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By: L. Pavel, M.B.A., M.B.B.S., M.H.S.
Vice Chair, Louisiana State University
Note: the expression is not equivalent in meaning to the phrase out of the game-(of a sportsman) remaining out of play during a game: I was out of the game and useless arteria nasi externa order generic valsartan pills. Note: the expression does not correlate in meaning with the phrase on the rack-tormented by anxiety blood pressure medication young cheap valsartan line, worry blood pressure juicing 160 mg valsartan mastercard, etc heart attack 80 blockage buy valsartan 40 mg fast delivery. Note: the expression does not correlate in meaning with the compound thanksgiving-1. Note: the expression does not correlate in meaning with the phrase in large measure-(also: in large part) to a considerable extent: Public - and in large measure also independent - education in the United States has undergone a process of secularization. Note: a) the expression does not correlate in meaning with the phrase on the drawing board- under preparation: A plan is now on the drawing board to build new schools in remote areas. Note: the expression does not correlate in meaning with the phrase in commission-1. Note: the expression does not correlate in meaning with the phrase on the lines-(also: along the lines) following a certain pattern or trend: Treatment will be given on the lines prescribed in this book. Note: the expression does not correlate in meaning with the phrase on the arm-(U. Note: the expression does not fully correlate in meaning with the phrase to order- = on order 2: Most of the items displayed are manufactured to order only. Note: the expression does not correlate in meaning with the phrase on tenterhooks- in a state of suspense or strain because of uncertainty: Dealers said the market was on tenterhooks about the size of the German rate cut. Note: the expression does not correlate in meaning with the phrase on the sidelines- used of smb. For ten months of each year he stayed on the wagon; twice a year, regularly, he fell off, sometimes with doleful consequences on the job. Note: the expression does not correlate in meaning with the phrase in the cart-(coll. Note: the expression does not fully correlate in meaning with the phrase on the chopping block- = on the block 2: Our whole future is on the chopping block now. Every month, 12 Melbourne families are shifting to Ballarat alone for a better lifestyle. Note: None of the expressions correlates in meaning with the phrase on the other side-used with reference to the world beyond the grave (as inhabited by the spirits): Are they still obese on the other side Note: the expression does not correlate in meaning with the phrase in a tick-(coll. Note: the expression does not correlate in meaning with the phrase with wings-(coll. Note: the expression does not fully correlate in meaning with the phrase at the top of something-1. Note: the expression is not antonymous in meaning to the phrase on the right side of the hedge- on the advantageous or winning side: the French thought themselves on the right side of the hedge, but it proved otherwise. Note: Neither expression fully correlates in meaning with the phrase on the uppers-(sl. Note: a) the expression does not correlate in meaning with the phrase these days-nowadays; at present: these days candidates send swarms of advance men into every city before they arrive. Note: Neither expression correlates in meaning with the phrase one by one- one after another: I found these group ward rounds more efficient and also more enjoyable than seeing patients one by one. Charlie Luciano - now nicknamed Lucky on account of a one way ride that he came back from. Note: the expression does not correlate in meaning with the phrase let someone have it-(coll. Note: the expression does not fully correlate in meaning with the phrase life history-1. Note: the expression is not equivalent in meaning to the phrase hard-luck story-1. Note: the expression is not equivalent in meaning to the phrase open to question- used of statements, assertions, etc. Note: the expression does not correlate in meaning with the phrase up about something-(coll. George, the -an English civil order of knighthood instituted in 1818: He was made Knight Commander of the Order of St. Note: Neither expression correlates in meaning with the phrase other side, the-the world beyond the grave (as inhabited by the spirits): Are they still obese on the other side Note: the expression does not correlate in meaning with the phrase up in the blue- aboard an aircraft; in flight: If only you could know how happy I am when I fly a plane!
