Total Balalaika Show

„Welcome to an outrageous spectacle!“, verkündet eine charmante Ansagerin mit enormer Haartolle, wie sie nur die Stirn eines Leningrad Cowboy zieren kann. Das Musikerkollektiv hat die totale Show initiiert und dafür die 100 Sänger, 40 Musiker und 20 Tänzer des Alexandrov-Ensembles der Roten Armee der unlängst zerfallenen Sowjetunion auf Bühne geladen. 70.000 Zuschauer strömen vor die gewaltige Freilichtbühne ins historische Zentrum Helsinkis. Sie erwarte ein einmaliges Ereignis in der finnischen Rockgeschichte, so die Musiker - und ein Crossover: von Klassik und Rock, von „Old and New, East and West“

Does Presence Matter? A Qualitative Exploration of Whether Principal Participation in PLCs Fosters Teacher Collaboration and Teacher Leadership

Many researchers focused their attention on increasing student achievement by increasing collaboration within the culture of the school by increasing collaboration among educators. Huffman and Hipp (2003) noted that most school reforms fail because the focus on a supportive school culture towards teacher leadership and collaboration is minimal. Therefore, working collaboratively within the confines of the school environment is indicative of the foundation required to promote student achievement. A professional learning community (PLC), as defined by DuFour and Eaker (2007), is a learning environment that supports collaboration, continuous improvement, and data-driven decision making. The purpose of this qualitative research was to answer whether principal participation in PLCs fostered teacher collaboration and teacher leadership. The data revealed that principal participation in PLCs did foster teacher collaboration and teacher leadership, and the interviewees were asked to identify the behaviors that fostered teacher collaboration and teacher leadership. Two one-on-one interview sessions were conducted and served as the research method for querying purposefully selected K-12 teachers. Only teachers whose principal participated in the full implementation of the U.S. Department of Education grant written by the South Carolina University were eligible for participation in this research. This study utilized the conceptual framework of DuFour and Eaker’s (1998) PLC model

Patients' self-assessed functional status in heart failure by New York Heart Association class: a prognostic predictor of hospitalizations, quality of life and death.

BACKGROUND: Clinician-assigned New York Heart Association (NYHA) class is an established predictor of outcomes in heart failure. This study aims to test whether patients' self-assessment of functional status by NYHA class predicts hospital admissions, quality of life, and mortality. METHODS AND RESULTS: This was an observational study within a randomized controlled trial. A total of 293 adult patients diagnosed with heart failure were recruited after an emergency admission at 3 acute hospitals in Norfolk, UK. Outcome measures included number of emergency admissions over 6 months, self-assessed quality of life measured with the Minnesota Living with Heart Failure questionnaire (MLHFQ) and EQ-5D at 6 months, and deaths up to 20 months' follow-up. Patients were grouped into 3 NYHA groups (I/II, III, and IV) based on patients' self-assigned NYHA class (SA-NYHA). A Poisson model indicated an increased readmission rate associated with higher SA-NYHA class (adjusted rate ratio 1.21; 95% CI 1.04-1.41; P=.02). Higher SA-NYHA class at baseline predicted worse quality of life at 6 months' follow-up (P=.002 for MLHFQ; P=.047 for EQ-5D), and was associated with higher mortality rate (adjusted hazard ratio 1.84; 95% CI 1.10-3.06; P=.02). CONCLUSIONS: SA-NYHA class is predictive of hospitalization, quality of life, and mortality among patients with heart failure

Out-of-pocket payments for health care services in Bulgaria: financial burden and barrier to access.

BACKGROUND: In recent years, Bulgaria has increasingly relied on out-of-pocket payments as one of the main sources of health care financing. However, it is largely unknown whether the official patient charges, combined with informal payments, are affordable for the population. Our study aimed to explore the scale of out-of-pocket payments for health care services and their affordability. METHODS: Data were collected in two nationally representative surveys, conducted in Bulgaria in 2010 and 2011, using face-to-face interviews based on a standardized questionnaire. To select respondents, a multi-stage random probability method was used. The questionnaire included questions on the out-of-pocket payments for health care services used by the respondent during the preceding 12 months. RESULTS: In total, 75.7% (2010) and 84.0% (2011) of outpatient service users reported to have paid out-of-pocket, with 12.6% (2010) and 9.7% (2011) of users reporting informal payments. Of those who had used inpatient services, 66.5% (2010) and 63.1% (2011) reported to have made out-of-pocket payments, with 31.8% (2010) and 18.3% (2011) reporting to have paid informally. We found large inability to pay indicated by the need to borrow money and/or forego services. Regression analysis showed that the inability to pay is especially pronounced among those with poor health status and chronic diseases and those on low household incomes. CONCLUSION: The high level of both formal and informal out-of-pocket payments for health care services in Bulgaria poses a considerable burden for households and undermines access to health services for poorer parts of the population

Alien Registration- Rechel, Marguerite (Hallowell, Kennebec County)

https://digitalmaine.com/alien_docs/16810/thumbnail.jp

Public vs private administration of rural health insurance schemes: a comparative study in Zhejiang of China.

: Since 2003, China has experimented in some of the country's counties with the private administration of the New Cooperative Medical Scheme (NCMS), a publicly subsidized health insurance scheme for rural populations. Our study compared the effectiveness and efficiency of private vs public administration in four counties in one of China's most affluent provinces in the initial stage of the NCMS's implementation. The study was undertaken in Ningbo city of Zhejiang province. Out of 10 counties in Ningbo, two counties with private administration for the NCMS (Beilun and Ninghai) were compared with two others counties with public administration (Zhenhai and Fenghua), using the following indicators: (1) proportion of enrollees who were compensated for inpatient care; (2) average reimbursement-expense ratio per episode of inpatient care; (3) overall administration cost; (4) enrollee satisfaction. Data from 2004 to 2006 were collected from the local health authorities, hospitals and the contracted insurance companies, supplemented by a randomized household questionnaire survey covering 176 households and 479 household members. In our sample counties, private administration of the NCMS neither reduced transaction costs, nor improved the benefits of enrollees. Enrollees covered by the publicly administered NCMS were more likely to be satisfied with the insurance scheme than those covered by the privately administered NCMS. Experience in the selected counties suggests that private administration of the NCMS did not deliver the hoped-for results. We conclude that caution needs to be exercised in extending private administration of the NCMS