The document summarizes a diabetes education program run by Georgiana Bradshaw and Roberto Gonzalez. It provides details on:
1) The program's history including its founding organizations, educational principles, and initial and current sources of funding.
2) Data collected from participants including pre-and post-class A1C levels, knowledge tests, and weight loss results for different A1C groupings.
3) Components of the interactive, 8-week curriculum covering nutrition, exercise, medications, complications and more.
This document appears to be a grade report for a Physics 2 class taught by Ing. Celevma Rodriguez on Tuesdays from 7:00-9:15 AM. It lists the names of 14 students along with their identification numbers and grades on quizzes, exams, assignments, and final course grade. The highest grade in the class was achieved by the student with the last entry, who received full scores on all assessments and a final grade of 5.0 out of 5.0.
Survey of Nueces, San Patricio and Kleberg Countiescaller-times
This survey summarizes public opinions in Nueces, San Patricio, and Kleberg Counties from September 2013. Over 700 residents were surveyed by phone about key issues in their communities. The top issues were the economy/jobs and roads/traffic. Respondents generally felt positive about where they live and work but were less satisfied with local politics and job opportunities for youth. The Eagle Ford Shale development was seen as improving the economy. Views on environmental quality, community health, the bay, and local industries were also assessed.
This document discusses rules regarding a potential premium surcharge that insurers may be required to assess policyholders following a catastrophic event. It specifies that the Texas Windstorm Insurance Association would determine if it has sufficient funds to pay obligations from public securities issued after a catastrophe. If funds are insufficient, the Association can request the Commissioner approve a premium surcharge of a specified percentage to be applied to various types of insurance policies covering property in catastrophe areas.
Informal Draft Rules Relating to TWIA's Loss Funding Provisions to Pay for Fu...caller-times
This document provides definitions for key terms used in the Texas Windstorm Insurance Association's rules on loss funding, including public securities. It defines terms related to public securities like class 1, 2, and 3 securities. It also defines terms like catastrophe year, catastrophic losses, contractual coverage amount, credit agreement, financing arrangement, gross premium, investment income, letter of instruction, losses, member assessment trust fund, net gain from operations, net premium, net revenues, obligation revenue fund, and operating reserve fund. The document provides context for rules governing how the Association funds losses, including through public securities, member assessments, and other financial arrangements.
Port Aransas Chamber of Commerce Responsecaller-times
The Port Aransas Chamber of Commerce submitted comments regarding the Texas Department of Insurance's draft rules on TWIA premium surcharges. The letter emphasizes that the proposed rules will adversely impact coastal policyholders who are already facing annual TWIA increases of 5% as well as potential rate hikes from flood insurance. Coastal residents will bear additional costs through bond repayments for decades following a major hurricane when they are still recovering from storm damage. The letter urges exploring alternative funding sources or spreading costs statewide rather than discriminating against the coastal economy. It expresses hope that pending TWIA litigation and losses from prior events will be assessed to member companies under existing law.
Texas Windstorm Insurance Association Overviewcaller-times
The document provides an overview and statistical information from the Texas Windstorm Insurance Association (TWIA) for the quarter ending September 30, 2013. Some key points:
- TWIA was created in 1971 to provide windstorm and hail coverage to those unable to obtain insurance in the voluntary market, especially along the Texas Gulf Coast.
- It provides coverage in 14 coastal counties and parts of Harris County near the coast. The top 3 counties by insured value are Galveston, Brazoria, and Nueces.
- All property insurers in Texas must be members of TWIA. Losses are initially paid by premiums/revenue, then the Catastrophe Reserve Trust Fund if needed.
This document appears to be a grade report for a Physics 2 class taught by Ing. Celevma Rodriguez on Tuesdays from 7:00-9:15 AM. It lists the names of 14 students along with their identification numbers and grades on quizzes, exams, assignments, and final course grade. The highest grade in the class was achieved by the student with the last entry, who received full scores on all assessments and a final grade of 5.0 out of 5.0.
Survey of Nueces, San Patricio and Kleberg Countiescaller-times
This survey summarizes public opinions in Nueces, San Patricio, and Kleberg Counties from September 2013. Over 700 residents were surveyed by phone about key issues in their communities. The top issues were the economy/jobs and roads/traffic. Respondents generally felt positive about where they live and work but were less satisfied with local politics and job opportunities for youth. The Eagle Ford Shale development was seen as improving the economy. Views on environmental quality, community health, the bay, and local industries were also assessed.
