38 results on '"McGregor, Brian"'
Search Results
2. Commentary : Improving Behavioral Health Equity through Cultural Competence Training of Health Care Providers
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McGregor, Brian, Belton, Allyson, Henry, Tracey L., Wrenn, Glenda, and Holden, Kisha B.
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- 2019
3. The left ventricle, aortic valve, and arterial tree - a fresh engineering perspective
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McGregor, Brian
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610.28 ,Cardiovascular dynamics ,Blood pressure - Published
- 1996
4. Did your mother go to bimbo school? Naming schools, power, and politics in Canada's Prairie West
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Lehr, John C. and McGregor, Brian
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Schools -- Names -- Canada ,Names, Geographical -- Political aspects ,English speaking Canadians -- Political aspects ,Ethnic, cultural, racial issues/studies ,History ,Literature/writing - Abstract
Abstract Naming converts space to place. Place names are often the manifestation of military and political power. The victors write history and embed their culture and power in the landscape [...]
- Published
- 2015
5. Psychosocial, socio-cultural, and environmental influences on mental health help-seeking among African-American men
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Holden, Kisha B., McGregor, Brian S., Blanks, Starla H., and Mahaffey, Carlos
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- 2012
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6. The Changing Structure of Inner-city Retail Banking : Examining Bank Branch and Payday Loan Outlet Locations in Winnipeg, 1980-2009
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Brennan, Marilyn, McGregor, Brian, and Buckland, Jerry
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- 2011
7. USING SCHOOLS TO MAP THE FRONTIER OF SETTLEMENT ON THE CANADIAN PRAIRIES
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Lehr, John C. and McGregor, Brian
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- 2008
8. Detecting Vertical Inequity in Property Tax Assessment: Winnipeg, Manitoba, Canada, 1990
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Kuz, Tony J. and McGregor, Brian R.
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- 1998
9. Toward Culturally Centered Integrative Care for Addressing Mental Health Disparities Among Ethnic Minorities
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Fu, Michi, Chu, Joyce, Holden, Kisha, McGregor, Brian, Thandi, Poonam, Fresh, Edith, Sheats, Kameron, Belton, Allyson, Mattox, Gail, and Satcher, David
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- 2014
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10. The geography of bilingual schools in Manitoba
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McGregor, Brian and Lehr, John C.
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Manitoba -- History -- Education policy -- Political aspects ,School management and organization -- Demographic aspects -- History ,Bilingual education -- History ,Education and state -- Analysis ,History ,Analysis ,Education policy ,Demographic aspects - Abstract
Language rights have long been a thorny issue in Manitoba politics. When Manitoba entered confederation in 1870 a dual educational system was established allowing Roman Catholics to operate their own [...]
- Published
- 2009
11. 'Graven images of a closed society:' the Huron Hutterite colony, 1920s
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Ward, Roy, Lehr, John C., and McGregor, Brian
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Images, Photographic ,Hutterian Brethren -- History ,Photographs ,Teachers -- Collections and collecting -- Works ,History ,Collections and collecting ,Works - Abstract
Hutterites first settled in Manitoba in 1919 when they abandoned their settlements in South Dakota and moved north to secure land in southern Alberta and in Manitoba close to Winnipeg. [...]
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- 2007
12. Closer Look Needed at Youths in Adult Facilities
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McGregor, Brian
- Published
- 2010
13. Impact of Mental Health Insurance Legislation on Mental Health Treatment in a Longitudinal Sample of Adolescents.
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Heboyan, Vahé, Douglas, Megan D., McGregor, Brian, and Benevides, Teal W.
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- 2021
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14. Mapping Hutterite colony diffusion in North America
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Lehr, John, McGregor, Brian, and Hiebert, Weldon
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Hutterian Brethren -- Emigration and immigration -- History -- Research -- Usage ,Geographic information systems -- Usage ,Digital mapping -- Usage -- Research ,History ,Geographic information system ,Emigration and immigration ,Usage ,Research - Abstract
Hutterites are German-speaking Anabaptists who believe in the community of goods. They follow the teachings of Jacob Hutter who was martyred for his faith in 1536. Believing that Christianity should [...]
- Published
- 2006
15. Racial and Ethnic Disparities in Treatment and Treatment Type for Depression in a National Sample of Medicaid Recipients.
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McGregor, Brian, Li, Chaohua, Baltrus, Peter, Douglas, Megan, Hopkins, Jammie, Wrenn, Glenda, Holden, Kisha, Respress, Ebony, and Gaglioti, Anne
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MEDICAID beneficiaries ,TREATMENT effectiveness ,SECONDARY analysis ,HISPANIC Americans ,ETHNIC differences ,AFRICAN Americans - Abstract
Objective: The purpose of this secondary data analysis was to describe racial-ethnic disparities in receipt of depression treatment and treatment modality among adult Medicaid beneficiaries with depression from a nationally representative sample-28 states and the District of Columbia-of Medicaid beneficiaries (N=599,421).Methods: Medicaid claims data were extracted from the full 2008-2009 Medicaid Analytic Extract file. The primary outcome was type of depression treatment: medication only, therapy only, medication and therapy, and no treatment. The secondary outcome was treatment for depression (yes-no). Crude and adjusted odds ratios (AORs) were generated for univariate and multivariate models, respectively, and 95% confidence intervals of odds ratios and p values were calculated.Results: There were 599,421 individuals in the sample. Rates of depression treatment were lower for African Americans and Hispanics, compared with Caucasians. Percentages receiving no treatment were 19.9% of African Americans, 15.2% of Hispanics, and 11.9% of Caucasians. After full adjustment, African Americans were about half as likely as Caucasians to receive treatment (AOR=0.52), Hispanics were about a third as likely (AOR=0.71), and those from other racial-ethnic groups were about a fifth as likely (AOR=0.84). Caucasians were more likely than any other group to receive medication only.Conclusions: This study contributes to evidence about the intersection of social factors and health outcomes and discusses health care engagement, stigma, and policy drivers of racial-ethnic disparities. The study is the first to identify disparities in rates and types of depression treatment among racial-ethnic subgroups of Medicaid beneficiaries in a nationally representative sample. [ABSTRACT FROM AUTHOR]- Published
- 2020
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16. Improving Depression Screening in Underserved Populations in a Large Urban Academic Primary Care Center: A Provider-Centered Analysis and Approach.
