text stringlengths 59 1.12k |
|---|
revenue in FY12. The combined impact of these effects is that the FY12 budget will have approximately $5 billion less in available resource than we had in FY07 on an inflation adjusted basis, with an expectation that only 10% of |
this amount will be re-couped during the recovery. The estimates of tax revenue were done in tandem with trend based projections for spending that are largely influenced by health care cost inflation. Health care costs in the state have been |
growing at 8-9% which has had the effect of increasing the share of health care costs from 31% to 38% over the four year period ending with FY10 (Exhibit 2). The impact of this increase combined with the reduction in |
revenue sources described above, is that the Commonwealth will have approximately 25% less in resource available for non-health care spending in FY12 than was available in FY07. The growth rate of health care costs also suggests that there could be |
a further squeeze on other spending and a risk of increasing structural deficits if health care cost inflation cannot be addressed. If current trends continue, for example, the growth in total state spending by FY15 would be approximately 6% (driven |
by an 8-9% spending rate for health care and a 3% rate for most other programs) as compared to an estimated revenue growth rate of 5%. The 1% differential would result in additional structural deficits of nearly $400 million annually, |
providing a clear indication that the current levels of health care cost inflation are not sustainable. The Application of Long-Term Planning to Inform Near-Term Decisions The structural balance analysis has informed our understanding of the state’s fiscal imbalances and our |
recommendations to address these challenges in the FY12 budget. The revenue forecast and trend-line allows us to employ the $500million cyclical shortfall as a guideline on the maximum use of one time resources that are sustainable over time. Any spending |
in excess of this amount would continue to sustain a structural deficit or require budgetary spending that is not sustainable. The FY12 budget includes use of $385 million in one time resources, well within the sustainable level based on our |
cyclical shortfall. This is based in part on the assumption that the state would also restrain spending during a strong economy when tax revenue is above the then current trend-line (see Managing Economic Volatility in the solutions section below). A |
Solution Framework Aligned with Policy Goals The Governor’s House 1 proposal for fiscal year 2012 addresses the state’s key fiscal challenges through a series of reforms and initiatives that have been informed by our analysis of the state’s long-term fiscal |
DefinitionBy Mayo Clinic staff CLICK TO ENLARGE A broken rib, or fractured rib, is a common injury that occurs when one of the bones in your rib cage breaks or cracks. The most common cause of broken ribs is trauma |
to the chest, such as from a fall, motor vehicle accident or impact during contact sports. Many broken ribs are merely cracked. While still painful, cracked ribs aren't as potentially dangerous as ribs that have been broken. In these situations, |
a jagged piece of bone could damage major blood vessels or internal organs, such as the lungs. In most cases, broken ribs heal on their own in one or two months. Adequate pain control is important, so you can continue |
Range: Vancouver - Baja Calif. depth: 6-18 (38) m. Table of Contents The Sea Grape Commonly known as "sea grapes," Botryocladia (botryo=grape, cladia=branches) pseudodichotoma is an abundant member of the RHODOPHYTA (red algae). The following phylogeny consists of links to list of common characteristics which justify B... |
are 4-7 cm long and 6-25 mm in diameter - branches contain a colorless, acidic, polysaccharide and protein mucilage which makes them bouyant and therefore better able to compete for light - 3 cell layers - pigmented cortical cells - unpigmented medium sized gelatinous cells - unpigmented large gelatinous medullar cells... |
surface of medullar cells which in pseudodichotoma are noticeably smaller than its neighbors. It is easy to view secretory cells under a microscope by making cross-sections with a razorblade. with all Florideophyceae, B.pseudodichotoma has a tri-phasic life cells of the diploid tetrasporophyte undergo meiosis to create... |
mature male gametophyte emits spermatia which fertilize cells on the female gametophyte. Where fertilization has succeeded, a diploid carposporophyte grows on the female gametophyte. carposporophyte has a pore opening to the outside through which it releases diploid carpospores. These carpospores settle and grow into |
Breaking the COX code Using the team approach Editor’s Note: This story, first published in 2004, has been updated. Prostaglandins, which were first isolated from the prostate gland in 1936, |
