- Ohio has over 3,600 local government jurisdictions including counties, municipalities, townships, and over 4,000 special districts, ranking it 7th nationally in number of local governments. The high number of fragmented local governments impacts sustainable growth and economic competitiveness.
- The monthly payroll expenditures for local government in Ohio are over $1.8 billion, which is around 2 times the national average and 29% above comparable peer states. This high cost of local government is a legacy of Ohio's 19th century local government structure.
- Successful efforts to increase collaboration and efficiency between local governments often require a leader or "steward" and are often prompted by economic changes, but comparing efficiency across the many different types of local
Economic Overview of Pulaski County, ArkansasArkworktogether
Michael Pakko, Chief Economist, State Economic Forecaster, UALR Institute for Economic Advancement, presented "Economic Overview of Pulaski County, Arkansas" at the 11th Annual Racial Attitudes in Pulaski County Conference April 17, 2014.
This presentation gives insight into plight of the middle class by looking at statistics based on race, ethnicity and other demographics.
Measuring inequalities (Dialogue on Inequalities)Mihail Peleah
How we measure inequality?
Inequality of what? What inequality(ies)?
* Income inequalities: Gini, Palma, S20/S80, Bottom 40%
* Human inequalities --> Inequality-adjusted human development index (IHDI), Human Opportunities Index (HOI), Bottom 40%
Overlapping inequalities --> Social exclusion index (SEI)
Gender Inequalities --> Gender Development Index (GDI)
A presentation on the Louisiana State Budget and its tax giveaways. Shared at the Together Louisiana Statewide Issues Conference on February 15th, 2014.
Data to capture those at risk of exclusionMihail Peleah
Data to capture those at risk of exclusion
Panel presentation at Promoting Job Rich and Sustainable Growth in Armenia, Azerbaijan, Belarus, Georgia, Moldova and Ukraine Conference, 29 October 2015, Tbilisi, Georgia
http://jobs4prosperity.org/
Economic Overview of Pulaski County, ArkansasArkworktogether
Michael Pakko, Chief Economist, State Economic Forecaster, UALR Institute for Economic Advancement, presented "Economic Overview of Pulaski County, Arkansas" at the 11th Annual Racial Attitudes in Pulaski County Conference April 17, 2014.
This presentation gives insight into plight of the middle class by looking at statistics based on race, ethnicity and other demographics.
Measuring inequalities (Dialogue on Inequalities)Mihail Peleah
How we measure inequality?
Inequality of what? What inequality(ies)?
* Income inequalities: Gini, Palma, S20/S80, Bottom 40%
* Human inequalities --> Inequality-adjusted human development index (IHDI), Human Opportunities Index (HOI), Bottom 40%
Overlapping inequalities --> Social exclusion index (SEI)
Gender Inequalities --> Gender Development Index (GDI)
A presentation on the Louisiana State Budget and its tax giveaways. Shared at the Together Louisiana Statewide Issues Conference on February 15th, 2014.
Data to capture those at risk of exclusionMihail Peleah
Data to capture those at risk of exclusion
Panel presentation at Promoting Job Rich and Sustainable Growth in Armenia, Azerbaijan, Belarus, Georgia, Moldova and Ukraine Conference, 29 October 2015, Tbilisi, Georgia
http://jobs4prosperity.org/
Rich States, Poor States Rankings, 9th EditionALEC
The 2016 state economic rankings for the ninth edition of Rich States, Poor States from the American Legislative Exchange Council (ALEC) track economic trends across the country.
For more information, visit alec.org
Testimony: Mississippi Tax Policy: Options for ReformTax Foundation
This presentation accompanied testimony to the Mississippi Tax Policy Council about the state of Mississippi's tax code and the best options for reforming it.
Topics covered include an overview of Mississippi's tax system, tax rates and collections, state-local tax burdens, state business tax climate, previous state success stories, and suggestions for reform.
The presentation was given on September 1, 2016.
Annual Report on the State of Philanthropy - Macedonia 2017 - Quick FactsCatalyst Balkans
The 2017 Annual Report on Philanthropy in Macedonia was the result of media monitoring (print, broadcast and electronic) of keywords related to domestic philanthropy during the period from January to December 2017.
Testimony: Mississippi Tax Policy: Options for Reform (10/3)Tax Foundation
This presentation accompanied testimony to the Mississippi Tax Policy Council about the state of Mississippi's tax code and the best options for reforming it.
