Frequently Asked Questions on Food Regulations for Small Market Food Producers

Interest and demand for local food in Iowa and across the nation have increased dramatically in the past few years. Iowa small market producers are finding markets for their food products at farmers markets, community supported agriculture enterprises, farm stands, and institutions such as restaurants, hospitals, schools, and conference centers. As farmers have entered these markets across the state, questions about food regulations have increased. This document answers the most common questions most often asked by producers. Responses were crafted by state agency and university specialists with expertise in food safety and food regulations

Non-Violent Drug Offences: Are There Alternatives to Imprisonment?

No one wants to be sent to jail but laws and punishment for violation of laws are part of every society. Unfortunately, USA is the leader in percent of population imprisoned. Based on current projections, by 2011 the U.S. prison population will increase by 13 percent, which is triple the growth of the entire population as a whole, to more than 1.7 million. Supporting that increase in incarcerated people will cost American taxpayers and local/state budgets an estimated $27.5 billion. This results in an enormous burden on society. Our research attempts to evaluate what effects this prison overcrowding has on Idaho\u27s economy through cost analysis and comparison along with a look at true effectiveness of punishment methods based on recidivism rates. We focus on the non-violent drug offender population and offer an alternative to imprisonment

Negotiation, bargaining, and discounts:generating WoM and local tourism development at the Tabriz bazaar, Iran

This paper examines the effects of negotiation intention, bargaining propensity, and discount satisfaction on word-of-mouth (WoM) behaviours for tourists visiting Tabriz bazaar, Iran. Data from 615-survey respondents highlight that tourists are motivated to conduct WoM behaviour when they are experientially satisfied with the opportunity to negotiate and bargain, and when they are satisfied with the discount they receive. This paper makes theoretical contributions to social exchange theory and presents managerial implications for policy-makers to generate tourism development

Characterization of Babies Discharged from Cabell Huntington Hospital During the Calendar Year 2005 with the Diagnoses of Neonatal Abstinence Syndrome

Recent concern regarding the impact of maternal drug abuse on neonatal well-being was the impetus for this retrospective cohort study of newborns diagnosed with neonatal abstinence syndrome that were discharged from Cabell Huntington Hospital during the calendar year 2005. Medical records of the neonates and their mothers were analyzed for a variety of health related outcomes and healthcare cost. Forty-eight neonates were diagnosed with Neonatal Abstinence Syndrome in 2005, forty of which required NICU assistance. The average maternal age at delivery was 26; gravity was 3.1 and most were single, separated or divorced. The majority had poor or inconsistent prenatal care. Twenty-one delivered by cesarean section most often for fetal distress. Most delivered prematurely with an average gestation of 35.9 weeks. Half of the mothers went into preterm labor with half of those having premature ruptured membranes. Opiates were the most common maternal substance found, while neonates most often tested positive for methadone. Nearly 90% of the mothers smoked. Thirty-four of the mothers were found to continue illicit drug abuse while pregnant, while another eight were seen in a methadone clinic for a history of abuse. Most of the neonates required weaning with methadone. The majority of our study cases were funded by Medicaid, mostly by West Virginia with total hospital costs exceeding 1.7 million dollars. Direct cost attributed to detoxification was in excess of $180,000. The number of neonates diagnosed with Neonatal Abstinence Syndrome has nearly tripled from 2003 to 2007. The problem of maternal drug abuse and addiction during pregnancy has dramatic effects on both their unborn children and our local healthcare system. Increased awareness of this growing problem is needed so that earlier interventions can be implemented. It is our opinion that all obstetrical patients at risk should be screened early and often so that those affected individuals can be managed more aggressively to improve neonatal outcomes

The future of women in technology:challenges and recommendations

When only women turn up to a panel on challenges for women in technology, how do we then reach out to industry, academia and government to encourage them to listen to the current challenges experienced by women in tech. Technology is rapidly changing and we are seeing women disadvantaged by less training opportunities, lack of role models, perceived penalties for taking time off to have children or discharge caring responsibilities as well as the risk that their jobs are subject to more automation. Multiple workshops at the Institute of Science and Technology highlighted significant challenges for women in tech, the data from our empirical study illustrates these challenges in detail. With the workplace still male dominated and the landscape changing rapidly, women have a significant role to play and we need to ensure that role is not only facilitated but the existing challenges are mitigated. This is a discussion paper with empirical data that illustrates challenges currently experienced by women in tech and how we can move forward to ensure not only equal opportunity but remove some of the challenges currently experienced. In this paper we have not considered the same impact on men who take career breaks for reasons of caring responsibilities.</p

The future of women in technology:challenges and recommendations

When only women turn up to a panel on challenges for women in technology, how do we then reach out to industry, academia and government to encourage them to listen to the current challenges experienced by women in tech. Technology is rapidly changing and we are seeing women disadvantaged by less training opportunities, lack of role models, perceived penalties for taking time off to have children or discharge caring responsibilities as well as the risk that their jobs are subject to more automation. Multiple workshops at the Institute of Science and Technology highlighted significant challenges for women in tech, the data from our empirical study illustrates these challenges in detail. With the workplace still male dominated and the landscape changing rapidly, women have a significant role to play and we need to ensure that role is not only facilitated but the existing challenges are mitigated. This is a discussion paper with empirical data that illustrates challenges currently experienced by women in tech and how we can move forward to ensure not only equal opportunity but remove some of the challenges currently experienced. In this paper we have not considered the same impact on men who take career breaks for reasons of caring responsibilities.</p

Exploring overcrowding trends in an inner city emergence department in the UK before and during COVID-19 epidemic

