Manual of NCHSR-sponsored research products applicable to comprehensive health planning /

Mode of access: Internet.

Application of digital mapping technology to the display of hydrologic information : a proof-of-concept test in the Fox-Wolf River Basin, Wisconsin /

Mode of access: Internet.

Affordable Energy Plan /

Illinois Lieutenant Governor Patrick Quinn responded to rising concerns about unaffordable energy for low-income Illinois residents by convening a meeting of advocates in January 2003, and challenging them to develop a better approach to energy assistance. As a result of that challenge, a working group of low-income advocates, energy policy advisors, researchers, and community leaders met and established the Illinois Affordable Energy Campaign (IAEC) to identify and recommend policy changes to the current Low Income Home Energy Assistance Program (LIHEAP). The Illinois LIHEAP program gives heating assistance to approximately 316,000 families across the state each year. This document the Affordable Energy Plan, is the result of this collaborative process. While the current LIHEAP program provides valuable and essential assistance to low-income families, the Affordable Energy Plan (AEP) improves the program design through a set of common sense reform measures that better address today's volatile energy environment. Reconstructing LIHEAP will make the program more efficient and effective; it will make energy more affordable for more LIHEAP customers; Illinois will see fewer homes disconnected from their utility services, and participants will be able to better understand and plan for their heating expenses.

Cafeterias in government buildings. : Hearings, Eightieth congress, first session pursuant to S. Res. 42.

pt. 1. January 27, 29, 1947,. 76 p.--pt. 2. February 3, 5, 7, 1947. pp. 77-216.--pt. 3. February 19, 21, 1947. pp. 217-280.--pt. 4. February 24-28, 1947. pp. 281-426.--pt. 5. March 3-17, 1947. pp. 427-562.--pt. 6. March 19-April 3, 1947. pp. 563-625.--pt. 7. April 14-21, 1947. pp. 627-710.--pt. 8. April 28, May 2, 5, 7, 12, 14, 1947. pp. 711-863.p--pt. 9. May 21, June 9, 1947. pp. 865-967.--pt. 10. Corespondence and reports. 1947. pp. 979-1010.

Internet initial claims evaluation : final report /

Evaluation of the Internet Initial Claim process based on data collected during the first quarter of calendar year 2002 in Colorado, Missouri, North Carolina, Pennsylvania, Washington, and Utah.

Analysis of 31 southern textile labor contracts,

Mode of access: Internet.

Pedestrian model parametric studies. Interim report, volume I - summary.

National Highway Traffic Safety Administration, Washington, D.C.

Pedestrian model parametric studies. Interim report, volume II - vehicle design optimization program.

National Highway Traffic Safety Administration, Washington, D.C.

Identification of enterprise carbon assets based on a business perspective

From a new perspective, this paper clarifies the internal and external factors affecting the carbon assets on the basis of induction of the connotation. It takes the enterprise business as the source of carbon assets, and makes an automotive group as an example, and establishes a network of its passenger car business activities based on the topological structure. This paper provides a method for identifying carbon assets from the relationship of business activities, and explains the formation mechanism of different assets from which it refines its network, and puts forward a reference to re-identify enterprise carbon assets from the perspective of development.

Dealing with Shifting Labor Employment Sands

Changes in regulations and tighter interpretations of existing regulations engaged participants in 14th annual Labor and Employment Roundtable, hosted by the Cornell Institute for Hospitality Labor and Employment Relations. They also reviewed changes in union organizing rules. Two Supreme Court decisions dealt with the challenging application of accommodating workers’ health and religious needs, while a new ruling by the National Labor Relations Board calls into question the supposedly arm’s length relationship of employee leasing firms and their clients, as well as franchisors and franchisees. The NLRB also has shortened the campaign time for union elections. In one Supreme Court case, Young v. United Parcel Services, Inc., the Court pointed to a simple principle when employers implement policies for those with illness or medical conditions. Policies must be consistent with regard to how on-job and off-job health issues are treated, and the company’s policy must not be driven by economic considerations. That is, the Court stated that an employer’s denial of a light-duty assignment for an employee could not be based on cost or convenience. The case relating to religious accommodation also involved an economic hinge. In an earlier case, the Court had held that religious accommodations are limited to that which would have no more than a de minimus cost on the employer. In this case, EEOC v. Abercrombie & Fitch Stores Inc., Abercrombie had declined to hire a woman wearing a headscarf on the assumption that she would need a religious accommodation. The Court frowned on the idea that an employer would take religious accommodations into account when deciding whether to hire a person. The franchising industry is attempting to make sense of the NLRB ruling regarding joint employment, in which the board ruled that franchisors that maintain some kind of control over their franchisees’ employees should be considered joint employers of those employees. This is a complicated matter, and the situation is still in flux. Finally, with regard to the telescoped union campaign ruling, these are supposed to benefit the unions. So far, however, there’s no indication that the change has affected the overall outcome of union election campaigns.

