the available data. By integrating the datasets already at the modelling stage we intend to reduce significantly the uncertainties associated to the constructed 3D models.The available geophysics in the district includes regional gravity and magnetic data acquired by the Geological Survey of Sweden in the 1970s, four lines of seismic reflection data totalling approximately 70 km, and more than 60 magnetotelluric sites spread across the area. The existing geological data (from surface, borehole, and in-mine observations) is condensed on interpreted surfaces representing the most important lithological boundaries. Additionally, there are density and susceptibility values obtained from samples across the whole district. We are looking for the best way to integrate the different geophysical datasets with geologically-constrained joint and cooperative inversions.

Developing quality indicators for community services: the case of district nursing.

PubMed

Davies, Philippa; Wye, Lesley; Horrocks, Sue; Salisbury, Chris; Sharp, Debbie

2011-01-01

Quality indicators exist for the acute and primary care sectors in the National Health Service (NHS), but until recently little attention has been given to measuring the quality of community services. The innovative project described in this paper attempted to address that gap. To produce a framework for developing quality indicators for Bristol Community Health services. To develop a set of initial indicators for Bristol Community Health services using the proposed framework. After familiarising ourselves with community services and NHS policy, gathering the views of stakeholders and consulting the literature on quality indicators, we designed a framework for indicator development, using the 'test' case of the district nursing service. The long list of possible indicators came from best practice guidelines for wound, diabetes and end of life care, the three conditions most commonly treated by district nurses. To narrow down this list we surveyed and held workshops with district nurses, interviewed service users by telephone and met with commissioners and senior community health managers. The final set of quality indicators for district nurses included 23 organisational and clinical process and outcome indicators and eight patient experience indicators. These indicators are now being piloted, together with two potential tools identified to capture patient reported outcomes. Developing quality indicators for community services is time consuming and resource intensive. A range of skills are needed including clinical expertise, project management and skills in evidence-based medicine. The commitment and involvement of front-line professionals is crucial.

Construction Manager or General Contractor?

ERIC Educational Resources Information Center

McKinley, John

1991-01-01

Unlike the general contractor approach, the construction management firm acts on behalf of the school district in school construction. Examines the development and nature of construction management, and cites its advantages and disadvantages. (MLF)

Malaria Control and Elimination in Sri Lanka: Documenting Progress and Success Factors in a Conflict Setting

PubMed Central

Abeyasinghe, Rabindra R.; Galappaththy, Gawrie N. L.; Smith Gueye, Cara; Kahn, James G.; Feachem, Richard G. A.

2012-01-01

Background Sri Lanka has a long history of malaria control, and over the past decade has had dramatic declines in cases amid a national conflict. A case study of Sri Lanka's malaria programme was conducted to characterize the programme and explain recent progress. Methods The case study employed qualitative and quantitative methods. Data were collected from published and grey literature, district-level and national records, and thirty-three key informant interviews. Expenditures in two districts for two years – 2004 and 2009 – were compiled. Findings Malaria incidence in Sri Lanka has declined by 99.9% since 1999. During this time, there were increases in the proportion of malaria infections due to Plasmodium vivax, and the proportion of infections occurring in adult males. Indoor residual spraying and distribution of long-lasting insecticide-treated nets have likely contributed to the low transmission. Entomological surveillance was maintained. A strong passive case detection system captures infections and active case detection was introduced. When comparing conflict and non-conflict districts, vector control and surveillance measures were maintained in conflict areas, often with higher coverage reported in conflict districts. One of two districts in the study reported a 48% decline in malaria programme expenditure per person at risk from 2004 to 2009. The other district had stable malaria spending. Conclusions/Significance Malaria is now at low levels in Sri Lanka – 124 indigenous cases were found in 2011. The majority of infections occur in adult males and are due to P. vivax. Evidence-driven policy and an ability to adapt to new circumstances contributed to this decline. Malaria interventions were maintained in the conflict districts despite an ongoing war. Sri Lanka has set a goal of eliminating malaria by the end of 2014. Early identification and treatment of infections, especially imported ones, together with effective surveillance and response, will be critical to achieving this goal. PMID:22952642

Bridging the gap between evidence-based innovation and national health-sector reform in Ghana.

PubMed

Awoonor-Williams, John Koku; Feinglass, Ellie S; Tobey, Rachel; Vaughan-Smith, Maya N; Nyonator, Frank K; Jones, Tanya C

2004-09-01

Although experimental trials often identify optimal strategies for improving community health, transferring operational innovation from well-funded research programs to resource-constrained settings often languishes. Because research initiatives are based in institutions equipped with unique resources and staff capabilities, results are often dismissed by decisionmakers as irrelevant to large-scale operations and national health policy. This article describes an initiative undertaken in Nkwanta District, Ghana, focusing on this problem. The Nkwanta District initiative is a critical link between the experimental study conducted in Navrongo, Ghana, and a national effort to scale up the innovations developed in that study. A 2002 Nkwanta district-level survey provides the basis for assessing the likelihood that the Navrongo model is replicable elsewhere in Ghana. The effect of community-based health planning and services exposure on family planning and safe-motherhood indicators supports the hypothesis that Navrongo effects are transferable to impoverished rural settings elsewhere, confirming the need for strategies to bridge the gap between Navrongo evidence-based innovation and national health-sector reform.

Promoting community participation in priority setting in district health systems: experiences from Mbarali district, Tanzania

PubMed Central

Kamuzora, Peter; Maluka, Stephen; Ndawi, Benedict; Byskov, Jens; Hurtig, Anna-Karin

2013-01-01

Background Community participation in priority setting in health systems has gained importance all over the world, particularly in resource-poor settings where governments have often failed to provide adequate public-sector services for their citizens. Incorporation of public views into priority setting is perceived as a means to restore trust, improve accountability, and secure cost-effective priorities within healthcare. However, few studies have reported empirical experiences of involving communities in priority setting in developing countries. The aim of this article is to provide the experience of implementing community participation and the challenges of promoting it in the context of resource-poor settings, weak organizations, and fragile democratic institutions. Design Key informant interviews were conducted with the Council Health Management Team (CHMT), community representatives, namely women, youth, elderly, disabled, and people living with HIV/AIDS, and other stakeholders who participated in the preparation of the district annual budget and health plans. Additionally, minutes from the Action Research Team and planning and priority-setting meeting reports were analyzed. Results A number of benefits were reported: better identification of community needs and priorities, increased knowledge of the community representatives about priority setting, increased transparency and accountability, promoted trust among health systems and communities, and perceived improved quality and accessibility of health services. However, lack of funds to support the work of the selected community representatives, limited time for deliberations, short notice for the meetings, and lack of feedback on the approved priorities constrained the performance of the community representatives. Furthermore, the findings show the importance of external facilitation and support in enabling health professionals and community representatives to arrive at effective working arrangement. Conclusion Community participation in priority setting in developing countries, characterized by weak democratic institutions and low public awareness, requires effective mobilization of both communities and health systems. In addition, this study confirms that community participation is an important element in strengthening health systems. PMID:24280341

From microbes to water districts: Linking observations across scales to uncover the implications of riparian and channel management on water quality in an irrigated agricultural landscape

NASA Astrophysics Data System (ADS)

Webster, A.; Cadenasso, M. L.

2016-12-01

Interactions among runoff, riparian and stream ecosystems, and water quality remain uncertain in many settings, particularly those heavily impacted by human activities. For example, waterways in the irrigated agricultural landscape of California's Central Valley are seasonally disconnected from groundwater tables and are extensively modified by infrastructure and management. These conditions make the impact of riparian and channel management difficult to predict across scales, which hinders efforts to promote best management practices to improve water quality. We seek to link observations across catchment, reach, and patch scales to understand patterns of nitrate and turbidity in waterways draining irrigated cropland. Data was collected on 80 reaches spanning two water management districts. At the catchment scale, water districts implemented waterway and riparian management differently: one water district had a decentralized approach, allowing individual land owners to manage their waterway channels and banks, while the other had a centralized approach, in which land owners defer management to a district-run program. At the reach scale, riparian and waterway vegetation, geomorphic complexity, and flow conditions were quantified. Reach-scale management such as riparian planting projects and channel dredging frequency were also considered. At the patch scale, denitrification potential and organic matter were measured in riparian toe-slope soils and channel sediments, along with associated vegetation and geomorphic features. All factors were tested for their ability to predict water quality using generalized linear mixed effects models and the consistency of predictors within and across scales was evaluated. A hierarchy of predictors emerges: catchment-scale management regimes predict reach-scale geomorphic and vegetation complexity, which in turn predicts sediment denitrification potential - the patch-scale factor most associated with low nitrate. Similarly, turbidity conveyance was most associated with reach-scale factors. These findings suggest that, in the absence of other regulations, a decentralized management approach to riparian zones and waterways allows reach-scale complexity to arise, which in turn promotes ecosystem function and improved water quality.

