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"Loewe, Michael"
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Impact on an Urgent Care Clinic of a New Freestanding Emergency Department in a Resource-Scarce Area
Background: Convenience clinics—such as urgent care centers (UCCs), retail clinics, and freestanding emergency departments (FSEDs)—where patients can receive treatment for a variety of medical conditions have increased in number and popularity. We quantify the impact an FSED had on UCC visits in an underserved area in North Baton Rouge, Louisiana.Methods: All FSED and UCC visits were abstracted from 2015 to 2020. Visits were classified using International Classification of Diseases, Tenth Revision codes. We used a time series analysis to evaluate the association of nonemergent and emergent visits to the UCC after the opening of the FSED. Visits were also aggregated at the census block group (neighborhood) level. Demographic characteristics and the neighborhood Area Deprivation Index were used to compare UCC utilization before and after the FSED opened and to describe the visits to the UCC and the FSED.Results: We found a difference in the demographic composition of patients presenting to the UCC after the FSED opened. Emergent visits decreased at the UCC, but nonemergent visits did not change after the FSED opened. The majority of visits to the FSED were nonemergent, and the proportion of nonemergent visits to the FSED increased during the hours that the UCC was closed. The majority of visits to the FSED came from neighborhoods with a high Area Deprivation Index.Conclusion: The opening of an FSED resulted in a reduction of emergent visits to the UCC without impacting the number of nonemergent visits. The opening of an FSED in a poor, healthcare-resource-scarce area resulted in significantly more patients from deprived neighborhoods being treated at the FSED and UCC.
Journal Article
Problems of Han administration : ancestral rites, weights and measures, and the means of protest
\"Michael Loewe calls on literary and material evidence to examine three problems that arose in administering China's early empires. Religious rites due to an emperor's predecessors must both pay the correct services to his ancestors and demonstrate his right to succeed to the throne. In practical terms, tax collectors, merchants, farmers and townsmen required the establishment of a standard set of weights and measures that was universally operative and which they could trust. Those who saw reason to criticise the decisions taken by the emperor and his immediate advisors, whether on grounds of moral principles or political expediency, needed opportunities and the means of expressing their views, whether as remonstrants to the throne, by withdrawal from public life or as authors of private writings\"--Provided by publisher.
Book
Dong Zhongshu, a 'Confucian' Heritage and the Chunqiu fanlu
The assumption that a system described as 'Confucianism' formulated by Dong Zhongshu became accepted as the norm during the Western Han dynasty (202 BCE - 9 CE) is challenged and his supposed authorship of the Chunqiu fanlu examined.
eBook
Cai Yong 蔡邕
Known as a composer of fu, of treatises on multiple technical subjects, yet holding no high official position until late in his life, Cai Yong stands out as protesting against certain aspects of public life and as urging a return to the principles of earlier times. Arousing the enmity of some in power, he was put to death in 192. His corpus provides a pointed, if veiled critic of certain aspects of Han governance in his own day.
Journal Article
Cai Yong phrase omitted : A Neglected Figure of Late Eastern Han
Known as a composer of fu, of treatises on multiple technical subjects, yet holding no high official position until late in his life, Cai Yong stands out as protesting against certain aspects of public life and as urging a return to the principles of earlier times. Arousing the enmity of some in power, he was put to death in 192. His corpus provides a pointed, if veiled critic of certain aspects of Han governance in his own day.
Journal Article
Problems of Han Administration
China's early emperors must pay their respects to their predecessors in the correct form; the conduct of government and commercial practice depended on a generally accepted system of weights and measures; critics needed a secure means of expressing their views.
eBook
Daily Life in Ancient China. By Poo Mu-chou
Daily Life in Ancient China. By Poo Mu-chou. Cambridge: Cambridge University Press, 2018. Pp. xviii + 258. £71.99 (cloth); £23.99 (paper).
Journal Article
Dynastic Decline in Eastern Han
Dynastic cohesion of the Eastern Han declined from ca. 130 CE or earlier as may be seen in the absence of a decisive emperor, the treatment of his blood relatives, the growth of privately managed estates, and the cessation of measures to relieve distress and settle the population. To this we may add the growth of some types of groups of non-official influential individuals bearing various titles, and the expressions of a sharp criticism of the conduct of public life that accompanied the central government's loss of strength.
Journal Article