An examination of the utility of the AUDIT in people with schizophrenia

Objective: To examine the reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) compared to a structured diagnostic interview, the Composite international Diagnostic Interview (CIDI; 12-month version) in psychiatric patients with a diagnosis of schizophrenia. Method: Patients (N = 71, 53 men) were interviewed using the CIDI (Alcohol Misuse Section; 12-month version) and then completed the AUDIT. Results: The CIDI identified 32.4% of the sample as having an alcohol use disorder. Of these, 5 (7.0%) met diagnostic criteria for harmful use of alcohol, 1 (1.4%) met diagnostic criteria for alcohol abuse and 17 (23.9%) met diagnostic criteria for alcohol dependence. The AUDIT was found to have good internal reliability (coefficient = 0.85). An AUDIT cutoff of greater than or equal to 8 had a sensitivity of 87% and specificity of 90% in detecting CIDI-diagnosed alcohol disorders. All items except Item 9 contributed significantly to discriminant validity. Conclusions: The findings replicate and extend previous findings of high rates of alcohol use disorders in people with severe mental illness. The AUDIT was found to be reliable and valid in this sample and can be used with confidence as a screening instrument for alcohol use disorders in people with schizophrenia.

Characteristics of utility cyclists in Queensland, Australia : an examination of the associations between individual, social and environmental factors and utility cycling

Background: Initiatives to promote utility cycling in countries like Australia and the US, which have low rates of utility cycling, may be more effective if they first target recreational cyclists. This study aimed to describe patterns of utility cycling and examine its correlates, among cyclists in Queensland, Australia. Methods: An online survey was administered to adult members of a state-based cycling community and advocacy group (n=1813). The survey asked about demographic characteristics and cycling behavior, motivators and constraints. Utility cycling patterns were described, and logistic regression modeling was used to examine associations between utility cycling and other variables. Results: Forty-seven percent of respondents reported utility cycling: most did so to commute (86%). Most journeys (83%) were >5 km. Being male, younger, employed full-time, or university-educated increased the likelihood of utility cycling (p<0.05). Perceiving cycling to be a cheap or a convenient form of transport were associated with utility cycling (p<0.05). Conclusions: The moderate rate of utility cycling among recreational cyclists highlights a potential to promote utility cycling among this group. To increase utility cycling, strategies should target female and older recreational cyclists and focus on making cycling a cheap and convenient mode of transport.

Process quality indicators targeting cognitive impairment to support quality of care for older people with cognitive impairment in emergency departments