Topics covered include:
An overview of the Tax Foundation
Mississippi's place on the State Business Tax Climate Index
Mississippi's state-local tax burdens
A path toward reform
Giving Bosnia and Herzegovina 2019 - Report on the State of PhilanthropyCatalyst Balkans
During 2019, Catalyst Balkans tracked media reports on domestic individual, corporate and diaspora philanthropy in Bosnia and Herzegovina. This brochure provides key statistics on the findings of this research.
In 2014 the U.S. Senate Committee on Environment & Public Works published the results of an investigation into how the EPA and other agencies are being influenced by big money in the Big Green movement. The report is titled "The Chain of Environmental Command: How a Club of Billionaires and Their Foundations Control the Environmental Movement and Obama's EPA". This is the full report that names names and connects the dots between billionaires and undue influence over environmental policy.
Experiences from the Working Cities Challenge, including case studies of Lawrence, Massachusetts, which established a school-based hiring initiative and Fitchburg, Massachusetts, which sought to transform a struggling neighborhood with investment and the involvement of Fitchburg State College.
Describes the impact of the nonprofit sector in national, state, and local economy. Outlines regulatory trends and media scrutiny leading to increased regulation and public skepticism about charity.
Prepared for a leadership group sponsored by the Sioux Falls Area Chamber of Commerce to demonstrate that the nonprofit sector is integral, rather than an adjunct, to economic life.
Yolanda Kodrzycki, emeritus director of the New England Public Policy Center, summarizes her research on resurgent cities including the importance of cross-sectoral and regional cooperation.
Transforming Legacy Cities for the Next Economygreaterohio
Lavea Brachman, Executive Director of the Greater Ohio Policy Center, presents strategies implemented in Ohio and other legacy cities to revitalize urban cores and initiate a dynamic of transformation based on existing assets.
This presentation was given to La Fabrique de la Cité’s international conference, “Tools for Optimizing the City,” in Lisbon, Portugal on July 4, 2014.
Moving ohio forward grant program for demolition fundinggreaterohio
Greater Ohio consulted with the Ohio Attorney General's office to conduct workshops to provide assistance/guidance to Ohio cities receiving demolition funding.
Rich States, Poor States Rankings, 9th EditionALEC
The 2016 state economic rankings for the ninth edition of Rich States, Poor States from the American Legislative Exchange Council (ALEC) track economic trends across the country.
For more information, visit alec.org
Testimony: Mississippi Tax Policy: Options for ReformTax Foundation
This presentation accompanied testimony to the Mississippi Tax Policy Council about the state of Mississippi's tax code and the best options for reforming it.
Topics covered include an overview of Mississippi's tax system, tax rates and collections, state-local tax burdens, state business tax climate, previous state success stories, and suggestions for reform.
The presentation was given on September 1, 2016.
Annual Report on the State of Philanthropy - Macedonia 2017 - Quick FactsCatalyst Balkans
The 2017 Annual Report on Philanthropy in Macedonia was the result of media monitoring (print, broadcast and electronic) of keywords related to domestic philanthropy during the period from January to December 2017.
Testimony: Mississippi Tax Policy: Options for Reform (10/3)Tax Foundation
This presentation accompanied testimony to the Mississippi Tax Policy Council about the state of Mississippi's tax code and the best options for reforming it.
Topics covered include:
An overview of the Tax Foundation
Mississippi's place on the State Business Tax Climate Index
Mississippi's state-local tax burdens
A path toward reform
Giving Bosnia and Herzegovina 2019 - Report on the State of PhilanthropyCatalyst Balkans
During 2019, Catalyst Balkans tracked media reports on domestic individual, corporate and diaspora philanthropy in Bosnia and Herzegovina. This brochure provides key statistics on the findings of this research.
In 2014 the U.S. Senate Committee on Environment & Public Works published the results of an investigation into how the EPA and other agencies are being influenced by big money in the Big Green movement. The report is titled "The Chain of Environmental Command: How a Club of Billionaires and Their Foundations Control the Environmental Movement and Obama's EPA". This is the full report that names names and connects the dots between billionaires and undue influence over environmental policy.
Experiences from the Working Cities Challenge, including case studies of Lawrence, Massachusetts, which established a school-based hiring initiative and Fitchburg, Massachusetts, which sought to transform a struggling neighborhood with investment and the involvement of Fitchburg State College.
