Interim report of the state issues task force

2003 ◽  
Vol 103 (11) ◽  
pp. 1463-1464
Author(s):  
Michael Ochs ◽  
Pat McKnight
Keyword(s):  
Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Janice Sandt ◽  
Sarah E Brown ◽  
Colleen Lechtenberg ◽  
Cherie Boxberger

Background and Purpose: Kansas is a rural state lacking geographically distributed Primary Stroke Centers. Of the 128 hospitals in the state, 88 are designated as Critical Access (< 25 beds). The IV r-tPA treatment rate in the state of Kansas is less than 2%. The pre-transport death rate for patients experiencing stroke is 55.4% .The Kansas Initiative for Stroke Survival (KISS) is a non-government task force with the goal of improving stroke survival among Kansans. The task force encourages hospitals to meet the criteria as Emergent Stroke Ready and based on this status engage with their individual communities, emphasizing the need to seek immediate assistance by EMS and arrive at the closest Emergent Stroke Ready hospital. Methods: The Kansas State Stroke Task force determined requirements for a facility to be considered Emergent Stroke Ready. This information was distributed to all acute care hospitals, asking them to attest to their current Emergent Stroke Ready status. Responding facilities were provided access to a 24 x 7 Stroke Support Line - providing access to stroke specialists for the purpose of guiding evaluation and treatment decisions for r-tPA administration or need to transfer to a higher level of care. Also provided is a community education kit. Data is reported through a monthly online survey or GWTG database. Results: In the first phase of the KISS project - forty-two hospitals attested as Emergent Stroke Ready Hospital or were certified Primary Stroke Centers representing an increase from 7% to 33% of hospitals in the state. The post-KISS implementation IV r-tPA treatment rate for the reporting Emergent Stroke Ready Hospitals was 48% compared with a pre-KISS treatment rate of 6%. The post-KISS implementation transfer rate was 26.7% compared with a pre-KISS transfer rate of 18%. Conclusions: The KISS program resulted in a significant increase in the number of Emergent Stroke Ready facilities, stroke patients reporting to their local hospitals, stroke specialist consultations and use of IV r-tPA. A low-cost, statewide program that provides standardized protocols and direct phone consultation can improve access to stroke specialists and approved stroke treatment while offering a cost effective, feasible alternative to telestroke.


2021 ◽  
Vol 18 (3) ◽  
pp. 281-295
Author(s):  
Vishwambhar Prasad Sati

This study examines the types, reasons, and consequences of out-migration in the Uttarakhand Himalaya. Data were collected from secondary sources, mainly from an interim report on the status of migration in revenue villages of Uttarakhand, published by the ‘Rural Development and Migration Commission, Pauri Garhwal, Uttarakhand’ in 2018. The district-wise analysis was carried out on the types of migration, reasons for migration, age-wise migration, the destination of migrants, and migration’s consequences in terms of depopulation in rural areas. Further, a case study of a village was carried out. The study reveals that in three districts – Pauri, Tehri, and Almora, more than 10% population out-migrated after 2011. Similarly, an exodus migration took place from more than 10% of villages of the same districts. This study further shows that migration is mainly internal – from the mountainous districts to urban centers, within the districts or within the state. About 734 villages are depopulated, and in 367 villages, the population has decreased by more than 50%. Unemployment is the major problem in rural areas as more than 50% of out-migration occurred for employment. 


1988 ◽  
Vol 52 (4) ◽  
pp. 1-25 ◽  

The American Marketing Association's Task Force on the Development of Marketing Thought, organized in late 1984, has completed six position papers on how the marketing discipline develops, disseminates, and utilizes marketing knowledge. This article summarizes these position papers and the Task Force's recommendations to the AMA. Though the recommendations have been submitted formally to the AMA, many of them are directed also to marketing faculties of business schools, as well as to marketing practitioners. This interim report is intended to foster discussion and debate among marketing professionals interested in the advancement of marketing knowledge.


2003 ◽  
Vol 48 (7) ◽  
pp. 9-16 ◽  
Author(s):  
S.D. Lindloff

For two years, the State of New Hampshire has worked to institutionalize the option of dam removal. The high gradient streams that flow through the granite hills and mountains of this small northeastern state provided ideal conditions for dam construction, particularly during AmericaÕs Industrial Revolution of the 1800s when mills were constructed throughout the area. With more than 4,800 dams in the stateÕs database, there are many opportunities for the removal of dams that no longer serve a useful purpose, have become a public safety hazard and impact the river environment. Efforts to facilitate removal of dams in New Hampshire include the formation of a River Restoration Task Force and the creation of a dam removal program within the state agency responsible for regulating dams. This has led to the removal of two dams in the past year, with approximately ten additional projects in various stages of planning. A history of this agency-led initiative, as well as a discussion of the programÕs strengths, challenges and goals for the future are presented.


1973 ◽  
Vol 23 ◽  
pp. 55-70 ◽  
Author(s):  
R. B. Outhwaite

In the two centuries after 1700 there occurred upwards of twenty million marriages in England and Wales. It is perhaps forgivable, therefore, that this paper has about it the air of an interim report. It might be thought doubly foolish for an individual, and in this field a professedly amateur investigator, to embark upon any enquiry into past demographic behaviour when there exists that formidable, professional task force, the Cambridge Group for the History of Population and Social Structure. At the last count it had within its lockers, for example, ‘aggregate analyses’ of over 550 English parishes. To provide information about the ages at which people married, however, the Cambridge Group appears to be relying primarily upon ‘family reconstitution’ techniques. It is not necessary to explain these techniques or to describe the remarkable light they have shed on the vital events of the past. With such tools the Cambridge Group have not only crept literally between the sheets of history; its individual members have not been abashed at publishing their preliminary findings. Yet obscurity remains and with it the thought that family reconstitution may not prove entirely adequate to the insistent demands for more information on when and why people married. For the undertaking of full family reconstitution both registration and record survival have to be good, and the method is undermined where there is a great deal of migration, albeit temporary or permanent. Unfortunately many of the most interesting demographic questions revolve around urban behaviour, and town records may be deficient on many of these counts, especially in that vital and perplexing period from about 1780 to 1840.


Subject Sri Lanka's constitutional reforms and ethnic divisions. Significance Sri Lanka’s constitutional assembly, which comprises all members of parliament, will meet at the end of this month to discuss an interim report on reforming the structure of the state. As the debate over ethnic representation intensifies, external parties are encouraging greater efforts to promote reconciliation and to account for crimes committed in past conflicts. Impacts The rival factions of the SLFP may formally split. Political strife may stymie efforts to secure Indian investment in an airport in the south and oil tanks in the east. Anti-Muslim violence may increase in the south.


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