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Henry, Tracey L., Schmidt, Stacie, Lund, Maha B., Haynes, Tamara, Ford, Darby, Egwuogu, Heartley, Schmitz, Stephanie, McGregor, Brian, Toomer, Linda, and Bussey-Jones, Jada
- Abstract
Screening for depression is paramount to identify patients with depression and link them to care, yet only 29% of patients in the primary care center (PCC) were screened for depression in 2016. A baseline survey identified provider barriers to depression screening, including lack of time, support staff, and referral resources. The purpose of this project was to increase depression screening in the PCC using the Patient Health Questionnaire (PHQ-2/9). The authors created an educational program for staff and providers that included referral resources, treatment guidelines, and a decision-support tool in the electronic medical record. A retrospective chart review was performed, from January 2016 to June 2017, to determine the percentage of patients who received annual depression screening. During the program, the PCC saw an increase in depression screening rates. Thus, it is possible to overcome barriers to depression screening in a primary care setting by providing resources and education to clinicians. [ABSTRACT FROM AUTHOR]
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- 2020
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17. Improving Behavioral Health Equity through Cultural Competence Training of Health Care Providers.
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McGregor, Brian, Belton, Allyson, Henry, Tracey L., Wrenn, Glenda, and Holden, Kisha B.
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HEALTH equity ,CULTURAL competence ,MEDICAL care ,MEDICAL personnel ,MEDICAL needs assessment ,CULTURAL education - Abstract
Racial/ethnic disparities have long persisted in the United States despite concerted health system efforts to improve access and quality of care among African Americans and Latinos. Cultural competence in the health care setting has been recognized as an important feature of high-quality health care delivery for decades and will continue to be paramount as the society in which we live becomes increasingly culturally diverse. Unfortunately, there is limited empirical evidence of patient health benefits of a culturally competent health care workforce in integrated care, its feasibility of implementation, and sustainability strategies. This article reviews the status of cultural competence education in health care, the merits of continued commitment to training health care providers in integrated care settings, and policy and practice strategies to ensure emerging health care professionals and those already in the field are prepared to meet the health care needs of racially and ethnically diverse populations. [ABSTRACT FROM AUTHOR]
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- 2019
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18. 'Shotgun!'
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Copeland, Aaron T., Greiner, David J., McGregor, Brian D, Woodward, Laura W., and Sommers, Paul M.
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Games -- Tests, problems and exercises ,Mathematical recreations -- Tests, problems and exercises ,Mathematics - Abstract
Shotgun is the ritual of riding in the front passenger seat of an automobile and who gets to ride Shotgun depends on a list of simple rules. The survey results suggest that the young adults in different parts of the country play Shotgun by different rules.
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- 2002
19. THE LAKE OF FIRE.
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McGregor, Brian
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REINSURANCE ,FINANCIAL planning ,BUSINESS development - Published
- 2021
20. Study of Rural Transportation Issues
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Casavant, Kenneth L., Denicoff, Marina R., Jessup, Eric, Taylor, April, Nibarger, Daniel, Sears, David, Khachatryan, Hayk, McCracken, Vicki A., Prater, Marvin E., O'Leary, Jeanne, Marathon, Nick, McGregor, Brian, Olowolayemo, Surajudeen, and Blanton, Bruce
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Marketing ,trucking ,transportation ,roads ,ship ,International Relations/Trade ,multimodal ,barge ,container ,Political Economy ,ocean ,FOS: Economics and business ,truck ,Agricultural and Food Policy ,Community/Rural/Urban Development ,Agribusiness ,shipping ,rail ,railroad - Abstract
This report is in response to Section 6206 of the Food, Conservation, and Energy Act of 2008 (PL 110 246), which directs the Secretaries of Agriculture and Transportation jointly to conduct a study of rural transportation issues. The report reviews transportation and its effect on rural communities, with an emphasis on agricultural transportation. It looks in depth into each of the four major modes of transportation commonly used by agriculture in the United States: trucking, railroads, barges, and ocean vessels, examining each in the light of its ability to meet rural America’s transportation needs now and in the future. It identifies some broad issues that merit attention from policy makers. Transportation is critical to U.S. agriculture, which raises the food for America and feeds a hungry world with its abundance. Our transportation system moves food from farms to our tables, and to ports for export to foreign markets. The four major modes work together in a seamless network, cooperating and competing with one another in a balanced and flexible system that delivers products efficiently and economically in an ever changing market. Agriculture is the largest user of freight transportation in the United States, claiming 31 percent of all ton miles transported in the United States in 2007. Much of this freight travels out of the country. Global agricultural supply and demand have changed rapidly since 1990. Corn and soybeans have increased dramatically in both consumption and production. During the past 5 years, half of American wheat was exported, along with 36 percent of the soybean crop and 19 percent of the corn crop. These exports travel from the inland areas of the United States where they are produced to borders and ports by way of a network of trucks, trains, and barges. The need for agricultural transportation will continue to increase, based on projected growth in the demand for U.S. agricultural products domestically and overseas. Transportation Issues Affecting Agricultural Shippers This study highlights some policy issues that should be examined. These issues are described in greater detail in Chapter 15: Multimodal Issues. • Transportation needs should be viewed from a system standpoint. Current