Describes the impact of the nonprofit sector in national, state, and local economy. Outlines regulatory trends and media scrutiny leading to increased regulation and public skepticism about charity.
Prepared for a leadership group sponsored by the Sioux Falls Area Chamber of Commerce to demonstrate that the nonprofit sector is integral, rather than an adjunct, to economic life.
Yolanda Kodrzycki, emeritus director of the New England Public Policy Center, summarizes her research on resurgent cities including the importance of cross-sectoral and regional cooperation.
Transforming Legacy Cities for the Next Economygreaterohio
Lavea Brachman, Executive Director of the Greater Ohio Policy Center, presents strategies implemented in Ohio and other legacy cities to revitalize urban cores and initiate a dynamic of transformation based on existing assets.
This presentation was given to La Fabrique de la Cité’s international conference, “Tools for Optimizing the City,” in Lisbon, Portugal on July 4, 2014.
Moving ohio forward grant program for demolition fundinggreaterohio
Greater Ohio consulted with the Ohio Attorney General's office to conduct workshops to provide assistance/guidance to Ohio cities receiving demolition funding.
Ohio's Small and Mid-Sized Legacy Citiesgreaterohio
Slides from an October 2016 webinar on Ohio's small and mid-sized legacy cities, how they compare to peer cities, and strategies for their revitalization.
Learn more about the budget and policy changes in HB 483 and find out ways to take action. With the legislative break coming up, this presentation includes resources to help you have conversations with your state lawmakers while they are back in your district.
Sipple - Shared Services: A Common Reform that WorksJohn Sipple
These are slides from my June 17, 2014 presentation at the Municipal Exchange (MIX) conference in Troy, NY. I reported research findings on shared municipal and school district services, including obstacle, motivators, and outcomes.
Oregon’s economy is both booming and struggling, and the pressure is on for housing markets across the state. The problem shows up as a lack of housing stock, high rents, unaffordable homeownership, sub-standard housing quality. People with low incomes, people experiencing a disability, and especially people of color experience the greatest barriers to housing opportunity. Hear what the data says about growing wealth disparity and housing opportunity gaps, and add your voice to this discussion about what housing needs are in your community. How does data drive policy change and greater inclusion?
Megan Bolton, Research Analyst, Oregon Housing and Community Services
Katie Sawicki, Policy Director, Urban League of Portland
Stephanie Jennings, Grants Manager, Community Development, City of Eugene
Presentation by Diana Robinson and Brian Harger to the The Governor's Summit on Work-Based Learning at Illinois Central College in East Peoria on Monday, October 1 2018.
Addresses US, South Dakota, and Sioux Falls area statistics involving nonprofits and their role in employment and the economy. Regulatory influences and public perception of nonprofits is also addressed.
Presented to the "Leadership Sioux Falls" group of the Sioux Falls Area Chamber of Commerce in April, 2013. This presentation has been made to many audiences in the past ten years, regularly updated.
Designed to give nonprofit professionals, volunteer board members, and community leaders perspective on the importance and reach of the nonprofit sector. Preparation for leaders to consider nonprofit board service in the larger context of economic development, employment, and governance duty.
ATS14- What meaningful engagement means: capacity-building as a tool to impro...BTAOregon
Federal, state and local transportation guidelines strongly encourage or even require that transportation officials conduct “meaningful” public engagement as part of their planning and decision-making processes. But the most well-intentioned efforts can fail to reach low-income and minority communities that are often still not at the table when important decisions are being made. In order for marginalized communities to participate effectively in public process, government agencies and private funders must invest in their time, skills and capacity to engage in time-consuming and complex discussions such as those around transportation, planning and funding decisions. Attendees will discuss what capacity-building is and why it is important, and learn from recent capacity-building efforts in health, community planning and transportation.
An overview of GOPC policy recommendations for consideration by local and state candidates. For more information, please visit: http://greaterohio.org/issues/memo
Rebuilding Neighborhood Markets: Linking Small Business Support & Commercial ...greaterohio
Lavea Brachman, Executive Director of the Greater Ohio Policy Center, gave this framing presentation for a Roundtable of the same title on Feb. 3, 2015.
