990 resultados para Davis, Jefferson, 1808-1889
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von M. Hirsch
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Emergency departments (EDs) have been called the net below the safety net due to their long history of providing care to the uninsured and others lacking access to the healthcare system. In past years, those with Medicaid and, more recently, those with Medicare, are also utilizing the ED as a medical home for routine primary care. There are many reasons for this but the costs to the community have become increasingly burdensome. ^ To evaluate how often the ED is being utilized for primary care, we applied a standardized tool, the New York University Algorithm, to over 43,000 ED visits when no hospitalization was required made by Hardin, Jefferson, and Orange County residents over a 12 month period. We compared our results to Harris County, where studies using the same framework have been performed, and found that sizeable segments of the population in both areas are utilizing the ED for non-emergent primary care that could be treated in a more cost-effective community setting. ^ We also analyzed our dataset for visit-specific characteristics. We found evidence of two possible health care disparities: (1) Blacks had a higher rate of primary care-related ED visits in relation to their percentage of the population when compared to other racial/ethnic groups; and (2) when form of payment is considered, the uninsured were more likely to have a primary care-related ED visit than any other group. These findings suggest a lack of community-based primary care services for the medically needy in Southeast Texas. ^ We believe that studies such as this are warranted elsewhere in Texas as well. We plan to present our findings to local policy makers, who should find this information helpful in identifying gaps in the safety net and assist them in better allocating scarce community resources. ^
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The Vernagtferner in the Ötztaler Alps (Tirol) has been mapped after terrestrial-photogrammetric surveying by Sebastian Finsterwalder in 1889, Otto von Gruber in 1912, and Heinrich Schatz in 1938. The new, four-colored map in the scale 1: 10.000 enclosed in this issue was composed from aerial photographs of 1969. It was conceived as topographicaI map with additional geodetic and glaciological content. The methods of survey are explained and the means of cartographic representation are discussed.
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A lo largo del siglo XVIII, las fiestas públicas se convirtieron en espacios de negociación y transformación de las estructuras y jerarquías sociales de grupos. Este trabajo se propone analizar las tensiones y conflictos de poder que se manifestaron en las elebraciones públicas, en el período comprendido entre la creación del Virreinato del Río de la Plata y la vacante regia de 1808, en Buenos Aires.
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Actualmente una de las variantes historiográficas más importantes en el estudio de la independencia en América Latina está circunscrita al análisis de la participación política de los grupos populares. En ese sentido, en aquel contexto de guerra y lucha revolucionaria en el Perú, que va desde la crisis hispana de 1808 hasta la independencia definitiva en 1824, esta investigación, a partir de un conjunto de fuentes de archivo, impresos y periódicos diversos, desarrolla las imágenes y representaciones que las elites peruanas construyeron de estos sectores sociales, algunas de las respuestas que estos últimos les infringieron y las múltiples alternativas políticas, que en aquel escenario beligerante, todos estos actores supieron concebir, negociar y utilizar políticamente.
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An integrated instrument package for measuring and understanding the surface radiation budget of sea ice is presented, along with results from its first deployment. The setup simultaneously measures broadband fluxes of upwelling and downwelling terrestrial and solar radiation (four components separately), spectral fluxes of incident and reflected solar radiation, and supporting data such as air temperature and humidity, surface temperature, and location (GPS), in addition to photographing the sky and observed surface during each measurement. The instruments are mounted on a small sled, allowing measurements of the radiation budget to be made at many locations in the study area to see the effect of small-scale surface processes on the large-scale radiation budget. Such observations have many applications, from calibration and validation of remote sensing products to improving our understanding of surface processes that affect atmosphere-snow-ice interactions and drive feedbacks, ultimately leading to the potential to improve climate modelling of ice-covered regions of the ocean. The photographs, spectral data, and other observations allow for improved analysis of the broadband data. An example of this is shown by using the observations made during a partly cloudy day, which show erratic variations due to passing clouds, and creating a careful estimate of what the radiation budget along the observed line would have been under uniform sky conditions, clear or overcast. Other data from the setup's first deployment, in June 2011 on fast ice near Point Barrow, Alaska, are also shown; these illustrate the rapid changes of the radiation budget during a cold period that led to refreezing and new snow well into the melt season.
Resumo:
Problems resulting from mapping of glaciers with traditional techniques motivated Sebastian Finsterwalder to apply the planetable-photogrammetry to a survey of Vernagt- and Guslarferner (Ötztal Alps, Austria) in 1888/ 1889. The result of this photogrammetric survey was the map "Der Vernagt-Ferner im Jahre 1889", which had been published in four colours. This is the first map of an entire glacier in the large scale 1: 10.000 with a high accuracy. Since this remarkable map of Vernagt- and Guslarferner is almost not available a facsimile-reprint had been produced.