Tidal Title and the Boundaries of the Bay: The Case of the Submerged High Water Mark

There is no particular policy reason why the same line should be used for both the upland boundary of the jus publicum and the seaward boundary of parcels bounded by the sea. In interpreting the language used in grants of private interests, the ostensible object of the inquiry is to ascertain the parties (particularly the grantor\u27s) intent. Subject only to limitations on the grantor\u27s estate or power to convey, it is that intention which controls the extent of his transfer. On the other hand, in setting the upland boundaries of lands subject to the jus publicum, the courts are essentially making a policy determination, i.e., which lands are subject to what mode of use-allocation, a question of law in which private intentions play no role. Nonetheless, for reasons which seem largely historical, the rule of construction for grants extending to the sea has been held to result in the same boundary line as the line which, by law, defines the upland limits of the jus publicum. In the case of both, the line is the high water line. This article explores judicial resolutions in New York to the question: Where is the high water line

The Role of Rural Hospitals in Addressing Opioid and Other Substance Use Problems

Webinar presentation to the Small Rural Hospital Transition project addressing issues of rural opioid and other substance use issues, focusing on the role of rural hospitals, and the importance of community engagement. Component parts of an effective opioid/substance use system of care include prevention, treatment, and recovery. Models must be adapted to the geographic, resource, and cultural realities of rural areas. Examples of strategies are provided

Rural America: A look beyond the images

The issues faced by patients and providers in rural health care differ greatly from those of urban counterparts. They also differ across rural communities. Understanding these differences, and the differences among rural populations across America, is critical to providing health services to rural Americans, who are often impeded by economic factors, cultural and social differences, educational shortcomings and isolation in their efforts to lead normal, healthy lives. The challenges provide opportunities for Catholic health care to make a difference in the lives and health of some of the nation\u27s most vulnerable citizens

Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings

This Guide on Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings was prepared by the United Nations Office on Drugs and Crime (UNODC) Drug Prevention and Health Branch (DHB), in the context of the global project Treatnet II: OFID-UNODC Programme to prevent HIV/AIDS through Treatnet Phase II, with the aim of providing an awareness-raising tool and guidance for policymakers, public health officials, local authorities and other stakeholders in dealing with substance use issues in rural settings in their respective countries. This Guide will serve as an awareness-raising tool and guidance for policymakers, public health officials, local authorities and other stakeholders in dealing with substance use issues in rural settings in their respective countries. It will “set the stage” for the identification, assessment, planning and implementation of both prevention interventions and policies, as well as interventions targeting rural drug users, by: Describing substance use problems in rural settings and factors contributing to them. Identifying tools that can be used to assess the scope of rural substance use in their countries. Describing evidence-based prevention, treatment and recovery strategies that can be implemented in rural areas. Providing examples of successful promising and evidence-based strategies implemented in diverse rural areas worldwide. This Guide is intended to be shared widely with policymakers and other stakeholders concerned with the problems of substance use in rural settings. It provides an understanding of several key economic and social disparities driving rural substance use and the barriers to treatment experienced by rural people with substance use disorders

Strategies to Combat Opioid Use in Rural Communities

Webinar presentation discussing Opioid use across rural settings Drivers of rural opioid use Burden of opioid use in rural communities Evidence-based prevention, treatment, and recovery strategies to address rural opioid us

The Characteristics and Roles of Rural Health Clinics in the United States: A Chartbook

https://digitalcommons.usm.maine.edu/facbooks/1086/thumbnail.jp

Impact of inertia, friction, and backlash upon force control in telemanipulation

The mechanical behavior of master controllers of telemanipulators has been a concern of both designers and implementors of telerobotic systems. In general, the literature recommends that telemanipulator systems be constructed that minimize inertia, friction, and backlash in an effort to improve telemanipulative performance. For the most part, these recommendations are founded upon theoretical analysis or simply intuition. Although these recommendations are not challenged on their merit, the material results are measured of building and fielding telemanipulators that possess less than ideal mechanical behaviors. Experiments are described in which forces in a mechanical system with human input are evaluated as a function of mechanical characteristics such as inertia, friction, and backlash. Results indicate that the ability of the human to maintain gripping forces was relatively unaffected by dynamic characteristics in the range studied, suggesting that telemanipulator design in this range should be based on task level force control requirements rather than human factors

Maine Barriers to Integration Study: The view from Maine on the barriers to integrated care and recommendations for moving forward

Following up on the Environmental Scan report (http://muskie.usm.maine.edu/Publications/rural/Barriers-to-Integration-Environmental-Scan.pdf), the authors interviewed representatives from Maine’s business community, payers, purchasers, professional associations, state legislators, advocacy organizations, state government, and provider organizations. The interviews provided a context to understand the barriers to integration in Maine and develop recommendations to overcome them. Our Final Report presents key findings from the study, recommendations for addressing barriers, and next steps for moving forward. This study recognizes the need for integration of behavioral and physical health services in all settings. Although most discussions of integration focus on the development of behavioral health services in primary care settings, this study acknowledges the challenges faced by individuals with chronic and/or severe behavioral health problems in obtaining vital physical and primary health care

Rural vets: Their barriers, problems, needs

Evolving population trends--the aging of rural veterans, the growing number of female veterans and rates of homelessness among veterans--place significant demands on VA and rural delivery systems. Coordination among health care providers is essential to increasing the availability of services and expanding veteran outreach programs