Effective Partnerships: From Demolition to Developmentgreaterohio
This presentation discusses a broad range of vacant property issues including how demolition funding is used by land banks to assist cities/towns to strategically target blight, and assist developers in effective redevelopment and long-term community stabilization. Who are the players and partners, (perhaps some you haven’t thought of) that can help? What are the road blocks facing efforts to combat vacancy and blight? How can we develop partnerships to make the most impact from limited funding resources across the board- from demolition to development?
Strategic Incrementalism & Resource Targeting for the Revitalization of Legac...greaterohio
Greater Ohio Policy Center's Manager of Research and Communications, Marianne Eppig, gave this presentation at the "Historic Preservation in America's Legacy Cities" conference in Cleveland on June 6th, 2014.
An Integrated Approach to Stabilization: Defining Holistic Preservationgreaterohio
Greater Ohio Policy Center's Executive Director, Lavea Brachman, gave this plenary presentation at the "Historic Preservation in America's Legacy Cities" conference in Cleveland on June 6th, 2014.
Redeveloping Commercial Vacant Properties in Legacy Citiesgreaterohio
Presentation on "Redeveloping Commercial Vacant Properties in Legacy Cities: A Guidebook to Linking Property Reuse and Economic Revitalization" to the Strong Cities, Strong Communities (SC2) Bootcamp in Youngstown on March 10, 2014.
The guidebook was produced by Greater Ohio Policy Center in partnership with the German Marshall Fund of the U.S. and the Center for Community Progress and will be released in the coming months.
The Neighborhood Initiative Program: Best Practices for Strategic Demolitiongreaterohio
This presentation provides details on best practices for implementing the Neighborhood Initiative Program guidelines.
Overview of the Neighborhood Initiative Program:
The Ohio Finance Agency (OHFA) received approval from the U.S. Department of the Treasury to utilize up to $60 million of Ohio’s remaining Hardest Hit Funds (HHF) to assist with stabilizing local property values through the demolition of vacant and abandoned homes across Ohio.
The Neighborhood Initiative Program (NIP) is designed to stabilize property values by removing and greening vacant and abandoned properties in targeted areas in an effort to prevent future foreclosures for existing homeowners.
The Neighborhood Initiative Program (NIP) will fund strategically targeted residential demolition in designated areas within the state of Ohio. OHFA will partner with County Land Revitalization Corporations (“land banks”) or an entity that has signed a cooperative agreement with an established county land bank.
- NIP will be available to the 17 Ohio counties that have an established land bank.
- OHFA has issued a Request for Proposals from the state’s county land banks.
- The program commences in early 2014 and will conclude in 2017.
Technical Assistance:
OHFA has contracted GOPC to advise OHFA and applicants on the implementation of the Neighborhood Initiative Program (NIP).
Assistance includes:
1. Consultation with applicants regarding best practices for the selection of neighborhoods and properties for the program
2. Strategic and technical advice to eligible applicants in responding to the RFP for the NIP
The Economic Benefits of the Clean Ohio Revitalization Fund and the Future of...greaterohio
The Economic Benefits of the Clean Ohio Revitalization Fund and the Future of Brownfield Redevelopment in Ohio
Presentation by Lavea Brachman, Executive Director of Greater Ohio Policy Center, to the Cleveland Metropolitan Bar Association's Environmental Law Section on October 7, 2013.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Local Gov't Presentation to Constitutional Modernization Commission
1. Ohio Constitutional Modernization Commission
for the
Education, Public Institutions,
Miscellaneous and Local
Government Committee
July 11,2013
Alison D. Goebel
Associate Director
Greater Ohio Policy Center
agoebel@greaterohio.org
Lavea Brachman
Executive Director
Greater Ohio Policy Center
lbrachman@greaterohio.org
Overview of Local Government in Ohio
2. Greater Ohio Policy Center:
“Think” and “Do” tank
An outcome-oriented statewide non-profit
organization that develops and implements
policies and practices to:
• revitalize Ohio’s urban cores and
metropolitan regions
• achieve sustainable land reuse and
economic growth
3. Sustainable Growth and Local Government
Ohio’s current local government structure impacts
sustainable growth:
• Communities and taxpayers face the legacy costs of a
19th century structure in a 21st century economy
• Ohio’s population growth is stagnating
• 45th in population growth, but 8th in land consumption
• Fragmented and duplicative local governments prevent
effective economic competition on world market
4. State of Local Government in Ohio
How much does Ohio’s local
government cost?
How does Ohio compare nationally?
