664 research outputs found

    Transferability of Migration Licenses and the Distribution of Potential Rents

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    This paper compares the effects of migration restrictions using licenses which are freely traded in a competitive labor market to those that occur when licenses are allocated to firms who are not permitted to trade them. There is reason to expect that a policy of making licenses non-transferable will not only affect production efficiency, but also to allow producers to capture more of the potential migration rents. Applications to migration policies in the Gulf Cooperation Council (GCC) countries are discussed.

    Transferability of Migration Licenses and the Distribution of Potential Rents

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    This paper compares the effects of migration restrictions using licenses which are freely traded in a competitive labor market to those that occur when licenses are allocated to firms who are not permitted to trade them. There is reason to expect that a policy of making licenses non-transferable will not only affect production efficiency, but also to allow producers to capture more of the potential migration rents. Applications to migration policies in the Gulf Cooperation Council (GCC) countries are discussed.

    A Concept Analysis: Adherence in Type 2 Diabetes

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    Aim: The aim of this analysis is to develop a better understanding of the concept of adherence among individuals with Type 2 Diabetes. Background: The incidence and prevalence of diabetes in the United States continues to increase at epidemic proportions yearly. Design: The analysis was conducted using Rodgers\u27 evolutionary method including database searches from Cumulative Index to Nursing Health Literature (CINAHL), COCHRANE, EBSCO, Education Resources Information Center (ERIC), MEDLINE, PsycINFO, Institute of Electrical and Electronics Engineers (IEEE), and SocINDEX. Keywords included adherence, compliance, diabetes care, type 2 diabetes and theories. Results: Rodgers\u27 evolutionary method guided this inquiry of concept of adherence across several disciplines. Analysis revealed definitions, related terms, attributes, references, antecedents, consequences, and related concepts that helped construct a model case for a client. Conclusion: Researching the concept of adherence across diverse disciplines revealed that the definition of adherence in nursing and medicine entails persistence in following a health care provider\u27s recommendation. Future studies must define adherence in relation to culture to establish a framework for holistic and client-centered care

    Our Communities are in Crisis

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    Busing, controlled choice, and racial tiebreaking have proven to be band-aid initiatives that do not address the much deeper and decades’ long issues of segregated housing practices, imbalanced property tax allocations, and deep-pocketed booster clubs that have disproportionately funded some of our schools. In the early 1970’s, the Seattle School District initiated a mandatory busing policy for the purpose of integrating students district wide. In the late 80’s, the District augmented mandatory busing by instituting a controlled student choice program that allowed parents to select schools within a limited grouping of options. By the late 90’s, Seattle halted its practice of mandatory busing, and implemented a racial tiebreaking initiative for oversubscribed schools, where more students than seats are available at a particular school during the application process of open-enrollment. These approved policies over the last 30 years have estranged many of our families from their neighborhood schools and consequently have created another set of problems that lead to further difficulties in creating successful schools for ALL

    Current Assessment and Intervention Strategies for Childhood Obesity Used by Pediatric Care Providers

