Health

Tarvid Completes Analysis on Price Elasticity of Health Services

Starting with 30+ monthly reports from 300+ NGO clinics in Bangladesh, I extracted 250,000+ price/quantity observations including 3000 prices changes and almost as many estimates of price elasticity.

Senator Webb replies to a question on health reform.

            At the outset, I believe that the Obama administration should have begun the reform process with a clear proposal that could have been the starting point for our work here in Congress.  Without a specific framework, Congress has had difficulty crafting a bill of such challenging scope and complexity. 
 
            Currently in the Senate, the bills from the two committees that have jurisdiction over health care – the Health, Education, Labor and Pensions Committee and the Finance Committee – are being combined into a single package, to be considered by the entire Senate in the coming weeks.  As this legislation moves forward, I believe it is important that the process be as transparent and open to public engagement as possible.  For this reason, I joined seven of my Senate colleagues in urging Senate Leadership to post legislative text and cost estimates from the Congressional Budget Office for public viewing at least 72 hours before the measure is debated or voted on in the full Senate.  This will allow our constituents to evaluate the proposal in detail and make their views known.  It is important for us to be very deliberate on an issue of such importance to the lives of so many Americans.
 
            While most people are understandably satisfied with their health care, the system is not working for millions of American families.  Spiraling costs for health care have placed our biggest industries at a severe competitive disadvantage, as employers struggle to provide insurance for their workers.  By the same token, families are increasingly unable to depend on their health care plans when they need them the most.  This has contributed to the mortgage foreclosure crisis and the rise in personal bankruptcies.  In short, our nation’s continued economic recovery would be advanced by meaningful and effective health care reform that contains costs, expands access to health care, and addresses systemic concerns such as health insurance reform.  At the same time, such reform must emphatically be reasonable in scope, cost, and impact.
 
            In the coming weeks and months, I encourage you to visit my website at www.webb.senate.gov for updated information about the health care reform debate.  Additionally, the Senate Committee on Finance www.finance.senate.gov  and HELP Committee www.help.senate.gov/index.html have posted on their websites useful information about their respective proposals.
 
As the Senate continues to debate health care reform, please be assured that your views will be very helpful to me and my staff.  I hope that you will continue to share your views with us in the years ahead.
 
Thank you once again for contacting my office.
 
                                                                        Sincerely,
 
                                                                        Jim Webb
                                                                        United States Senator

Alleghany Suicide and Depression Awareness/Prevention Walk

2009/10/10 10:00
2009/10/10 12:00
Etc/GMT+3

Alleghany County Healthy Carolinians will be sponsoring an awareness walk on Suicide. They will start at the parking lot between the Methodist Church and Sparta Florist, walking to Crouse Park. Speakers, music, refreshments and a quilt are planned. We encourage all who want to learn more about suicide awareness, want to honor a family member, or want to show support of suicide awareness/prevention to attend.

Alleghany County averages 2 completed suicides a year. This does not include attempts or more vague situations like drug overdoses and car wrecks that may have been intentional. People who commit suicide leave behind family and friends searching for answers. It can rock the whole community. Every life is precious - let's show our community we care, show them what help is out there, and that we will stand together to show support for those who need it. Spread hope and help.

WHAT IS ZUMBA?

ZUMBA at MOVING ARTS CENTER

99 Coulson Church Rd (behind The Heritage Shoppe) WOODLAWN, VA
FREE sample class. Bring friends.
MONDAY, SEP 28, 6:00PM
Dress comfortably and be prepared to burn LOTS of calories. No experience needed.

All ages. PRE-REGISTER BY PHONE 276-236-4533  or email: samra40@netzero.net

Space is limited. Register today!

DITCH THE WORKOUT AND JOIN THE PARTY!

Health Care or Insurance Care?

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Dear Friends,

The health care decision-making process in Washington is horribly tainted by the campaign contributions of insurance and pharmaceutical interests. Under the pay-to-play system health care becomes insurance care, the public option shrinks to irrelevance, the choice we are left: What kind of private, for-profit insurance do you want? This is not acceptable. We must respond now, and not settle for a plan which subsidizes insurance companies and pharmaceutical companies and sets the stage for the privatization of Medicare. We want Health Care for all the people, Medicare for All, which is exactly what the bill John Conyers and I wrote, HR 676, accomplishes. And the only way we will achieve it is to organize and take action in our communities to effect real change at a state and national level. Let us initiate immediately an action plan to intervene and provide health care for all:

  1. On-line petition. Please contact your lists, your family and friends. Please sign the petition for a single payer system. I will deliver the petitions directly to your Congressperson.
  2. Petition to download, print and circulate among friends and neighbors - including an instruction sheet.
  3. A National Health Care for All Conference Call from Washington, DC, at 10 pm EDT, Thursday, September 10th at 1-800-230-1096. Join us, so that we can discuss our new beginning and ways in which we can all help. Pre-registration is necessary in order to reserve sufficient phone lines. Please RSVP here. When you call in and the operator asks, "what conference call?" tell the operator, "Health Care for All."
  4. Health Care Meet-Ups. Coming Thursday September 10 2009.
  5. Tell A Friend. Every email forwarded will make a difference? Please use the "Forward Email" link below to circulate up to 5 emails at a time to your friends.

I need your help to initiate this action. If you believe, as I do, that we can and must begin a new long-term state-by-state grassroots effort to create a single-payer, not-for-profit health care system,

please contribute now at Kucinich.us

 

  please contribute

 

Thank you.

 

Sincerely.

Dennis

 

DANCE and FITNESS CLASSES FOR ALL AGES

At Moving Arts Center (part of Woodlawn Arts and Culture Center) classes in Zumba Fitness,  Belly Dance, Creative Movement among others are offered to individuals of all ages and fitness levels.  New classes can be added based on interest and availabily of instructor and space.  One of the classes requested that may be formed if there is enough interest is Fire Dancing. Another is Line Dancing.  We encourage everyone to dance, since dance is one of the most effectives form of consistent exercise.  Dancing for one hour is equivalent to walking about 3 miles!

For information on directions, cost and schedule, call 276-236-4533 or visit www.movingartscenter.weebly.com  or email samra40@netzero.net

 

Health Care in America

The health care debate that's going on around this country is backed by shills like United health care. Big business who pays people to disrupt town hall meetings and come up with out right lies about the current situation.. like death panels..

To be honest ive all but given up on the sanity and common sense of the greater population of this country. The politicians in this country are bought and payed for by the upper 1% of the populous and the bottom 98% are so ignorant that they let it go on.. the remaining 1% doesn't want to be hung or put before a firing squad so WE just hunker down....

When all of our industry is finally exported, we become sick, our national debt hits 20 Trillion.. This country will be bankrupt and sold out by our cronies in Washington. Then were going to see just what its like to be a third world country. And a bankrupt third world country at that!

I suggest everyone take two hours and watch this movie "sicko"  by Michael Moore

 http://video.google.com/videoplay?docid=6646340600856118396&hl=en&emb=1

This is not drama folks, this is reality in America today!

Soon their will be a new topic here "POVERTY"

Cheers,

Tom Wickline

Conservatory Offers Yoga & Floor-Barre Classes

2009/09/05 21:45
2009/10/30 21:45
Etc/GMT+3

Beginning Yoga (7:00-8:00pm)

Focus will be on simple body, breathing and concentration exercises which will strengthen the body in a gentle way. Breathing and relaxation are an important part of this class which leads to a balanced body and calm mind. Participants will feel refreshed and energized. This class is for people who have never practiced yoga. The focus is not on strenuous exercise, but rather movement and body awareness that are dictated by each person’s own physical condition.
 
 Intermediate Yoga (5:30-6:30pm)    Focus will be on body awareness, breathing, concentration exercises and strengthening the body with more challenging moves. A higher fitness level and flexibility are necessary. Muscles and body systems will be stimulated and strengthened. Through breathing and relaxation techniques participants’ minds and bodies will be refreshed and energy restored. Concentration exercises will increase and promote positive thinking. Students will also learn about the center of energy, which influences body and mind. This class is for people who have practiced yoga before and who are active in sports, fitness or dance.
 
Participants should wear comfortable clothing, bring their own yoga/exercise mat and avoid eating a large meal 1-2 hours before class; a healthy snack is okay. Pregnant women may participate, but must inform instructor.
 
Participants are encouraged to come 15-20 minutes early to the first class to fill out the registration form.
 
Drop-in classes are $12 each and a 5-class card is $50. Minimum age is 16. Space is limited, so call-in registration is recommended. 
                                                           
Krüger, a former ballerina, will also teach a floor-barre class every Friday from 4:00-5:00pm. Floor Barre is a special technique on the floor and is a valuable tool for improving classical ballet technique. This class improves body strength and flexibility and is open to ballet students and people who are currently following a fitness program. Drop-in classes are $12 each and a 5-class card is $50.
 
