15 research outputs found

    Municipal Corporations, Homeowners, and the Benefit View of the Property Tax

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    Worldwide, mortality risk is high soon after initiation of hemodialysis.

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    Mortality rates for maintenance hemodialysis patients are much higher than the general population and are even greater soon after starting dialysis. Here we analyzed mortality patterns in 86,886 patients in 11 countries focusing on the early dialysis period using data from the Dialysis Outcomes and Practice Patterns Study, a prospective cohort study of in-center hemodialysis. The primary outcome was all-cause mortality, using time-dependent Cox regression, stratified by study phase adjusted for age, sex, race, and diabetes. The main predictor was time since dialysis start as divided into early (up to 120 days), intermediate (121-365 days), and late (over 365 days) periods. Mortality rates (deaths/100 patient-years) were 26.7 (95% confidence intervals 25.6-27.9), 16.9 (16.2-17.6), and 13.7 (13.5-14.0) in the early, intermediate, and late periods, respectively. In each country, mortality was higher in the early compared to the intermediate period, with a range of adjusted mortality ratios from 3.10 (2.22-4.32) in Japan to 1.15 (0.87-1.53) in the United Kingdom. Adjusted mortality rates were similar for intermediate and late periods. The ratio of elevated mortality rates in the early to the intermediate period increased with age. Within each period, mortality was higher in the United States than in most other countries. Thus, internationally, the early hemodialysis period is a high-risk time for all countries studied, with substantial differences in mortality between countries. Efforts to improve outcomes should focus on the transition period and the first few months of dialysis

    The fraternity of female friendly societies

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    In this chapter, the structured reciprocity of female friendly societies, even those with overt patrons, is presented as a categorization which is also applicable to men’s societies. The first part addresses the notion of independence, then the focus is on the financial aspect of the Southill Female Friendly Society, SFFS, which existed between 1844 and 1948 for women of that Bedfordshire village in England who were of ‘a good and honest character’, in good health and aged between 14 and 45 when they joined. Members had few other opportunities to reduce the risks associated with illness other than accept the uneven reciprocity of the SFFS. The patrons may also have seen the SFFS as an investment opportunity. Then the attractions of Southill, with its healthy housing and relatively liberal interpretation of relief legislation, are presented as evidence of another important attribute of successful friendly societies, their centrality to social networking. Next is considered how far mutuality and philanthropy were interwoven within the SFFS and elsewhere. An assessment of the roles of civil engagement and moral regulation within friendly societies follows and the final section suggests that a notion of fraternity which emphasizes flexible reciprocity can net together both vast international brotherhoods and tiny village societies in a way which illuminate understandings of nineteenth-century society
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