American Federalism: How Well Does It Support Lady Liberty?

Author(s):  
Richard E. Wagner
Author(s):  
Erika Alarcón-Ruiz ◽  
Luis Daniel Ordoñez-Pacheco

The synergy that exists between geography, computer science and advances in information technologies has allowed the consolidation of geographic science from an integral perspective and allowing the correlation of basic elements for the analysis of the territory in an applied science called Geomatics. The research result in this field are linked to the collection and analysis of observation data, which are collected through satellites, ground stations, ocean buoys, the global positioning system (GPS), aerial sensors (photogrammetry), Weather balloons and traditional techniques for measuring and describing land. To process this data, Geographic Information System (GIS) has been developed, involving aspects of hardware and software with applications that are as diverse and varied as the users themselves. Also, presents an analysis of the main SIG's, its main features and applications , because despite having a scientific structure and IT support that allows one effective land management in rural or urban type, yet there is a wide area of opportunity solving and Previ or endo the emergence of conflicts interactions between human activities and geographical characteristics.


2021 ◽  
Vol 1047 (1) ◽  
pp. 012040
Author(s):  
A Zatonskiy ◽  
N Sirotina ◽  
R Bazhenov ◽  
I Altukhova ◽  
E Alutina
Keyword(s):  

1989 ◽  
Vol 19 (3) ◽  
pp. 1 ◽  
Author(s):  
Michael A. Pagano ◽  
Ann O'M. Bowman

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Scardoni ◽  
S Sancini ◽  
A Ambrosio ◽  
C Signorelli ◽  
A Odone

Abstract Issue San Raffaele Hospital (OSR) is part of a European alliance of 9 University Hospitals (EUHA) which promotes comparison and excellence in the clinical, research and training strategies. Description of the Problem The development of Value-Based (VB) strategies has been active in OSR since March 2019, with multidisciplinary healthcare pathways and with the promotion of patient engagement. Results The prostate cancer pathway was identified as a pilot and replicable model to promote the VB culture in different areas, in particular in the field of digitalization, human resources, research, redesigning of paths and outcomes collection. The other clinical pathways progressively launched during 2019 were: breast cancer, stroke, heart failure and pancreatic cancer. The project was realized by: • setting up a Multidisciplinary disease teams; developing a training course on VB, involving all the healthcare professionals (clinicians and managers);involving patient associations in the development of the pathway;adopting sets of clinical outcomes, Patient-Related Outcome Measures (PROMs) and Patient-Related Experience Measures (PREMs) with a specific collection platform, currently under implementation;identifying new IT support tools, activated from March to December 2019 in 11 Disease Units: HealthMeeting, a platform supporting document and data sharing, connecting different Specialists and performing advanced digital multidisciplinary meetings; DNM-Digital Narrative Medicine, a platform connecting patients with their clinical team, supporting web-based storytelling and personalized therapeutic approach. Lessons The introduction of a new shared and patient-centred work model, with the reorganization of spaces, resources and dedicated IT tools, has improved the diagnostic-therapeutic process. Key messages The main challenge of hospital transition to VB pathways is organizational and cultural. For VB implementation is needed sustainable use of available resources and IT, to achieve better outcomes.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 199-200
Author(s):  
Lois Evans ◽  
Jane Eleey ◽  
Avalie Saperstein

Abstract Villages help older neighbors age-in-place as they manage their environments, take advantage of opportunities for social and civic engagement, and improve or maintain health and well-being. National surveys repeatedly indicate that older adults prefer community living as long as possible. But communities change, and post-retirement living may require rebuilding social connections with old and new neighbors. Fortunately, today’s retirees bring a wealth of knowledge and skills to later life which they are happy to share. Drawing on the talents and career experiences of older adults in Center City, Philadelphia, Penn’s Village (PV) was created in 2007 to address the needs and wishes of neighbors wanting to stay in their own homes as they aged. A member of the Village-to-Village Network, PV (a 501c3) has itself matured through board development, strategic planning, and member engagement. In reframing aging in Center City, PV currently offers its over 300 members and volunteers an array of educational and recreational programs (e.g., talks, affinity groups, social events and outings); services (including transportation, home repairs, IT support, companionship, accompaniment to medical appointments), and opportunities to use their personal knowledge and skills to help their neighbors-- as drivers, companions, volunteer staff and co-chairs/members of committees (e.g., Board of Directors, Program, Welcoming, Marketing & Communications, Finance, Fundraising). In FY2019, volunteers provided nearly 1200 services to PV members. Our most recent survey responses indicate that 82% of volunteers found their work highly meaningful and 79% of those who received services believed their quality of life was greatly improved.


1994 ◽  
Vol 81 (3) ◽  
pp. 1292
Author(s):  
Michael P. Zuckert ◽  
Samuel H. Beer
Keyword(s):  

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