are very rapidly metabolized, or broken down, making measurement in the blood difficult. Researchers at Vanderbilt led by John Oates, M.D., developed methods for measuring levels of prostaglandin metabolites (breakdown |
products) in the urine using mass spectrometry. Using this technique, the research team—which by the late 1970s included L. Jackson Roberts, M.D.—identified prostaglandin D2 as a product of the human |
mast cell and demonstrated its release during allergic asthma. With colleagues including Garret A. FitzGerald, M.D., now chair of Pharmacology at the University of Pennsylvania, Oates and Roberts showed that |
low doses of aspirin blocked the production of thromboxane, a prostaglandin made by platelets that causes blood clotting and constriction of blood vessels. Their findings supported the use of low |
dose aspirin to prevent heart attacks. In the early 1990s, Vanderbilt researchers led by Ray DuBois, M.D., Ph.D., discovered a link between the COX-2 enzyme and colon cancer. That work |
helped lead to current tests of COX-2 inhibitors as a potential way to prevent cancer. In 2004 another group led by the late Jason Morrow, M.D., and David H. Johnson, |
M.D., director of the Hematology-Oncology division at Vanderbilt, reported that urine levels of a prostaglandin metabolite called PGE-M could predict the effectiveness of a COX-2 inhibitor in patients with non-small |
cell lung cancer. This suggests, Morrow said in 2004, “that the measurement of these inflammatory ‘mediators’ and their suppression may be useful in the treatment of lung cancer.” COX enzymes |
also may play a role in Alzheimer’s disease. In addition to prostaglandins, the COX pathway can lead to the production of highly reactive molecular compounds called levuglandins, which, in turn, |
can form “adducts,” or irreversible attachments to proteins that may be toxic to nerve cells. Also in 2004, Oates and his colleagues at Vanderbilt and Johns Hopkins University reported that |
they found a 12-fold increase in the level of adducts in the brains of patients who had Alzheimer’s disease compared to age-matched control brains. “These are the first clear data |
showing that COX products are elevated in the brains of patients with Alzheimer’s disease,” says Oates, Thomas F. Frist Professor of Medicine and professor of Pharmacology. Vanderbilt currently is participating |
Characteristics of First Urinary Tract Infection With Fever in Children: A Prospective Clinical and Imaging Study The Pediatric Infectious Disease Journal, 04/18/2011 Ismaili Khalid et al. - Girls represent 63% of cases with first urinary tract infection (UTI). For 91% |
of UTIs, Escherichia coli is held responsible with a high rate of resistance to ampicillin and trimethoprim/sulfamethoxazole. US is an excellent screening tool that allows avoidance of unjustified voiding cystourethrography studies.Methods - The authors prospectively followed (median, 20 months) 209 |
children treated for first febrile UTI. - Renal ultrasound (US) and voiding cystourethrography examinations were performed in all patients. - Among the children, 63% were females and 37% were males, and 75% of them had their first UTI before the |
age of 2 years. - The most common causative agent was Escherichia coli (91% of cases) with high rate resistance to ampicillin (58%) and trimethoprim/sulfamethoxazole (38%). - Of these children, 25% had evidence of VUR (15 boys and 38 girls). |
VUR was of low grade in 85% of cases. - The overall performance of renal US as a diagnostic test to detect significant uropathies excluding low-grade vesicoureteral reflux (VUR) was excellent; the sensitivity attained 97% and the specificity 94%. |
Addison’s disease, also known as Adrenal Insufficiency or Hypocortisolism, is an endocrine disease that occurs when the adrenal glands do not produce enough of the hormone cortisol and sometimes, aldosterone. |
Fragile X Syndrome (cont.) A variety of professionals can help individuals with Fragile X and their families deal with symptoms of the disorder. Such assistance is usually most effective when provided by health care professionals experienced with Fragile X. - |
Speech-language therapists can help people with Fragile X to improve their pronunciation of words and sentences, slow down speech, and use language more effectively. They may set up social or problem-solving situations to help a child practice using language in |
meaningful ways. For the minority of children who fail to develop functional speech, this type of specialist may work with other specialists to design and teach nonverbal ways of communication. For example, some children may prefer to use small picture |
cards arranged on a key ring to express themselves; or they may learn to use a hand-held computer that is programmed to "say" words and phrases when a single key is pressed. - Occupational therapists help find ways to adjust |