5. Cost of Ohio’s Local Government
• 20th highest local tax burden in U.S.
(2010)
• 34th highest for state taxes, as a % of
income (2012)
• 45th in population growth, but 8th in
land consumption
6. Cost of Ohio’s Local Government
• 29% above peer state average (IN, MI, PA,
KY, IL) in monthly local government payroll
• ~2x national average for monthly local
government payroll
7. Monthly payroll expenditures for local
government in Ohio cost $1.8 billion in 2011
Monthly employment expenditures for local government are
almost 3 times that of state government.
$483,289,081 $597,895,507 $653,416,073
$2,054,318,446 $1,692,070,025 $1,817,460,033
$0
$500,000,000
$1,000,000,000
$1,500,000,000
$2,000,000,000
$2,500,000,000
$3,000,000,000
2003 2007 2011
state gov't payroll local gov't payroll
8. Greater Ohio Policy Center
monthly payroll costs of key components of local gov’t, March 2011
Source: Greater Ohio Policy Center, Census of Governments; Government Organization, 2011
$0
$20,000,000
$40,000,000
$60,000,000
$80,000,000
$100,000,000
$120,000,000
$140,000,000
$160,000,000
fire
protection
total
corrections local
libraries
judicial and
legal
police
protection
total
health
9. Ohio is MIDDLE of the pack in per capita costs of local
government payroll in the midwest and peer states
state
2011 per capita cost
of local government
Indiana $130.71
Michigan $137.22
Pennsylvania $139.79
Wisconsin $153.49
Minnesota $156.19
Ohio $157.49
Illinois $176.30
New York $251.60
US Total $160.58
10. State of Local Government in Ohio
How much local government does Ohio have?
How does Ohio’s local government system
compare nationally?
11. Ohio has over 3,600
local government jurisdictions
Source: : U.S. Census Bureau, 2012 Census of Governments, Organization Component Preliminary Estimates2012
0
200
400
600
800
1000
1200
1400
counties (88) municipalities
(940)
townships
(1,308)
traditional
school districts
(614)
types and number of local governments
12. and over 4,000 special district governments
Source: Greater Ohio Policy Center, Census of Governments; Government Organization, 2012, research by Randy Cole
0
50
100
150
200
250
300
350
400
450
500
metro.
housing
auth. (75)
park
districts
(90)
airports
(97)
joint fire or
ambulance
district
(145)
municipal
& county
courts
(165)
library
districts
(251)
senior
centers
(450)
examples of special district governments
13. Ohio ranks 7th nationally in raw numbers
of local governments per state
rank state # of local gov'ts
1Illinois 6,968
2Pennsylvania 4,905
3Texas 4,856
4California 4,350
5Kansas 3,806
6Missouri 3,752
7Ohio 3,702
8Minnesota 3,633
9New York 3,454
10Wisconsin 3,123
Source: Greater Ohio Policy Center, US Census of Governments, 2012
14. and 8th nationally in local governments per square mile
Source: Greater Ohio Policy Center, US Census of Governments, 2012
rank state
Size of state in
square mile
# of local
govts govts/sq mi
1 New Jersey 8,214 1,344 0.164
2 Delaware 2,396 338 0.141
3 Illinois 57,914 6,968 0.120
4 Connecticut 5,543 644 0.116
5 Rhode Island 1,231 134 0.109
6 Pennsylvania 46,055 4,905 0.107
7 Massachusetts 9,240 852 0.092
8 Ohio 44,825 3,702 0.083
9 Vermont 9,614 728 0.076
10 Indiana 36,418 2,694 0.074
15. Source: Greater Ohio Policy Center, US Census of Governments, 2012
In 2012, we had 42.1 local governments per county
compared to the national average of 29.4.
16. In Ohio, there are 410 municipalities
with 1,000 or fewer residents
* 2012 estimates will be available in fall 2013
Source: Greater Ohio Policy Center, Census of Governments; Government Organization, 2007
252
158 165
110
61 57 32 57 13 12
0
50
100
150
200
250
300
number of municipalities by 2005 population*
17. 224 townships with 1,000 or fewer residents
and 30 with more than 20,000 residents
Source: Greater Ohio Policy Center, Census of Governments; Government Organization, 2002
48
176
511
290
176
71 20 9 6 5
0
100
200
300
400
500
600
number of townships by 2006 population
18. Responsibilities and powers of
local governments vary
• Municipalities have home rule powers
• Townships are a “creature of statute” but
can have limited home rule powers
• Counties are governed by general rules.