An ethnobotanical survey of medicinal plants used in the Siwai and Buin districts of the Autonomous Region of Bougainville

PubMed Central

Waruruai, Julie; Sipana, Beuluah; Koch, Michael; Barrows, Louis R.; Matainaho, Teatulohi K.; Rai, Prem P

2011-01-01

Ethnopharmacological relevance Traditional knowledge of medicinal plant use in many regions of Papua New Guinea and the Autonomous Region of Bougainville is poorly described and rapidly disappearing. A program initiated by the University of Papua New Guinea to systematically document and preserve traditional knowledge of medicinal plant use was initiated with WHO help in 2001. Aim of the study To document and compare medicinal plant use in the Siwai and Buin Districts of the Island of Bougainville. Siwai and Buin districts represent two adjacent geographic regions of differing language traditions. Materials and methods This report is a combination of two University of Papua New Guinea reports generated using a University of Papua New Guinea and Papua New Guinea Department of Health approved survey questionnaire “Information sheet on traditional herbal reparations and medicinal plants of Papua New Guinea”. Results Although Siwai and Buin Districts are adjacent in Southern Bougainville, there is considerable variation in the specific plants used medicinally and the specific uses of those plants that are used commonly in the two regions. In addition, many of the plants used in the region are widely distributed species that are used medicinally in other settings. Nevertheless, the high endemicity of plants and the extraordinary cultural diversity in the Autonomous Region of Bougainville has yielded description of the medicinal use of many plants that have not previously been reported in the wider scientific literature. Conclusions Efforts to document and preserve traditional knowledge of plant use in Papua New Guinea have yielded important new records of plants with potential application in the provision of health care for a developing nation with an under developed Western style rural health care system. This report documents substantial commonality in the general modes of medicinal plant preparation and in the health care applications of plant use in the Siwai and Buin traditions, however, there was considerable difference noted in the particular uses of the specific plants used in one or another of the districts. PMID:22004894

Improving paediatric and neonatal care in rural district hospitals in the highlands of Papua New Guinea: a quality improvement approach.

PubMed

Sa'avu, Martin; Duke, Trevor; Matai, Sens

2014-05-01

In developing countries such as Papua New Guinea (PNG), district hospitals play a vital role in clinical care, training health-care workers, implementing immunization and other public health programmes and providing necessary data on disease burdens and outcomes. Pneumonia and neonatal conditions are a major cause of child admission and death in hospitals throughout PNG. Oxygen therapy is an essential component of the management of pneumonia and neonatal conditions, but facilities for oxygen and care of the sick newborn are often inadequate, especially in district hospitals. Improving this area may be a vehicle for improving overall quality of care. A qualitative study of five rural district hospitals in the highlands provinces of Papua New Guinea was undertaken. A structured survey instrument was used by a paediatrician and a biomedical technician to assess the quality of paediatric care, the case-mix and outcomes, resources for delivery of good-quality care for children with pneumonia and neonatal illnesses, existing oxygen systems and equipment, drugs and consumables, infection-control facilities and the reliability of the electricity supply to each hospital. A floor plan was drawn up for the installation of the oxygen concentrators and a plan for improving care of sick neonates, and a process of addressing other priorities was begun. In remote parts of PNG, many district hospitals are run by under-resourced non-government organizations. Most hospitals had general wards in which both adults and children were managed together. Paediatric case-loads ranged between 232 and 840 patients per year with overall case-fatality rates (CFR) of 3-6% and up to 15% among sick neonates. Pneumonia accounts for 28-37% of admissions with a CFR of up to 8%. There were no supervisory visits by paediatricians, and little or no continuing professional development of staff. Essential drugs were mostly available, but basic equipment for the care of sick neonates was often absent or incomplete. Infection control measures were inadequate in most hospitals. Cylinders were the major source of oxygen for the district hospitals, and logistical problems and large indirect costs meant that oxygen was under-utilized. There were multiple electricity interruptions, but hospitals had back-up generators to enable the use of oxygen concentrators. After 6 months in each of the five hospitals, high-dependency care areas were planned, oxygen concentrators installed, staff trained in their use, and a plan was set out for improving neonatal care. If MGD-4 targets for child health are to be met, reducing neonatal mortality and deaths from pneumonia will have to include better quality services in district hospitals. Establishing better oxygen supplies with a systems approach can be a vehicle for addressing other areas of quality and safety in district hospitals.

A model for planning local contraceptive services.

PubMed

Wilson, S

1989-09-01

Data were collected on abortion referral rates, single young maternity rates and uptake of contraceptive services in order to identify specific areas of unmet need in the Nottingham Health District. Comparisons were made between boroughs and in the City of Nottingham between electoral wards. There was a direct relationship between abortion rate, single young maternity rate and social disadvantage. Analysis of contraceptive usage suggested a more ineffective service in the inner city, which has implications for the more efficient use of resources in the future. Targeting of consumer acceptable services to residents of the inner city and teenagers in general was recommended as a result of the study. For future planning a more useful routine data set was developed to record the activity at family planning clinics.

School District Crisis Preparedness, Response, and Recovery Plans - United States, 2012.

PubMed

Silverman, Brenda; Chen, Brenda; Brener, Nancy; Kruger, Judy; Krishna, Nevin; Renard, Paul; Romero-Steiner, Sandra; Avchen, Rachel Nonkin

2016-09-16

The unique characteristics of children dictate the need for school-based all-hazards response plans during natural disasters, emerging infectious diseases, and terrorism (1-3). Schools are a critical community institution serving a vulnerable population that must be accounted for in public health preparedness plans; prepared schools are adopting policies and plans for crisis preparedness, response, and recovery (2-4). The importance of having such plans in place is underscored by the development of a new Healthy People 2020 objective (PREP-5) to "increase the percentage of school districts that require schools to include specific topics in their crisis preparedness, response, and recovery plans" (5). Because decisions about such plans are usually made at the school district level, it is important to examine district-level policies and practices. Although previous reports have provided national estimates of the percentage of districts with policies and practices in place (6), these estimates have not been analyzed by U.S. Census region* and urbanicity.(†) Using data from the 2012 School Health Policies and Practices Study (SHPPS), this report examines policies and practices related to school district preparedness, response, and recovery. In general, districts in the Midwest were less likely to require schools to include specific topics in their crisis preparedness plans than districts in the Northeast and South. Urban districts tended to be more likely than nonurban districts to require specific topics in school preparedness plans. Southern districts tended to be more likely than districts in other regions to engage with partners when developing plans. No differences in district collaboration (with the exception of local fire department engagement) were observed by level of urbanicity. School-based preparedness planning needs to be coordinated with interdisciplinary community partners to achieve Healthy People 2020 PREP-5 objectives for this vulnerable population.

Teaching Quality across School Settings

ERIC Educational Resources Information Center

Cohen, Julie; Brown, Michelle

2016-01-01

Districts are increasingly making personnel decisions based on teachers' impact on student-achievement gains and classroom observations. In some schools, however, a teacher's practices and their students' achievement may reflect not just individual but collaborative efforts. In other settings, teachers' instruction benefits less from the insights…

48 CFR 538.7002 - General.

Code of Federal Regulations, 2011 CFR

2011-10-01

... District of Columbia, and Qualified Non-profit Agencies. (b) Section 211 of the E-Government Act of 2002... Administrator of General Services to provide for the use by state or local governments of Federal Supply... 538.7002 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION SPECIAL CATEGORIES OF...

20 CFR 725.404 - Development of evidence-general.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Development of evidence-general. 725.404 Section 725.404 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL... Development of evidence—general. (a) Employment history. Each claimant shall furnish the district director...

The relationship of volunteerism to the physical activity and health of older adults in a metropolitan park setting

Treesearch

Julie S. Son; Andrew J. Mowen; Deborah L. Kerstetter

2007-01-01

Volunteers are an important resource to park districts. However, it is less clear how well park districts benefit the health and well-being of their volunteers. The objectives of the current study were: 1) to try to replicate findings of positive relationships of volunteering to physical health and physical activity, and 2) to extend previous research to examine the...