governance oversees each mode of transportation—trucks, railroads, barges, and ocean vessels—separately and disparately rather than as a single interlocking system of transportation. The U.S. agricultural supply chain is a major user of the nation’s transportation system, so its needs, especially in rural areas, should be taken into account in the planning and oversight of transportation in the United States. • Ocean shipping and railroads are exempt from many antitrust rules. These exemptions have the potential to decrease competition, reduce service, and raise rates. However, since each of these industries cooperate as part of a network (although in different ways), carriers believe the limited antitrust exemptions have facilitated this cooperation. • The rapid consolidation of the railroad industry through mergers has resulted in a decrease in the unrestricted interchange of traffic, routing choices, and the level of competition among railroads. Shippers are concerned with switching limitations, restricted interchange, paper barriers, inconsistent service, high rates, excessive fuel surcharges, bottleneck rates, and the effectiveness of the rate challenge process. However, railroad productivity has increased greatly since deregulation in 1981, and rates have fallen for many shippers, although to a lesser degree for grain and coal shippers. At the same time, the financial health of the rail industry has improved, benefiting farmers and rural areas. • In 2005, Congress clarified the 100 air mile radius agricultural exemption from the hours of service rules, first granted in 1995. It means that drivers transporting an agricultural commodity or farm supplies for agricultural purposes are exempt from the maximum driving and on duty time provisions required of long haul drivers. The agricultural exemption is important because of agriculture’s unique requirements; however, questions remain about its impact on highway safety. • Funding for new waterway projects is nearly depleted, and there is a growing funding gap to finance ongoing projects. A consensus on the best way to tackle these funding issues is needed. Transportation Supports Rural America An effective transportation system supports rural economies, reducing the prices farmers pay for inputs, such as seed and fertilizer, raising the value of their crops, and greatly increasing their market access. The economies of rural areas are intertwined. As agriculture thrives, so does its supporting community. Providing effective transportation for a rural region stimulates the farms and businesses served, improving the standard of living. The interaction of agriculture and the off farm jobs it supports provides a solid base for rural communities. Agriculture is far from the largest employer in rural America. Four other sectors—services, government, retail and wholesale trade, and manufacturing—comprise 80 percent of rural employment. Agriculture is responsible for less than one in ten rural jobs but, because it is so capital intensive, it generates much more economic activity in the community than just the jobs it creates. The transportation system that contributes to the success of agriculture also supports rural manufacturing. Although the traditional view of rural America is agricultural, it is, in fact, manufacturing that is critical. Manufacturing employs 15 percent of the rural workforce. As a share of total employment, manufacturing is 42 percent more important to rural America than to metropolitan America. The availability of rail, air, and highway services is one of the most commonly cited requirements of manufacturing and commercial establishments. Transporting Biofuels The burgeoning use of biofuels contributes towards our country’s policy goals of addressing climate change, supporting the domestic economy, and reducing the nation’s dependence on imported petroleum. By 2008, U.S. ethanol production had reached 9.2 billion gallons—equivalent on an energy basis to approximately 36 percent of the gasoline produced from crude oil imported from Persian Gulf countries. Renewable fuel standard (RFS-2) goals target biofuel use to be 36 billion gallons by 2022—a very brief time in which to develop the distribution infrastructure. The biofuels most commonly used in the United States are ethanol and biodiesel. Ethanol is produced in much greater quantities than biodiesel, making its transportation requirements more complicated because more demand is placed on the transportation system. Most is currently produced from corn, and most ethanol plants are in the Corn Belt. As cellulosic ethanol is commercialized production density is likely to remain in the Midwest due to the abundance of crop residue. To achieve the RFS-2, EPA estimates that 40 unit train destinations will be needed by 2022. There are currently 13 unit train destinations. Additional unit-train destinations would create more ethanol corridors on the rail network, preventing congestion points that could develop with increased biofuel shipments. Future transportation needs will be influenced by the location of feedstocks and production facilities and the extent to which the next generation of biofuels can use existing distribution infrastructure. Transporting Coal Coal is a major source of energy in the United States. In 2006, it was responsible for one-third of domestic energy production and almost half of electric power generation. Despite the growth of alternative energy sources, coal will continue to be a major source of power for rural consumers. Because coal plays such an important role in generating electricity, its costs—including its delivery costs—are reflected in the price consumers pay for electricity. The cost of coal delivered to electric plants has increased every year since 2000. The Clean Air Act Amendments of 1990, which limited sulfur dioxide emissions, increased the demand for coal with less sulfur. Production shifted from the Appalachians to the Powder River Basin of Wyoming and Montana, which now produces 43 percent of the Nation’s coal. This western shift has resulted in the use of cleaner coal, but production is now far from river transportation systems, and competitive access to railroads is limited, raising issues about generating electricity at affordable prices. Since 1979, when the first coal mines began production in the Powder River Basin, the railroad industry has constructed the longest new rail line built in the 20th century, purchased many locomotives and coal hoppers, and made investments in existing infrastructure on routes from Wyoming to coal consumers in the Midwest and on both coasts. Railroad investment in this infrastructure has benefitted shippers of other commodities as well, since few rail lines carry only