This document discusses rules regarding a potential premium surcharge that insurers may be required to assess policyholders following a catastrophic event. It specifies that the Texas Windstorm Insurance Association would determine if it has sufficient funds to pay obligations from public securities issued after a catastrophe. If funds are insufficient, the Association can request the Commissioner approve a premium surcharge of a specified percentage to be applied to various types of insurance policies covering property in catastrophe areas.
Informal Draft Rules Relating to TWIA's Loss Funding Provisions to Pay for Fu...caller-times
This document provides definitions for key terms used in the Texas Windstorm Insurance Association's rules on loss funding, including public securities. It defines terms related to public securities like class 1, 2, and 3 securities. It also defines terms like catastrophe year, catastrophic losses, contractual coverage amount, credit agreement, financing arrangement, gross premium, investment income, letter of instruction, losses, member assessment trust fund, net gain from operations, net premium, net revenues, obligation revenue fund, and operating reserve fund. The document provides context for rules governing how the Association funds losses, including through public securities, member assessments, and other financial arrangements.
Port Aransas Chamber of Commerce Responsecaller-times
The Port Aransas Chamber of Commerce submitted comments regarding the Texas Department of Insurance's draft rules on TWIA premium surcharges. The letter emphasizes that the proposed rules will adversely impact coastal policyholders who are already facing annual TWIA increases of 5% as well as potential rate hikes from flood insurance. Coastal residents will bear additional costs through bond repayments for decades following a major hurricane when they are still recovering from storm damage. The letter urges exploring alternative funding sources or spreading costs statewide rather than discriminating against the coastal economy. It expresses hope that pending TWIA litigation and losses from prior events will be assessed to member companies under existing law.
Texas Windstorm Insurance Association Overviewcaller-times
The document provides an overview and statistical information from the Texas Windstorm Insurance Association (TWIA) for the quarter ending September 30, 2013. Some key points:
- TWIA was created in 1971 to provide windstorm and hail coverage to those unable to obtain insurance in the voluntary market, especially along the Texas Gulf Coast.
- It provides coverage in 14 coastal counties and parts of Harris County near the coast. The top 3 counties by insured value are Galveston, Brazoria, and Nueces.
- All property insurers in Texas must be members of TWIA. Losses are initially paid by premiums/revenue, then the Catastrophe Reserve Trust Fund if needed.
The document summarizes the Texas economy in October 2013. It discusses how the oil and gas industry, particularly tight oil production, has driven strong growth in the state. It also notes that this growth has led to rising wages and employment in the shale regions and downstream industries like refining and petrochemicals. However, volatility remains as Texas employment growth was uneven in 2013. The outlook remains positive overall due to continued strength in the energy sector and international trade.
Industrial District Master Agreement Presentationcaller-times
The document summarizes the process of negotiating a new 10-year Industrial District Master Agreement. Key points include: the goals of making the agreement clear, easy to administer, fair but competitive and contributing to road maintenance; a collaborative 11-month negotiation process; increased payment rates from 46% to 64% of property values, closer to peer city rates; and next steps of council approval and implementation.
This document discusses the limitations of solely relying on the Saffir-Simpson Hurricane Wind Scale (SSHWS) category to determine a storm's potential impacts. While the SSHWS provides wind speed estimates, it does not account for other hazards like storm surge, rainfall, tornadoes, or storm size. Case studies of storms like Hurricanes Isaac, Sandy, and Ike demonstrate how low-category storms can still cause catastrophic flooding and damage depending on other factors. The document recommends considering detailed forecasts of each hazard in National Weather Service statements. It also discusses tools like tropical cyclone impact graphics and storm surge warnings that aim to better convey overall risk to the public.
The document summarizes the Special Care Center, a service created by AtlantiCare to provide coordinated care for patients with chronic conditions. The Special Care Center aims to (1) manage chronic conditions effectively through a patient-centered medical home model, (2) reduce healthcare costs by focusing on preventative care and avoiding unnecessary emergency visits and hospitalizations, and (3) improve patient outcomes by providing integrated care, health coaching, open access to providers and services, and an emphasis on the patient experience. Since opening in 2007, the Special Care Center has expanded its services and grown to over 2,600 enrolled patients.
