Medicaid as a Platform for Broader Health Reform: Supporting High-Need and Low-Income Populations

Outlines how policy makers can build on Medicaid to expand health coverage for low-income, high-need people by basing eligibility on income, boosting provider participation, increasing federal funding, and containing costs as a step toward broader reform

JCHP to Conduct eHealth Summer Institute

No abstract available

Reading Recovery

Reading Recovery is an early, short-term intervention literacy program. It helps the lowest achieving first grade children develop effective and efficient problem solving processes and strategies used by successful children in the classroom. The goal of the program is to bring those children who are having most difficulty developing literacy skills to a level of achievement at or beyond their peers. This way, they can participate in and benefit from regular classroom literacy instruction

The effect of an interdisciplinary community health project on student attitudes toward community health, people who are indigent and homeless, and team leadership skill development

This study examined whether students’ attitudes about community health practice, attitudes toward people who are indigent and homeless, and perceived leadership skills changed after participation in a planned interdisciplinary community health experience with an urban homeless or formerly homeless population. Data were collected from medicine, nursing, occupational therapy, physical therapy, and social work students who participated in the community health experiences and from students in these disciplines who did not participate in this curriculum. The interdisciplinary community health curriculum and practicum experiences, based on the Community Health Empowerment Model (CHEM), were designed and implemented by a coalition of community and academic partners. Students in the CHEM project self-selected into the curriculum and initially showed more positive attitudes about community health and indigent and homeless people than their peers not participating. Despite the CHEM students’ positive initial attitudes, data from pretests and posttests revealed a significant positive change in their attitudes toward community health practice at the completion of the curriculum

Modelling the behaviour of the bonding of fibre reinforced concrete at the plate end

Comunicação apresentada em International Symposium Polymers in Concrete (ISPIC 2006), Guimarães, 2006In this paper, the finite element method is used to analyse the behaviour of concrete externally strengthened by fibre reinforced polymers (FRP). This model aims to analyse the stress distribution in the FRP-concrete interface at the plate end of a bending beam. The behaviour of the concrete-poxy-FRP arrangement is modelled with interface elements with initial zero thickness, using a discrete crack approach. A localized damage model is adopted for the interface and a parametric study is performed to approximate the material parameters adopted. The importance of each parameter is assessed. This model is subsequently verified using experimental data collected from the literature. Finally, a proposal is made concerning the adoption of a relation GF II/GF for the interface behaviour. Mention is also made to some of the main mathematical models found in the literature, which are compared to the present approach

Silicon isotopes reveal a non-glacial source of silicon to Crescent Stream, McMurdo Dry Valleys, Antarctica

In high latitude environments, silicon is supplied to river waters by both glacial and nonglacial chemical weathering. The signal of these two end-members is often obscured by biological uptake and/or groundwater input in the river catchment. McMurdo Dry Valleys streams in Antarctica have no deep groundwater input, no connectivity between streams and no surface vegetation cover, and thus provide a simplified system for us to constrain the supply of dissolved silicon (DSi) to rivers from chemical weathering in a glacial environment. Here we report dissolved Si concentrations, germanium/silicon ratios (Ge/Si) and silicon isotope compositions (d30SiDSi) in Crescent Stream, McMurdo Dry Valleys for samples collected between December and February in the 20142015, 20152016, and 20162017 austral seasons. The d30SiDSi compositions and DSi concentrations are higher than values reported in wet-based glacial meltwaters, and form a narrow cluster within the range of values reported for permafrost dominated Arctic Rivers. High d30SiDSi compositions, ranging from C0.90h to C1.39h, are attributed to (i) the precipitation of amorphous silica during freezing of waters in isolated pockets of the hyporheic zone in the winter and the release of Si from unfrozen pockets during meltwater-hyporheic zone exchange in the austral summer, and (ii) additional Si isotope fractionation via long-term Si uptake in clay minerals and seasonal Si uptake into diatoms superimposed on this winter-derived isotope signal. There is no relationship between d30SiDSi compositions and DSi concentrations with seasonal and daily discharge, showing that stream waters contain DSi that is in equilibrium with the formation of secondary Si minerals in the hyporheic zone. We show that d30SiDSi compositions can be used as tracers of silicate weathering in the hyporheic zone and possible tracers of freeze-thaw conditions in the hyporheic zone. This is important in the context of the ongoing warming in McMurdo Dry Valleys and the supply of more meltwaters to the hyporheic zone of McMurdo Dry Valley streams

Providing Community-Based Health Care to the Homeless

No abstract available