Nation's Capital to cover low-income women's abortions.

PubMed

1994-04-15

Sharon Pratt Kelly, the mayor of the District of Columbia, has announced that, effective May 1, 1994, the city will use its Medical Charities Fund to pay for "medically appropriate" abortions for women with annual incomes of US$13,200 who do not have health insurance that covers abortions. This income level represents 185% of the federal poverty level for single women. The determination as to whether an abortion is "appropriate" will be made by the woman's physician. From 1989-93, there was a ban on the use of District of Columbia tax monies to cover abortions for local women. In 1988, however, approximately 4000 District women received funding for their abortions. The US$1 million Medical Charities Fund was originally set up to cover emergency room bills for low-income District residents who did not qualify for Medicaid. $650,000 is expected to be added to the fund; in addition, the District's 1995 budget will allocate funding earmarked for abortion coverage for low-income women.

28 CFR 36.503 - Suit by the Attorney General.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Suit by the Attorney General. 36.503... discretion, the Attorney General may commence a civil action in any appropriate United States district court if the Attorney General has reasonable cause to believe that— (a) Any person or group of persons is...

An Investigation into the Skill Set of Speech-Language Pathologists Working with Profoundly Deaf Children: A Study in Context

ERIC Educational Resources Information Center

Veyvoda, Michelle

2013-01-01

This study explored the skill sets possessed by speech-language pathologists working with profoundly deaf children in three types of settings (state-funded "4201" schools for the deaf, Board of Cooperative Educational Services programs, and local school districts) throughout New York State. The phenomenological method of inquiry was…

Inspections of hand washing supplies and hand sanitizer in public schools.

PubMed

Ramos, Mary M; Blea, Mary; Trujillo, Rebecca; Greenberg, Cynthia

2010-10-01

Hand washing and hand antisepsis are proven infection control measures in the school setting, yet barriers such as lack of soap, paper towels, and hand sanitizer can hinder compliance. This pilot study measured the prevalence of hand cleaning supplies in public schools. Ten school districts (93 schools) participated in school nurse inspections. In November 2008, 90 schools (97%) reported their inspection results. Among 697 total bathrooms, 88.8% had soap and 91.7% had paper towels or hand dryers. Hand sanitizer was reported in 1.2% of bathrooms and 15.2% of cafeterias. No difference was observed between boys' and girls' bathrooms, or primary and secondary schools, in the prevalence of soap or paper towels/hand dryers. Hand washing supplies were generally available in public school bathrooms. Alcohol-based hand sanitizer in school bathrooms was reported occasionally and should be discouraged. Hand sanitizer in a supervised setting, the school cafeteria, was not often reported and should be promoted.

Student-teacher relationships matter for school inclusion: school belonging, disability, and school transitions.

PubMed

Crouch, Ronald; Keys, Christopher B; McMahon, Susan D

2014-01-01

For students with disabilities, the process of school inclusion often begins with a move from segregated settings into general education classrooms. School transitions can be stressful as students adjust to a new environment. This study examines the adjustment of 133 students with and without disabilities who moved from a school that served primarily students with disabilities into 23 public schools in a large urban school district in the Midwest. These students and 111 of their teachers and other school staff rated the degree that students felt they belonged in their new schools and the quality of their social interactions. Results show that students who experienced more positive and fewer negative social interactions with school staff had higher school belonging. Teachers accurately noted whether students felt they belonged in their new settings, but were not consistently able to identify student perceptions of negative social interactions with staff. Implications for inclusion and improving our educational system are explored.

Factors Affecting the Management of Women Groups' Micro and Small Enterprises in Kakamega District, Kenya

ERIC Educational Resources Information Center

Wawire, Nelson H. W.; Nafukho, Fredrick M.

2010-01-01

Purpose: The purpose of this study is to highlight the main factors that affect the management of the WGs' Micro and Small Enterprises (MSEs) in Kakamega District and Africa in general. Design/methodology/approach: The study adopted a descriptive research design. This is because the study was concerned about a univariate question in which the…

Are Schools Prepared for Emergencies?: A Baseline Assessment of Emergency Preparedness at School Sites in Three Los Angeles County School Districts

ERIC Educational Resources Information Center

Kano, Megumi; Ramirez, Marizen; Ybarra, William J.; Frias, Gus; Bourque, Linda B.

2007-01-01

A survey of emergency preparedness was conducted in three public school districts in urban areas of Los Angeles County. Eighty-three school sites were surveyed using self-administered questionnaires. Although designated respondents generally felt that their schools were well prepared, the survey also revealed the need for improvements in written…

Non Traditional Superintendent: A Case Study of the Transition from Military to Public School Superintendent

ERIC Educational Resources Information Center

Hernandez, Luiza Miera

2010-01-01

In June of 2006, Urban School District appointed the individual who is the focus of this study, a retired Air Force Two Star Major General, as its new superintendent. Although the appointment represents the first nontraditional superintendent to lead Urban School District, it was one of several such appointments to large, urban school districts…

High School Physical Educators' Beliefs about Teaching Differently Abled Students in an Urban Public School District

ERIC Educational Resources Information Center

Hersman, Bethany L.; Hodge, Samuel R.

2010-01-01

The purpose of this study was to examine general physical education (GPE) teachers' beliefs about teaching differently abled students in inclusive classes.The participants were 5 GPE teachers from a large urban school district. The research method was explanatory multiple-case study situated in planned behavior theory. Data were gathered using a…

33 CFR 3.35-40 - Sector Key West Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Zone and Captain of the Port Zone. 3.35-40 Section 3.35-40 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-40 Sector Key West Marine Inspection Zone...

33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

33 CFR 3.35-40 - Sector Key West Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Zone and Captain of the Port Zone. 3.35-40 Section 3.35-40 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-40 Sector Key West Marine Inspection Zone...

33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

33 CFR 3.35-40 - Sector Key West Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Zone and Captain of the Port Zone. 3.35-40 Section 3.35-40 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-40 Sector Key West Marine Inspection Zone...

33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

33 CFR 3.35-40 - Sector Key West Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Zone and Captain of the Port Zone. 3.35-40 Section 3.35-40 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-40 Sector Key West Marine Inspection Zone...

33 CFR 3.35-40 - Sector Key West Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Zone and Captain of the Port Zone. 3.35-40 Section 3.35-40 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-40 Sector Key West Marine Inspection Zone...

33 CFR 3.65-15 - Sector Portland Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Zone and Captain of the Port Zone. 3.65-15 Section 3.65-15 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Thirteenth Coast Guard District § 3.65-15 Sector Portland Marine Inspection Zone...

33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

Flexibility Demonstration Programs: Education Needs To Better Target Program Information. Report to Congressional Requesters.

ERIC Educational Resources Information Center

Shaul, Marnie S.

The No Child Left Behind Act (NCLBA) established 2 flexibility demonstration programs--State- and Local-Flex--that allow up to 7 states and 80 school districts to redirect up to 100 percent of certain NCLBA programs funds. The General Accounting Office (GAO) was asked to determine factors that affect states' and districts' decisions about whether…

Test Scores Soar: A Comparision Study of 7th Grade Students with Disabilities Math Achievement in Full Inclusion and Self-Contained Special Education Programs

ERIC Educational Resources Information Center

Floyd, Donise

2014-01-01

Educational institutions are placing students with disabilities in inclusive programming to meet legislative requirements. School districts have been mandated to develop rigorous programs that can increase the academic achievement of students with disabilities, as well as their participation in general education classrooms. Many school districts,…

Effects of New York State Handicapped Regulations on Small, Rural and Large School Districts. Survey Report.

ERIC Educational Resources Information Center

Gray, G. Susan; Grajko, Philip F.