Diabetes Prevention - Catholic Charities of Corpus Christicaller-times
The document summarizes the diabetes prevention and education efforts of Catholic Charities of Corpus Christi in FY2011. It discusses using a multi-faceted framework based on the Health Impact Pyramid to create lasting environmental and socioeconomic changes. Initiatives included counseling, clinical interventions, community programs, and addressing socioeconomic factors. Metrics showed diabetic clients' HbA1c levels decreased an average of 5.8-9.3% at various checkpoints. Over 10,000 individuals were assisted through education, nutrition/cooking, and exercise classes.
The document is an ordinance ordering a general election to be held on November 6, 2012 in Corpus Christi for the election of Mayor and City Council members, as well as authorizing bond issuances supported by property taxes. It establishes polling locations, early voting procedures, and presents 6 bond propositions to voters related to streets, city buildings, parks & recreation, libraries/museums, and public health facilities.
The document provides a preliminary master plan for the Oso Bay Wetlands Preserve and Learning Center. The plan focuses on creating habitats for wildlife, restoring native plants, developing trails and outdoor classrooms, and building a net zero learning center. The multi-phase plan includes expanding trails and boardwalks, creating an interpretive center, restoring wetlands, developing campsites and an amphitheater, and potentially adding more parking and facilities in the future. The goal is to provide educational and recreational opportunities while protecting and sustaining the natural environment.
Parks and public spaces can be economic engines that attract businesses and investment. Chattanooga, Tennessee transformed its economy between 1969-2000 by cleaning up pollution, redeveloping its downtown area, and building attractions like the Tennessee Riverwalk and an aquarium. However, the riverfront remained underutilized until 2002 when a $120 million public-private partnership funded new parks, plazas, docks, and other public amenities along 126 acres of the riverfront. These new parks generated over $130 million in construction value and brought in property and sales tax revenues while helping attract residents and new development to downtown Chattanooga.
The document summarizes the Texas economy in October 2013. It discusses how the oil and gas industry, particularly tight oil production, has driven strong growth in the state. It also notes that this growth has led to rising wages and employment in the shale regions and downstream industries like refining and petrochemicals. However, volatility remains as Texas employment growth was uneven in 2013. The outlook remains positive overall due to continued strength in the energy sector and international trade.
Industrial District Master Agreement Presentationcaller-times
The document summarizes the process of negotiating a new 10-year Industrial District Master Agreement. Key points include: the goals of making the agreement clear, easy to administer, fair but competitive and contributing to road maintenance; a collaborative 11-month negotiation process; increased payment rates from 46% to 64% of property values, closer to peer city rates; and next steps of council approval and implementation.
This document discusses the limitations of solely relying on the Saffir-Simpson Hurricane Wind Scale (SSHWS) category to determine a storm's potential impacts. While the SSHWS provides wind speed estimates, it does not account for other hazards like storm surge, rainfall, tornadoes, or storm size. Case studies of storms like Hurricanes Isaac, Sandy, and Ike demonstrate how low-category storms can still cause catastrophic flooding and damage depending on other factors. The document recommends considering detailed forecasts of each hazard in National Weather Service statements. It also discusses tools like tropical cyclone impact graphics and storm surge warnings that aim to better convey overall risk to the public.
The document summarizes the Special Care Center, a service created by AtlantiCare to provide coordinated care for patients with chronic conditions. The Special Care Center aims to (1) manage chronic conditions effectively through a patient-centered medical home model, (2) reduce healthcare costs by focusing on preventative care and avoiding unnecessary emergency visits and hospitalizations, and (3) improve patient outcomes by providing integrated care, health coaching, open access to providers and services, and an emphasis on the patient experience. Since opening in 2007, the Special Care Center has expanded its services and grown to over 2,600 enrolled patients.
