270 research outputs found

    A forecast for Revision: The Fate of the Ethics in Government Act in 1999

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    Article published in the Michigan State University School of Law Student Scholarship Collection

    From Montsou to Bowhill: Joe Corrie’s antecedents

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    Publisher PD

    Édimbourg-La-Morte: The Fantastic in Charles Dickens and Robert Louis Stevenson

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    That Charles Dickens—most English of writers—should feature in Études Ă©cossaises will seem bizarre to those unacquainted with (or unsympathetic to) comparative literary studies. However, Dickens’s first major journalistic assignment, in 1834, centred on Edinburgh where he covered Scotland’s reception of Earl Grey, the prime minister who had nurtured the 1832 Reform Bill through Parliament. Seven years later, Dickens himself was honoured in the Scottish capital. These facts in themselves may m..

    “Take Care of the Bowels and the Brains Will Take Care of Themselves”: Scotland’s Doctor-Writers

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    Decades ago I was drinking with Jock, a well-known surgeon in our town. He was a source of colourful tales, which he relayed with a blunt directness. I was told that he’d been a good friend of my grandfather, the local Labour MP, and that they’d argue about politics on the train down to London. Whenever Jock opened up a patient and found a tumour that was beyond even his skill, he became visibly and audibly distressed: “Sew ’im up, sew ’im up!” There you have it: a profession whose members, a..

    Healthy People/Healthy Economy: Annual Report Card 2014

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    This fourth annual Healthy People/Healthy Economy Report Card makes the case once again that health and wellness are essential to the future of the Commonwealth. This Report Card outlines more than a dozen complementary policies and practices to improve health and prevent disease, and it is critical that we adopt them.This year, the Report Card intensifies its focus on health at both ends of the lifespan— young children and seniors. Equally important, it stresses the urgent need for action to improve health at the neighborhood and community level in order to enhance lives and meet the Commonwealth's new goals for controlling health care costs.Massachusetts is now focused squarely on the difficult task of controlling its health care spending. With the enactment of Chapter 224 in 2012, the Commonwealth became the third U.S. state, following Maryland and Vermont, to assert control over all public and private health care spending. Under Chapter 224, the Commonwealth aims to keep the rate of increase in total health care spending equal to or less than the state's economic growth rate. This ambitious goal builds upon the state's achievement of the highest rate of health insurance in the country, with about 96 percent of residents covered. While people who live in Massachusetts are already among the healthiest in the United States, there are many areas for improvement, and making those improvements is key to controlling future costs.Let's look at the record.Massachusetts ranks high among the states on most health indicators. One well-regarded national report, America's Health Rankings, rates Massachusetts as the 4th-healthiest state in the country. Yet measures like these mask important and costly problems.For example, even though the Commonwealth is among the states with the lowest levels of overweight, obesity and illnesses related to unhealthy weight, including Type 2 diabetes, the overall national trend has been consistently negative. In Massachusetts: - The percentage of obese people has doubled since 1990, from approximately 10 percent to more than 20 percent.- The number of cases of diabetes skyrocketed 80 percent between 1995 and 2010.- The cost impact of diabetes, which is estimated to be more than 6billionperyear,willescalateunlessthecurrenttrendisreversed.−Equityissuesremain,asAfricanAmericansaremorelikelytoreportthattheyareinfairorpoorhealthcomparedtowhites(about18percentvs.12.5percent),andHispanicsaremuchmorelikelytoreportpoorhealthstatus(27percent).−Low−incomeresidentsaremuchmorelikelytocharacterizetheirhealthasfairorpoor(29percentofresidentsearninglessthan6 billion per year, will escalate unless the current trend is reversed.- Equity issues remain, as African Americans are more likely to report that they are in fair or poor health compared to whites (about 18 percent vs. 12.5 percent), and Hispanics are much more likely to report poor health status (27 percent).- Low-income residents are much more likely to characterize their health as fair or poor (29 percent of residents earning less than 25,000, compared to 4.7 percent of residents earning more than $75,000 per year).- People who have completed high school or college are much more likely to report their health as good compared to those who have not finished school (Only 6 percent of college graduates characterized their health as fair or poor, compared to nearly 35 percent among those who did not finish high school).