coal. Railroads are vital to coal transportation, and coal is vital to railroads. Coal accounted for 46 percent of railroad car loadings in 2007 and will continue to be important in the future. Sufficient railroad capacity is essential to move this traffic. Coal shippers are concerned about bottleneck rates and contractual paper barriers that prevent interchange with competing railroads, which can result in higher rates. Railroad service problems and high rates can directly impact rural consumers by pushing up electricity rates. Rail Competition and Agriculture Rail is the only cost effective mode of transportation available to many agricultural producers. Railroads transport nearly all the grains and oilseeds produced in Montana, more than 70 percent of the commodities produced in North Dakota, and more than half of those produced in Arizona, Oklahoma, and South Dakota. The Staggers Rail Act of 1980 economically deregulated railroads, encouraging greater reliance on free markets to promote railroad profitability and relying on competition to protect shippers and the public. The preservation and protection of competition is vital for the prosperity of agricultural producers and shippers operating with a deregulated railroad industry. Railroads have had certain exemptions from antitrust laws since 1914. When deregulation leaves the protection of customers to competition, antitrust laws are vital to protect that competition. The loss of rail to rail competition due to railroad mergers and the associated increase in market power was not foreseen by many when the Staggers Act was passed. However, the abandonment of rail lines was a predictable outcome of railroad deregulation. Prior to deregulation, the railroad industry was characterized by excess capacity. Following deregulation, railroads reduced costs by eliminating excess capacity. Many routes and branch lines were abandoned, railroads merged to eliminate duplicative facilities, and costs fell as productivity increased. The mergers increased railroad market power and profitability. Nevertheless, rates for many shippers fell from 1981 through the end of the 20th Century. Since 2004, however, rates have begun to rapidly increase as railroads reach the limits of their capacity. The level of rail to rail competition for grains and oilseeds decreased significantly between 1992 and 2007. Almost 75 percent of agricultural areas lost rail competition from 1992 to 2007, and the areas in which a railroad had a monopoly in transporting grain and oilseeds increased from 10 percent to 15 percent. At the same time, the revenue to variable cost ratio in 83 percent of those areas increased. Rail Rates The passage of the Staggers Act in 1980 enabled railroads to increase their return on investment, in part by allowing differential pricing in which different rates can be charged to different shippers and therefore some shippers bear a greater share of fixed costs than others. Agricultural commodities have historically carried higher rates than traffic more subject to competition from other modes. When selling their products farmers have little control over the prices they receive, so higher transportation costs result in lower net prices to farmers. This not only can affect the economic vitality of U.S. agriculture but also the competitiveness of U.S. agricultural exports in world markets. Nationally, not only are rail rates for grain and oilseeds higher than those for other commodities, but the rates have increased more rapidly during the four years since 2003. Rail rates for grain and oilseeds rose 46 percent from 2003 to 2007; rates for all other commodities increased 32 percent in the same period. Railroads have structured their rates to favor larger movements. There is a significant rate advantage for the largest trainload shipments of grain and oilseeds. Many costs that were once included in railroad rates have been shifted to shippers, such as car ownership. Railroads have also paid billions in merger premiums, which causes higher rates for shippers. Railroad rates have increased significantly since 2004, increasing railroad profitability. In part, this has resulted from a lack of rail capacity and a need for additional investment in locomotives, freight cars, and fixed plant. In part, the increase in rates has been a response to rising costs, as pointed out in a report by Christensen Associates in 2007. There is considerable evidence that railroad fuel surcharges recovered more than the additional cost of fuel, artificially boosting railroad profits. From 2001 to 2007, surcharges were 55 percent higher than the incremental increase in the cost of fuel. Bottleneck rate situations constrain the options available to shippers, decreasing routing efficiency, increasing rates, and increasing the market power of railroads. Rail Service The railroad share of the grain transportation market has been shrinking in recent years, in part because of changes in the way grain is marketed and in part because of increases in rail rates. The closure of many rail branch lines and a shift to “shuttle train” service by railroads has resulted in the closure of many country grain elevators, resulting in the movement of grain for longer distances on rural roads to shuttle train terminals. The U.S. railroad system is a network. The unrestricted interchange of traffic among railroads could allow shippers to achieve higher efficiency and better access to markets. In many cases, however, railroads restrict network interchange—restricting shipper choices of markets in the process—in an effort to increase profitability. The abandonment of grain branch lines has in some cases limited the markets farmers can economically reach, resulting in lower prices due to the cost of transportation or a lack of access to markets. While the concentration of grain loading at fewer points has increased the efficiency of rail transportation, it has also resulted in the movement of grain over local roads for longer distances, resulting in higher road maintenance costs for many rural communities. Railroads have since the 1990s been moving to larger capacity grain cars as a cost reducing measure. While these cars permit mainline movement of grain at lower cost, many branch lines cannot accommodate the heavier weights, and smaller railroads often lack the resources to make necessary investments in their infrastructure to handle the heavier cars. Rail Capacity Rail capacity is usually examined in terms of average tonnages carried and investment strategies, which gives a misleading picture of the situation. Capacity should be looked at in light of the specific characteristics of agricultural movements. The seasonal needs of agriculture, its regional variation, and the