The Conservatory is located at 119 West Grayson Street in downtown Galax. Entrance is in the back under the covered porch. For more information call the Conservatory at 276-236-2105 or visit www.galaxballet.com.
 
 

 

HEALTH CARE WANTED: DEAD OR ALIVE

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The masquerade is over! The "public option" is ... dead.

 

Health care reform is now a private option: WHICH FOR PROFIT INSURANCE COMPANY DO YOU WANT? You have to choose. And you have to pay. If you have a low income, under HR3200 government will subsidize the private insurance companies and you will still have to pay premiums, co-pays and deductibles.

 

The Administration plan requires that everyone must have health insurance, so it is delivering tens of millions of new "customers" to the insurance companies. Health care? Not really. Insurance care! Absolutely. Cost controls? No chance.

 

You will next hear talk about "co-ops." The truth is that insurance company campaign contributions have co-opted the public interest.

I need your help to spread the word and rally the nation around true health care reform which covers everyone and maintains fiscal integrity without breaking our nation's bank!

Your contribution will empower our efforts to continue to fight for the single-payer, not-for-profit health care bill, HR676 "Medicare for All," which I co-authored with Rep. John Conyers. The bill now has 85 sponsors in the House.

 

The hotly-debated HR3200, the so-called "health care reform" bill, is nothing less than corporate welfare in the guise of social welfare and reform. It is a convoluted mess. The real debate which we should be having is not occurring.

Removing the "public option" from a public bill paid for by public money is not in the public interest.

What is left is a "private option" paid for with public money. Why should public money be spent on a private option which does not guarantee 100% coverage nor have any cost controls? A true public option would provide 30% savings immediately which would then cover the 1/3rd of the population who presently have no health care.

 

Unfortunately, under HR3200, the Government is choosing winners and losers in the private sector; proposing to spend public funds on subsidizing insurance companies who make money not providing health care. This process will insure only the expansion of profits. Gone is the debate over cost.

 

As a result of current negotiations, the Medicare Part D rip-off will continue for another decade, further fleecing senior citizens. Drug importation has been dropped, so no inexpensive drugs can be accessed from other nations.

 

Instead we are told the pharmaceutical companies will accept a 2% cut in the growth rate of their profits - they call this cost control!

 

If the matter were not so serious, it would be farcical: The executive branch pretends that the proposed health care reforms are something they are not. The legislation is being attacked for something it is not. Congressional leadership and the White House defend the legislation, pretending it actually is the very proposal that is being attacked. But it is not.

 

A commonsense government health care reform policy would insure that every single American has full access to health care by expanding Medicare to cover everyone under a Single Payer System. We are already paying for a universal standard of care, it is just we are not getting it.

 

I need your help to spread the word and rally the nation around true health care reform which covers everyone and maintains fiscal integrity without subsidizing insurance and pharmaceutical companies and breaking our nation's bank!

 

My voice in Congress will continue to challenge the special interests who do not want "single-payer" to succeed. I need you to join me in combating the special and corporate interests who spend millions to try to win this Congressional seat. With your help WE will win again. With your help I will continue to represent your concerns, be YOUR VOICE in the United States Congress, and be the voice for health care for all Americans!

Please contribute $25, $50, $100 in support of my campaign. Please contribute now.

With your help, we can accomplish ANYTHING in America. Persistence, dedication, truth and courage will lead the way and win out in the end.

 

Thank you.

 

 

Looking for a New Doctor

Do we really know our doctors?

My recent struggle to find a good doctor to help me with my diabetes and cardiac issues— plus the issue of my wife being prescribed medication by a doctor who did not read the medication list she was taking, causing a major drug interaction that made her very sick for two weeks—had me running around on the internet seeking information about doctors.
Now, this is not an article about bashing doctors, although in my experience through the years I could do just that.  However, I have found a site that is pretty neat and is for those who would like to find out more about their doctors and to see the credentials that doctors have or, to my surprise, do not have. I am sure that site could also be used to try to dig up dirt but this is not my intention. The site is located at:
On the left hand side, you will find a link called Doctors’ Profiles. This is where I found this site most helpful, although it also holds other little gems as well.  Most of the information is strictly optional for the doctor to add, except for the information that the State of Virginia has required the doctors to provide.  I feel this site could be helpful to others in choosing a doctor. The thing I find this site not useful for, is looking up information if you are seeing a nurse practitioner. I have not found a site that allows you to look this information up. If you have this knowledge please share, and if in the meantime, when I can find a site like this I will be glad to post it.
I really hope you will find this site as helpful as I did. Please feel free to post comments on this blog about this subject

 

From Faith to Action

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Our health care system is broken. It’s clear we need a change, but special interests, some claiming to speak for people of faith, are trying to block reform with distortions and distractions.