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    Childhood obesity rates in the United States have tripled since the 1970s in the U.S. (CDC, 2018). Due to the persistent rise in obesity rate sin children and the possible health risks associated with obesity, it is important for pediatric providers to appropriately assess and treat childhood obesity. There is limited data on what pediatric providers in the primary care setting are doing to address this growing health problem. PURPOSE: The purpose of this study was to determine current assessment and intervention strategies for childhood obesity used by pediatric health care providers at the University of Kentucky, General Pediatric clinic. Current strategies and interventions used by pediatric primary care providers were evaluated and compared to current practice guidelines addressing screening, diagnosis, and co-morbidity assessment in overweight and obese pediatric patients. METHODS: A cross-sectional study design was used to examine how providers are following practice guidelines, in assessing, and treating childhood obesity. Pediatric primary care providers were invited to complete an on-line survey to determine current practice behaviors in assessing and treating childhood obesity within the general pediatric clinic. A retrospective electronic medical record review to evaluate the assessment and treatment of childhood overweight and obesity was also conducted. The electronic medical records of children ages 2 years and 17 years who presented to the Kentucky Clinic South for an annual well-child exam between February 2018 and August 2018 were reviewed. Chi-Square test of association was used to compare the assessment and treatment of overweight and obese children and determine if differences between type of primary care provider existed when assessing and treating the pediatric patient in primary care. Descriptive statistics were used to summarize results from the electronic medical record review and healthcare provider’s confidence and reported practice in assessing and treating childhood obesity RESULTS: The on-line provider survey was completed by 6 pediatric primary care providers. Most providers are confident in how they are assessing or treating childhood overweight and obesity in practice. Ninety-two percent reported appropriately following AAP guidelines in the management of childhood obesity. Barriers for treatment identified by the providers included lack of patient motivation, lack of parent involvement, and lack of clinic time. The electronic medical record review yielded 42 records that met inclusion criteria for enrollment into the study. Diet and exercise was included in the treatment plan 69% of the records. A follow-up appointment was included in the treatment plan 21% of the time and only 9.5% of the records showed co-morbidity laboratory screenings ordered or included in the treatment plan. CONCLUSION: Childhood obesity is a growing concern that may have significant implications on the adult health of Americans. Most pediatric health care providers were confident in how they are assessing and treating childhood obesity in practice. However, there were several disconnects between what providers are reporting and practice behaviors identified in the electronic medical records review. The results of this study may provide areas for needed improvement in the early recognition and treatment of childhood obesity by the primary care provider. The identification of provider-perceived barriers to treatment may also offer areas of needed clinical support to improve patient outcomes

    Chapter 9 ‘Suspect’ screening

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    Like their peers across western Europe, Australia and the Americas, large segments of the British public and a significant proportion of Britain’s medical establishment have enthusiastically promoted medical screening (and de facto medical selection) of would-be migrants since World War II. Moreover, from 1962, British law explicitly empowered medical inspection and the exclusion of migrants on health grounds at all three of Britain’s idiosyncratic ‘medical borders’: during entry clearance procedures in their countries of origin; at Britain’s ports and airports; and via public health surveillance in the British towns and cities that were the migrants’ destinations. However, Britain’s geographical and internal borders were largely unmedicalised in the twentieth century and remain comparatively free from specifically medical controls even today. I explore the role of the National Health Service – both as a national symbol and as a physical institution – in shaping and responding to this paradox. Given the intensity of popular suspicions of migrants’ bodies and their hygienic and reproductive practices, and the frequency with which medical claims mediated and bolstered anti-migrant rhetoric, why has medical ‘control’ itself proven politically elusive and persistently suspect

    The Richest Legacy: Recovering the Lord\u27s Supper as a Means of Grace in the Free Methodist Church USA

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    As descendants of the Wesleyan heritage, the Free Methodist Church USA maintains the belief that the Sacraments, particularly the Lord’s Supper, function as a means of grace within the church. Given the significant role that the Lord’s Supper played in early Methodist thought and practice, this thesis seeks to discover the level of fidelity the Free Methodist Church USA has when it comes to its understanding of the Lord’s Supper as a means of grace in the Wesleyan tradition. By exploring the current Free Methodist Church USA’s understanding of the sacrament, along with the historical Wesleyan relationship with the Lord’s Supper, this thesis seeks to show how the Free Methodist Church USA can be strengthened in both their Wesleyan heritage and their pursuit of holiness through recovering a robust understanding of the Lord’s Supper as a means of grace

    The Refugee Act of 1980--What Burden of Proof: Controversy Lives on After Stevic

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    This Article explores the burden of proof debate. First, it delves into the historical developments leading up to the Refugee Act then focuses on the Refugee Act\u27s legislative history and on case law prior to the Supreme Court\u27s decision in Stevic. Second, the Article discusses the Stevic opinion and the interpretation of Stevic in subsequent circuit court decisions. Third, it analyzes Stevic and the subsequent cases. The Article concludes with a look at what the future holds for the Refugee Act

    A Tenor-Clef Reader for the Bassoonist.

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    I Ain\u27t Seen No Messenger Boy

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