presence of local nodes of congestion show that attention must be paid to specific components rather than aggregate data. Rail capacity constraints were common from 2003 through the first half of 2006. Weaker demand for rail freight transportation beginning in late 2006 and a recession that began in December 2007 slowed demand and resulted in adequate rail capacity for agricultural products since the harvest of 2006. The increased use of rail transportation, which has benefited the railroads financially, also has contributed significantly to rail congestion. Each route mile during 2007 carried, on average, 171 percent more traffic in ton miles—nearly triple the traffic—than in 1980. Rail Investment Significant and sustained growth in freight demand is expected, and could double by 2035. Investment in the railroad industry, however, is not expected to keep up with demand once the economy fully recovers, especially in agricultural areas. This shortfall of investment could threaten the United States’ competitive position as a low cost supplier of high quality grain. Railroads are a capital-intensive industry. The railroad industry’s profitability has surged in recent years, finally giving it adequate revenue and increased access to capital. In an attempt to meet the rising demand for their services, railroads spent $420 billion on infrastructure between 1980 and 2007, investing almost 18 percent of their revenue on capital expenditures. According to a recent supplement to the Christensen study, Class I railroads may need to invest $89 billion by 2035 to satisfy demand. Some observers have suggested that public funding might still be needed because in a slower economy railroads have less revenue available for improving future rail capacity. Rail Rate Relief Tariff rail rates can be challenged before the Surface Transportation Board (STB) when revenue exceeds 180 percent of operating cost and the railroad has market dominance. Rail rates for contracted and exempted movements may not be challenged; STB has no jurisdiction over those movements. STB has created two classes of rate cases: coal rate and non coal rate. Coal rate cases take millions of dollars and two to four years to pursue. They have no restrictions on the amount of the award if the contested rate is higher than 180 percent of the railroad’s variable costs. Simplified procedures are available for appealing non coal rate cases, but have limits to the amounts that can be awarded. Shippers contend that the cost of pursuing these rate appeal procedures is too high and the monetary limits too low; they could result in shippers receiving little more than the cost of using them. A chemical company has used the simplified procedures, but no agricultural shipper has appealed rates using them. Barge Transportation For shippers near the inland waterways, barges offer a low-cost transportation alternative for moving their crops and fertilizer. Critics, however, argue that all the operational and maintenance costs and half the capital costs of these waterways are covered by the government through appropriations to the U.S. Army Corps of Engineers, which is responsible by law for maintaining the Nation’s inland waterways. Barges move more than a third of our corn exports and 17 percent of our soybean exports through the New Orleans region along the Mississippi River and Illinois Waterway. The market share of barges has been slowly shrinking for a number of years, and traffic on these waterways has declined. Although aging, the locks and dams on the system are generally reliable. As locks age, however, repairs and maintenance become more extensive and expensive. The balance of the Inland Waterways Trust Fund, which finances 50 percent of most of the capital costs of the inland waterways, has been declining since 2002 because expenditures have increased and revenues have declined, indicating a there is a structural imbalance between the two. It is unclear how the funding will be provided. The lack of a clear path forward on funding is of significant concern to farmers that depend on the inland waterways to move their crops to market. The funding to maintain and rehabilitate the existing infrastructure needs to remain a priority. Truck Transportation Trucking is critical for American agriculture. The industry carries 70 percent of the tonnage of agricultural, food, forest products, alcohols, and fertilizers. It links farmers, ranchers, manufacturers, and service industries to grain elevators, ethanol plants, processors, feedlots, markets, and ports. More than 80 percent of cities and communities are served exclusively by trucks. The first and last movements in the supply chain from farm to grocery store are by truck. Agriculture’s trucking needs are seasonal, requiring frequent trips during planting and harvesting seasons. Many agricultural products are perishable and time sensitive, requiring the efficiency, special handling, or refrigerated services best provided by trucks. The trucking industry is highly competitive. Half of all trucking companies own one truck, driven by the owner. This keeps rates low; the average operating costs are 95 percent of operating revenue. In 1995, Congress recognized the needs of farmers and ranchers during the busy planting and harvest seasons and provided a seasonal 100 air mile radius exemption from hours of service rules for drivers transporting agricultural commodities or farm supplies for agricultural purposes. Congress also allowed the U.S. Department of Transportation (DOT) to provide an exemption from the commercial driver’s license (CDL) requirement for drivers of farm vehicles used to transport agricultural products or supplies to or from a farm within 150 miles of the owner’s farm. However, interstate commerce case law has affected farm trucks driving short distances within States or across State borders, requiring compliance with the same Federal rules that apply to professional, full time, long haul truck drivers. Any goods eventually destined for interstate or foreign trade are considered part of interstate commerce. Trucks are governed by Federal law limiting axle weights and gross vehicle weight to 80,000 pounds on the Interstate Highway System. Agricultural interests argue that farm and forest products are heavy, bulky, and of low value, making transportation a large component of their final price, and would like to see a limit of 97,000 pounds with a sixth axle on Interstates. Studies have indicated that trucks do not bear the full cost of the damage they cause to highways. Increasing allowable weight without a sixth axle would increase pavement maintenance costs, requiring more revenue for maintaining the highways. Also, existing bridge design capacities may not permit