3,616 research outputs found

    The Value of Evidence-Based Computer Simulation of Oral Health Outcomes for Management Analysis of the Alaska Dental Health Aide Program

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    Objectives: To create an evidenceā€based research tool to inform and guide policy and program managers as they develop and deploy new service delivery models for oral disease prevention and intervention. Methods: A villageā€level discrete event simulation was developed to project outcomes associated with different service delivery patterns. Evidenceā€ based outcomes were associated with dental health aide activities, and projected indicators (DMFT, F+ST, Tā€health, SiC, CPI, ECC) were proxy for oral health outcomes. Model runs representing the planned program implementation, a more intensive staffing scenario, and a more robust prevention scenario, generated 20ā€year projections of clinical indicators; graphs and tallies were analyzed for trends and differences. Results: Outcomes associated with alternative patterns of service delivery indicate there is potential for substantial improvement in clinical outcomes with modest program changes. Not all segments of the population derive equal benefit when program variables are altered. Children benefit more from increased prevention, while adults benefit more from intensive staffing. Conclusions: Evidenceā€ based simulation is a useful tool to analyze the impact of changing program variables on program outcome measures. This simulation informs dental managers of the clinical outcomes associated with policy and service delivery variables. Simulation tools can assist public health managers in analyzing and understanding the relationship between their policy decisions and longā€term clinical outcomes.The Ford Foundation

    Alaska Fuel Price Projections 2010-2030

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    We generated Low, Medium, and High case fuel price projections for the years 2010-2030 for the following fuels: Incremental natural gas in Southcentral Alaska delivered to a utility-scale customer Incremental diesel delivered to a PCE community utility tank Incremental diesel delivered to a home in a PCE community Incremental home heating oil purchased in Anchorage, Fairbanks, Juneau, Kenai, Ketchikan, Palmer, and Wasilla This memorandum provides documentation of the assumptions and methods that we used. A companion Excel workbook contains the detailed projectionsAlaska Energy AuthorityIntroduction / General methods and assumptions / Natural Gas / Fuel Oil / Reference

    The Empowerment of Hate

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    CAIR provides legal and advocacy services to people who have been targeted by bias.The organization employs 35 staff attorneys and has a presence in 22 states. These attorneys are tasked to assist every client in obtaining a just and fair resolution to their case, free of charge.While CAIR's focus is to win justice for each client, processing these cases provides the organization with a wealth of data. During the 2014-2016 period, CAIR staff processed a total of 11,427 incidents of potential bias.This report assembles this data to offer a larger and more comprehensive reflection of the civil rights implications of Islamophobic bias in the United States.CAIR is committed to protecting the civil rights of all Americans, regardless of faith. We do so with gratitude for the protections already established through the long, and often ugly, struggles of other targeted communities. As we work to help our clients, our broader goal is to set legal precedent, pass laws, and shape a social environment in which every American enjoys the basic right to be free from unequal treatment

    Alaska Fuel Price Projections 2010-2030

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    We generated Low, Medium, and High case fuel price projections for the years 2010-2030 for the following fuels: Incremental natural gas in Southcentral Alaska delivered to a utility-scale customer Incremental diesel delivered to a PCE community utility tank Incremental diesel delivered to a home in a PCE community Incremental home heating oil purchased in Anchorage, Fairbanks, Juneau, Kenai, Ketchikan, Palmer, and Wasilla This memorandum provides documentation of the assumptions and methods that we used. A companion Excel workbook contains the detailed projectionsAlaska Energy AuthorityIntroduction / General methods and assumptions / Natural Gas / Fuel Oil / Reference

    EEOC v. Preferred Labor LLC, d/b/a Preferred People Staffing

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    Alaska Fuel Price Projections 2009-2030

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    Alaska Energy AuthorityIntroduction / General Methods and Assumptions / Natural Gas / Fuel Oil / Reference

    Alaska Fuel Price Projections 2008 - 2030

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    We generated Low, Medium, and High case fuel price projections for the years 2008-2030 for the following fuels: ā€¢ Incremental natural gas in Southcentral Alaska delivered to a utility-scale customer ā€¢ Incremental diesel delivered to a PCE community utility tank ā€¢ Incremental diesel delivered to a home in a PCE community ā€¢ Incremental home heating oil purchased in Anchorage, Fairbanks, Juneau, Kenai, Ketchikan, Palmer, and Wasilla This memorandum provides documentation of the assumptions and methods that we used. Two companion Excel workbooks contain the detailed projectionsAlaska Energy AuthorityIntroduction / General methods and assumptions / Natural Gas / Fuel Oil / Reference

    Linear iterative solvers for implicit ODE methods

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    The numerical solution of stiff initial value problems, which lead to the problem of solving large systems of mildly nonlinear equations are considered. For many problems derived from engineering and science, a solution is possible only with methods derived from iterative linear equation solvers. A common approach to solving the nonlinear equations is to employ an approximate solution obtained from an explicit method. The error is examined to determine how it is distributed among the stiff and non-stiff components, which bears on the choice of an iterative method. The conclusion is that error is (roughly) uniformly distributed, a fact that suggests the Chebyshev method (and the accompanying Manteuffel adaptive parameter algorithm). This method is described, also commenting on Richardson's method and its advantages for large problems. Richardson's method and the Chebyshev method with the Mantueffel algorithm are applied to the solution of the nonlinear equations by Newton's method

    Science-Technology Division

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