316 research outputs found
Buying Time 2000: Television Advertising in the 2000 Federal Elections
Summarizes a study of political television advertising in the 2000 federal primaries and elections with a focus on the use of the issue ad loophole to evade campaign finance laws. Questions the standard used to differentiate issue ads from election ads
Party Conventions Are a Free-For-All for Influence Peddling: The Soft Money Loophole for Lobbyists
The Democratic and Republican national conventions are supposed to be publicly financed electoral events with reasonable ethics restrictions on influence-peddling by lobbyists. However, the conventions have become mostly privately financed soirees funded by corporations and lobbying firms that seek favors from the federal government. The unlimited soft money donations from special interests to pay for the conventions, and the lavish parties and wining and dining at the conventions, run counter to the federal election law and congressional ethics rules
Bankrollers: Lobbyists' Payments to the Lawmakers they Court, 1998-2006
Lobbyists and their political action committees (PACs) have contributed at least 200 or more), and a select 6.1 percent of lobbyists have contributed at least 17.8 million in the 2000 election cycle to 292,866 since 1998
Outside Groups in the New Campaign Finance Environment: The Meaning of BCRA and the McConnell Decision
The Bipartisan Campaign Reform Act of 2002 (BCRA) represents a major change in federal campaign finance law, preserving the integrity of existing contribution limits by placing limits on soft money in federal elections. The BCRA, and McConnell v. Federal Election Commission, which upheld it, will have significant effects on the role of non-profit organizations in federal elections. As the BCRA now limits the use of soft money by state and national political parties, much of this money will be channeled to such non-profit groups
Dressing changes in a burns unit for children under the age of five:a qualitative study of mothers’ experiences
This study aimed to investigate the experiences of mothers who had attended their child’s burn dressing changes. Participants were recruited from a burns unit based within a children’s hospital. Face-to-face interviews were conducted with five mothers of children under the age of five who had undergone a series of dressing changes taking place on the burns unit. The interview guide explored parents’ experience of initial and subsequent dressing changes. Participants were prompted to explore their expectations, thoughts, feelings and behaviours associated with these experiences. The interviews were recorded and transcribed verbatim. Transcripts were analysed using interpretative phenomenological analysis. The analysis identified four themes: ‘needing to fulfil the responsibilities associated with being a mother’; ‘emotional synchrony between mother and child’; ‘being informed and knowing what to expect’; and ‘the importance of establishing rapport with nurses performing dressing changes’. Findings from this research can inform services to help optimise mothers’ experiences of dressing changes in this stage of pediatric burn care
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Energy in the Mountain West: Colonialism and Independence
In many ways, the mountain west (Alaska, Arizona, Colorado, Idaho, Montana, New Mexico, Nevada, Utah, Wyoming) is an energy colony for the rest of the United States: it is rich in energy resources that are extracted to fuel economic growth in the wealthier and more populous coastal regions. Federal agencies and global corporations often behave as if the mountain west is a place to be exploited or managed for the benefit of customers and consumers elsewhere. Yet, the area. is not vast empty space with a limitless supply of natural resources, but rather a fast-growing region with a diverse economic base dependent on a limited supply of water. New decision processes and collaborations are slowly changing this situation, but in a piecemeal fashion that places local communities at odds with powerful external interests. Proper planning of major development is needed to insure that the west has a strong economic and cultural future after the fossil energy resources decline, even if that might be a century from now. To encourage the necessary public discussions, this paper identifies key differences between the mountain west and the rest of the United States and suggests some holistic approaches that could improve our future. This paper is designed to provoke thought and discussion; it does not report new analyses on energy resources or usage. It is a summary of a large group effort
A cluster randomized controlled trial of the effectiveness and cost-effectiveness of Intermediate Care Clinics for Diabetes (ICCD) : study protocol for a randomized controlled trial
Background
World-wide healthcare systems are faced with an epidemic of type 2 diabetes. In the United Kingdom, clinical care is primarily provided by general practitioners (GPs) rather than hospital specialists. Intermediate care clinics for diabetes (ICCD) potentially provide a model for supporting GPs in their care of people with poorly controlled type 2 diabetes and in their management of cardiovascular risk factors. This study aims to (1) compare patients with type 2 diabetes registered with practices that have access to an ICCD service with those that have access only to usual hospital care; (2) assess the cost-effectiveness of the intervention; and (3) explore the views and experiences of patients, health professionals and other stakeholders.
Methods/Design
This two-arm cluster randomized controlled trial (with integral economic evaluation and qualitative study) is set in general practices in three UK Primary Care Trusts. Practices are randomized to one of two groups with patients referred to either an ICCD (intervention) or to hospital care (control).
Intervention group: GP practices in the intervention arm have the opportunity to refer patients to an ICCD - a multidisciplinary team led by a specialist nurse and a diabetologist. Patients are reviewed and managed in the ICCD for a short period with a goal of improving diabetes and cardiovascular risk factor control and are then referred back to practice.
or
Control group: Standard GP care, with referral to secondary care as required, but no access to ICCD.
Participants are adults aged 18 years or older who have type 2 diabetes that is difficult for their GPs to control. The primary outcome is the proportion of participants reaching three risk factor targets: HbA1c (≤7.0%); blood pressure (<140/80); and cholesterol (<4 mmol/l), at the end of the 18-month intervention period. The main secondary outcomes are the proportion of participants reaching individual risk factor targets and the overall 10-year risks for coronary heart disease(CHD) and stroke assessed by the United Kingdom Prospective Diabetes Study (UKPDS) risk engine. Other secondary outcomes include body mass index and waist circumference, use of medication, reported smoking, emotional adjustment, patient satisfaction and views on continuity, costs and health related quality of life. We aimed to randomize 50 practices and recruit 2,555 patients
Shirt sponsorship by gambling companies in the English and Scottish Premier Leagues: global reach and public health concerns
While the nature of gambling practices is contested, a strong evidence
base demonstrates that gambling can become a serious disorder and have
a range of detrimental effects for individuals, communities and societies.
Over the last decade, football in the UK has become visibly entwined with
gambling marketing. To explore this apparent trend, we tracked shirt
sponsors in both the English and Scottish Premier Leagues since 1992 and
found a pronounced increase in the presence of sponsorship by gambling
companies. This increase occurred at the same time the Gambling Act 2005,
which liberalized rules, was introduced. We argue that current levels of
gambling sponsorship in UK football, and the global visibility it provides to
gambling brands, is a public health concern that needs to be debated and
addressed. We recommend that legislators revisit the relationship between
football in the UK and the sponsorship it receives from the gambling industry
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