Responses from 230 New York State school districts were analyzed to determine the impact of the new State handicapped regulations with regard to financial impact, meeting the 30-day time period between initial referral of a handicapped child and board action, variances, and programming and placement according to 4 criteria. In general, small,…

Building District Capacity for System-Wide Instructional Improvement in Stamford Public Schools. Working Paper. GE Foundation "Developing Futures"™ in Education Evaluation Series

ERIC Educational Resources Information Center

Fink, Ryan; Riggan, Matt

2013-01-01

This report summarizes findings from one component of the Consortium for Policy Research in Education's (CPRE) evaluation of the General Electric Foundation's (GEF) "Developing Futures"™ in Education program in Stamford Public Schools (SPS). The purpose was to closely analyze district capacity to support system-wide instructional…

Building District Capacity for System-Wide Instructional Improvement in Cincinnati Public Schools. Working Paper. GE Foundation "Developing Futures"™ in Education Evaluation Series

ERIC Educational Resources Information Center

Sam, Cecile; Riggan, Matt

2013-01-01

This report summarizes findings from one component of the Consortium for Policy Research in Education's (CPRE) evaluation of the General Electric Foundation's (GEF) "Developing Futures"™ in Education program in Cincinnati Public Schools (CPS). The purpose was to closely analyze district capacity to support system-wide instructional…

77 FR 3756 - Nevada Irrigation District; Notice of Application Accepted for Filing, Soliciting Motions To...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-25

...: Federal Power Act 16 USC 791 (a)-825(r) . h. Applicant Contact: Ron Nelson, General Manager, Nevada Irrigation District, 1036 West Main Street, Grass Valley, CA 95945, (530) 271-6824 or email [email protected] Support. A copy is also available for inspection and reproduction at the address in item h above. Register...

Capital Program, School District of Philadelphia: July 1, 1968 to June 30, 1974.

ERIC Educational Resources Information Center

Philadelphia Board of Education, PA.

This report presents the School District of Philadelphia's long-range plan for school facilities and, based upon it, a capital program for the years 1969 through 1974. The plan for school facilities is preceded by a summary of present facility conditions and a consideration of indicated needs for expansion. General fiscal policies, a total program…

28 CFR 30.2 - What definitions apply to these regulations?

Code of Federal Regulations, 2010 CFR

2010-07-01

... the Attorney General or an official or employee of the Department acting for the Attorney General under a delegation of authority. State means any of the 50 states, the District of Columbia, the...

Extraction of reduced alteration information based on Aster data: a case study of the Bashibulake uranium ore district

NASA Astrophysics Data System (ADS)

Ye, Fa-wang; Liu, De-chang

2008-12-01

Practices of sandstone-type uranium exploration in recent years in China indicate that the uranium mineralization alteration information is of great importance for selecting a new uranium target or prospecting in outer area of the known uranium ore district. Taking a case study of BASHIBULAKE uranium ore district, this paper mainly presents the technical minds and methods of extracting the reduced alteration information by oil and gas in BASHIBULAKE ore district using ASTER data. First, the regional geological setting and study status in BASHIBULAKE uranium ore district are introduced in brief. Then, the spectral characteristics of altered sandstone and un-altered sandstone in BASHIBULAKE ore district are analyzed deeply. Based on the spectral analysis, two technical minds to extract the remote sensing reduced alteration information are proposed, and the un-mixing method is introduced to process ASTER data to extract the reduced alteration information in BASHIBULAKE ore district. From the enhanced images, three remote sensing anomaly zones are discovered, and their geological and prospecting significances are further made sure by taking the advantages of multi-bands in SWIR of ASTER data. Finally, the distribution and intensity of the reduced alteration information in Cretaceous system and its relationship with the genesis of uranium deposit are discussed, the specific suggestions for uranium prospecting orientation in outer of BASHIBULAKE ore district are also proposed.

What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts.

PubMed

Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

2015-01-01

Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors.

Stratigraphy of Slick Rock district and vicinity, San Miguel and Dolores Counties, Colorado

USGS Publications Warehouse

Shawe, Daniel R.; Simmons, George C.; Archbold, Norbert L.

1968-01-01

The Slick Rock district covers about 570 square miles in western San Miguel and Dolores Counties, in southwestern Colorado. It is at the south edge of the salt-anticline region of southwestern Colorado and southeastern Utah and of the Uravan mineral belt.Deposition of Paleozoic sedimentary rocks in the district and vicinity was principally controlled by development of the Paradox Basin, and of Mesozoic rocks by development of a depositional basin farther west. The Paleozoic rocks generally are thickest at the northeast side of the Paradox Basin in a northwest- trending trough which seems to be a wide graben in Precambrian igneous and metamorphic basement rocks; Mesozoic rocks generally thicken westward and southwestward from the district.Sedimentary rocks rest on a Precambrian basement consisting of a variety of rocks, including granite and amphibolite. The surface of the Precambrian rocks is irregular and generally more than 2,000 feet below sea level and 7,000-11,000 feet below the ground surface. In the northern part of the district the Precambrian surface plunges abruptly northeastward into the trough occupying the northeast side of the Paradox Basin, and in the southern part it sags in a narrow northeasterly oriented trough. Deepening of both troughs, or crustal deformation in their vicinity, influenced sedimentation during much of late Paleozoic and Mesozoic time.The maximum total thickness of sedimentary rocks underlying the district is 13,000 feet, and prior to extensive erosion in the late Tertiary and the Quaternary it may have been as much as about 18,000 feet. The lower 5,000 feet or more of the sequence of sedimentary rocks consists of arenaceous strata of early Paleozoic age overlain by dominantly marine carbonate rocks and evaporite beds interbedded with lesser amounts of clastic sediments of late Paleozoic age. Overlying these rocks is about 4,500 feet of terrestrial clastic sediments, dominantly sandstone with lesser amounts of shale, mudstone, siltstone, and conglomerate, of late Paleozoic and Mesozoic age. Above these rocks is as much as 2,300 feet of marine shale of late Mesozoic age. Perhaps about 5,000 feet of clastic sedimentary rocks, dominantly sandstone and in part shale, of late Mesozoic and early Cenozoic age, overlay the older rocks of the district prior to late Cenozoic erosion...Outside the Slick Rock district the Mancos Shale is overlain by dominantly terrestrial sandstone, mudstone, and coaly beds of the Mesaverde Group of Late Cretaceous age, and younger units such as the Wasatch and Green River Formations of Tertiary age, which once may have extended across the district. These units, totaling possibly 5,000 feet in thickness, were removed by erosion following middle Tertiary uplift of the Colorado Plateau.Igneous rocks of Tertiary age crop out in only one small area in the district, but they are intruded extensively in the Mancos Shale east of the district, and, as shown by deep oil test wells, appear to be intruded widely in the Paradox Member of the Hermosa Formation in the southern part of the district and southeast of the district. Andesite porphyry occurs in a dike on Glade Mountain, microgranogabbro and microgranodiorite occur in thin sills east of the district, and rocks of similar composition form thick sills in the subsurface. All are similar chemically to igneous rocks in the San Juan Mountains southeast of the district and probably were the result of a specific igneous episode. They were intruded most likely during the Miocene.Surficial deposits of Quaternary age include glacial till, terrace gravels, alluvial fans, landslide debris, loess, other soil, alluvium, colluvium, and talus. On Glade Mountain, glacial till of probable early Pleistocene age merges westward with terrace gravels that are correlative with terrace gravels which lie on an old weathered surface of Mancos Shale farther west on the rim of the Dolores River Canyon.

Impact of pesticide use by smallholder farmers on water quality in the Wakiso District, Uganda

NASA Astrophysics Data System (ADS)

Oltramare, Christelle; Weiss, Frederik T.; Atuhaire, Aggrey; Staudacher, Philipp; Niwagaba, Charles; Stamm, Christian

2017-04-01

As in many tropical countries, farmers of the Wakiso District rely on heavy use of pesticides to protect crops and animals. This may impair human and environmental health due to poor application techniques, misuse of pesticide bins or diffuse pesticide losses from the treated fields during intense tropical rainstorms. The extent of pollution in different environmental compartments however, are generally only poorly documented. The same holds true for quantitative data on the relevance of different transport pathways of pesticides into the environment. Part of the limited knowledge is caused by the demanding sampling and analytical techniques that are necessary to obtain robust data on the actual pollution status. Especially in surface waters, pesticide concentration may vary rapidly in time such that grab samples may yield a very incomplete picture. This incompleteness was often enhanced because of limited analytical windows that covered only a small fraction of the pesticides actually used. In this presentation, we describe an approach to overcome these limitations to a large extent by using three different passive sampling devices and two broad analytical techniques (GC-MS/MS, LC HR-MS) that allow the quantification of about 260 different pesticides. We will present how these approaches are implemented in the catchment area of the Wakiso District in Uganda. This area is intensively used by smallholder farmers who grow a large set of different crops. Diffuse losses are expected to occur mainly during the two rainy seasons (March to May and September to November). Accordingly, the study will focus on this situation.

Geology and ore deposits of the Leadville mining district, Colorado

USGS Publications Warehouse

Emmons, S.F.; Irving, J.D.; Loughlin, G.F.

