Iowa Leading Indicators Index January 2009

The Iowa Leading Indicators Index (ILII) is a tool for monitoring the future direction of the Iowa economy and State revenues. Its eight components include an agricultural futures price index, an Iowa stock market index, average weekly manufacturing hours in Iowa, initial unemployment claims in Iowa, an Iowa new orders index, diesel fuel consumption in Iowa, residential building permits in Iowa, and the national yield spread.

Balanço Social nas Organizações: O caso da Câmara Municipal de São Domingos – Ano 2009,

O presente trabalho tem como tema o Balanço Social (B.S). Antes de mais, fizemos uma introdução ao tema, discorrendo sobre o problema a ser investigado e os objectivos a serem alcançados. Ao longo do documento apresentamos uma base teórica devagando a respeito do B.S. A pesquisa foi realizada na Câmara Municipal de São Domingos. Para a colecta de dados utilizamos como fonte de dados, a pesquisa bibliográfica e documental. Os resultados da pesquisa permitiram-nos verificar um conjunto de acções, políticas e valores da Instituição, o reconhecimento da importância das acções de responsabilidade social ao nível dos stakeholders, bem como a necessidade de torna-las públicas através do B.S. do investimento e aprimorando tais acções, visando a excelência. No final do trabalho, apresentamos as conclusões e as considerações finais a futuros estudos e pesquisas.

Analyse pharmacoéconomique et pharmacothérapeutique de l'efficacité des cercles de qualité médecins-pharmaciens pour la prescription médicamenteuse entre 1999 et 2009

IntroductionUn cercle de qualité médecins-pharmaciens (CQ) pour la prescription médicamenteuse repose sur une démarche systémique coordonnée par des pharmaciens d'officine visant l'amélioration continue de la sécurité et de l'efficience des prescriptions de médecins de premier recours. Les trois éléments clés de ce concept collaboratif sont 1) le travail en réseau au niveau local ; 2) les données de prescription médicale et le retour d'informations (feedback) décrivant de manière comparative les coûts, le choix et la fréquence des médicaments prescrits ; 3) le matériel standardisé de formation continue interdisciplinaire.L'objectif de la présente étude est d'évaluer sur une période de onze ans (1999-2009) l'impact pharmacoéconomique et pharmacothérapeutique de six CQs pionniers (24 médecins et 6 pharmaciens), localisés dans le canton de Fribourg.Méthode: L'étude mesure notamment l'impact sur les coûts globaux de prescription des médecins des CQs en comparaison avec un groupe contrôle de médecins omnipraticiens travaillant hors CQ entre 1999-2009. La maîtrise des coûts engendrée est détaillée pour cinq index thérapeutiques de la classe des médicaments cardiovasculaires, y compris le pourcentage des génériques et celui des emballages de sartans dans la classe dite des antihypertenseurs. Les données sont issues des données de facturation fournies par la Coopérative professionnelle pour les pharmaciens suisses (OFAC).Résultats: Concernant la maîtrise des coûts annuels des médicaments par patient, la différence cumulée entre les CQs et le groupe contrôle est en 2009 de 43% en faveur des cercles (cf. Fig. 1). Ceci représente pour 2009 uniquement une économie de 245'000 CHF par médecin. Ces résultats s'expliquent par un profil de prescription médicale plus efficient, une meilleure pénétration des génériques (cf. Fig. 2), une attitude plus pondérée vis-à-vis des stratégies marketing, une formation continue interdisciplinaire spécialisée à propos de l'usage rationnel des médicaments, une meilleure application des recommandations nationales ou internationales.Conclusion: Cette évaluation a confirmé l'intérêt des CQs comme réseau local de collaboration en médecine de premier recours. Les médecins travaillant avec les pharmaciens modifient leurs prescriptions de manière claire et durable. Ce projet interdisciplinaire de qualité des soins montre que la maîtrise des coûts médicamenteux est obtenue sans concession à la qualité des traitements.