Charter counties have home rule powers
19. Observations on local government efforts to
collaborate and become more efficient
State of Local Government in Ohio
20. Successful collaborations and efforts to
become more efficient often require a leader
or steward.
Finding #1 from GOPC white papers
21. Stewards often have the highest levels of capacity and
resources to lead collaboration efforts. Examples
include:
• Metropolitan Planning Organizations
• Education Service Centers
• County Engineers
• County Executive or County Commissioners
• Major cities
Stewarding collaboration and efficiency efforts
22. Collaboration and efficiency efforts are often
prompted by economic changes
Local governments have begun to “right-size”
equipment and staff so resources are maximally
utilized
Finding #2 from GOPC white papers
23. Comparing local governments and measuring
efficiency can be difficult
• Ohio has no set standard reporting instrument for
a detailed breakdown of local government
expenditures
• Local governments are assessing themselves and
soliciting third party inventories to better
understand their efficiency opportunities
Finding #3 from GOPC white papers
24. 0
200
400
600
800
1000
1200
1400
1600
1952 1962 1972 1982 1992 1997 2002
Numbers and Types of Local Government in Ohio
County
Municipal
Townships
School Districts
Special Districts
Consolidations and mergers are
not new for Ohio
25. Results of intergovermental collaboration
• economies of scale
• improved local government accountability
• equalization of service quantity and quality
• coordinated economic competitiveness
• ability to retain local community character and
flavor
The Mission of the Greater Ohio Policy Center is to champion revitalization and sustainable growth in Ohio.Ohio’s “smart growth” organizationPromote – through research, public education and grassroots advocacy – public policy to grow Ohio’s economy and improve the quality of life through intelligent land useNon-partisan, non-profit, primarily foundation-funded
Ohio local government costs can be burdensom.
* 20th highest tax burden: http://taxfoundation.org/article/state-and-local-tax-burdens-all-years-one-state-1977-2010* 34th highest for state taxes as % of income: http://www.taxadmin.org/fta/rate/12taxbur.html; http://www.tax.ohio.gov/communications/news_releases/news_release_100331.aspx* 45th in population growth from 2010-2012 US Census
*Ohio’s monthly local government payroll is 29% above peer state average (IN, MI, PA, KY, IL) and,Almost double the national average for monthly local government payrollWE USE MONTHLY LOCAL GOVERNMENT PAYROLL AS A PROXY TO UNDERSTAND COSTS OF GOVERNMENT. PAYROLL IS THE BEST NUMBERS WE HAVE TO LOOK AT LOCAL GOVERNMENTS AS A DATASETPeer state average: http://www2.census.gov/govs/apesCompared to national average for local gov’t payroll: http://www2.census.gov/govs/apes/11locus.txt (50 state +DC/total payroll)School rankings: http://www.daytondailynews.com/news/news/ohio-ranks-46th-in-classroom-spending-1/nMrXT/Schools: Ohio ranks 46th nationwide in spending for instruction and 12th in administration spending
Monthly employment expenditures for local government are almost 3 times that of state government.SOURCE: 2003, 2007 and 2011 Annual Surveys of Public Employment and Payroll. U.S. Census Bureau, Census of Governmentshttp://www.census.gov/govs/apes/how_data_collected.html.
Not all government components are listed here, so numbers won’t add to $1.8b. But it does show the range of payroll costs for key parts of Ohio’s local government landscape.Source: 2011 Annual Survey of Public Employment and Payroll. US Census Bureau, Census of Governments http://www2.census.gov/govs/apes/11locoh.txt
Per capita, Ohio is in the middle of the pack compared to peers. And just a few dollars below the US average of per capita costs of local government2011 per capita cost of local government = 2011 payroll data/2012 population 2011 payroll data: http://www.census.gov/govs/apes/ 2011 Local Government, Viewable Data, state summary tables.2012 state population estimate: http://quickfacts.census.gov/qfd/index.html
Why are local gov’t costs what they are.
Source: U.S. Census Bureau, 2012 Census of Governments: Organization Component Preliminary Estimates. <http://www.census.gov/govs/cog2012>Randy Cole’s research, personal communication with GOPC.
