2,022 research outputs found

    State Takeover, School Restructuring, Private Management, and Student Achievement in Philadelphia

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    Following a state takeover of the Philadelphia public schools in 2002, 45 schools were turned over to private managers, making Philadelphia the site of the nation's largest experiment in the private management of public schools. This collaborative study by RAND Corporation and Research for Action examines achievement effects in the privately managed schools, as well as in schools with district-led interventions, and examines these effects in the context of districtwide trends in achievement

    Risk Assessment in Economic Feasibility Analysis: The Case of Ethanol Production in Texas

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    The objective of this study is to demonstrate the benefits of quantifying the economic viability of a proposed agribusiness under risk relative to a feasibility study which ignores risk. To achieve this objective, the economic viability of a 50 MMGPY ethanol facility in Texas is analyzed over a 10-year period in two ways: with no risk and with historical risk for prices and costs.Risk and Uncertainty,

    Essential prescribing tips for GP Associates-in-Training

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    Prescribing is an essential role in general practice but it is also, at times, a high risk activity. GP Associates-in-Training (GP AiTs) have been highlighted as needing further support to reduce the risk of prescribing errors. This article highlights some common prescribing errors to help GP AiTs to review their prescribing and develop prescribing habits to avoid errors. The general practice workforce is changing and there are more pharmacists working in general practice. This article describes the role of clinical pharmacists in prescribing safety and in supporting GP AiTs

    Chemical Plants Remain Vulnerable to Terrorists: A Call to Action

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    U.S. chemical plants currently have potentially catastrophic vulnerabilities as terrorist targets. The possible consequences of these vulnerabilities echo from the tragedies of the Bhopal incident in 1984 to the terrorist attacks on 11 September 2001 and, most recently, Hurricanes Katrina and Rita. Findings from a 2004 nationwide participatory research study of 125 local union leaders at sites with very large volumes of highly hazardous chemicals suggest that voluntary efforts to achieve chemical plant security are not succeeding. Study respondents reported that companies had only infrequently taken actions that are most effective in preventing or in preparing to respond to a terrorist threat. In addition, companies reportedly often failed to involve key stakeholders, including workers, local unions, and the surrounding communities, in these efforts. The environmental health community thus has an opportunity to play a key role in advocating for and supporting improvements in prevention of and preparation for terrorist attacks. Policy-level recommendations to redress chemical site vulnerabilities and the related ongoing threats to the nation’s security are as follows: a) specify detailed requirements for chemical site assessment and security; b) mandate audit inspections supported by significant penalties for cases of noncompliance; c) require progress toward achieving inherently safer processes, including the minimizing of storage of highly hazardous chemicals; d) examine and require additional effective actions in prevention, emergency preparedness, and response and remediation; e) mandate and fund the upgrading of emergency communication systems; and f) involve workers and community members in plan creation and equip and prepare them to prevent and respond effectively to an incident

    An Analysis of Private School Closings

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    We add to the small literature on private school supply by exploring exits of K-12 private schools. We find that the closure of private schools is not an infrequent event, and use national survey data from the National Center for Education Statistics to study closures of private schools. We assume that the probability of an exit is a function of excess supply of private schools over the demand, as well as the school's characteristics such as age, size, and religious affiliation. Our empirical results generally support the implications of the model. Working Paper 07-0

    Trauma history and depression predict incomplete adherence to antiretroviral therapies in a low income country.

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    As antiretroviral therapy (ART) for HIV becomes increasingly available in low and middle income countries (LMICs), understanding reasons for lack of adherence is critical to stemming the tide of infections and improving health. Understanding the effect of psychosocial experiences and mental health symptomatology on ART adherence can help maximize the benefit of expanded ART programs by indicating types of services, which could be offered in combination with HIV care. The Coping with HIV/AIDS in Tanzania (CHAT) study is a longitudinal cohort study in the Kilimanjaro Region that included randomly selected HIV-infected (HIV+) participants from two local hospital-based HIV clinics and four free-standing voluntary HIV counselling and testing sites. Baseline data were collected in 2008 and 2009; this paper used data from 36 month follow-up interviews (N = 468). Regression analyses were used to predict factors associated with incomplete self-reported adherence to ART. INCOMPLETE ART ADHERENCE WAS SIGNIFICANTLY MORE LIKELY TO BE REPORTED AMONGST PARTICIPANTS WHO EXPERIENCED A GREATER NUMBER OF CHILDHOOD TRAUMATIC EVENTS: sexual abuse prior to puberty and the death in childhood of an immediate family member not from suicide or homicide were significantly more likely in the non-adherent group and other negative childhood events trended toward being more likely. Those with incomplete adherence had higher depressive symptom severity and post-traumatic stress disorder (PTSD). In multivariable analyses, childhood trauma, depression, and financial sacrifice remained associated with incomplete adherence.\ud This is the first study to examine the effect of childhood trauma, depression and PTSD on HIV medication adherence in a low income country facing a significant burden of HIV. Allocating spending on HIV/AIDS toward integrating mental health services with HIV care is essential to the creation of systems that enhance medication adherence and maximize the potential of expanded antiretroviral access to improve health and reduce new infections

    Techniques for Restoring Gorgonians to Coral Reef Injury Areas

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    Great attention and energy has been spent investigating reattachment techniques for dislodged and fragmented scleractinian corals; however there has been a lack of controlled experimentation on how to restore dislodged gorgonians following a disturbance event, such as a ship grounding. Unfortunately, reef damage events occur frequently off southeast Florida. As an example, since 1998 at least five freighters have grounded on the reefs near Ft. Lauderdale, Broward County. These freighters dislodged many scleractinian and gorgonian corals and often destroyed thousands of square feet of reef habitat. After these events, restoration efforts concentrated on stabilizing loose debris and rubble, and reattaching scleractinian coral fragments and dislodged colonies. Although southeast Florida’s reefs are dominated by gorgonian corals, which are also sheared from the reef when ships ground, restoration efforts generally do not place much emphasis on reattaching dislodged gorgonian colonies. In order to determine effective techniques for restoring gorgonian populations, 94 gorgonian clippings were transplanted to a reef area in Broward County, Florida in June 2004. The 15-cm clippings were cut from naturally occurring loose colonies of Pseudopterogorgia americana, Plexaura flexuosa and Muricea muricata, common gorgonians in the southeast Florida reef system. Half of these clippings were attached to the reef substrate using Portland II cement; the other half were transplanted to the reef with two-part marine epoxy. These clippings will be monitored quarterly for a minimum of one year to measure growth and health, and whether the colonies form attachments to the reef over the cement or epoxy. Clipping growth data will be compared to control, 15-20 cm naturally attached, colonies of the same species to determine whether transplant growth is similar to naturally occurring small gorgonian colonies. Data will also be collected on loose control colonies, which are tethered to small pins in the substrate. These controls will indicate whether dislodged colonies left loose on the reef will die, or whether they will reattach and continue to grow. The goal of this study is to determine effective techniques to restore gorgonian populations. This study aims to create a protocol that resource managers and scientists may follow when determining the most effective way to restore gorgonians to reef habitats following events such as ship groundings. This protocol will take into consideration the condition of each gorgonian colony and the resources available (equipment, money, and time) for restoration
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