We have been reinventing our tools blood pressure chart by age nhs generic valsartan 80mg overnight delivery, but each time based on revisiting the model as to who develops the tool blood pressure medication itchy scalp order valsartan uk, how it is distributed blood pressure medication with a b cheap valsartan 160mg, where it is run heart attack quiz best buy for valsartan, how much control the researcher has, who is responsible for it, and whether it is research itself. I suspect we are going to keep on reinventing this wheel and experimenting with models as the community matures, but the time may have come for a die-o and rationalization that leaves us with fewer, but better maintained models. My intent was not to declare gotcha, but to draw attention to the dening conversation we have to have. Infrastructure is not as That the turn to infrastructure is political; that it involves redening what is My point is that we should do it I would go so far as to say that thoughtfully, cognizant of what we may lose and the costs to research. We need to support prototyping in order to test risky models before massive investment. Such experiments should also be designed so that they do not Such experiments are and should continue to be legitimate become commitments to infrastructure. It is better, especially in the humanities where the need for cyberinfrastructure is far from obvious to our colleagues, to go slow and be inclusive than to impose from above. Report prepared for the Treasury Board Secretariat of the Government of Canada, 2007. James Park as the street lamps were being extinguished, and famously declared: the lamps are going out all over Europe. His eerily prophetic statement came to represent the devastation of two world wars and the horrendous interwar period that followed. We are not quite likening the crisis facing scholarly communication, and the particular diculties in regards to digital scholarship that this meeting is addressing, to two calamitous world wars. Yet for many of our peers, the potential loss of print culture and the institutional and professional structures that have been created around it seem nearly as momentous. It is an inheritance that has resulted in some of the crowning glories of our shared cultural heritage, bridging languages, cultures, and time. The digital, on the other hand, represents a return to the Dark Ages, the potential disappearance of a thousand years of intellectual achievement, a loss as huge as the destruction of the great library of Alexandria. The digital, with its impermanence, mutability, fads, technology shifts, and hype, is not a brave new world but one fraught with changing expectations, littered with unusable devices, lost content, and a fair proportion of the population functionally illiterate: an illiteracy as pervasive as that before the great enterprise of free elementary education that began in the West in the mid-nineteenth century. Oddly enough, when looking for a quote (distantly remembered) about the analogy linking the Middle Ages to this new illiteracy, a Google search for digital middle ages revealed thousands of hits, but none Rather, they demonstrated the of them (at least in the rst few pages of returns) referred to this idea. Or at least we presume when designing our projects that there is nobody left connecting on a dialup line (although this is how most people still connect in Ireland outside the major cities). This page was generated in Taiwan with dynamic translation demonstrating print s never efore. In his paper on Sustainability, Jerry makes a number of challenging comments about the problem of sustainability. This is a hot-button issue in Europe as well, but the terms of engagement with it are somewhat dierent. What follows over the next few pages is another perspective on the elephant in the room, therefore, one that emerges from a dierent geographical starting point and therefore takes in a few dierent sidebar issues as a result. European governmental It also, however, subsidization of higher education has a number of exceptionally positive eects on society and education, not least among them the leveling of the nancial playing eld for access to university study. There is open recognition that institutional missions dier, that disciplinary norms of quality and impact dier, and that the presence or absence of quantiable and comparable output measures of a scholarly communications ecosystem varies widely between the disciplines. Yet at the end of the day a certain exact number of Euros or Pounds must be allocated to each player in the system, and while there is no good way of making this determination, there are lots and lots of bad ones. Tools such as the H-Index provide an elegantly simple way of saying precisely where an individual scholar sits in the hierarchy of production, placing a simple numeric value on her contribution to her eld, which can easily be compared with the numeric values of her colleagues and competitors. This group came up with a very long list of possible forms of research output that could be measured (although the report did not always dene or specify how one might capture these measurements) and determined that a basket of these measures, including a peer review lite approach, could be chosen closer in time to the rst round of the new assessment exercise in 2013. This report was largely an admission of failure in the face of a task for which the system had no easy or accessible tools. This is not to say that there have not been attempts to develop frameworks to enable a more systematic quality assessment of research outputs in the arts and humanities. The real threat this index posed to smaller publishers and national journals, which were very appropriate places for certain kinds of research to appear, resulted in the project being largely abandoned after its initial development funding ran out. This extended anecdote is intended to illustrate an environment that holds both opportunities and threats for the development of scholarly communications in Europe. On the other side, however, the existence of national systems with gatekeepers who are If the traditional unsure how to evaluate scholarship most eectively also means that these gatekeepers may also be willing to work with their community to dene reasonable metrics and approaches to assessment.