I just joined “40 Days for Health Reform,” a campaign from the faith community to take back the debate and move real reform forward.

Over the next 40 days, people of faith will run a national TV ad campaign, sign petitions, conduct in-district public meetings reaching over 100 Members of Congress, and even host a national webcast and call to action with President Barack Obama!

You can visit www.faithforhealth.org and sign the petition to join the campaign and stay up to date with all these exciting activities.

 

The Camel's Nose

in

"Let the banks fail!" "Liquidate GM and Chrysler!" "Toss the bums out onto the street!" "Protect the health care industry from change at all cost!" "Corporatism must be defended!" It is the American Way.

Surely any change to the health care system is the camel's nose and nobody knows what the rest of the camel looks like. Does it matter?

Maybe.

Tort reform. Let the lawyers pursue justice and providers pursue health.

Education reform. Let students graduate free of a mountain of debt.

Tax reform. Reward long term investors. Confiscate the ill gotten gains of speculators.

Disability reform. Care for the misfortunate.

Not that we have any real choice - Tweedledum and Tweedledumber. Blow your Congressmen and Senators a kiss. Tell them how much you appreciate their efforts on your behalf. Keep them in your hearts and ask them to do the same for you and ask them to remember why you sent them to Washington.

Update: I have found a couple of websites with really solid recommendations.

While we have an immediate coverage problem which is addressed by the current health care reform plan, it is fundamentally a supply problem.

 

Mark Warner, wake up

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Dear Senator Warner

As someone who has campaigned for you and contributed to your campaign, I want you to know that I am furious and outraged about your outreach to Senator Max Baucus. You have sold out--to the corporate and insurance interests and have abandoned the well being of your constituents. We need a strong healthcare reform bill that includes the public option. Tax the top 5% of income in the US and you can pay for it--and those people have ROBBED US BLIND. I and my family all agree that it is time the fat cats at the top pay for the way they have raped this country. If you sell out to the interests who are currently pulling your strings, be sure that I WILL NEVER SUPPORT YOU AGAIN OR CONTRIBUTE TO YOUR CAMPAIGN AGAIN. It is easy to follow the money  but be aware that this country is on the verge of a popular movement that is going to demand justice--I urge you to get on the right side.

http://www.senate.gov/pagelayout/general/one_item_and_teasers/contacting...

http://warner.senate.gov/public/

http://warner.senate.gov/public/index.cfm?p=contact

 

La Leche League

in
2009/08/17 17:30
2009/08/17 18:30
Etc/GMT+3

All pregnant or breastfeeding mothers and their nursing children are invited to a La Leche League Meeting
on Monday, August 17 at 5:30 p.m.at the Alleghany Wellness Center. For more information about the meeting or breastfeeding support & information please contact Meeka Taylor (276) 773-0326  dtandmee@ls.net

Support local food / please oppose H.R. 875

The goal is laudable:

Protect the public Health by preventing food borne illness.

The reality however means much goverment control, and would affect even the home gardner.

Extreme fines for non-compliance.

http://blogs.zdnet.com/green/?p=5827

http://www.examiner.com/x-13840-FDA-Policy-Examiner~y2009m6d22-HR-875-Fo...

 

ABOUT MOVING ARTS CENTER

During recent  years she has traveled to Egypt, Turkey, Brazil, Sweden, Norway, Finland, Canada, and several countries in Asia teaching, performing and continuing to learn. For example, in Bali she learned the art of Shadow Puppetry Theater. At her studio, Moving Arts Center and through outreach programs she shares her lifetime experiences with dedication and professionalism.  Iara Kendrick’s mission is to make dance available to everyone.  She believes that dance is one of the most complete forms of exercise for the body and mind.  She understands that some people are apprehensive about taking dance classes because of lack of previous experience, age, size, etc. Also, they feel that they must become performers. She compares dance to another art, for example, singing:  A person would never miss the opportunity to learn to sing due to their age, size, gender, etc. Some people want to sing no further than the shower, others want to sing at the church choir, while others want to sing in Broadway, or even opera.  Dance is the same way.  At MAC,  one can come for dance classes just for exercise (dancing 1 hr equals walking 3 miles!), others  to learn about other cultures,  to dance at family parties, or to become professional dancers. From great-grandmothers and fathers, to great grandchildren are all welcome. Offerings include Salsa, Belly Dance, Hawaiian,  Zumba Fitness, Creative Movement and more.

