954 resultados para Stakeholders
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This report provides updates on the WPAC recommendations to legislature, including actions taken on those recommendations and any follow-up recommendations from WPAC. Recommendations include documentation of activities, and the needs and challenges toward making progress in protecting Iowa’s water resources, identified by WPAC in coordination with all agencies and stakeholders in the management of the state’s water resources in a sustainable, fiscally responsible, and environmentally conscientious manner.
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This report provides updates on the WPAC recommendations to legislature, including actions taken on those recommendations and any follow-up recommendations from WPAC. Recommendations include documentation of activities, and the needs and challenges toward making progress in protecting Iowa’s water resources, identified by WPAC in coordination with all agencies and stakeholders in the management of the state’s water resources in a sustainable, fiscally responsible, and environmentally conscientious manner.
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BACKGROUND AND OBJECTIVES: Advance care planning (ACP) is increasingly regarded as the gold standard in the care of patients with life-limiting illnesses. Research has focused on adults, but ACP is also being practiced in pediatrics. We conducted a systematic review on empirical literature on pediatric ACP (pACP) to assess current practices, effects, and perspectives of pACP. METHODS: We searched PubMed, BELIT, and PSYCinfo for empirical literature on pACP, published January 1991 through January 2012. Titles, abstracts, and full texts were screened by 3 independent reviewers for studies that met the predefined criteria. The evidence level of the studies was assessed. Relevant study outcomes were retrieved according to predefined questions. RESULTS: We included 5 qualitative and 8 quantitative studies. Only 3 pACP programs were identified, all from the United States. Two of them were informed by adult programs. Major pACP features are discussions between families and care providers, as well as advance directives. A chaplain and other providers may be involved if required. Programs vary in how well they are evaluated; only 1 was studied by using a randomized controlled trial. Preliminary data suggest that pACP can successfully be implemented and is perceived as helpful. It may be emotionally relieving and facilitate communication and decision-making. Major challenges are negative reactions from emergency services, schools, and the community. CONCLUSIONS: There are few systematic pACP programs worldwide and none in Europe. Future research should investigate the needs of all stakeholders. In particular, the perspective of professionals has so far been neglected.
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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PLB News, the quarterly newsletter of the Iowa Professional Licensing Bureau. To keep licensees and stakeholders informed, we are pleased to provide you with information about each of the Bureau’s seven professional licensing boards
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Strategic management is based upon a performance measurement system that allows gearing decision making towards accomplishing the established objectives.In a changing economic situation, the measurement of the effects of tourism is fundamental in order to know the efficiency and sustainability of that industry and of the territory in which takes place its activity. We propose a performance measurement system for the sustainable management of a tourism destination, so it will support the adoption of public policies and their follow-up, and as an instrument that will promote the responsible participation of the stakeholders with stakes in the destination. In accordance with the guidelines of the Agenda for a sustainable and competitive European tourism, we design a system based on the identification of the axes over which hinges the success of the management of tourism destinations, taking into account the long-term sustainability of this activity. We position the performance measurement system, and especially the balanced scorecard, as a support tool for the strategic planning of destinations. To the extent that this is possible, the performance measures are selected and structured according to the patterns of the balanced scorecard. Finally, we apply the conceptual model to the central Costa Brava
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With the Saylor Creek Watershed Improvement Project, Iowa Heartland RC&D and other area stakeholders have an opportunity to display how "best management practices" (BMPs) can reduce storm water runoff and improve the quality of that runoff in an urban setting. Conservation design is a uew approach to storm water management that addresses the negative impacts of storm water runoff and turns them into a positive. The master plan for the Prairie Trail development surrounding the watershed project will incorporate bioretention cells, bioswales, buffer strips, rain gardens, as well as native plant landscaping to slow storm water runoff and naturally clean sediment out of the water before it reaches Saylor Creek. In addition to conservation design elements, the project will utilize storm water detention ponds and creek bed restoration to develop a complete storm water "treatment train" system within Prairie Trail. The extensive use of conservation storm water management for Prairie Trail is unique for urban development in Iowa.
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Dry Run Creek Watershed was designated an impaired waterbody by DNR in 2002, following an assessment of the biota in the stream by DNR Biologist, Tom Wilton. Subsequent studies by IOWATER Snapshot effort in 2003, found e-coli bacteria concentrations and high nitrate readings in excess of the State of Iowa limits for recreational streams. The Dry Run Creek Watershed Improvement Project is comprised of five major components. Three components will feature demonstrations of structural best management practices (BMPs) to protect water quality in Dry Run Creek. The fourth is an educational workshop to "kick-off" the initiative and background the stakeholders of the watershed in new stormwater management strategies for water quality protection. The fifth is a monitoring program that will provide data on the effectiveness of the practices to be demonstrated. Measurable outcomes from these projects include monitoring to document the effectiveness of infiltration based BMPs to reduce pollutant loading in urban stormwater runoff and reducing the volume of stormwater discharged directly into Dry Run Creek via storm sewer flows. Understanding of and social acceptance of new stormwater strategies and practices will also be monitored by surveys of watershed stakeholders and compared to findings of a survey done before the start of the project.
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This report provides a summary of Tuberculosis (TB) in Iowa and the activities and achievements of the TB Control Program and our partners during the 2014 calendar year. This report provides Iowa-specific TB rates, funding sources, and program-specific data, often in ten-year time lines to more accurately reflect trends. Previous reports included TB control efforts by the World Health Organization and the Centers for Disease Control and Prevention. Reports paid tribute to the role TB disease played in the history of man including historical TB treatments, myths, and bygone TB control practices. The 2014 Report does not include these overviews. Please refer to previous reports for this information. The annual report serves as an informational resource for stakeholders, local partners, policy makers and others interested in Iowa’s TB Control efforts.
