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INTRODUCTION: Hispanic patients comprise the largest minority population in the United States. The federal government mandates that healthcare providers be able to communicate with those patients who have limited English ability. The primary purpose of this study was to assess the English-language proficiency of self-declared English-speaking Hispanic patients in the emergency department (ED). The secondary purpose was to determine concordance between patients' tested English proficiency and perceived proficiency by nurses and physicians. We hypothesized that many patients who state that they are able to speak English do not in fact possess sufficient ability to communicate in English. METHODS: A convenience study was conducted in an urban level-1 pediatrics and adult trauma center with 45,000 annual visits. Participants included adult patients and parents of pediatric patients, all of which spoke Spanish as their first language. Since there were no verbal tests of English-language ability used in medicine, two written tests were used as surrogates-the Rapid Estimate of Adult Literacy in Medicine (REALM) and the Short Test of Functional Health Literacy in Adults (STOFHLA). Research assistants administered these tests to patients with Hispanic surnames to assess the English comprehension of patients who stated that they spoke English. Score of seventh grade or better on the REALM and > or = 23 on the STOFHLA was considered a level of English competency. Data was entered into SPSS and analyzed for correlations. This study was approved by the institutional review board as exempt. RESULTS: Three-hundred-fifty-four patients with Hispanic names were approached and asked if they spoke English, Spanish or both. One-hundred-five patients, all self-proclaimed English speakers, were enrolled in the study. Patients ranged from 18-89 years of age, with 37.1% (39/105) male and 62.9% (66/105) and female; 49% (50/102) patients had only completed grade school. Sixty-five of 98 (66.3%) of self-proclaimed English speakers ...

From January 1, 2019. Amendments to the Act of July 5, 2018 amending the provisions on trade unions and some other acts apply (almost in full). Amendments to the Polish act are a consequence of the Committee for the Freedom of Association, Labor Law Organizations and the judgment of the Polish Constitutional Tribunal. The main and expected effect of the amendment is the extension of coalition freedom in trade unions. This issue is important not only for the consistency of the legal system with international law, but also for social reasons. Concluding civil law contracts in the place of employee forms of employment is a common practice in Polish conditions. The main problem is that the civil law contract has a purpose other than the employment contract. Contracts of mandate and provision of services are the basis for the implementation of actual and legal activities.Besides, the legislator does not have any real actions aimed at eliminating the defective practice. The text is an attempt to synthetically summarize the motives of the amendment, as well as its effects and tests. ; Od 1 stycznia 2019 r. obowiązują (niemal w całości) zmiany wprowadzone ustawą z dnia 5 lipca 2018 r. o zmianie ustawy o związkach zawodowych oraz niektórych innych ustaw.Zmiany w Polskiej ustawie są następstwem zaleceń Committee on Freedom of Association Labour Law Organizations i wyroku Polskiego Trybunału Konstytucyjnego. Zasadniczym i oczekiwanym skutkiem nowelizacji jest poszerzenie wolności koalicji w związkach zawodowych. Kwestia ta jest istotna nie tylko ze względu na spójność krajowego systemu prawnego z prawem międzynawowym, ale także ze względów społecznych. Zawieranie umów cywilnoprawnych w miejsce pracowniczych form zatrudnienia jest częstą praktyką w polskich warunkach. Zasadniczy problem wiąże się z tym, że umowy cywilnoprawne mają inne przeznaczenie i cel niż umowa o pracę. Umowy zlecenia i świadczenia usług są podstawą realizacji czynności faktycznych i prawnych. Pomimo to, ustawodawca nie podejmuje żadnych realnych działań zmierzających do wyeliminowania wadliwej praktyki. Tekst jest próbą syntetycznego omówienia motywów nowelizacji, a także jej skutków. W prowadzonych badaniach zostanie wykorzystany dorobek literatury i orzecznictwa.Analiza obejmie projekt nowelizowanej ustawy i materiały legislacyjne, a także źródła prawa międzynarodowego.

AbstractA good deal is now being heard about the conduct of public officials. Much of the concern has found its way into law. A strong law should be one that works and is effective and fair, should be able to be administered, should be understood, accepted and respected by all sides and should be vigorously enforced but tempered with reason.

Preface --Welcoming Addresses --Opening and Closing Addresses --Working Group I Preventing Delay and Disruption of Arbitration --Working Group II Effective Proceedings in Construction Cases --Annex I Fédération Internationale des Ingénieurs-Conseils (FIDIC), Conditions of Contract for Works of Civil Engineering Construction --List of Oral Interventions to Working Group II --List of Written Interventions to the Congress --Programme --List of Abbreviations.

The continuous expansion of the European Union has transformed its very own self-conception. While Eastern enlargement was widely celebrated as the 'reuniting of Europe', the sheer number of applicants, their low economic development and the need for new states to transform in accordance with EU values required considerable adjustments to the EU's self-image. By examining the European Council's contentious approval of the Mediterranean and Central and Eastern European countries in the 1970s and 1990s, this book investigates why the European Union enlarges. Based on new and hitherto not analysed.