Whether in her studio, or on the road, Kendrick’s mission is to include everyone who wishes to enhance their lives with a global dance and art experience. Willard Gayheart,  whose studio and gallery is in the same complex as MAC commented how fortunate for the community it is to have someone as accomplished as Iara Kendrick be a part of the Woodlawn Art and Culture Center.  MOVING ARTS CENTER is located at 99 Coulson Church Rd. Woodlawn, VA (next to Harmon’s)
To learn more about its offerings, visit: www.movingartscenter.weebly.com   Contact samra40@netzero.net  www.SamrasExpressions.com   or call 276-236-4533

Contributions of any form are appreciated in order to keep classes affordable for everyone.  If you would like to sponsor classes for a student, or sponsor an event your generosity will not be forgotten.  The mirrored studio is available for partial rent. Other instructors are welcome to offer classes and increase the variety of courses. Sponsors and participants are encouraged to inquire about an upcoming production!!!  Inquiries in person on Thursdays nights or Mondays 4:00-5:30
 

Price Elasticity of Demand (PeD)

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PeD revisited.

I have been contracted by RTI to revise and extend the 2007 research described in the Original report. The primary goals in this phase are (were) to:

  1. base quantities on the three month period prior to a price change and the three month period following a price change
  2. capture multiple price changes
  3. maintain time and chronological order

The original analysis took the mean quantity at each distinct price. This ignored confounding influence of other interventions and other trends over time. This analysis constrains the observation window to a period long enough to reduce the affect of anomalies in individual monthly reports yet short enough to minimize the effects of time. The length of the window is a parameter so we can investigate shorter and longer intervals.

The month in which the price change was observed is not included.  Siince we do not know when during the month of observation the price change occurred, we cannot attribute the quantity to either the pre-price change or the post-price change.

We also wanted to observe the influence of multiple price changes to investigate the outcomes of one larger price change vs. multiple smaller price changes.

By record price change time, we can later investigate the effects of policy changes during the study period.

The methodology reuses the database work of the 2007 study including the monthly report data conversion and the matching of price and quantity variables. It diverges from the original at the main query on monthly reports. The original query used aggregate functions to obtain mean quantities.

select NGO,CLINIC,CLINIC_A as UR,\""+pv+"\" as SERVICE,"+
  pv+" as PRICE,avg("+qv+")as QTY "+
  "from monthlyreports group by CLINIC,PRICE order by CLINIC,PRICE

 The new query

select NGO,CLINIC,MNTHYR,\"$row->p\" as SERVICE,
$row->p as PRICE,$row->q as QTY from monthlyreports order by NGO,CLINIC,MNTHYR

The origiinal query did most of the "heavy lifting" while the newer query produces individual observations, each set (ngo,ckinic,service) ordered on time.

Looking at a time sequence, the logic is intricate in detail but simple as a whole. We step through the times series comparing each observation with its predecessor (e.g. ngo0 and ngo.

We require three variabls to be "present" - NGO, CLINIC and QTY. The obervations without an identifying NGO and CLINIC would get "lumped" together and we don't know whether a "zero" quantity is an observed "zero" or missing data.

There are five conditions which imply five distinct "actions"

  1. ($ngo0 == $ngo) and ($clinic0 == $clinic) and ($p == $price)
  2. ($ngo0 == $ngo) and ($clinic0 == $clinic) and ($p == $price) and ($npc > 0) and ($nq1 < $mq)
  3. ($ngo0 == $ngo) and ($clinic0 == $clinic) and ($p == $price) and ($npc > 0) and ($nq1 == $mq)
  4. ($ngo0 == $ngo) and ($clinic0 == $clinic) and ($p <> $price) and ($nq0>=$mq))
  5. ($ngo0 <> $ngo) or ($clinic0 <> $clinic) or  (($ngo0 == $ngo) and ($clinic0 == $clinic) and ($p <> $price) and ($nq0<$mq))

In ordinary langauge these are:

  1. ngo, clinic and price match
  2. ngo, clinic and price match and the number of prices changes is greater than 0 and the number of post price change quantity observations is less than the threshold
  3. ngo, clinic and price match and the number of prices changes is greater than 0 and the number of post price change quantity observations exactly equals the threshold
  4. ngo and clinic match but there is a price change and we have "n" pre price change samples
  5. there is a "new" ngo or clinic or a price change without "n" pre change samples

The corresponding actions are:

  1. preserve the last "n" pre price change quantities
  2. accumulate the first "n" post price change quantities
  3. calculate the mean post price change quantities and PeD.
  4. calculate the pre price change mean quantity, store the time and the pre price change price
  5. start a new subset of observations

The script(ped.php)  is (was) written in PHP which I found more convivial for development than JAVA (the language used in the 2007 study). The complexity of conditional structure in early iterations was replaced by more complex boolean conditions. I found the Boolean analysis more convincing than the topology of if then statements.

The script is special purpose applyiing only to the current case. Perhaps if more of these come along, I will generalize the program. Two simple commands performed the "final" analysis:

./ped.php >mr.txt 
grep ped mr.txt | cut --complement -f1 > ped.txt 

Importing ped.txt back into MySQL, we query for descriptive measures.

SELECT service, count(ped),avg(ped), stddev(ped) FROM `ped`
group by service,npc order by service

servicecount(ped)avg(ped)stddev(ped)
ANC1LT 223 -0.14996521784235 8.5668542905221
ANCRLT 226 0.36414279297522 8.3576777563414
ARI 203 -0.39803736422009 42.015795321498
CDD 160 -2.4809770569671 31.974950686492
COMDIS 6 1.0730159189552 1.7260502350961
CPAC 2 -0.0091666667722166 0.017500000540167
EPICP 51 5.1702612428104 62.746620243018
FPCOUN 15 0.25148147592942 0.59745159725326
FPREM 17 0.029411765144152 0.19195668424266
HPBCHGSC 14 2.7087301324521 3.6068696816243
IMCIXAC 216 -0.23677821484981 17.20185918219
INJCP 158 8.9696202193965 29.719947223731
IUDCP 43 0.028914728483488 0.29041010425524
LCC 149 35.21438793808 76.719100489867
NDEL 10 0.0051555577432737 0.12569922243557
NORCP 22 -0.047828282991594 0.3820732179818
PNC1 240 0.50564814656197 4.3099363826239
PNCR 157 -0.20311588294519 2.8781127139036
REFL 1 0.26666668057442 0
RTISTI 169 3.0256926880036 24.50525986015
TTCP 65 -2.8055983143357 33.219544347266
VTAMSLSC 1 119 0

In the current version we can dissagregate by the price change number.

SELECT service, npc, count(ped),avg(ped), stddev(ped) FROM `ped` group by service,npc order by service,npc.

servicenpccount(ped)avg(ped)stddev(ped)
ANC1LT 1 173 0.20081554205195 9.2086387922784
ANC1LT 2 50 -1.3636666470766 5.6586547610084
ANCRLT 1 174 0.71219121699018 8.3281487110598
ANCRLT 2 52 -0.80048077969024 8.3509154773623
ARI 1 196 -0.21072236634791 42.60923944366
ARI 2 7 -5.6428573046412 18.184335613904
CDD 1 150 -2.4391533130904 32.713876542412
CDD 2 10 -3.1083332151175 17.463503424071
COMDIS 1 6 1.0730159189552 1.7260502350961
CPAC 1 2 -0.0091666667722166 0.017500000540167
EPICP 1 48 6.793402629594 63.477473531744
EPICP 2 3 -20.800000945727 41.767328398722
FPCOUN 1 15 0.25148147592942 0.59745159725326
FPREM 1 17 0.029411765144152 0.19195668424266
HPBCHGSC 1 14 2.7087301324521 3.6068696816243
IMCIXAC 1 168 -1.0480515985262 16.237147728582
IMCIXAC 2 48 2.6026786280175 19.96107070713
INJCP 1 141 7.8056737344897 29.946715724202
INJCP 2 17 18.623529300094 25.818926135905
IUDCP 1 42 0.028968253749467 0.29384682023426
IUDCP 2 1 0.026666667312384 0
LCC 1 137 31.6372854888 70.061519243416
LCC 2 12 76.052974234025 123.40323192091
NDEL 1 9 0.034617285321777 0.094212254414737
NDEL 2 1 -0.25999999046326 0
NORCP 1 22 -0.047828282991594 0.3820732179818
PNC1 1 185 0.16196696600197 4.1714659860231
PNC1 2 55 1.661666662991 4.5598468632342
PNCR 1 139 -0.14969166870758 2.6129566417843
PNCR 2 18 -0.61566953733563 4.3971323843244
REFL 1 1 0.26666668057442 0
RTISTI 1 143 3.4966422546316 25.980010483609
RTISTI 2 26 0.4354700715496 13.530932409099
TTCP 1 53 -1.6072851626097 33.303101017407
TTCP 2 12 -8.0981480677923 32.320817816939
VTAMSLSC 1 1 119 0

 The tab-delimited output was also imported into PSPP, an Open Source version of SPSS and saved as an SPSS compatible file (ped.sav).