As Demandas Educativa e a Formação Permanente dos Professores Estudo de Caso Escola Secundária «Amor de Deus» ano lectivo 2009/2010

O trabalho intitula-se As Demandas Educativas e a Formação Permanente dos Professores, estudo de caso escola secundária «Amor de Deus» ano lectivo 2009/2010. O trabalho está estruturado em quatro capítulos. No primeiro capítulo, procuramos fazer o enquadramento conceptual e teórico, partindo do conceito da formação permanente dos professores, como sub-capitulos: Conceitualização da temática: Conceito da Formação Permanente/ Contínua, Professor (antigo e actual), Profissão e Profissionalismo, evolução da formação permanente, os modelo de Formação Permanente na perspectiva de diferentes autores e os modelo Racionalista-academicista, Técnico e o modelo Reflexivo. No segundo capítulo, iremos abordar sobre as demandas da formação permanente dos professores na educação actual, os desafios da sociedade actual á Educação, as demandas da Integração dos alunos com Necessidades Educativas Especiais (N.E.E) e os professores na mediação dos conflitos. No terceiro capítulo, faremos uma breve caracterização da escola secundária “Amor de Deus” e também a percepções dos Professores e da Direcção da ESAD (escola secundária «Amor de Deus») sobre a formação permanente dos professores. Este trabalho tem como finalidade de descobrir quais são as perspectivas dos professores em relação à formação contínua. Para atingir este objectivo utilizou-se como metodologia, a consulta bibliográfica e o trabalho do campo.

'The Advocate' Resident Advocate Newsletter, April 2009, Vol. 17

This tool of communication between the 2,500 members of the Resident Advocate Committee (RAC) Program and the State Long-Term Care Ombudsman is used to keep all volunteers informed of their roles and responsibilities as they carry out the duties of a resident advocate. The Advocate is provided to Resident Advocates on a quarterly basis.

Executive Order Number Eleven, February 17, 2009

This Executive Order creates a task force on dependent care.

B-1 Monthly Report of Medical Services Provided under Title XIX of the Social Security Act, March 2009

B-1 Medicaid Reports -- The monthly Medicaid series of eight reports provide summaries of Medicaid eligibles, recipients served, and total payments by county, category of service, and aid category. These reports may also be known as the B-1 Reports. These reports are each available as a PDF for printing or as a CSV file for data analysis. Report Report name IAMM1800-R001--Medically Needy by County - No Spenddown and With Spenddown; IAMM1800-R002--Total Medically Needy, All Other Medicaid, and Grand Total by County; IAMM2200-R002--Monthly Expenditures by Category of Service; IAMM2200-R003--Fiscal YTD Expenditures by Category of Service; IAMM3800-R001--ICF & ICF-MR Vendor Payments by County; IAMM4400-R001--Monthly Expenditures by Eligibility Program; IAMM4400-R002--Monthly Expenditures by Category of Service by Program; IAMM4600-R002--Elderly Waiver Summary by County.

F-1 Food Assistance Program State Summary, March 2009

The Food Assistance Monthly Participation Report is a monthly summary of Food Assistance program participation, Statewide and for each Iowa county. Breakouts are reported for participants also in the FIP program, those only receiving Food Assistance, and those that are receiving economic assistance under other programs (primarily Medicaid). This report may also be known as the F-1 Report.

A-1 Monthly Public Assistance Statistical Report Family Investment Program, March 2009

A-1 - Monthly Public Assistance Statistical Report Family Investment Program

G-1 Appeal Activity in the Public Assistance Programs, March 2009

This report contains information on the Appeal Activity in the Public Assistance Programs. Programs included are FIP (Iowa’s TANF program), Title IV-D (Child Support), Food Stamps (USDA Food Assistance Program), Title XIX (Medicaid), Title XX (Social Services Block Grant), Juvenile Parole, State Supplemental Assistance, Other, Food Stamp Fraud, FIP Fraud, RCA (Refugee Cash Assistance) Fraud, and a total for all the programs. This report is issued monthly.

A-1A Supplemental Security Income Program, March 2009

A-1A - Supplemental Security Income Program

IDALS-DSC Programs, 2009

Over 94% of Iowa ’ s land is held in private ownership, and the programs of the Iowa Department of Agriculture and Land Stewardship Division of Soil Conservation ( IDALS-DSC ) have been established to work with these landowners. Over 90% of the landscape is used for agricultural production so much of our focus is in rural communities, but we haven ’ t overlooked the importance of land management in urban areas. It is crucial to our understanding of both conservation and hydrology issues, that what happens on the landscape has immense consequences to the environmental health of our state and the quality of life we enjoy. IDALS-DSC is striving to integrate our programs with other agencies and local concerns to improve water and soil quality throughout the state and nation.

Motor Vechicle Crash Fatalities for Week Ending, March 20, 2009

Motor Vehicle Crash Fatalities

Motor Vechicle Crash Fatalities for Week Ending, March 27, 2009

Motor Vehicle Crash Fatalities

Motor Vechicle Crash Fatalities for Week Ending, April 3, 2009

Motor Vehicle Crash Fatalities