Objectives The objective of this study was to develop process quality indicators (PQIs) to support the improvement of care services for older people with cognitive impairment in emergency departments (ED). Methods A structured research approach was taken for the development of PQIs for the care of older people with cognitive impairment in EDs, including combining available evidence with expert opinion (phase 1), a field study (phase 2), and formal voting (phase 3). A systematic review of the literature identified ED processes targeting the specific care needs of older people with cognitive impairment. Existing relevant PQIs were also included. By integrating the scientific evidence and clinical expertise, new PQIs were drafted and, along with the existing PQIs, extensively discussed by an advisory panel. These indicators were field tested in eight hospitals using a cohort of older persons aged 70 years and older. After analysis of the field study data (indicator prevalence, variability across sites), in a second meeting, the advisory panel further defined the PQIs. The advisory panel formally voted for selection of those PQIs that were most appropriate for care evaluation. Results In addition to seven previously published PQIs relevant to the care of older persons, 15 new indicators were created. These 22 PQIs were then field tested. PQIs designed specifically for the older ED population with cognitive impairment were only scored for patients with identified cognitive impairment. Following formal voting, a total of 11 PQIs were included in the set. These PQIs targeted cognitive screening, delirium screening, delirium risk assessment, evaluation of acute change in mental status, delirium etiology, proxy notification, collateral history, involvement of a nominated support person, pain assessment, postdischarge follow-up, and ED length of stay. Conclusions This article presents a set of PQIs for the evaluation of the care for older people with cognitive impairment in EDs. The variation in indicator triggering across different ED sites suggests that there are opportunities for quality improvement in care for this vulnerable group. Applied PQIs will identify an emergency services' implementation of care strategies for cognitively impaired older ED patients. Awareness of the PQI triggers at an ED level enables implementation of targeted interventions to improve any suboptimal processes of care. Further validation and utility of the indicators in a wider population is now indicated.

The utility of survey and administrative data to generate information for research and outcomes-based oral health services development

The aim of this research, which focused on the Irish adult population, was to generate information for policymakers by applying statistical analyses and current technologies to oral health administrative and survey databases. Objectives included identifying socio-demographic influences on oral health and utilisation of dental services, comparing epidemiologically-estimated dental treatment need with treatment provided, and investigating the potential of a dental administrative database to provide information on utilisation of services and the volume and types of treatment provided over time. Information was extracted from the claims databases for the Dental Treatment Benefit Scheme (DTBS) for employed adults and the Dental Treatment Services Scheme (DTSS) for less-well-off adults, the National Surveys of Adult Oral Health, and the 2007 Survey of Lifestyle Attitudes and Nutrition in Ireland. Factors associated with utilisation and retention of natural teeth were analysed using count data models and logistic regression. The chi-square test and the student’s t-test were used to compare epidemiologically-estimated need in a representative sample of adults with treatment provided. Differences were found in dental care utilisation and tooth retention by Socio-Economic Status. An analysis of the five-year utilisation behaviour of a 2003 cohort of DTBS dental attendees revealed that age and being female were positively associated with visiting annually and number of treatments. Number of adults using the DTBS increased, and mean number of treatments per patient decreased, between 1997 and 2008. As a percentage of overall treatments, restorations, dentures, and extractions decreased, while prophylaxis increased. Differences were found between epidemiologically-estimated treatment need and treatment provided for those using the DTBS and DTSS. This research confirms the utility of survey and administrative data to generate knowledge for policymakers. Public administrative databases have not been designed for research purposes, but they have the potential to provide a wealth of knowledge on treatments provided and utilisation patterns.

Les stratégies d'organisation syndicale dans les multinationales du secteur des services traditionnels : le cas de Wal-Mart Canada Inc.

Ce mémoire tente d’identifier la nature du lien entre les stratégies d’organisation syndicale et le résultat des campagnes de syndicalisation. À l’aide d’une étude du cas des campagnes d’organisation menées par les Travailleurs et travailleuses unis de l’alimentation et du commerce (TUAC) chez Wal-Mart au Québec, nous avons examiné l’impact que peuvent avoir différentes variables sur le succès d’une campagne. La littérature sur le renouveau syndical nous a permis d’identifier trois types de campagnes, soit la campagne traditionnelle, la campagne intégrale et la campagne de mouvement social, et nous a amenés à postuler que le type de campagne privilégié aura un effet sur l’impact de la campagne. Nos résultats nous permettent d’arriver à trois conclusions. Premièrement, nous notons deux tactiques relevant de la campagne traditionnelle ayant eu un impact positif sur le résultat des campagnes : l’utilisation de la technique du blitz et le recrutement de poteaux solides. Deuxièmement, le degré d’opposition patronale à la syndicalisation semble avoir un impact sur le degré de succès d’une campagne. Troisièmement, l’analyse des résultats nous permet de constater l’impact significatif du cadre juridique. L’un des éléments les plus importants est l’accréditation par décompte des adhésions comparativement à l’accréditation suite à un vote.