1927-01-01

Adequate treatment of so large and so extensively developed a district as that of Leadville necessitates a voluminous report, in which the practical questions of prime interest to the commercial world can not be systematically answered until the data on which they depend are discussed. Many readers will no doubt wish to turn at once to the chapter on ore reserves, which will give them an appraisal of the district, without bothering with geologic detail. For those who wish a brief general account, a summary of the principal chapters of the report is presented below.

Information Systems Plan.

DTIC Science & Technology

1985-04-01

increase in load factors. CURENUT YEARLY COST OF INFOR TION MANAGEK1KUT 0.04 FTE’s $876 DATA SET: Natural Resource (Management) VINAGE .QUIRRmuT OF...OF DATA SITS NEEDED TO SUPPORT IDENTIFIED DISTRICT PROCESSES PXOCESSz 53 - Provide Audio-Visual Services DATA SET: Equipment (Slide File) VINAG

Safe motherhood voucher programme coverage of health facility deliveries among poor women in South-western Uganda.

PubMed

Kanya, Lucy; Obare, Francis; Warren, Charlotte; Abuya, Timothy; Askew, Ian; Bellows, Ben

2014-07-01

There has been increased interest in and experimentation with demand-side mechanisms such as the use of vouchers that place purchasing power in the hands of targeted consumers to improve the uptake of healthcare services in low-income settings. A key measure of the success of such interventions is the extent to which the programmes have succeeded in reaching the target populations. This article estimates the coverage of facility deliveries by a maternal health voucher programme in South-western Uganda and examines whether such coverage is correlated with district-level characteristics such as poverty density and the number of contracted facilities. Analysis entails estimating the voucher coverage of health facility deliveries among the general population and poor population (PP) using programme data for 2010, which was the most complete calendar year of implementation of the Uganda safe motherhood (SM) voucher programme. The results show that: (1) the programme paid for 38% of estimated deliveries among the PP in the targeted districts, (2) there was a significant negative correlation between the poverty density in a district and proportions of births to poor women that were covered by the programme and (3) improving coverage of health facility deliveries for poor women is dependent upon increasing the sales and redemption rates. The findings suggest that to the extent that the programme stimulated demand for SM services by new users, it has the potential of increasing facility-based births among poor women in the region. In addition, the significant negative correlation between the poverty density and the proportions of facility-based births to poor women that are covered by the voucher programme suggests that there is need to increase both voucher sales and the rate of redemption to improve coverage in districts with high levels of poverty. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

Hospital management practices and availability of surgery in sub-Saharan Africa: a pilot study of three hospitals.

PubMed

Funk, Luke M; Conley, Dante M; Berry, William R; Gawande, Atul A

2013-11-01

Sub-Saharan Africa has a high surgical burden of disease but performs a disproportionately low volume of surgery. Closing this surgical gap will require increased surgical productivity of existing systems. We examined specific hospital management practices in three sub-Saharan African hospitals that are associated with surgical productivity and quality. We conducted 54 face-to-face, structured interviews with administrators, clinicians, and technicians at a teaching hospital, district hospital, and religious mission hospital across two countries in sub-Saharan Africa. Questions focused on recommended general management practices within five domains: goal setting, operations management, talent management, quality monitoring, and financial oversight. Records from each interview were analyzed in a qualitative fashion. Each hospital's management practices were scored according to the degree of implementation of the management practices (1 = none; 3 = some; 5 = systematic). The mission hospital had the highest number of employees per 100 beds (226), surgeons per operating room (3), and annual number of operations per operating room (1,800). None of the three hospitals had achieved systematic implementation of management practices in all 14 measures. The mission hospital had the highest total management score (44/70 points; average = 3.1 for each of the 14 measures). The teaching and district hospitals had statistically significantly lower management scores (average 1.3 and 1.1, respectively; p < .001). It is possible to meaningfully assess hospital management practices in low resource settings. We observed substantial variation in implementation of basic management practices at the three hospitals. Future research should focus on whether enhancing management practices can improve surgical capacity and outcomes.

Decentralization in Zambia: resource allocation and district performance.

PubMed

Bossert, Thomas; Chitah, Mukosha Bona; Bowser, Diana

2003-12-01

Zambia implemented an ambitious process of health sector decentralization in the mid 1990s. This article presents an assessment of the degree of decentralization, called 'decision space', that was allowed to districts in Zambia, and an analysis of data on districts available at the national level to assess allocation choices made by local authorities and some indicators of the performance of the health systems under decentralization. The Zambian officials in health districts had a moderate range of choice over expenditures, user fees, contracting, targeting and governance. Their choices were quite limited over salaries and allowances and they did not have control over additional major sources of revenue, like local taxes. The study found that the formula for allocation of government funding which was based on population size and hospital beds resulted in relatively equal per capita expenditures among districts. Decentralization allowed the districts to make decisions on internal allocation of resources and on user fee levels and expenditures. General guidelines for the allocation of resources established a maximum and minimum percentage to be allocated to district offices, hospitals, health centres and communities. Districts tended to exceed the maximum for district offices, but the large urban districts and those without public district hospitals were not even reaching the minimum for hospital allocations. Wealthier and urban districts were more successful in raising revenue through user fees, although the proportion of total expenditures that came from user fees was low. An analysis of available indicators of performance, such as the utilization of health services, immunization coverage and family planning activities, found little variation during the period 1995-98 except for a decline in immunization coverage, which may have also been affected by changes in donor funding. These findings suggest that decentralization may not have had either a positive or negative impact on services.

Critical Infrastructure Vulnerability to Spatially Localized Failures with Applications to Chinese Railway System.

PubMed

Ouyang, Min; Tian, Hui; Wang, Zhenghua; Hong, Liu; Mao, Zijun

2017-01-17

This article studies a general type of initiating events in critical infrastructures, called spatially localized failures (SLFs), which are defined as the failure of a set of infrastructure components distributed in a spatially localized area due to damage sustained, while other components outside the area do not directly fail. These failures can be regarded as a special type of intentional attack, such as bomb or explosive assault, or a generalized modeling of the impact of localized natural hazards on large-scale systems. This article introduces three SLFs models: node centered SLFs, district-based SLFs, and circle-shaped SLFs, and proposes a SLFs-induced vulnerability analysis method from three aspects: identification of critical locations, comparisons of infrastructure vulnerability to random failures, topologically localized failures and SLFs, and quantification of infrastructure information value. The proposed SLFs-induced vulnerability analysis method is finally applied to the Chinese railway system and can be also easily adapted to analyze other critical infrastructures for valuable protection suggestions. © 2017 Society for Risk Analysis.

Correlation of coal beds, coal zones, and key stratigraphic units in the Pennsylvanian rocks of eastern Kentucky

USGS Publications Warehouse

Rice, Charles L.; Smith, J. Hiram

1980-01-01

The Pennsylvanian rocks of the eastern Kentucky coal field unlderlie an area of about 27,000 square kilometers (see index map). Largely because of the size and stratigraphic complexity of the area, Huddle and others (1963, p. 31) divided it into six coal reserve districts (unofficial), utilizing state and county lines as well as geologic features, drainage areas, and cola producing areas. This division is followed herein because, in general, each of these districts has a characteristic stratigraphic nomenclature, particularly as related to coal bed names. The six districts shown on the index mat, are the Princess, Licking River, Big Sandy, Hazard, Southwestern, and Upper Cumberland River; the Upper Cumberland River district has been divided into the Harlan and Middlesboro subdistricts. 

General view. View to southwest Offutt Air Force Base, ...

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

General view. View to southwest - Offutt Air Force Base, Looking Glass Airborne Command Post, Vehicle Refueling Station, Northeast of AGE Storage Facility at far northwest end of Project Looking Glass Historic District, Bellevue, Sarpy County, NE

JPRS Report, Near East and South Asia, Bangladesh

DTIC Science & Technology

1992-08-18

set up a strong base in POLITICAL JPRS-NEA-92-105 18 August 1992 the Cooch Behar District of West Bengal (headed by Kamal Guha, who was very...increased in the Cooch Behar District JPRS-NEA-92-105 18 August 1992 POLITICAL compared to previously it did not multiply that remark- ably where the...people to work their democratic institution and the existence everywhere in the northern states of self-governing administrative unit, such as

Setting Up an E-Learning System: Time for Your District to Get into the E-Learning Game? One Superintendent Found that Careful Investigation and Planning Are Key

ERIC Educational Resources Information Center

Solomon, Gwen

2005-01-01

When superintendent Bill Harbron of the Northern Ozaukee School District in Fredonia, Wisconsin decided it was time to offer more instructional alternatives to students and parents, an e-learning program seemed like the perfect fit. After researching and considering several options, he invited e-learning content provider K12 to present its program…

76 FR 52287 - Political Activity-Federal Employees Residing In Designated Localities

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-22

... 21, 2011. ADDRESSES: Comments may be mailed to Elaine Kaplan, General Counsel, Room 7355, United... CONTACT: Jo-Ann Chabot, Office of the General Counsel, United States Office of Personnel Management, (202... Government of the District of Columbia. Section 7323(a) generally permits Federal employees who are not...