Diabetes Prevention - Catholic Charities of Corpus Christicaller-times
The document summarizes the diabetes prevention and education efforts of Catholic Charities of Corpus Christi in FY2011. It discusses using a multi-faceted framework based on the Health Impact Pyramid to create lasting environmental and socioeconomic changes. Initiatives included counseling, clinical interventions, community programs, and addressing socioeconomic factors. Metrics showed diabetic clients' HbA1c levels decreased an average of 5.8-9.3% at various checkpoints. Over 10,000 individuals were assisted through education, nutrition/cooking, and exercise classes.
The document is an ordinance ordering a general election to be held on November 6, 2012 in Corpus Christi for the election of Mayor and City Council members, as well as authorizing bond issuances supported by property taxes. It establishes polling locations, early voting procedures, and presents 6 bond propositions to voters related to streets, city buildings, parks & recreation, libraries/museums, and public health facilities.
The document provides a preliminary master plan for the Oso Bay Wetlands Preserve and Learning Center. The plan focuses on creating habitats for wildlife, restoring native plants, developing trails and outdoor classrooms, and building a net zero learning center. The multi-phase plan includes expanding trails and boardwalks, creating an interpretive center, restoring wetlands, developing campsites and an amphitheater, and potentially adding more parking and facilities in the future. The goal is to provide educational and recreational opportunities while protecting and sustaining the natural environment.
Parks and public spaces can be economic engines that attract businesses and investment. Chattanooga, Tennessee transformed its economy between 1969-2000 by cleaning up pollution, redeveloping its downtown area, and building attractions like the Tennessee Riverwalk and an aquarium. However, the riverfront remained underutilized until 2002 when a $120 million public-private partnership funded new parks, plazas, docks, and other public amenities along 126 acres of the riverfront. These new parks generated over $130 million in construction value and brought in property and sales tax revenues while helping attract residents and new development to downtown Chattanooga.
2. Program History
Creation of Program
DCC
Food Bank of Corpus Christi
Principles
Educational principles
Medical knowledge
3. Program History
Funding
Initial: Nueces County Commissioners
Court
Tobacco Lawsuit Settlement Funds
Current: Nueces County Commissioners
Court and Grants
4. A1c Test
Pre and Post Class
3 months
6 months
9 months
12 months
5. Average Pre and Post A1c
10
9
8
7 Pre
6
7.2 Post
5
4
6.8
All Participants
6. Average Pre and Post A1c
10
9
8
7
Pre
6 7.8 7.3 Post
5 5.7 5.6
4
Participants with Participants at Risk
Diabetes
18. What Makes Diabetes Hands On
Different?
Class room set-up which encourages participation
Review of previous week
Postcards between classes
Fun and interactive learning
Encourage participants to envision the Joy of Living
We give a message of hope
We welcome the “At Risk” population
Participants build their notebook
19. Curriculum
Week 1 Overview
Week 2 Nutritional Management
Week 3 Exercise
Week 4 Highs, Lows and Sick Days
& Monitoring
Week 5 Medications and Insulin
Week 6 Long Term Complications
Week 7 Emotional Aspects and
Stress Management
Week 8 Review and Goal Setting
21. Experiential Learning
Make their own food
choices and measure out
their food
Count carbohydrate
Exercise
Participate in stress
reduction activities
Do self foot exam
Do own finger sticks
Based on sound learning principles and medical knowledge.The program took shape through a blending of passions for diabetesA person with diabetes who received diabetes self-management training at the Joslin Diabetes Center in Boston. He wanted his community to experience the empowering and life saving benefits of quality diabetes education.A skilled endocrinologist with a teaching degree whose mentor trained in concepts of diabetes self management education at the Mayo Clinic.
Curriculum based on national standards for diabetes self management
California diabetes programbilingual patient education booklet designed to help Medicare beneficiaries in the Latino community, their caregivers, and families take charge of their diabetes and live their lives to the fullest. The booklet contains the latest easy-to-follow instructions for disease management and is fully illustrated with easy-to-read graphics. Available in a reversible Spanish and English booklet (38 pages) or separate Spanish and English versions (20 pages). Developed by La Clinica de la Raza in partnership with Lumetra.
Learners ability to retain Information:10% of what is read26% of what is heard30% of what is seen50% of what is seen and heard90% of what is said as they do something
Infact, reducing your blood sugar levelsto near normal can help reduce yourrisk of eye problems by up to 76%;nerve damage 60%; and severe kidneyproblems 56%.