 

Original report.

The task is to produce estimates of Price elasticity of Demand (PeD) from monthly reports by NGO clinics in the NSDP project containing monthly price and quantity data. The work was performed under contract with Research Triangle Institute (RTI) under the direction of Dr. Dennis Chao and funded by the US Agency for International Development (USAID). Hopefully thse estimates will contribute to a management plan for sustainability.

We began with an SPSS dataset (Pricing Dataset_Master_29 May 2007_cp.sav) of monthly reports consisting of 10376 observations of 231 named variables. This dataset was saved as a tdf file from within SPSS (monthlyreports.dat).

We used MySQL for data manipulation and Java to script the calculations. The results were saved as a TDF file (ped.tdf). We started by creating the database 'nsdpprice';

Using the information from SPSS using "Display Data Info", an SQL CREATE statement was created and executed using the MySQL Query Browser. The data was imported using the MySQL LOADDATA command.

Next "price" and "quantity" variable names were matched by inspection and used to create the MySQL table "pq". Price in most cases came from a variable name ending in CP. Pricing of SMC commodities was disaggregated by brand but the quantities were not. I simply chose one of the brands that suggested the most pricing activity.

We now have two MySQL tables - one containing monthly reports and another matching price and quantity variables names in the monthly reports table. The strategy is to pass the monthly reports table once for each pair in the price and quantity table. To do this we used a combination of MySQL and Java.

The java program flow is roughly:

  • initialize the MySQL driver - com.mysql.jdbc.Driver
  • connect to the database nsdpprice
  • obtain an ordered set of price variable and quantity variable pairs
  • for each price and quantity variable pair
    • obtain an ordered set of {NGO, CLINIC,UR, SERVICE, PRICE, avg QTY }
    • for each monthly report
      • if UR, NGO, CLINIC and SERVICE match the previous record
        • compute
          • dq =difference in quantity
          • dp = difference in price
          • dpp = difference in price relative to averge price of the successive observations
          • dqq = difference in quantity relative to average quantity
          • ped=dqq/dpp
        • write the estimate of ped to ped.tdf

Thus we have 3869 estimates of PeD, most of which some case for validity can be made. We can filter the exceptions in SPSS.


"ped.sav" is the final SPSS product. It was produced by importing the
file ped.tdf. After filtering the bogus data and taking the means of ped by service we have:


MEANS
TABLES=ped BY service
/CELLS MEAN COUNT STDDEV .
 

PeD
SERVICE Mean N StdDeviation
ANC1LT −0.064 292 1.121
ANCRLT 0.027 268 1.238
ARI −0.491 268 1.900
CDD −0.637 256 1.981
COMDIS −1.885 34 7.114
CONGCP −0.208 121 3.915
CONPEN −1.927 125 609.297
CPAC 0.715 2 1.577
CSEC 1.000 6 0.000
EPICP 0.050 79 0.628
FPCOUN 0.557 28 1.051
FPREM 0.143 40 1.864
HOMEDE 1.057 49 0.885
HPBCHG 0.466 14 0.162
IMCIXA −0.588 305 1.880
INJCP −0.234 233 3.100
IUDCP 0.196 56 1.260
LCC 0.623 229 1.428
NDEL 1.104 23 1.245
NORCP −0.571 40 2.293
PILFEM 6.478 130 378.521
PILGCP 0.342 111 0.626
PNC1 0.087 295 1.399
PNCR −0.125 281 3.148
REFL 0.195 2 0.177
RTISTI −0.267 248 1.714
STRL 0.607 3 0.681
TTCP −0.319 45 0.769
Total 0.047 3583 134.229

Price increases were generally successful (> -1.0) except for COMDIS (Communicable diseases). CONPEN (Commercial condoms - Panther) and PILFEM.. CONPEN and PILFEM were suspect because of the inability to match price and variable data in the first place.