30 CFR 75.1730 - Compressed air; general; compressed air systems.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Compressed air; general; compressed air systems... Compressed air; general; compressed air systems. (a) All pressure vessels shall be constructed, installed... Safety and Health district office. (b) Compressors and compressed-air receivers shall be equipped with...

30 CFR 75.1730 - Compressed air; general; compressed air systems.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Compressed air; general; compressed air systems... Compressed air; general; compressed air systems. (a) All pressure vessels shall be constructed, installed... Safety and Health district office. (b) Compressors and compressed-air receivers shall be equipped with...

30 CFR 75.1730 - Compressed air; general; compressed air systems.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Compressed air; general; compressed air systems... Compressed air; general; compressed air systems. (a) All pressure vessels shall be constructed, installed... Safety and Health district office. (b) Compressors and compressed-air receivers shall be equipped with...

30 CFR 75.1730 - Compressed air; general; compressed air systems.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Compressed air; general; compressed air systems... Compressed air; general; compressed air systems. (a) All pressure vessels shall be constructed, installed... Safety and Health district office. (b) Compressors and compressed-air receivers shall be equipped with...

Students with Disabilities in General Education Classrooms: Implications for Teacher Preparation Programs

ERIC Educational Resources Information Center

Goldstein, Peggy; Warde, Beverly; Rody, Carla

2013-01-01

Given federal mandates, public school districts have adopted inclusive practices with the expectation that general education teachers can accommodate students with disabilities. For teacher preparation programs to prepare future teachers for this reality, it is important to understand the composition of a "typical" general education…

Static Evaluation of a NAVSTAR GPS (Magnavox Z-Set) Receiver - May-September 1979

DOT National Transportation Integrated Search

1980-05-01

The report documents the results of the static testing of a NAVSTAR Global Positioning System (GPS) single channel sequential receiver (Magnavox Z-Set). These tests were performed at the Coast Guard District 11 office in Long Beach, CA from May to Se...

How did general practitioners protect themselves, their family, and staff during the SARS epidemic in Hong Kong?

PubMed Central

Wong, W; Lee, A; Tsang, K; Wong, S

2004-01-01

Context: Severe acute respiratory syndrome (SARS) is a newly emerging infectious disease and how the frontline community doctors respond to it is not known. Objectives: To explore the impact of SARS on general practitioners (GPs) in Hong Kong. Design: A cross sectional survey. Setting: Community based primary care clinics. Participants: 183 family medicine tutors affiliated with a local university. Postal survey sent to all tutors with a 74.8% response rate. Main outcome measures: Change of clinical behaviour and practices during the epidemic; anxiety level of primary care doctors. Results: All agreed SARS had changed their clinical practices. Significant anxiety was found in family doctors. Three quarters of respondents recalled requesting more investigations while a quarter believed they had over-prescribed antibiotics. GPs who were exposed to SARS or who had worked in high infection districts were less likely to quarantine themselves (10.8% versus 33.3%; p<0.01; 6.5% versus 27.5%; p<0.01 respectively). Exposure to SARS, the infection rates in their working district, and anxiety levels had significant impact on the level of protection or prescribing behaviour. Conclusion: The clinical practice of GPs changed significantly as a result of SARS. Yet, those did not quarantine themselves suggesting other factors may have some part to play. As failure to apply isolation precautions to suspected cases of SARS was one major reason for its spread, a contingency plan from the government to support family doctors is of utmost importance. Interface between private and public sectors are needed in Hong Kong to prepare for any future epidemics. PMID:14966227

Occupational health issues in small-scale industries in Sri Lanka: An underreported burden.

PubMed

Suraweera, Inoka K; Wijesinghe, Supun D; Senanayake, Sameera J; Herath, Hema D B; Jayalal, T B Ananda

2016-10-17

Work-related diseases and occupational accidents affect a significant number of workers globally. The majority of these diseases and accidents are reported from developing countries; and a large percentage of the workforce in developing countries is estimated to be employed in small-scale industries. Sri Lanka is no exception. These workers are exposed to occupational hazards and are at a great risk of developing work- related diseases and injuries. To identify occupational health issues faced by small-scale industry workers in Sri Lanka. A cross sectional study was conducted among workers in four selected small-scale industry categories in two districts of Sri Lanka. A small-scale industry was defined as a work setting with less than 20 workers. Cluster sampling using probability proportionate to size of workers was used. Eighty clusters with a cluster size of eight from each district were selected. Data was collected using a pre-tested interviewer administered questionnaire. Our study surveyed 198 industries. Headache (2.2%, 95% CI 1.5-3.1) and eye problems (2.1%, 95% CI 1.4-2.9) were the commonest general health issues detected. Back pain (4.8%, 95% CI 3.8-6.1) was the most prevalent work-related musculoskeletal pain reported. Knee pain was the second highest (4.4%, 95% CI 3.4-5.6). Most of the work-related musculoskeletal pain was either of short duration or long lasting. Work-related musculoskeletal pain was much more common than the general health issues reported. Health promotional programs at workplaces focusing ergonomics will benefit the workers at small-scale industries inSri Lanka.

Privatization of School Food Services and Its Effect on the Financial Status of the Cafeteria Fund in Participating California Public School Districts.

ERIC Educational Resources Information Center

Schmieder, June; And Others

The opportunity to increase private company revenues and the pressure to minimize losses within a public school district's cafeteria and general funds have propelled the emergence of private food-service-management companies (FSMCs). This paper presents findings of a study that examined privatization of school food services and its effect on the…

A Survey of Former Business Students (General Business, Management, Marketing, Real Estate). Summary Findings of Respondents District-Wide.

ERIC Educational Resources Information Center

Glyer-Culver, Betty

In fall 2002 staff of the Los Rios Community College District (LRCCD) Office of Institutional Research collaborated with occupational deans, academic deans, and faculty to develop and administer a survey of former business students. The survey was designed to determine how well courses had met the needs of former business students in the areas of…

76 FR 24466 - Nevada Irrigation District; Notice of Application Tendered for Filing With the Commission and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-02

...: Federal Power Act, 16 U.S.C. 791(a)-825(r). h. Applicant Contact: Ron Nelson, General Manager, Nevada Irrigation District, 1036 West Main Street, Grass Valley, CA 95945, (530) 271-6824 or e-mail [email protected] available for inspection and reproduction at the address in item (h) above. m. You may also register online...

Twelve years' experience of computer-aided diagnosis in a district general hospital.

PubMed Central

McAdam, W. A.; Brock, B. M.; Armitage, T.; Davenport, P.; Chan, M.; de Dombal, F. T.

1990-01-01

This paper describes experience in a modern district general hospital with a small desktop system for computer-aided diagnosis of acute abdominal pain, over a 12-year period involving 5512 cases. When compared with a baseline year (1973) in which unaided performance was monitored, during an initial study period (1974-76) the diagnostic accuracy of junior staff rose by between 10 and 15%. This higher performance level was then maintained for a decade (1976-86) despite changes in staff. The perforation rate among appendicitis cases fell from 27% to 12.5%, accompanied by a smaller fall in negative laparotomy rates. The saving in surgical bednights devoted to acute abdominal pain was approximately 15%, and the notional cost of resources saved during the first 6 years of operation was 120,000 pounds. Other hospitals have shown--in the short term--benefits similar to those obtained at Airedale District General Hospital. The long-term benefits of the system at Airedale reinforce the conclusions of the earlier short-term trials that a comparable system should probably be offered to all DGHs in the UK, not as an exercise in 'artificial intelligence' but as an effective continuing stimulus to good clinical practice. PMID:2185682

District-level variations in childhood immunizations in India: The role of socio-economic factors and health infrastructure.