heavier loadings without significantly shortening bridge lives, which would of course increase the required investment in highways. One proposal is to charge a fee for heavier vehicles with a sixth axle and dedicate the receipts to bridge repair and maintenance. Ocean Transportation Ocean shipping of agricultural products is in either bulk vessels, which are contracted for individual shipments (tramps), or in container ships, which usually ply scheduled routes (liners). Grains and oilseeds are frequently moved in bulk vessels, which are usually the least expensive shipping method. The market for bulk shipments is highly competitive. Fleet capacity is determined by the rate at which old ships are scrapped and new ones built. High shipping rates before the recession slowed scrapping and spurred building, moderating rates. Companies are responding to the current downturn by removing ships from the fleet or laying them up. More than half of U.S. agricultural exports by value move in marine shipping containers. Containers haul all types of agricultural products, from bulk grains to frozen beef. Agricultural shippers report that container availability is the greatest challenge facing their business. The recent decline in import cargo reduces the availability of containers for export cargo, resulting in lost sales and unreliable service to overseas buyers. Infrastructure and technological improvements are needed at U.S. ocean ports to expand capacity to accommodate the forecast growth in U.S. trade and avoid costly congestion. Multimodal Issues The seamless network that makes up America’s transportation system has four major components: trucks, trains, barges, and ocean vessels. For example, a cargo, such as wheat, might be moved off the field to an elevator by truck, loaded into a train at the elevator, transported to another elevator on the Mississippi River, where it is moved to barges, then taken downriver to New Orleans for transfer to a ship bound for Africa. Each mode of transport is important, but their interaction is vital. Current United States policy is mode oriented; different agencies focus on each mode of transportation, and each mode has its own funding mechanisms. Investment and planning could be better focused if it were more system based. A systems based approach could identify choke points in the network, and investments could be targeted to improve the interaction between modes. Transportation will continue to be integral to the successful functioning of the agricultural sector. The Federal Government can play an important role in supporting improvements to the multimodal transportation system that will benefit rural America and global consumers of U.S. food and agricultural products., The PDF is very large (29MB). To download one chapter at a time, go to http://dx.doi.org/10.9752/TS041.04-2010.
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- 2010
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21. Campus and Community HIV and Addiction Prevention (CCHAP): An HIV Testing and Prevention Model to Reach Young African American Adults.
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Holliday, Rhonda C., Zellner, Tiffany, Francis, Clarissa, Braithwaite, Ronald L., McGregor, Brian, and Bonhomme, Jean
- Abstract
The Campus and Community HIV and Addiction Prevention (CCHAP) project was a collaborative effort between three academic institutions and a community-based organization to conduct rapid HIV testing, assess substance use behaviors, and provide education on HIV risk behaviors for African Americans, 18-24, attending historically Black colleges and universities (HBCUs) and within the surrounding community. As a result of this partnership 2,385 participants received a rapid HIV test, with testing split almost equally between the campus and the community. The positivity rate was .6% (N = 15) with 10 newly diagnosed individuals accounting for 67% of the HIV positives. The results of the partnership provide evidence of a successful outreach program for both the campus and community, and identified a continued need for HIV testing and educational outreach for African American young adults 18-24. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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22. Patient and Practitioner Perspectives on Culturally Centered Integrated Care to Address Health Disparities in Primary Care.
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Wrenn, Glenda, Kasiah, Fatima, Belton, Allyson, Dorvil, Sheena, Roberts, Kristin, McGregor, Brian, and Holden, Kisha
- Subjects
ATTITUDE (Psychology) ,BLACK people ,FOCUS groups ,HEALTH services accessibility ,HEALTH status indicators ,INTERVIEWING ,MEDICAL personnel ,MENTAL health services ,PRIMARY health care ,THEMATIC analysis ,MEDICALLY underserved persons ,PATIENTS' attitudes - Abstract
Introduction: Addressing the multifaceted health and mental health needs of ethnically and culturally diverse individuals is a challenge within the current health care system. Integrated care provides a promising approach to improve mental health treatment-seeking disparities; however, adaptation of care models to impact African Americans is lacking. Although resources to support engagement of diverse populations in depression care exist, little has been developed to tailor patient preferences in accessing and engaging mental health services that are integrated into primary care. Objective: Our research seeks to add a cultural focus to the existing literature concerning integrated health care models to help address depression and selected co-occurring chronic health conditions in primary care settings. Methods: Thirty-two adult patients of an integrated primary care clinic participated in focus groups discussing their individual health experiences. Nine health care practitioners/administrators from five different integrated practice settings in the Atlanta, GA, area participated in key informant interviews. Main Outcome Measures: Transcripts were analyzed for key themes related to depression care, perceived unmet cultural needs, and desired adaptations. Results: Common themes emerged such as the importance of peer-support and community engagement as areas of patient interest. Participants had good knowledge in recognizing depressive symptoms but were less knowledgeable about treatment options and expectations of treatment. The administrative and practitioner perspective suggests that patient preferences are valued and perceived as valid. Conclusion: It is critical that strategies and models are developed to improve health care among underserved minorities because current models offer variable efficacy among this population. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
