Civic Contributions: Taxes Paid by Immigrants in the Washington, DC, Metropolitan Area

This report estimates the taxes paid by immigrants in the Washington, D.C., area in 1999-2000 and documents their demographics, household composition, income, and dispersal across jurisdictions in the region. The findings in this report are based mostly on analysis of 2000 U.S. Census data, because the census provides the most recent comprehensive data that allow disaggregation by country of origin groups and by many of the region's local jurisdictions. The demographic data in the report are updated through 2004 using the U.S. Current Population Survey. We calculate taxes at both the individual level (e.g., income and payroll taxes) and the household level (e.g., property taxes), but aggregate them up to the household level. Throughout the report we refer to households headed by immigrants (whether citizens, legal immigrants, or unauthorized migrants) as "immigrant households" and compare their incomes and tax payments to households headed by native-born U.S. citizens

The New Neighbors: A User's Guide to Data on Immigrants in U.S. Communities

Provides a guide for identifying characteristics, contributions, and needs of immigrant populations. Discusses national immigration trends, and addresses public policy questions. Includes a profile of the immigrant population in Providence, Rhode Island

The Health and Well-Being of Young Children of Immigrants

Provides an overview of immigration trends and their effects on the composition of the young child population. Looks at poverty, family structure, parental work patterns, immigrant parents' education, health status, and health insurance coverage

The differential influence of life stress on individual symptoms of depression

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111765/1/acps12395.pd

Feasibility and initial efficacy of project-based treatment for people with ABI

Background: Communication impairments are common and pervasive for people a long time following acquired brain injury (ABI). These impairments have a significant impact on a person's quality of life (QOL) post‐injury. Project‐based treatment is a treatment approach that could have an impact on communication skills and QOL for people with ABI a long‐term post‐injury. This treatment is embedded in a context of meaningful activities chosen by people with ABI, whereby, as a group, they work collaboratively to achieve a tangible end product. Aims: To evaluate the feasibility and initial efficacy of project‐based treatment on improving the communication skills and QOL for people with ABI. Methods & Procedures: An exploratory controlled trial with alternate allocation of groups, and follow‐up at 6–8 weeks, was completed. Twenty‐one people with chronic ABI were recruited in groups of two to three from community settings, allocated to either a TREATMENT (n = 11) or WAITLIST group (n = 10). Participants attended a 20‐h group‐based treatment over 6 weeks where they worked towards achieving a project that helped others. To determine feasibility, four criteria were used: demand, implementation, practicality and acceptability. A range of communication and QOL outcomes was used to determine a fifth feasibility criterion, initial efficacy. Some of these criteria were additionally used to evaluate the feasibility of the outcomes. Outcomes & Results: All participants received the treatment as allocated with high attendance and no dropouts. The treatment was feasible to deliver as intended and was highly acceptable to participants. Medium and large effect sizes were found from pre‐ to post‐treatment, and from pre‐treatment to follow‐up for measures of conversation, perceived communicative ability and QOL. Conclusions & Implications: Project‐based treatment is feasible with indications of initial efficacy for both communication skills and QOL. The treatment provides a promising new approach for improving communication skills and QOL in people with chronic acquired brain injuries in the community setting

National variation in United States sepsis mortality: a descriptive study

<p>Abstract</p> <p>Background</p> <p>The regional distribution of a disease may provide important insights regarding its pathophysiology, risk factors and clinical care. While sepsis is a prominent cause of death in the United States (US), few studies have examined regional variations with this malady. We identified the national variation in sepsis deaths in the US. We conducted a descriptive analysis of 1999-2005 national vital statistics data from the National Center for Health Statistics summarized at the state-level. We defined sepsis deaths as deaths attributed to an infection, classified according to the International Classification of Diseases, Version 10. We calculated national and state age-adjusted sepsis-attributed mortality rates.</p> <p>Results</p> <p>National age-adjusted sepsis mortality was 65.5 per 100,000 persons (95% CI: 65.8 - 66.0). State level sepsis mortality varied more than two-fold (range 41 to 88.6 per 100,000 persons; median 60.8 per 100,000, IQR 53.9-74.4 per 100,000). A cluster extending from the Southeastern to the mid-Atlantic US encompassed states with the highest sepsis mortality.</p> <p>Conclusions</p> <p>Sepsis mortality varies across the US. The states with highest sepsis mortality form a contiguous cluster in the Southeastern and mid-Atlantic US. These observations highlight unanswered questions regarding the characteristics and care of sepsis.</p

Balanced Justice: Mr. Justice Powell and the Constitution

In his first five years on the United States Supreme Court, Justice Lewis F. Powell, Jr. has become and will most likely continue to be a leading force in shaping the direction of the Court. In many areas, Justice Powell\u27s desire for judicial flexibility as well as judicial restraint has made him a leader in turning the Burger Court away from the bright-line tests enunciated by the Warren Court. However, where the Warren Court had been flexible, Justice Powell has usually preserved this flexibility and expanded it if possible. The tool consistently utilized to achieve this flexibility has been a balancing formula that has sought to accommodate all the competing interests