tasks and conditions to match a person's needs and abilities. For example, this type of therapist might teach parents to swaddle or massage their baby who has Fragile X to calm him or her. Or the therapist might find a |
specially designed computer mouse and keyboard or a pencil that is easier for a child with poor motor control to grip. At the high school level, an occupational therapist can help a teenager with Fragile X identify a job, career, |
or skill that matches his or her interests and individual capabilities.17 - Physical therapists design activities and exercises to build motor control and to improve posture and balance. They can teach parents ways to exercise their baby's muscles. At school, |
a physical therapist may help a child who is easily over-stimulated or who avoids body contact to participate in sports and games with other children. - Behavioral therapists try to identify why a child acts in negative ways and then |
seek ways to prevent these distressing situations, and to teach the child to cope with the distress. This type of specialist also works with parents and teachers to find useful responses to desirable and undesirable behavior. During puberty, rising and |
changing hormone levels can cause adolescents to become more aggressive. A behavioral therapist can help a teenager recognize his or her intense emotions and teach healthy ways to calm down. The services of these specialists may be available to pre-school |
and school-aged children, as well as to teens, through the local public school system. In a school setting, several specialists often work together to assess each child's particular strengths and weaknesses, and to plan a program that is specially tailored |
to meet the child's needs. These services are often free. More intense and individualized help is available through private clinics, but the family usually has to pay for private services, although some health insurance plans may help cover the cost. |
Viewers share their comments Fragile X Syndrome - Educational Options Question: Do you have a child with Fragile X? Please discuss the educational opportunities in which your child has participated. Fragile X Syndrome - Social and Emotional Issues Question: How |
does your child with Fragile X deal with social situations? Please share how you cope with your child's emotional issues. Fragile X Syndrome - Experience Question: Please describe your experience with fragile x syndrome. Fragile X Syndrome - Symptoms Question: |
What symptoms do you or your loved one experience from fragile X syndrome? How do you cope? Fragile X Syndrome - Carrier Question: Did you ever undergo genetic testing to see if you are a fragile X syndrome carrier? |
Weight Gain & Cancer Risk Medical Author: Melissa Conrad Stöppler, MD Medical Editor: William C. Shiel Jr., MD, FACP, FACR Excess weight is a known risk factor for many chronic diseases, such as diabetesand heart disease. Obesityhas also been linked an increased risk for developing some cancers. To clarify the effects ... |
many studies reported in medical journals that describe 282,137 cases of cancer. The researchers wanted to see if weight gain had an effect on the risk for certain cancer types. In particular, the researchers looked at the risk of cancer associated with a weight gain corresponding to an increase of 5 kg/m2 in body mass... |
man with a normal-range BMI of 23 would need to gain 15 kg (33 lbs.) of weight, while a woman with a BMI of 23 would need to gain 13 kg (28.6 lbs.) to correspond to an increase of 5 in the BMI. The results, published in the Lancet in February 2008, revealed that weight gain is positively associated with the risk of dev... |
a variety of types of cancer as described below. For women, a weight gain corresponding to an increase of 5 in the BMI resulted in a significant increase in risk for developing four cancer types: - esophageal adenocarcinoma(double the risk), - endometrial cancer(slightly more than double the risk), - gallbladder cancer... |
Our Colchicine Main Article provides a comprehensive look at the who, what, when and how of Colchicine Definition of Colchicine Colchicine: A substance found in a plant that is used in clinical medicine for the treatment of gouty arthritis and in the laboratory to arrest cells during cell division (by disrupting the sp... |
name colchicine is from the Greek kolchikon meaning autumn crocus or meadow saffron, the plant from which colchicine was originally isolated. Last Editorial Review: 4/27/2011 5:27:15 PM Back to MedTerms online medical dictionary A-Z List Need help identifying pills and medications? Get the latest health and medical inf... |
Improve community infrastructure, health, resiliency and economic opportunities in Indonesia’s most challenging urban and coastal areas. About half of all Indonesians live on less than a dollar a day. Employment growth has been slower than population growth. Public services remain inadequate by middle-income standards,... |