23. Program Success of Mental Health Clients in Day Reporting Centers.
- Author
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McGregor, Brian, Brown, Eleanor, Fengxia Yan, Mitchell, Crystal, Robinson, Charles, DeGroot, James, and Braithwaite, Ronald
- Abstract
Day-reporting centers (DRCs) provide programming for probationers with a history of non-compliant behavior related to substance abuse, who are overrepresented among justice-involved men and women. While evaluations of DRCs demonstrate some effectiveness, results are mixed and less is known about predictors of program success. This evaluation compared indicators of program success between adult offenders with a substance use disorder (n = 144) and those with co-morbid mental illness (n = 113) at three DRCs. Analyses examined differences between and within groups on program completion, personal characteristics and subjective measures of well-being. Results indicated that program completers were more likely to be participants with substance use disorders only and to have a drug-related referring charge. No significant differences between groups on most measures of well-being were observed. Future investigations should consider tracking program dropouts to better understand program attrition and explore readiness to change in treatment programming. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
24. Response to Mental Health Utilization in Youth and Young Adults.
- Author
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Heboyan, Vahe, Douglas, Megan JD, McGregor, Brian, Benevides, Teal W. MS, OTR/L, Heboyan, Vahé, Douglas, Megan, and Benevides, Teal W
- Published
- 2022
- Full Text
- View/download PDF
25. The Fierce Urgency of Now: Improving Outcomes for Justice-Involved People With Serious Mental Illness and Substance Misuse.
- Author
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Wrenn, Glenda, McGregor, Brian, and Munetz, Mark
- Subjects
DRUGS & crime ,PEOPLE with intellectual disabilities & crime ,CRIMINAL justice system ,MEDICAL care costs ,COMMUNITY-based corrections - Abstract
People with serious mental illness are more likely to be arrested multiple times for the same crime, spend more time in jail before adjudication, serve longer sentences, and have higher recidivism rates than those without mental illness. Several conceptual foundations, such as the sequential intercept model and the risk-needs-responsivity model, have been developed to help communities address the overrepresentation of people with mental illness in the criminal justice system. The Stepping Up Initiative is a national effort to enlist counties to commit to reduce the number of people with mental illness in their jails. The 21st Century Cures Act has created opportunities to fund community treatment and help people with serious mental illness live a productive life in their community. Public officials may need to be shown the substantial cost savings likely to accrue from an investment in effective community treatment. The time to act is now. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
26. Reducing Health Disparities and Improving Health Equity in Saint Lucia.
- Author
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Holden, Kisha, Charles, Lisa, King, Stephen, McGregor, Brian, Satcher, David, and Belton, Allyson
- Published
- 2016
- Full Text
- View/download PDF
27. The Geography of Bilingual Schools in Manitoba.
- Author
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Lehr, John C. and McGregor, Brian
- Subjects
- *
BILINGUAL education , *BILINGUAL schools , *HUMAN settlements , *HISTORY - Abstract
The article explores the history and geography of bilingual education in Manitoba. The author reflects on language rights in Canada and an amendment to the Manitoba Schools Act allowing bilingual instruction. The development of settler communities for French, German, and Ukrainian immigrants. The author suggests that the dissolution of bilingual education was due to Allied propaganda and patriotic sentiments in 1915. Charts and diagrams are included to demonstrate the distribution of bilingual schools in relation to ethnic settlements.
- Published
- 2009
28. Improving Service Coordination and Reducing Mental Health Disparities Through Adoption of Electronic Health Records.
- Author
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McGregor, Brian, Mack, Dominic, Wrenn, Glenda, Shim, Ruth S., Holden, Kisha, and Satcher, David
- Subjects
ELECTRONIC health records ,MENTAL health services ,MEDICAL records ,PATIENTS ,PUBLIC health ,MENTAL health - Abstract
Despite widespread support for removing barriers to the use of electronic health records (EHRs) in behavioral health care, adoption of EHRs in behavioral health settings lags behind adoption in other areas of health care. The authors discuss barriers to use of EHRs among behavioral health care practitioners, suggest solutions to overcome these barriers, and describe the potential benefits of EHRs to reduce behavioral health care disparities. Thoughtful and comprehensive strategies will be needed to design EHR systems that address concerns about policy, practice, costs, and stigma and that protect patients' privacy and confidentiality. However, these goals must not detract from continuing to challenge the notion that behavioral health and general medical health should be treated as separate and distinct. Ultimately, utilization of EHRs among behavioral health care providers will improve the coordination of services and overall patient care, which is essential to reducing mental health disparities. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
29. Exploitation of new underbalanced drilling technologies.
- Author
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McGregor, Brian
- Subjects
OIL well drilling - Abstract
Discusses Apache Canada Limited's explanation of the advantages it sees with underbalanced drilling (UBD) and coiled tubing (CT). Information on UBD and CT; Case histories of UBD and CT applications; Conclusions.
- Published
- 1999
30. Pensions threat must be our line in the sand.
- Author
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McGregor, Brian
- Subjects
- *
LETTERS to the editor , *GENERAL practitioners , *WORK ethic , *PENSION trust management - Abstract
Several letters to the editor are presented including one on the National Health Service (NHS) Pension Scheme, the British Government's taking advantage of the "care ethic" of general practitioners (GP), and the abuse of the profession of Gps by the officials of the Department of Health.
- Published
- 2011
31. We must not bend to the will of NHS managers.
- Author
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McGregor, Brian
- Subjects
- *
LETTERS to the editor , *CONTRACT negotiations - Abstract
A letter to the editor is presented in response to the article "NHS managers call for new GP contract" that was published online.
- Published
- 2010
32. How to win PROMOTION at work--8.
- Author
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McGregor, Brian
- Subjects
EMPLOYEE promotions ,MARKETING literature - Abstract
Part VIII. Presents advice on how employees can enhance their chances of being promoted by reviewing their firms' marketing materials. Sources for comments and views on the company marketing materials; Compilation of a small report to be given to the manager; Demonstration of enterprise and personal commitment.