# of localgovt: 2012 Census of Governments: http://www2.census.gov/govs/cog/2012/many_layers_prelim_map.pdf
Size of state: http://nationalatlas.gov/articles/mapping/a_general.html#one# of localgovt: 2012 Census of Governments: http://www2.census.gov/govs/cog/2012/many_layers_prelim_map.pdf
In 2012 Ohio has 12.7 more local governments per county than the national average.Map found at: http://www2.census.gov/govs/cog/2012/many_layers_prelim_map.pdf
The number of citizens these local governments serve varies tremendously. US Census of Governments completes a comprehensive census of local, state and federal governments on years that end in “2” and “7.” Numbers in this presentation come from the 2007 Census, which used some data from previous years. These numbers will be updated in Fall 2013 when 2012’s information is released.
Townships do not collect income tax from residents or business taxes from businessesTownships can request the county engineer to fund and carry out road and infrastructure repairsCounty sheriff provides policing services in townships that do not support their own police force
Municipalities are guaranteed home rule under the constitution, which means they can exercise powers not prohibited by the constitution or by general laws of the state. * cities and villages can tax, adopt a police force, enforce sanitary regulations, etc. * municipalities must fund their own responsibilities and powersTownships are ʺcreatures of statute"ʺ and have only the authority and powers expressly conferred on them by state law and the powersTownships can adopt limited home rule to adopt a police force, etc.Can request the county engineer to fund and perform road and infrastructure repairsCounty sheriff provides policing services in townships that do not support their own police forceCounties can exercise home rule by adopting a charter (eg. Cuyahoga and Summit)
Earlier this year the state of Ohio commissioned GOPC to develop a series of white papers on governmental collaboration and efficiency. We want to quickly share some key findings from that research.All reports can be found at GOPC’s website:http://greaterohio.org/initiatives/restoring-prosperityhttp://greaterohio.org/policy-and-research/sales-tax-analysishttp://greaterohio.org/policy-and-research/2013-shared-services-research-briefs-2010 Restoring Prosperity to Ohio, a report co-written with the Brookings Institution2011 study on the disparities in sales tax capture rates among counties2013 research briefs on service and resource sharing among local governments and agencies
In 2011, amendments to ORC 9.482 “Contracting for services between political subdivisions” removedmany barriers to collaboration between local governments and special districts governmentsMore legislative/constitutional guidance required to structure contractual relationships between state and local governmenthttp://columbusregion.com/connect-with-us/our-partners/ed411/Lake County Capital Equipment Utilization Study. Ohio Auditor of State (2012) hhttp://www.ohioauditor.gov/publications/issues/LakeCountyCapitalEquipmentUtilizationStudy040912.pdfCuyahoga Co Western Reserve Plan: Expanded County-Provided Services Available to Communities http://regionalcollaboration.cuyahogacounty.us/pdf_regionalcollab/en-US/ExpandedCountyProvidedServices.pdf
Metropolitan Planning OrganizationsMORPC & technology working grouphttp://columbusregion.com/connect-with-us/our-partners/ed411/County EngineersTrumbull Co. shared salt storage facility will save tax payers ~$1,418,364 over 10 years County Executive or County CommissionersCuyahoga Co Western Reserve Plan: expanded county-provided services such as IT, healthcare regionalization, public workshttp://regionalcollaboration.cuyahogacounty.us/pdf_regionalcollab/en-US/ExpandedCountyProvidedServices.pdfLake County Capital Equipment Utilization Study. Ohio Auditor of State (2012) hhttp://www.ohioauditor.gov/publications/issues/LakeCountyCapitalEquipmentUtilizationStudy040912.pdfBy sharing road equipment, local governments in Geauga County will save an estimated $495,000 over 10 yearshttp://greaterohio.org/files/policy-research/county-township5-24-13final.pdfhttp://development.ohio.gov/files/redev/LGIF_Round3/L03001.pdf
ex: Auditor of State found that fleet equipment owned by Lake Co. Engineer and 23 local jurisdictions were idle 50% or more of the time that the pieces could be possibly utilized. In other words, there is more equipment than needed in Lake Co.Lake County Capital Equipment Utilization Study. Ohio Auditor of State (2012) http://www.ohioauditor.gov/publications/issues/LakeCountyCapitalEquipmentUtilizationStudy040912.pdf
Apples to apples comparisons are nearly impossible
when county or regional entity provides services, can serve as a nuetral 3rd party, rising above city-to-city relationships that can be fraught