Its goal is to make recommendations about the components of a healthy and nutritionally adequate diet to help promote health and prevent chronic disease for current and future generations hypertension 14070 buy generic valsartan canada. Although many of its recommendations have remained relatively consistent over time heart attack stent buy valsartan on line amex, the Dietary Guidelines has evolved as scientific knowledge has grown hypertension fact sheet order 40mg valsartan free shipping. These advancements have provided a greater understanding of blood pressure 7843 purchase valsartan 160 mg on-line, and focus on, the importance of healthy eating patterns as a whole, and how foods and beverages act synergistically to affect health. Therefore, healthy eating patterns is a focus of the 2015-2020 Dietary Guidelines. Nutrition & Health Are Closely Related Over the past century, essential nutrient deficiencies have dramatically decreased, many infectious diseases have been conquered, and the majority of the U. However, as infectious disease rates have dropped, the rates of noncommunicable diseases-specifically, chronic diet-related diseases-have risen, due in part to changes in lifestyle behaviors. A history of poor eating and physical activity patterns have a cumulative effect and have contributed to significant nutrition- and physical activity-related health challenges that now face the U. About half of all American adults-117 million individuals-have one or more preventable chronic diseases, many of which are related to poor quality eating patterns and physical inactivity. These include cardiovascular disease, high blood pressure, type 2 diabetes, some cancers, and poor bone health. More than two-thirds of adults and nearly one-third of children and youth are overweight or obese. These high rates of overweight and obesity and chronic disease have persisted for more than two decades and come not only with increased health risks, but also at high cost. In 2008, the medical costs associated with obesity were estimated to be $147 billion. In 2012, the total estimated cost of diagnosed diabetes was $245 billion, including $176 billion in direct medical costs and $69 billion in decreased productivity. These diseases affect all ages-children, adolescents, adults, and older adults-though rates vary by several factors, including race/ethnicity, income status, and body weight status. Diabetes Cancer[d]: Breast Cancer Colorectal Cancer Bone Health [a] Abdominal obesity, as measured by waist circumference, is defined as a waist circumference of >102 centimeters in men and >88 centimeters in women. Hypertension was defined as a systolic or diastolic blood pressure at the 95th percentile or higher. The continued high rates of overweight and obesity and low levels of progress toward meeting Dietary Guidelines recommendations highlight the need to improve dietary and physical activity education and behaviors across the U. Progress in reversing these trends will require comprehensive and coordinated strategies, built on the Dietary Guidelines as the scientific foundation, that can be maintained over time. The Dietary Guidelines is an important part of a complex and multifaceted solution to promoting health and helping to reduce the risk of chronic disease. Increase the proportion of adults who meet the objectives for aerobic physical activity and for muscle-strengthening activity. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, June 3, 2015. The primary audiences are policymakers, as well as nutrition and health professionals, not the general public. The Dietary Guidelines is a critical tool for professionals to help Americans make healthy choices in their daily lives to help prevent chronic disease and enjoy a healthy diet. It serves as the evidence-based foundation for nutrition education materials that are developed by the Federal Government for the public. The following chapters note the role of physical activity in improving health and reducing chronic disease risk; describe the gap between current physical activity recommendations and reported levels of activity; and discuss how the settings in which people live, learn, work, and play can be enhanced to encourage increased physical activity. Other Departments, such as the Department of Defense and the Department of Veterans Affairs, also use the Dietary Guidelines to inform programs. These audiences, who share the common goal of serving the general public, include businesses, schools, community groups, media, the food industry, and State and local governments. The 2015-2020 Dietary Guidelines translates science into succinct, food-based guidance that can be relied upon to help Americans choose foods that provide a healthy and enjoyable diet. Its recommendations are ultimately intended to help individuals improve and maintain overall health and reduce the risk of chronic disease-its focus is disease prevention.
Cross-Tabulations that Measure Health Disparities Health Equity Health disparities are differences in health status blood pressure medication plendil cost of valsartan. Still heart attack 86 years old purchase line valsartan, information about health disparities can provide insight on health inequities depending on how the data are analyzed and discussed arrhythmia cardiac discount 40mg valsartan mastercard. Cross-tabulations can be used to identify differences in health status among different groups heart attack music video buy valsartan paypal. You can then use cross-tabulations to see if there are differences in the prevalence of cardiovascular disease based on race and gender. These categories represent segments of your population that may experience different health outcomes. Comparing the health status of subgroups to those with the worst, the best, or the average or median health status can give you insight into groups affected by inequity. You can also compare subgroup health status with targets such as Healthy People 2020 objectives. Indicators of Inequity continued In addition to measuring health disparities, you should include measures of social and economic inequity. As with health outcomes, many indicators of socioeconomic status can be stratified by demographic category to show how different groups are affected by inequity. Geographic Mapping to Uncover Patterns on Health Inequity Communities can use geographic mapping of data on health disparities and inequity to uncover patterns of health inequity. Geographic mapping provides pictures of where people are most affected by poor health status and areas where people experience relative good health. To map health status, you will need to have geographic data indicators such as zip code, census tract, or county residence. You can also overlay different measures of health status, race, ethnicity, age, income, immigration status, gender, and education to see patterns of inequity. Creating maps that show changes over time provides information on how inequities accumulate and concentrate over time. Alameda County analyzed data by neighborhood and found that in 2003, nearly 41% of African Americans and 26% of Latinos resided in higherpoverty neighborhoods, compared to 4% of Whites. You can design this assessment to investigate what in your community currently and historically has contributed to health inequities identified in the Community Health Status Assessment. You can use the following questions to engage your community members in a conversation about the root causes of health inequities. Think about the groups that experience relatively good health and those that experience poor health. If you have identified individual behavioral reasons for differences in health status among different groups, what are some reasons why it is easier for some to make healthy choices than others Who is in charge at local agencies, retail stores, healthcare providers, schools, and other institutions in our community What motivates the decisions they make that results in differences in health status Measure the Effects of Discrimination on Health Consider using Experiences of Discrimination survey questions in your Community Health Themes and Strengths Assessment. This survey is a reliable and valid instrument for measuring the experiences of discrimination. The results can be used to understand the extent to which your community experiences discrimination. When analyzed together with Community Health Status Assessment data, your community can get a picture of how discrimination is associated with poor health outcomes. Conditions that Support Health Equity Health Equity the Connecticut Association of Directors of Health has identified nine social determinant domains. The following domains can be used to structure a Community Themes and Strengths Assessment that focuses on health inequity. Economic security and financial resources; Livelihood security and employment opportunity; School readiness and educational attainment; Environmental quality; Availability and utilization of quality medical care; Adequate, affordable, and safe housing; Community safety and security; Civic involvement; and Transportation. The following questions provide examples of how the instrument can be revised to focus on health equity.