    Glaciological and geomorphological map of Glacier Noir and Glacier Blanc, French Alps

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    <p>This paper presents and describes a glaciological and geomorphological map of Glacier Noir and Glacier Blanc, French Alps. Glacier Noir is a debris-covered glacier and is adjacent to Glacier Blanc, a clean-ice (debris-free) glacier. The glaciological and geomorphological evolution of Glacier Blanc is well known, but the evolution of Glacier Noir is poorly understood, as is the case for many debris-covered glaciers globally, despite their importance in a number of mountain ranges around the world (e.g. European and Southern Alps, the Himalayas and the Rockies). The accompanying map was created by manually digitising aerial ortho-images and historical georeferenced photographs from 1952 to 2013. The main glacial and geomorphological features of both glaciers were mapped, including debris cover, crevasses, moraines, hummocky terrain and scree areas. Hydrological features (supra- and pro-glacial streams and meltwater ponds) were also mapped. The map illustrates the key differences between Glacier Noir and Glacier Blanc, and is important for understanding future glaciological and geomorphological changes.</p

    Healthy People/Healthy Economy: A Five-Year Review and Five Priorities for the Future

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    The first Report Card (2011) identified a dozen priorities for decisive action to improve health in Massachusetts. The need to act was summed up in the title of our first report, The Boston Paradox, published in 2007. As we saw it, Massachusetts had "plenty of health care, but not enough health." The Commonwealth ranked high on many measures of health status and health care compared to the rest of the United States. But it was not immune to risks such as rising rates of overweight, obesity and diabetes that threatened to increase the burden of illness on many families, to drive up health-care costs that were already too high, and to sap the economic vitality of the state.So how have we done? Clear signs have emerged that rates of growth in overweight and obesity in the Massachusetts population at large have stayed flat over the last two to three years. Similarly, overweight and obesity have leveled off among youth in several high-risk communities aided by the Commonwealth's Mass in Motion program. We have seen a widespread effort to promote a "culture of health."A real culture of health requires investment of real dollars in priorities that shape our lifelong health. Here there have been encouraging signs as well.In 2011 we documented a "mismatch": increased health care spending by the Commonwealth came at the expense of investment in crucial long-term determinants of health such as education and public health programs. Since then, the Commonwealth's spending on health care and other health-related priorities has come closer into balance.But it is far too early to give ourselves good grades. First, it remains to be seen whether the unhealthy weight gain in Massachusetts has stopped for good. After all, America's obesity crisis has been more than 30 years in the making. In Massachusetts, rates of overweight, obesity and related conditions such as diabetes remain at historically high levels. Disparities in rates and resulting health risks among African-American and Latino residents remain stubbornly high. There is an especially urgent need for addressing what can be termed "ZIP-code disparities," or huge differences in health between affluent communities and low-income, high-risk urban neighborhoods throughout the state.And while Massachusetts adults are among the nation's healthiest, the state's youth consistently fall in the middle of the pack for risks such as overweight and obesity, with especially troubling numbers for the youngest children. These facts do not bode well for our economic future.It likewise remains to be seen whether the Commonwealth's tentative steps toward a better balance can be sustained in state expenditures on both health care and the determinants of health. The growth in health-care spending in Massachusetts has slowed in the last two to three years, but experts are divided on whether this trend will continue. Meanwhile, recent budget increases for public health and other health-related programs have not come close to making up for cuts in real inflation-adjusted spending suffered over the last 15 years.And so as Governor Baker, the Legislature and community leaders reset the state's agenda, we offer one overarching goal and five specific recommendations for further action. The Commonwealth's overarching goal should be to make steady progress toward a culture of health. To make this a reality, Massachusetts officials need to fully embrace the "health in all policies" approach that many experts and health-care leaders see as essential if we are to improve health, avoid unnecessary spending, and sustain our economic vitality. Nearly every government action, from capital planning and construction to the design or reform of programs, represents an opportunity to contribute to better health for all residents

    Creating HiRISE digital elevation models for Mars using the open-source Ames Stereo Pipeline

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    The present availability of sub-decametre digital elevation models on Mars – crucial for the study of surface processes – is scarce. In contrast to low-resolution global datasets, such models enable the study of landforms 3000 stereo pairs at 0.25 m pixel−1 resolution, enabling the creation of high-resolution digital elevation models (1–2 m pixel−1). Hitherto, only ∌500 of these pairs have been processed and made publicly available. Existing pipelines for the production of digital elevation models from stereo pairs, however, are built upon commercial software, rely upon sparsely available intermediate data, or are reliant on proprietary algorithms. In this paper, we present and test the output of a new pipeline for producing digital elevation models from HiRISE stereo pairs that is built entirely upon the open-source NASA Ames Stereo Pipeline photogrammetric software, making use of freely available data for cartographic rectification. This pipeline is designed for simple application by researchers interested in the use of high-resolution digital elevation models. Implemented here on a research computing cluster, this pipeline can also be used on consumer-grade UNIX computers. We produce and evaluate four digital elevation models using the pipeline presented here. Each are globally well registered, with accuracy similar to those of digital elevation models produced elsewhere
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