Economic opportunity: Providing technical assistance, training and financial services to microfinance institutions throughout the country - Health: Raising awareness and supporting mothers to practice and promote exclusive breastfeeding - Children & Youth: Addressing childhood malnutrition through healthy, affordable f... |
urban areas with a mobile sludge removal service - Disaster preparedness: Identifying and mapping areas at risk and helping those communities plan, train and practice how to respond when disasters occur - Emergency response: Maintaining a response team ready to quickly deploy and provide immediate relief to survivors d... |
critical first months after a disaster strikes All stories about Indonesia Indonesia: Mercy Corps Program in Indonesia Issues 500th Grant June 10, 2003 In May 2003, in Maluku Province, Indonesia Mercy Corps issued its 500th grant to Yayassan Ina Hasa Laut, a local NGO to rehabilitate a water system in |
Desa Paperu, Saparua Island. This project will improve the lives of over 249 conflict-affected families. Indonesia: A Glass of Hope April 30, 2003 Indonesia: Sewing a Brighter Future March 3, 2003 Indonesia: Reaching Her Dreams January 21, 2003 Indonesia: Where there is a Will, There is a Way December 16, |
2002 Indonesia: When Mothers Speak, Milk Prices Come Down - And So Does a Government November 7, 2002 Traditionally, women in Indonesia are often not involved in decision making, even over everyday household and community issues. But in 1998, small groups of Indonesian women initiated protests that helped to change |
the history of the world's fifth most populous nation. Indonesia: Peaceful Water to Cool Conflict October 2, 2002 Indonesia: Microfinance for the Poor August 28, 2002 Microfinance is considered to be one of the most effective tools to combat poverty, but the question that one needs to ask is: "Do |
poor people get access to financial services through microfinance?" Indonesia: Making Peace In Maluku June 20, 2002 For over two years, Mercy Corps has been working in Maluku province in eastern Indonesia, where communal conflict has been ongoing since early 1999. Indonesia: Heavy Rains leave 300,000 homeless in Indone... |
1, 2002 Torrential monsoon rains have caused widespread flooding in Indonesia’s capital Jakarta this week, forcing more than 300,000 residents to flee their homes in search of shelter in mosques, churches and schools. |
: the study of the conformation of the skull based on the belief that it is indicative of mental faculties and character Study of the shape of the skull as an indication of mental abilities and character traits. Franz Joseph Gall stated the principle that each of the innate mental faculties is based in a specific brain... |
prominence in a person and is reflected by the skull's surface. He examined the skulls of persons with particular traits (including criminal traits) for a feature he could identify with it. His followers Johann Kaspar Spurzheim (1776–1832) and George Combe (1788–1858) divided the scalp into areas they labeled with trai... |
The power generation of solar systems is determined by the radiation. The high spatial resolution of the meteoblue models allows a very exact parameterization of clouds and atmospheric water. Therefore, exact radiation forecasting is possible. p☼intSOLAR forecasts the power generation |
of your individual solar system - in hourly intervals up to 6 days ahead, for every place on earth. gridSOLAR forecasts power generation of PV-Ensembles in high temporal resolution, for grid operators and other commercial clients. |
This later nineteenth-century tabernacle frame of ebony-veneered soft wood was designed to house reverse-painted glass. The technique of reverse painting on glass, often called "verre eglomisé", dates to the Roman era, and was widely practiced in Europe by the early sixteenth century. Essentially, an image is painted o... |
of a transparent glass or polished rock crystal support and meant to be viewed through it, the substrate becoming an integral part of the painting. The Lehman glass panels were probably painted in Lombardy in the second half of the sixteenth century.This tabernacle house altar has a semicircular pediment and |
rock crystal columns with silver-gilt Corinthian capitals and bases. A cast silver-gilt relief of God the Father in Benediction fills the pediment, which is surmounted by an agate urn with silver-gilt mounts flanked by two pointed agate finials. Cast silver-gilt appliqués decorate the entablature, the columns and the p... |
reverse-painted central arched panel represents the Adoration of the Shepherds while below, a narrow frieze of smaller vertical plaques shows the Adoration of the Magi in the center, flanked by the Angel Gabriel and the Virgin of the Annunciation. The outer panels show the Eucharistic host, chalice, and paten on |
