Health Care and Public Transit; Your Ticket to Health Care Access, 2005

Transportation is an important health care issue. The majority of the population here in Iowa have ready access and typically use private automobiles to access health care and other community services. There is also a significant segment of the population that either does not have access to a personal automobile or is not currently capable of driving. This can potentially limit their access to health care, but it has greater health implications because it can also limit access to nutrition and other community services, as well as involvement in social activities. For people unable to drive themselves, the alternatives generally include reliance on family, friends, volunteer groups, and public transit. Many choose transit because it gives them a degree of independence. Public transit is often used to supplement other options even when they are available. It becomes critical in circumstances where the other options don’t exist. In many cases there may be no family available or they may not always be able to get off work when travel needs arise during the workday. Friends may be in similar circumstances and volunteer groups may be either unavailable or overwhelmed. The fact that many patients depend on public transit to get to and from health care appointments makes it beneficial for health care professionals to get to know more about public transit and how it operates here in Iowa.

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2006

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2006.

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2007

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2007

Special investigation of Jasper County Transit for the period April 1, 2004 through April 1, 2006

Special investigation of Jasper County Transit for the period April 1, 2004 through April 1, 2006

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2008

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2008

Empresas, instituciones y red social: la Compañía Hispanoamericana de Electricidad (CHADE) entre Barcelona y Buenos Aires

En este trabajo se presenta la vinculación entre la Casa de América de Barcelona y la Compañía Hispanoamericana de Electricidad (CHADE) en Buenos Aires a través del estudio de tres momentos: primero, la fundación de la asociación y la presencia de Francisco Cambó en el Centro Jurídico Iberoamericano; segundo, la fundación de la CHADE para salvar los capitales alemanes del pago de reparaciones económicas a los Aliados por su participación en la Primera Guerra Mundial; y tercero, la conversión de la asociación americanista barcelonesa en Instituto de Economía Americana (IDEA)-Casa de América para reforzar su naturaleza internacional en consonancia con la Sociedad de Naciones, así como el declive de la asociación por la interrupción de remesas de capital del Cono Sur que llegaban a Barcelona en forma de subsidios para la asociación americanista.

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2009

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2009

Reaudit report on the Ottumwa Transit Authority in the City of Ottumwa, Iowa for the period July 1, 2008 through June 30, 2009

Reaudit report on the Ottumwa Transit Authority in the City of Ottumwa, Iowa for the period July 1, 2008 through June 30, 2009

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2010

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2010

Transit Manager's Handbook, September, 2010

This handbook provides an overview of public transit in Iowa and how to do business with the Iowa Department of Transportation (Iowa DOT) Office of Public Transit (OPT). It is intended to be a tool to assist transit managers navigate through the many policies, procedures and requirements of state and federal government. This handbook can be used to provide orientation for new personnel; to help clarify the relationships and required procedures for existing personnel; and to provide easier accessibility to regulations and procedures. Input on the content of the handbook to increase its usefulness is encouraged at any time.

Linking Real Time and Location in Scheduling Demand-Responsive Transit, September 1996

The role of rural demand-responsive transit is changing, and with that change is coming an increasing need for technology. As long as rural transit was limited to a type of social service transportation for a specific set of clients who primarily traveled in groups to common meal sites, work centers for the disabled, or clinics in larger communities, a preset calendar augmented by notes on a yellow legal pad was sufficient to develop schedules. Any individual trips were arranged at least 24 to 48 hours ahead of time and were carefully scheduled the night before in half-hour or twenty-minute windows by a dispatcher who knew every lane in the service area. Since it took hours to build the schedule, any last-minute changes could wreak havoc with the plans and raise the stress level in the dispatch office. Nevertheless, given these parameters, a manual scheduling system worked for a small demand-responsive operation.

Electrical colonic stimulation reduces mean transit time in a porcine model.

Abstract Electrical stimulation is a new way to treat digestive disorders such as constipation. Colonic propulsive activity can be triggered by battery operated devices. This study aimed to demonstrate the effect of direct electrical colonic stimulation on mean transit time in a chronic porcine model. The impact of stimulation and implanted material on the colonic wall was also assessed. Three pairs of electrodes were implanted into the caecal wall of 12 anaesthetized pigs. Reference colonic transit time was determined by radiopaque markers for each pig before implantation. It was repeated 4 weeks after implantation with sham stimulation and 5 weeks after implantation with electrical stimulation. Aboral sequential trains of 1-ms pulse width (10 V; 120 Hz) were applied twice daily for 6 days, using an external battery operated stimulator. For each course of markers, a mean value was computed from transit times obtained from individual pig. Microscopic examination of the caecum was routinely performed after animal sacrifice. A reduction of mean transit time was observed after electrical stimulation (19 +/- 13 h; mean +/- SD) when compared to reference (34 +/- 7 h; P = 0.045) and mean transit time after sham stimulation (36 +/- 9 h; P = 0.035). Histological examination revealed minimal chronic inflammation around the electrodes. Colonic transit time measured in a chronic porcine model is reduced by direct sequential electrical stimulation. Minimal tissue lesion is elicited by stimulation or implanted material. Electrical colonic stimulation could be a promising approach to treat specific disorders of the large bowel.