PubMed

Rammohan, Anu; Awofeso, Niyi

2015-11-01

Routine childhood immunizations against measles and DPT are part of the World Health Organization's (WHO) Expanded Program on Immunization (EPI) set up in 1974, with the aim of reducing childhood morbidity and mortality. Despite this, immunization rates are sub-optimal in developing countries such as India, with wide heterogeneity observed across districts and socio-economic characteristics. The aim of this paper is to examine district-level variations in the propensity to vaccinate a child in India for measles and DPT3, and analyse the extent to which these immunizations are given age-inappropriately, either prematurely or delayed. The present study uses data from the Indian District Level Household Survey (DLHS-3) collected in 2008, and the final sample contains detailed information on 42157 children aged between 12 and 60 months, across 549 Indian districts for whom we have complete information on immunization history. Our empirical study analyses: (i) the district-level average immunization rates for measles and DPT3, and (ii) the extent to which these immunizations have been given age-appropriately. A key contribution of this paper is that we link the household-level data at the district level to data on availability and proximity to health infrastructure and district-level socio-economic factors. Our results show that after controlling for an array of socio-economic characteristics, across all our models, the district's income per capita is a strong predictor of better immunization outcomes for children. Mother's education level at the district-level has a statistically significant and positive influence on immunization outcomes across all our models. Copyright © 2015 Elsevier Ltd. All rights reserved.

33 CFR 385.5 - Guidance memoranda.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Water Management District shall, in consultation with the Department of the Interior, the Environmental... DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN General Provisions § 385.5 Guidance memoranda. (a) General. (1) Technical guidance for internal management of Corps of...

33 CFR 385.5 - Guidance memoranda.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Water Management District shall, in consultation with the Department of the Interior, the Environmental... DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN General Provisions § 385.5 Guidance memoranda. (a) General. (1) Technical guidance for internal management of Corps of...

33 CFR 385.5 - Guidance memoranda.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Water Management District shall, in consultation with the Department of the Interior, the Environmental... DEFENSE PROGRAMMATIC REGULATIONS FOR THE COMPREHENSIVE EVERGLADES RESTORATION PLAN General Provisions § 385.5 Guidance memoranda. (a) General. (1) Technical guidance for internal management of Corps of...

6. General interior overview of addition. View to northwest. ...

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

6. General interior overview of addition. View to northwest. - Offutt Air Force Base, Looking Glass Airborne Command Post, Aerospace Ground Equipment (AGE) Storage Facility, Far Northwest end of Project Looking Glass Historic District, Bellevue, Sarpy County, NE

5. General interior overview of addition. View to south. ...

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

5. General interior overview of addition. View to south. - Offutt Air Force Base, Looking Glass Airborne Command Post, Aerospace Ground Equipment (AGE) Storage Facility, Far Northwest end of Project Looking Glass Historic District, Bellevue, Sarpy County, NE

1. GENERAL VIEW OF ROUTE 209 LOOKING NORTH SHOWING SLEEPING ...

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

1. GENERAL VIEW OF ROUTE 209 LOOKING NORTH SHOWING SLEEPING BEAR INN, SLEEPING BEAR INN GARAGE AND DORMITORY, D.H. DAY STORE, RESTROOM, AND GARAGE - Glen Haven Historic District, Route 209, Glen Arbor, Leelanau County, MI

Implementing accountability for reasonableness framework at district level in Tanzania: a realist evaluation.

PubMed

Maluka, Stephen; Kamuzora, Peter; Sansebastián, Miguel; Byskov, Jens; Ndawi, Benedict; Olsen, Øystein E; Hurtig, Anna-Karin

2011-02-10

Despite the growing importance of the Accountability for Reasonableness (A4R) framework in priority setting worldwide, there is still an inadequate understanding of the processes and mechanisms underlying its influence on legitimacy and fairness, as conceived and reflected in service management processes and outcomes. As a result, the ability to draw scientifically sound lessons for the application of the framework to services and interventions is limited. This paper evaluates the experiences of implementing the A4R approach in Mbarali District, Tanzania, in order to find out how the innovation was shaped, enabled, and constrained by the interaction between contexts, mechanisms and outcomes. This study draws on the principles of realist evaluation -- a largely qualitative approach, chiefly concerned with testing and refining programme theories by exploring the complex interactions of contexts, mechanisms, and outcomes. Mixed methods were used in data collection, including individual interviews, non-participant observation, and document reviews. A thematic framework approach was adopted for the data analysis. The study found that while the A4R approach to priority setting was helpful in strengthening transparency, accountability, stakeholder engagement, and fairness, the efforts at integrating it into the current district health system were challenging. Participatory structures under the decentralisation framework, central government's call for partnership in district-level planning and priority setting, perceived needs of stakeholders, as well as active engagement between researchers and decision makers all facilitated the adoption and implementation of the innovation. In contrast, however, limited local autonomy, low level of public awareness, unreliable and untimely funding, inadequate accountability mechanisms, and limited local resources were the major contextual factors that hampered the full implementation. This study documents an important first step in the effort to introduce the ethical framework A4R into district planning processes. This study supports the idea that a greater involvement and accountability among local actors through the A4R process may increase the legitimacy and fairness of priority-setting decisions. Support from researchers in providing a broader and more detailed analysis of health system elements, and the socio-cultural context, could lead to better prediction of the effects of the innovation and pinpoint stakeholders' concerns, thereby illuminating areas that require special attention to promote sustainability.

Knowledge of primary health care and career choice at primary health care settings among final year medical students - challenges to human resources for health in Vietnam.

PubMed

Giang, Kim Bao; Minh, Hoang Van; Hien, Nguyen Van; Ngoc, Nguyen Minh; Hinh, Nguyen Duc

2015-01-01

There is a shortage of medical doctors in primary health care (PHC) settings in Vietnam. Evidence about the knowledge medical students have about PHC and their career decision-making is important for making policy in human resources for health. The objective of this study was to analyse knowledge and attitudes about PHC among medical students in their final year and their choice to work in PHC after graduation. A cross-sectional study was conducted among 400 final year general medical students from Hanoi Medical University. Self-administered interviews were conducted. Key variables were knowledge, awareness of the importance of PHC and PHC career choices. Descriptive and analytic statistics were performed. Students had essential knowledge of the concept and elements of PHC and were well aware of its importance. However, only one-third to one half of them valued PHC with regard to their professional development or management opportunities. Less than 1% of students would work at commune or district health facilities after graduation. This study evidences challenges related to increasing the number of medical doctors working in PHC settings. Immediate and effective interventions are needed to make PHC settings more attractive and to encourage medical graduates to start and continue a career in PHC.

What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts

PubMed Central

Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

2015-01-01

Background Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. Methods All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. Results District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. Conclusions District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors. PMID:26068907

Static evaluation of a NAVSTAR Global Positioning System (GPS) (Magnavox Z-Set) receiver, May-September, 1979

DOT National Transportation Integrated Search

1980-05-01

The report documents the results of the static testing of a NAVSTAR Global Positioning System (GPS) single channel sequential receiver (Magnavox Z-Set). These tests were performed at the Coast Guard District 11 office in Long Beach, CA from May to Se...

Cultivating a Community of Effective Special Education Teachers: Local Special Education Administrators' Roles

ERIC Educational Resources Information Center

Bettini, Elizabeth; Benedict, Amber; Thomas, Rachel; Kimerling, Jenna; Choi, Nari; McLeskey, James

2017-01-01

Evidence of the powerful impact teachers have on student achievement has led to an intensive focus on cultivating effective teachers, including special education teachers (SETs). Local special education administrators (LSEAs) share responsibility for cultivating effective SETs throughout their districts. However, the roles LSEAs play in this…

What Your Board Wants: School Board Expectations for Business Officials.

ERIC Educational Resources Information Center

Shannon, Thomas A.

1993-01-01

The essential elements of school board governance involve four dimensions: (1) setting the vision for what the community wants the public school program to be; (2) ensuring that districts have a solid staff infrastructure to achieve the vision; (3) setting standards; and (4) advocating for schools. (MLF)

Deforestation and Malaria in Mâncio Lima County, Brazil

PubMed Central

Gangnon, Ronald; Silveira, Guilherme Abbad; Patz, Jonathan A.