- Published
- 2000
33. How to win Promotion at work - 7.
- Author
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McGregor, Brian
- Subjects
EMPLOYEES ,CORPORATE libraries ,EMPLOYEE promotions - Abstract
Offers advice on how employers could improve their chances for promotion. Continuing education; Proposal of the creation of a small library of business books.
- Published
- 2000
34. How to win promotion at work - 6.
- Author
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McGregor, Brian
- Subjects
JOB stress ,STRESS management - Abstract
Focuses on the management of stress in the workplace. Guidelines for managers in dealing with workplace stress; Assessment of the level of stress at work; Employee involvement in managing stress.
- Published
- 2000
35. How to win promotion.
- Author
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McGregor, Brian
- Subjects
EMPLOYEES ,CAREER development ,EMPLOYEE promotions - Abstract
Offers tips on how employees can win promotions by reviewing company's position on ecological issues. Researching company's ecological stance through the organization's Annual Report; Showing concern for the company which goes beyond the call of duty.
- Published
- 1999
36. Community Engaged Leadership to Advance Health Equity and Build Healthier Communities.
- Author
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Holden K, Akintobi T, Hopkins J, Belton A, McGregor B, Blanks S, and Wrenn G
- Abstract
Health is a human right. Equity in health implies that ideally everyone should have a fair opportunity to attain their full health potential and, more pragmatically, that no one should be disadvantaged from achieving this potential. Addressing the multi-faceted health needs of ethnically and culturally diverse individuals in the United States is a complex issue that requires inventive strategies to reduce risk factors and buttress protective factors to promote greater well-being among individuals, families, and communities. With growing diversity concerning various ethnicities and nationalities; and with significant changes in the constellation of multiple of risk factors that can influence health outcomes, it is imperative that we delineate strategic efforts that encourage better access to primary care, focused community-based programs, multi-disciplinary clinical and translational research methodologies, and health policy advocacy initiatives that may improve individuals' longevity and quality of life., Competing Interests: The authors declare no conflict of interest.
- Published
- 2016
- Full Text
- View/download PDF
37. Reducing Health Disparities and Improving Health Equity in Saint Lucia.
- Author
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Holden K, Charles L, King S, McGregor B, Satcher D, and Belton A
- Subjects
- Adult, Chronic Disease, Diabetes Mellitus diagnosis, Diabetes Mellitus epidemiology, Female, Humans, Hypertension diagnosis, Hypertension epidemiology, Male, Pilot Projects, Prevalence, Qualitative Research, Saint Lucia epidemiology, United States, Diabetes Mellitus therapy, Health Education methods, Health Equity, Health Policy, Health Status Disparities, Hypertension therapy, Public Health Surveillance
- Abstract
St. Lucia is an island nation in the Eastern Caribbean, with a population of 179,000 people, where chronic health conditions, such as hypertension and diabetes, are significant. The purpose of this pilot study is to create a model for community health education, tracking, and monitoring of these health conditions, research training, and policy interventions in St. Lucia, which may apply to other Caribbean populations, including those in the U.S. This paper reports on phase one of the study, which utilized a mixed method analytic approach. Adult clients at risk for, or diagnosed with, diabetes (n = 157), and health care providers/clinic administrators (n = 42), were recruited from five healthcare facilities in St. Lucia to assess their views on health status, health services, and improving health equity. Preliminary content analyses indicated that patients and providers acknowledge the relatively high prevalence of diabetes and other chronic illnesses, recognize the impact that socioeconomic status has on health outcomes, and desire improved access to healthcare and improvements to healthcare infrastructures. These findings could inform strategies, such as community education and workforce development, which may help improve health outcomes among St. Lucians with chronic health conditions, and inform similar efforts among other selected populations.
- Published
- 2015
- Full Text
- View/download PDF
38. Toward culturally centered integrative care for addressing mental health disparities among ethnic minorities.
- Author
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Holden K, McGregor B, Thandi P, Fresh E, Sheats K, Belton A, Mattox G, and Satcher D
- Subjects
- Clinical Competence, Ethnicity, Humans, Integrative Medicine, Mental Disorders ethnology, Minority Groups, Primary Health Care, United States, Community Mental Health Services, Health Status Disparities, Mental Disorders therapy, Mental Health, Minority Health
- Abstract
Despite decades of research, recognition and treatment of mental illness and its comorbidities still remain a significant public health problem in the United States. Ethnic minorities are identified as a population that is vulnerable to mental health disparities and face unique challenges pertaining to mental health care. Psychiatric illness is associated with great physical, emotional, functional, and societal burden. The primary health care setting may be a promising venue for screening, assessment, and treatment of mental illnesses for ethnic minority populations. We propose a comprehensive, innovative, culturally centered integrated care model to address the complexities within the health care system, from the individual level, which includes provider and patient factors, to the system level, which includes practice culture and system functionality issues. Our multidisciplinary investigative team acknowledges the importance of providing culturally tailored integrative health care to holistically concentrate on physical, mental, emotional, and behavioral problems among ethnic minorities in a primary care setting. It is our intention that the proposed model will be useful for health practitioners, contribute to the reduction of mental health disparities, and promote better mental health and well-being for ethnic minority individuals, families, and communities., ((PsycINFO Database Record (c) 2014 APA, all rights reserved).)
- Published
- 2014
- Full Text
- View/download PDF
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