the left and the "Arma Christi" on the right.Although its style dates from the early seventeenth century, the wooden framework for this house altar was built in the nineteenth century, probably by Reinhold Vasters (1827-1909) or someone in his workshop. Vasters was a highly skilled German silversmith and goldsmith who |
for a time served as restorer at the Aachen Cathedral treasury. There, in the spirit of nineteenth-century historicism, he not only restored but also replaced worn or damaged liturgical objects. It is likely that the Lehman tabernacle house altar was made expressly to house a set of sixteenth-century reverse-painted pa... |
1 significant figure 2 significant figures 3 significant figures 4 significant figures 5 significant figures 6 significant figures 7 significant figures 8 significant figures Note: Fractional results are rounded to |
the nearest 1/64. For a more accurate answer please select 'decimal' from the options above the result. Note: You can increase or decrease the accuracy of this answer by selecting |
the number of significant figures required from the options above the result. Note: For a pure decimal result please select 'decimal' from the options above the result. Before approximately the |
14th century there were two hundredweights in England, one of 100 pounds, and one of 108 pounds. In 1340, King Edward III changed the value of the stone from 12 |
pounds to 14 pounds. Since a hundredweight is 8 stones, the 100-pound hundredweight became 112 pounds. A unit of mass equal to one-millionth of a gram. Long Hundredweights (UK) to |
Micrograms Mobile phone converter app Whilst every effort has been made to ensure the accuracy of the metric calculators and charts given on this site, we cannot make a guarantee |
or be held responsible for any errors that have been made. If you spot an error on this site, we would be grateful if you could report it to us |
by using the contact link at the top of this page and we will endeavour to correct it as soon as possible. Created:Fri 31 Oct 2003 this page last updated:: |
The Early Years In 1927, MFAH director James Chillman introduced the idea of building a library at the museum. He stated that "the purpose of the library was to furnish |
information for judging the arts." He reported that the library was "proving quite popular—particularly in view of the fact that it is not of a circulating character. Almost any bright |
day there may be found a generous sprinkling of readers—housewives, professionals and Rice Institute students." (Post Dispatch, January 22, 1928) The library was situated in the basement of the west |
wing of the museum, and furnished with Windsor chairs and a single reading table. A public fund drive for money for books started the library's collection; thereafter, a budget for |
the library was included within the museum's budget each year. In 1960, the MFAH hired its first professionally trained librarian. By the 1970s, the library's collection had outgrown its space, |
and in 1974 a new area for the library was created in the Ludwig Mies van der Rohe addition to the museum. The modern, spacious reading room adjacent to the |
Alice Pratt Brown sculpture garden was welcoming to the staff as well as the public. Maurice and Winifred Hirsch In September of 1981, an endowment was established for the library |
by two long-time museum supporters: General Maurice and Winifred Busby Hirsch. This generous bequest was designated to be used for, "the maintenance, repair, embellishment of the present or subsequently substituted |
premises of the museum library and for the purchase of fixtures, furnishings, books, manuscripts, book illustrations, periodicals, appropriate art objects and any other use pertinent to a museum library." (letter |
from Maurice Hirsch to the Chairman of the Board of Trustees, dated September 23, 1981). The library was named the Hirsch Library that year, as a lasting tribute to these |
two museum patrons. The Hirsch family had been involved with the MFAH since it opened in 1924. General Maurice Hirsch's father, Jules Hirsch, was an early contributor to the museum |
building fund that year. In 1947 Maurice and Winifred were married, and became active participants as a couple in the city's cultural life. In the early 1950s they carried on |
the family's support of the museum with generous financial contributions and donations of works of art to the museum's collection. Maurice became a museum trustee in 1960. Winifred played an |
active role in the museum's auxiliary and volunteer groups, and from 1954 to 1955 she was the first chair of the "Art Cart" program that took works of art from |
the museum to Houston's Veterans Administration Hospital. The Hirsches traveled the world many times, and during a trip to Egypt in 1952, they bought several Egyptian art objects for the |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.