2010-01-01

Malaria is the most prevalent vector-borne disease in the Amazon. We used malaria reports for health districts collected in 2006 by the Programa Nacional de Controle da Malária to determine whether deforestation is associated with malaria incidence in the county (município) of Mâncio Lima, Acre State, Brazil. Cumulative percent deforestation was calculated for the spatial catchment area of each health district by using 60 × 60–meter, resolution-classified imagery. Statistical associations were identified with univariate and multivariate general additive negative binomial models adjusted for spatial effects. Our cross-sectional study shows malaria incidence across health districts in 2006 is positively associated with greater changes in percentage of cumulative deforestation within respective health districts. After adjusting for access to care, health district size, and spatial trends, we show that a 4.3%, or 1 SD, change in deforestation from August 1997 through August 2000 is associated with a 48% increase of malaria incidence. PMID:20587182

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.

The UPA score and teenage pregnancy.

PubMed

Garlick, R; Ineichen, B; Hudson, F

1993-03-01

Teenage motherhood is often said to be the result of deficient contraceptive and abortion services. Using data from the Public Health Common Data Set (PH CDS) we demonstrate two important effects in a Regional Health Authority: higher rates of conception are related to a live birth rather than an abortion pregnancy outcome; District Health Authorities (DHAs) with high underprivileged area scores (UPA) are more likely to have high rates of conception in the teenage years than those districts with low scores.

Fitting Community Based Newborn Care Package into the health systems of Nepal.

PubMed

Pradhan, Y V; Upreti, S R; Kc, N P; Thapa, K; Shrestha, P R; Shedain, P R; Dhakwa, J R; Aryal, D R; Aryal, S; Paudel, D C; Paudel, D; Khanal, S; Bhandari, A; Kc, A

2011-10-01

Community-based strategies for delivering effective newborn interventions are an essential step to avert newborn death, in settings where the health facilities are unable to effectively deliver the interventions and reach their population. Effective implementation of community-based interventions as a large scale program and within the existing health system depends on the appropriate design and planning, monitoring and support systems. This article provides an overview of implementation design of Community-Based Newborn Care Package (CB-NCP) program, its setup within the health system, and early results of the implementation from one of the pilot districts. The evaluation of CB-NCP in one of the pilot districts shows significant improvement in antenatal, intrapartum and post natal care. The implementation design of the CB-NCP has six different health system management functions: i) district planning and orientation, ii) training/human resource development, iii) monitoring and evaluation, iv) logistics and supply chain management, v) communication strategy, and vi) pay for performance. The CB-NCP program embraced the existing system of monitoring with some additional components for the pilot phase to test implementation feasibility, and aligns with existing safe motherhood and child health programs. Though CB-NCP interventions are proven independently in different local and global contexts, they are piloted in 10 districts as a "package" within the national health system settings of Nepal.

Groundwater Regulation in the Houston-Galveston Region to Control Subsidence - Balancing Total Water Demand, Available Alternative Water Supplies, and Groundwater Withdrawal

NASA Astrophysics Data System (ADS)

Turco, M. J.

2014-12-01

In 1975, as a result of area residents and local governments becoming increasingly alarmed by the continued impact of subsidence on economic growth and quality of life in the region, the Harris-Galveston Coastal Subsidence District was created by the 64th Texas Legislature as an underground water conservation district. The primary mission of what is now the Harris-Galveston Subsidence District, is to provide for the regulation of the withdrawal of groundwater to control subsidence. Subsidence has been a concern in the Houston, TX area throughout most of recent history. Since 1906, over 10 feet of subsidence has occurred, with a broad area of 6 feet of subsidence throughout most of the Houston Area.Over its nearly forty years of existence, the District has developed substantial data sets providing the foundation for its regulatory plan. Annual water-level measurements, a network of deep extensometers, over 80 subsidence GPS monitors, and updated numerical and analytical models have been utilized. Periodically, the District utilizes U.S. Census data to predict the future magnitude and location of population and water demand. In 2013, all of these data sets were combined producing an updated regulatory plan outlining the timelines of conversion to alternative sources of water and defining the maximum percentage groundwater can contribute to a user's total water demand.The management of the groundwater resources within the District has involved significant coordination with regional ground and surface water suppliers; ongoing interaction with other state and local regulatory bodies; analysis of accurate and up to date predictions on water usage; the enforcement of real disincentives to those who rely too heavily on groundwater and a commitment to practicing and promoting water conservation.Water supplies in the region are projected to continue to be stressed in the future due to rapid population increases in the region. Future District efforts will be focused on maintaining the successes of the past while evaluating potential deeper groundwater resources and any potential subsidence resulting from future development.

Setting up a clinical trial for a novel disease: a case study of the Doxycycline for the Treatment of Nodding Syndrome Trial – challenges, enablers and lessons learned

PubMed Central

Anguzu, Ronald; Akun, Pamela R; Ogwang, Rodney; Shour, Abdul Rahman; Sekibira, Rogers; Ningwa, Albert; Nakamya, Phellister; Abbo, Catherine; Mwaka, Amos D; Opar, Bernard; Idro, Richard

2018-01-01

ABSTRACT A large amount of preparation goes into setting up trials. Different challenges and lessons are experienced. Our trial, testing a treatment for nodding syndrome, an acquired neurological disorder of unknown cause affecting thousands of children in Eastern Africa, provides a unique case study. As part of a study to determine the aetiology, understand pathogenesis and develop specific treatment, we set up a clinical trial in a remote district hospital in Uganda. This paper describes our experiences and documents supportive structures (enablers), challenges faced and lessons learned during set-up of the trial. Protocol development started in September 2015 with phased recruitment of a critical study team. The team spent 12 months preparing trial documents, procurement and training on procedures. Potential recruitment sites were pre-visited, and district and local leaders met as key stakeholders. Key enablers were supportive local leadership and investment by the district and Ministry of Health. The main challenges were community fears about nodding syndrome, adverse experiences of the community during previous research and political involvement. Other challenges included the number and delays in protocol approvals and lengthy procurement processes. This hard-to-reach area has frequent power and Internet fluctuations, which may affect cold chains for study samples, communication and data management. These concerns decreased with a pilot community engagement programme. Experiences and lessons learnt can reduce the duration of processes involved in trial-site set-up. A programme of community engagement and local leader involvement may be key to the success of a trial and in reducing community opposition towards participation in research. PMID:29382251

Setting up a clinical trial for a novel disease: a case study of the Doxycycline for the Treatment of Nodding Syndrome Trial - challenges, enablers and lessons learned.

PubMed

Anguzu, Ronald; Akun, Pamela R; Ogwang, Rodney; Shour, Abdul Rahman; Sekibira, Rogers; Ningwa, Albert; Nakamya, Phellister; Abbo, Catherine; Mwaka, Amos D; Opar, Bernard; Idro, Richard

2018-01-01

A large amount of preparation goes into setting up trials. Different challenges and lessons are experienced. Our trial, testing a treatment for nodding syndrome, an acquired neurological disorder of unknown cause affecting thousands of children in Eastern Africa, provides a unique case study. As part of a study to determine the aetiology, understand pathogenesis and develop specific treatment, we set up a clinical trial in a remote district hospital in Uganda. This paper describes our experiences and documents supportive structures (enablers), challenges faced and lessons learned during set-up of the trial. Protocol development started in September 2015 with phased recruitment of a critical study team. The team spent 12 months preparing trial documents, procurement and training on procedures. Potential recruitment sites were pre-visited, and district and local leaders met as key stakeholders. Key enablers were supportive local leadership and investment by the district and Ministry of Health. The main challenges were community fears about nodding syndrome, adverse experiences of the community during previous research and political involvement. Other challenges included the number and delays in protocol approvals and lengthy procurement processes. This hard-to-reach area has frequent power and Internet fluctuations, which may affect cold chains for study samples, communication and data management. These concerns decreased with a pilot community engagement programme. Experiences and lessons learnt can reduce the duration of processes involved in trial-site set-up. A programme of community engagement and local leader involvement may be key to the success of a trial and in reducing community opposition towards participation in research.

14 CFR 93.309 - General operating procedures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false General operating procedures. 93.309... Vicinity of Grand Canyon National Park, AZ § 93.309 General operating procedures. Except in an emergency... authorized in writing by the Flight Standards District Office: (1) Northbound. 11,500 or 13,500 feet MSL. (2...

14 CFR 93.309 - General operating procedures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 2 2014-01-01 2014-01-01 false General operating procedures. 93.309... Vicinity of Grand Canyon National Park, AZ § 93.309 General operating procedures. Except in an emergency... authorized in writing by the Flight Standards District Office: (1) Northbound. 11,500 or 13,500 feet MSL. (2...