Englands object heart attack jaw pain right side buy genuine valsartan, or heart attack from weed buy generic valsartan line, Good and true newes to all true-hearted subjects for the taking and apprehending of that horrid deluding sower of sedition hypertension 1 and 2 order 160mg valsartan with visa, Hugh Peters pulse pressure rate order cheap valsartan on-line, by the name of Thomson, in Southwarke, Saturday, September the rst. Ephemeris parliamentaria, or, A faithfull register of the transactions in Parliament in the third and fourth years of the reign of our late Sovereign Lord, King Charles. Exceeding joyfull nevves from the Earl of Essex, being a true and reall relation of his incompassing the Kings army neare the city of Oxford, Decemb. Factum, or, Rehearsall of the whole cause, with proofes and reasons to maintaine and defend it. Faire fall all good tokens, or, A pleasant new song not common to be had, which will teach you to know good tokens from bad. Forasmuche as the tyme wherein common interludes in the Englishe tongue ar wont vsually to be played. Forced divinity, or, Two sermons preached by the compulsion of two sorts of sinners, viz. From our half years meeting in Dublin, the 9th 10th and 11th days of the 9th month 1691. Funerals of a right reuerend father in God Patrick Forbes of Corse, Bishop of Aberdfne [sic]. Hactenus inaudita, or, Animadversions upon the new found way of curing the small pox. Heads of agreement assented to by the united ministers in and about London, formerly called Presbyterian and Congregational. Here begynneth a dialogue betwene the comen secretary and Ielowsy touchynge the Here begynneth a lytel treatyse called the Dysputacyon or co[m]playnt of the herte vnstablenes of harlottes. Here begynneth a newe boke of medecynes intytulyd or callyd the Treasure of pore men. Hereafter ensue certayne statut[es] and ordenau[n]ces of warre made ordeyned enacted [and] establysshed by the most noble victoryous, and moste Cristen prynce our moste drade soueraygne lorde Kynge Henry the. Iames by the grace of God king of England, Scotland, France and Ireland, defender of the faith &c. Iniunctions giuen by the most reuerende father in Christ, Edmonde by the prouidence of God, Archbishop of Yorke. Iniunctions giuen by the Reuerend Father in Christ John by Gods prouidence, Bishop of Sarisburie [sic], aswel to the cleargie, as to the churche wardens and enquirers of euerye seueral parish, aswel of his peculiar as general iurisdiction within and of the diocesse of Sarum to be obserued and kept of euery of them in their oces and callings, as to them shal appertaine, for the aduauncement of Gods honor, thincrease of vertue, and good order to be continued within his sayd diocesse, and the same to be enquired of and put in vse by all the Archdeacons, commissaries, and other ocers excercising ecclesiastical iurisdiction vnder the sayde Bishop. King James his letter and directions to the Lord Archbishop of Canterbury concerning preaching and preachers. Letter to a friend containing certain observations upon some passages which have been published in a late libell intituled, the third part of no Protestant-plot. Letters and poems in honour of the incomparable princess, Margaret, Dutchess of Newcastle. Liberty of conscience asserted and several reasons rendred why no outward force nor Londons liberties, or, A learned argument of law and reason, before the Lord Mayor, imposition ought to be used in matters of faith and religion. King Iames his iudgement by way of counsell and advice to all his loving subjects. Love letters between Polydorus, the Gothick king, and Messalina, late Queen of Albion. Luctus britannici, or, the tears of the British muses for the death of John Dryden, Esq. Mercuries message, or, the coppy of a letter sent to William Laud, late Archbishop of Canterbury, now prisoner in the Tower. Misery to bee lamented, or, A doleful relation of the sad accident which befell Lawrence Cawthorn. Speakers speech before the King in the Lords House of Parliament July the third 1641. Speakers speech with His Majesties speech to both Houses of Parliament at the passing of the bill for tonnage and poundage. Nevves from sea, of tvvo notorious pyrats Ward the Englishman and Danseker the Dutchman.
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