The next band of interest are those services where PeD is less than
0.0 but not less than -1.0. These are the cases where price increases
had the expected result of reducing quantity. The closer to -1.0 the
greater the impact. The social cost in these cases may exceed the
increased revenue.

The unexpected results, PeD greater than 0.0, may be explained by the
perception that those services were of more value at a higher price.

This study illustrates the use of multiple tools in the analysis of institutional and administrative data.

Virginia Department of Health Professions Website Compromised

https://www.pmp.dhp.virginia.gov/pmpwebcenter/login.aspx  is currently (2:07PM) down.

Wikileaks report is here - http://wikileaks.org/wiki/Over_8M_Virginian_patient_records_held_to_rans...

SecurityFocus report is here - http://www.securityfocus.com/brief/957

Virginia Department of Health Professions main site is here - http://www.dhp.virginia.gov/

That site was running on Windows 2003 with Microsoft-IIS/6.0 until this morning when it was downgraded to Windows 2000 with Microsoft-IIS/5.0

The main Virginia site http://virginia.gov used to run on Solaris (Sun). The current webserver is Apache/1.3.41 Unix JRun/4.0 mod_perl/1.30 mod_ssl/2.8.31 OpenSSL/0.9.7m mod_gzip/1.3.26.1a, For comparison, LSNet's web server returns Apache/2.2.3 Ubuntu PHP/5.2.1 mod_ssl/2.2.3 OpenSSL/0.9.8c

I have no knowledge of the particular vulnerability in this case - IIS6.0 or the content management system (CMS) - but one of the reasons for recent upgrades at LSNet was the "HTTP Request Smuggling" vulnerability affecting both Microsoft and *nix web servers. http://www.securiteam.com/securityreviews/5GP0220G0U.html We spent the entire day yesterday on security updates for our chosen CMS - Drupal.

The PMP software system was developed by the private contractor Optimum Technology - http://www.otech.com/. The data sheet for the software can be found here - http://www.otech.com/downloads/index.asp Otech's web server runs on the same system as PMP

tarvid@hans:~$ HEAD http://www.otech.com
200 OK
Cache-Control: private
Connection: Close
Date: Wed, 06 May 2009 12:19:42 GMT
Server: Microsoft-IIS/6.0
Content-Length: 7852
Content-Type: text/html
Client-Date: Wed, 06 May 2009 12:23:51 GMT
Client-Peer: 64.132.213.39:80
Client-Response-Num: 1
Set-Cookie: ASPSESSIONIDAQDCCCBC=ANJLFLLAPNHMEIGMEHOPGAJH; path=/
X-Powered-By: ASP.NET

I suspect there are a lot of a nervous admins at http://www.vita.virginia.gov/ If you find anyone else running aged web servers you might report the suspicious activity to - http://www.vsp.state.va.us/FusionCenter/Report_Suspicious_Activity.shtm

On the other hand that's the same webserver running virginia.gov

root@hans:/etc/X11# HEAD http://www.vsp.state.va.us/FusionCenter/Report_Suspicious_Activity.shtm/...
200 OK
Connection: Close
Date: Tue, 05 May 2009 19:12:03 GMT
Server: Apache/1.3.41 (Unix) JRun/4.0 mod_perl/1.30 mod_ssl/2.8.31 OpenSSL/0.9.7m mod_gzip/1.3.26.1a
Content-Type: text/html
Client-Date: Tue, 05 May 2009 19:12:04 GMT
Client-Peer: 206.113.150.68:80
Client-Response-Num: 1
 

Beginning Yoga: Afternoon Class at Conservatory

2009/04/23 19:00
2009/04/30 19:00
Etc/GMT+3

Focus will be on simple body, breathing and concentration exercises which will strengthen the body in a gentle way. Breathing and relaxation are an important part of this class which leads to a balanced body and calm mind. Participants will feel refreshed and energized. This class is for people who have never practiced yoga. The focus is not on strenuous exercise, but rather movement and body awareness that are dictated by each person’s own physical condition.

Participants should wear comfortable clothing, bring their own yoga/exercise mat and avoid eating a large meal 1-2 hours before class; a healthy snack is okay. Pregnant women may participate, but must inform instructor.
 
Participants are encouraged to come 15-20 minutes early to the first class to fill out the registration form.
 
The Conservatory is located at 119 West Grayson Street in downtown Galax. Entrance is in the back under the covered porch. For more information call the Conservatory at 276-236-2105.

 

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