46 research outputs found

    IDENTIFICATION OF BONA FIDE FARMERS

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    Farm Management,

    Evidence-Based Strategies and Practices to Manage Veterans\u27 Noncancer Pain: A Systematic Review

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    Opioid therapy is widely used to treat veterans with chronic noncancer pain (CNCP) despite evidence indicating patient safety concerns with the treatment. Although there is a place for opioid therapy in chronic pain management, opioids are not recommended as the first line of treatment for CNCP because of the risk for accidental overdose and death. The purpose of this project was to examine alternative practices for managing CNCP through a systematic review of the literature guided by the conceptual model of the Joanna Briggs Institute method for systematic reviews (JBIM-SR). A critical appraisal of the literature was conducted, and data were extracted and analyzed to identify evidence-based alternatives to opioids for managing CNCP in veterans. Using Cochrane, CINAHL, Joanna Briggs, and PubMed databases for the search, 116 articles were initially identified and through exclusion of duplicates and those not consistent with the study purpose, the review was narrowed to 16 articles. A 2nd reviewer completed an identical search using the exclusion criteria and databases confirming the search results of the primary reviewer. The 16 peer-reviewed research studies published between 2006 and 2016 selected for the analysis were graded using the JBIM-SR grading chart. Educational programs were seen as positive for improving providers\u27 use of alternative therapies for CNCP. Complementary and alternative therapies such as yoga, peer support, injection therapy, cognitive behavioral therapy and acceptance commitment therapy provided improvement in pain perceptions, and coping abilities. Results of this project can promote positive social change as the findings are shared with providers in the practice site and as Veterans receive safe alternatives to opioid therapy

    Building or Burning: Critical Reflections on Social and Political Change

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    Social change oriented toward social justice is a core tenet for social work practice. However, there are times that our profession espouses a commitment to social change and yet struggles to actualize it within research, teaching, and practice. In an effort to support social workers taking social action, we put forward the Equiticity Racial Justice Movement framework as a tool for individual or collective discernment about approaches to social change (https://www.equiticity.org/)

    Perinatal HIV transmission and the cost-effectiveness of screening at 14 weeks gestation, at the onset of labour and the rapid testing of infants

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    <p>Abstract</p> <p>Background</p> <p>Preventing HIV transmission is a worldwide public health issue. Vertical transmission of HIV from a mother can be prevented with diagnosis and treatment, but screening incurs cost. The U.S. Virgin Islands follows the mainland policy on antenatal screening for HIV even though HIV prevalence is higher and rates of antenatal care are lower. This leads to many cases of vertically transmitted HIV. A better policy is required for the U.S. Virgin Islands.</p> <p>Methods</p> <p>The objective of this research was to estimate the cost-effectiveness of relevant HIV screening strategies for the antenatal population in the U.S. Virgin Islands. An economic model was used to evaluate the incremental costs and incremental health benefits of nine different combinations of perinatal HIV screening strategies as compared to existing practice from a societal perspective. Three opportunities for screening were considered in isolation and in combination: by 14 weeks gestation, at the onset of labor, or of the infant after birth. The main outcome measure was the cost per life year gained (LYG).</p> <p>Results</p> <p>Results indicate that all strategies would produce benefits and save costs. Universal screening by 14 weeks gestation and screening the infant after birth is the recommended strategy, with cost savings of $1,122,787 and health benefits of 310 LYG. Limitations include the limited research on the variations in screening acceptance of screening based on specimen sample, race and economic status. The benefits of screening after 14 weeks gestation but before the onset of labor were also not addressed.</p> <p>Conclusion</p> <p>This study highlights the benefits of offering screening at different opportunities and repeat screening and raises the question of generalizing these results to other countries with similar characteristics.</p

    Nonagricultural Influence on Farmland in the United States: A Preliminary Study

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    Excerpt from the report: The principle aim of this study is to: (1) Quantify the relative area of farmland that is subject to nonagricultural influence, (2) investigate the difference in the rate of change of average values of farmland in SMSA, rural, and forest counties, and (3) assess the general importance of various factors contributing to conversion of farmland to nonfarm use and to the value of farmland

    Using the Automatic Interaction Detection (AID) Model to Obtain Homogeneous Classifications of Farmland Markets

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    Most data on the market value of farm real estate are presented on the basis of national aggregates. Though continuing to serve many useful purposes, such data have limited use when more exacting economic analysis is required. Data are needed that more accurately reflect 10eal market responses. Thus, an automatic interaction detection model was used to group counties on the basis of their similarity across selected farm and nonfarm factors into optimal farm real estate submarket areas. Through use of the model, factors are identified and examined that help to discriminate between both local markets and variations in land values

    Farm Real Estate Historical Series Data: 1850-1970

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    Historical data on numbers of farms, land in farms, and average dollar value of land and buildings—by acre, farm, and total value--are covered, as well as building value, farm mortgage debt, and farm real estate taxes per $100 value. All series are reported by State and by 48-State totals. Data on farm numbers, land in farms, and value of land and buildings are reported, where available, decennially from 1850 to 1910, annually thereafter through 1970. Data on farm mortgage debt and farm real estate taxes, for most States, are reported annually from 1910 through 1970
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