BACKGROUND: The COVID-19 pandemic and the associated lockdowns have caused significant disruptions across society, including changes in the number of emergency department (ED) visits. This study aims to investigate the impact of three pre-COVID-19 interventions and of the COVID-19 UK-epidemic and the first UK national lockdown on overcrowding within University College London Hospital Emergency Department (UCLH ED). The three interventions: target the influx of patients at ED (A), reduce the pressure on in-patients' beds (B) and improve ED processes to improve the flow of patents out from ED (C). METHODS: We collected overcrowding metrics (daily attendances, the proportion of people leaving within 4 h of arrival (four-hours target) and the reduction in overall waiting time) during 01/04/2017-31/05/2020. We then performed three different analyses, considering three different timeframes. The first analysis used data 01/04/2017-31/12-2019 to calculate changes over a period of 6 months before and after the start of interventions A-C. The second and third analyses focused on evaluating the impact of the COVID-19 epidemic, comparing the first 10 months in 2020 and 2019, and of the first national lockdown (23/03/2020-31/05/2020). RESULTS: Pre-COVID-19 all interventions led to small reductions in waiting time (17%, p < 0.001 for A and C; an 9%, p = 0.322 for B) but also to a small decrease in the number of patients leaving within 4 h of arrival (6.6,7.4,6.2% respectively A-C,p < 0.001). In presence of the COVID-19 pandemic, attendance and waiting time were reduced (40% and 8%; p < 0.001), and the number of people leaving within 4 h of arrival was increased (6%,p < 0.001). During the first lockdown, there was 65% reduction in attendance, 22% reduction in waiting time and 8% increase in number of people leaving within 4 h of arrival (p < 0.001). Crucially, when the lockdown was lifted, there was an increase (6.5%,p < 0.001) in the percentage of people leaving within 4 h, together with a larger (12.5%,p < 0.001) decrease in waiting time. This occurred despite the increase of 49.6%(p < 0.001) in attendance after lockdown ended. CONCLUSIONS: The mixed results pre-COVID-19 (significant improvements in waiting time with some interventions but not improvement in the four-hours target), may be due to indirect impacts of these interventions, where increasing pressure on one part of the ED system affected other parts. This underlines the need for multifaceted interventions and a system-wide approach to improve the pathway of flow through the ED system is necessary. During 2020 and in presence of the COVID-19 epidemic, a shift in public behaviour with anxiety over attending hospitals and higher use of virtual consultations, led to notable drop in UCLH ED attendance and consequential curbing of overcrowding. Importantly, once the lockdown was lifted, although there was an increase in arrivals at UCLH ED, overcrowding metrics were reduced. Thus, the combination of shifted public behaviour and the restructuring changes during COVID-19 epidemic, maybe be able to curb future ED overcrowding, but longer timeframe analysis is required to confirm this

Time-lapse mesoscopy of Candida albicans and Staphylococcus aureus dual-species biofilms reveals a structural role for the hyphae of C. albicans in biofilm formation

Polymicrobial infection with Candida albicans and Staphylococcus aureus may result in a concomitant increase in virulence and resistance to antimicrobial drugs. This enhanced pathogenicity phenotype is mediated by numerous factors, including metabolic processes and direct interaction of S. aureus with C. albicans hyphae. The overall structure of biofilms is known to contribute to their recalcitrance to treatment, although the dynamics of direct interaction between species and how it contributes to pathogenicity is poorly understood. To address this, a novel time-lapse mesoscopic optical imaging method was developed to enable the formation of C. albicans/S. aureus whole dual-species biofilms to be followed. It was found that yeast-form or hyphal-form C. albicans in the biofilm founder population profoundly affects the structure of the biofilm as it matures. Different sub-populations of C. albicans and S. aureus arise within each biofilm as a result of the different C. albicans morphotypes, resulting in distinct sub-regions. These data reveal that C. albicans cell morphology is pivotal in the development of global biofilm architecture and the emergence of colony macrostructures and may temporally influence synergy in infection.</p

Factors influencing community case management and care hours for clients with traumatic brain injury living in the UK

Objective: To investigate the relationship between deficits associated with traumatic brain injury (TBI) and case management (CM) and care/support (CS) in two UK community samples. Research design: Prospective descriptive study. Method: Case managers across the UK and from a single UK CM service contributed client profiles to two data sets (Groups 1 and 2, respectively). Data were entered on demographics, injury severity, functional skills, functional-cognition (including executive functions), behaviour and CM and CS hours. Relationships were explored between areas of disability and service provision. Results: Clients in Group 2 were more severely injured, longer post-injury and had less family support than clients in Group 1. There were few significant differences between Groups 1 and 2 on measures of Functionalskill, Functional-cognition and Behaviour disorder. Deficits in Functionalskills were associated with CS, but not CM. Deficits in measures of executive functions (impulsivity, predictability, response to direction) were related to CM, but not to CS. Insight was related to both CM and CS. Variables related to behaviour disorder were related to CM, but were less often correlated to CS. Conclusions: The need for community support is related not only to Functionalskills (CS), but also to behaviour disorder, self-regulatory skills and impaired insight (CM)

Exchange rate and macro-economic policy in independent Papua New Guinea

This book analyses macro-economic policies and performance in Papua New Guinea in the first seven years of Independence,from 1975 to 1982.Its main focus is on exchange rate and monetary policy. But because all aspects of macro-economic policy are linked closely with each otherit also deals extensively with fiscal and wages policy, and a range of micro-economic policy areas which affect long-term growth performance