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Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015
2017
National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015.
We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time.
Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015.
This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world.
Bill & Melinda Gates Foundation.
Journal Article
The Undeserving Rich
2013
It is widely assumed that Americans care little about income inequality, believe opportunities abound, admire the rich, and dislike redistributive policies. Leslie McCall contends that such assumptions are based on both incomplete survey data and economic conditions of the past and not present. In fact, Americans have desired less inequality for decades, and McCall's book explains why. Americans become most concerned about inequality in times of inequitable growth, when they view the rich as prospering while opportunities for good jobs, fair pay and high quality education are restricted for everyone else. As a result, they favor policies to expand opportunity and redistribute earnings in the workplace, reducing inequality in the market rather than redistributing income after the fact with tax and spending policies. This book resolves the paradox of how Americans can express little enthusiasm for welfare state policies and still yearn for a more equitable society, and forwards a new model of preferences about income inequality rooted in labor market opportunities rather than welfare state policies.
The War on Welfare
2011,2010,2012
Why did the War on Poverty give way to the war on welfare? Many in the United States saw the welfare reforms of 1996 as the inevitable result of twelve years of conservative retrenchment in American social policy, but there is evidence that the seeds of this change were sown long before the Reagan Revolution-and not necessarily by the Right.The War on Welfare: Family, Poverty, and Politics in Modern Americatraces what Bill Clinton famously called \"the end of welfare as we know it\" to the grassroots of the War on Poverty thirty years earlier. Marshaling a broad variety of sources, historian Marisa Chappell provides a fresh look at the national debate about poverty, welfare, and economic rights from the 1960s through the mid-1990s. In Chappell's telling, we experience the debate over welfare from multiple perspectives, including those of conservatives of several types, liberal antipoverty experts, national liberal organizations, labor, government officials, feminists of various persuasions, and poor women themselves. During the Johnson and Nixon administrations, deindustrialization, stagnating wages, and widening economic inequality pushed growing numbers of wives and mothers into the workforce. Yet labor unions, antipoverty activists, and moderate liberal groups fought to extend the fading promise of the family wage to poor African Americans families through massive federal investment in full employment and income support for male breadwinners. In doing so, however, these organizations condemned programs like Aid to Families with Dependent Children (AFDC) for supposedly discouraging marriage and breaking up families. Ironically their arguments paved the way for increasingly successful right-wing attacks on both \"welfare\" and the War on Poverty itself.
The St. Louis Commune of 1877
2021
Following the Civil War, large corporations emerged in the United
States and became intent on maximizing their power and profits at
all costs. Political corruption permeated American society as those
corporate entities grew and spread across the country, leaving
bribery and exploitation in their wake. This alliance between
corporate America and the political class came to a screeching halt
during the Great Railroad Strike of 1877, when the U.S. workers in
the railroad, mining, canal, and manufacturing industries called a
general strike against monopoly capitalism and brought the country
to an economic standstill. In The St. Louis Commune of
1877 Mark Kruger tells the riveting story of how workers
assumed political control in St. Louis, Missouri. Kruger examines
the roots of the St. Louis Commune-focusing on the 1848 German
revolution, the Paris Commune, and the First International. Not
only was 1877 the first instance of a general strike in U.S.
history; it was also the first time workers took control of a major
American city and the first time a city was ruled by a communist
party.
People of the Ecotone
2022
Winner of the 2023 Hal K. Rothman Book Prize for best book in western environmental history from the Western History AssociationIndigenous power in a significant cultural and ecological borderlandIn People of the Ecotone, Robert Morrissey weaves together a history of Native peoples with a history of an ecotone to tell a new story about the roots of the Fox Wars, among the most transformative and misunderstood events of early American history. To do this, he also offers the first comprehensive environmental history of some of North America’s most radically transformed landscapes—the former tallgrass prairies—in the period before they became the monocultural “corn belt” we know today.Morrissey situates the complex rise and fall of the Illinois, Meskwaki, and Myaamia peoples from roughly the collapse of Cahokia (thirteenth to fourteenth century CE) to the mid-eighteenth century in the context of millennia-long environmental shifts, as changes to the climate shifted bison geographies and tribes adapted their cultures to become pedestrian bison hunters. Tracing dynamic chains of causation from microscopic viruses to massive forces of climate, from the deep time of evolution to the specific events of human lifetimes, from local Illinois village economies to market forces an ocean away, People of the Ecotone offers new insight on Indigenous power and Indigenous logics.
The politics of happiness
2010
During the past forty years, thousands of studies have been carried out on the subject of happiness. Some have explored the levels of happiness or dissatisfaction associated with typical daily activities, such as working, seeing friends, or doing household chores. Others have tried to determine the extent to which income, family, religion, and other factors are associated with the satisfaction people feel about their lives. The Gallup organization has begun conducting global surveys of happiness, and several countries are considering publishing periodic reports on the growth or decline of happiness among their people. One nation, tiny Bhutan, has actually made \"Gross National Happiness\" the central aim of its domestic policy. How might happiness research affect government policy in the United States--and beyond? In The Politics of Happiness, former Harvard president Derek Bok examines how governments could use the rapidly growing research data on what makes people happy--in a variety of policy areas to increase well-being and improve the quality of life for all their citizens.
Robert Nixon and Police Torture in Chicago, 1871–1971
2016
In 2015, Chicago became the first city in the United States to create a reparations fund for victims of police torture, after investigations revealed that former Chicago police commander Jon Burge tortured numerous suspects in the 1970s, '80s, and '90s. But claims of police torture have even deeper roots in Chicago. In the late 19th century, suspects maintained that Chicago police officers put them in sweatboxes or held them incommunicado until they confessed to crimes they had not committed. In the first decades of the 20th century, suspects and witnesses stated that they admitted guilt only because Chicago officers beat them, threatened them, and subjected them to \"sweatbox methods.\" Those claims continued into the 1960s.
In Robert Nixon and Police Torture in Chicago, 1871–1971, Elizabeth Dale uncovers the lost history of police torture in Chicago between the Chicago Fire and 1971, tracing the types of torture claims made in cases across that period. To show why the criminal justice system failed to adequately deal with many of those allegations of police torture, Dale examines one case in particular, the 1938 trial of Robert Nixon for murder. Nixon's case is famous for being the basis for the novel Native Son, by Richard Wright. Dale considers the part of Nixon's account that Wright left out of his story: Nixon's claims that he confessed after being strung up by his wrists and beaten and the legal system's treatment of those claims. This original study will appeal to scholars and students interested in the history of criminal justice, and general readers interested in Midwest history, criminal cases, and the topic of police torture.
Henry Ford’s Plan for the American Suburb
2018,2015
Around Detroit, suburbanization was led by Henry Ford, who not only located a massive factory over the city's border in Dearborn, but also was the first industrialist to make the automobile a mass consumer item. So, suburbanization in the 1920s was spurred simultaneously by the migration of the automobile industry and the mobility of automobile users. A welfare capitalist, Ford was a leader on many fronts—he raised wages, increased leisure time, and transformed workers into consumers, and he was the most effective at making suburbs an intrinsic part of American life. The decade was dominated by this new political economy—also known as \"Fordism\"—linking mass production and consumption. The rise of Dearborn demonstrated that Fordism was connected to mass suburbanization as well.
Ultimately, Dearborn proved to be a model that was repeated throughout the nation, as people of all classes relocated to suburbs, shifting away from central cities. Mass suburbanization was a national phenomenon. Yet the example of Detroit is an important baseline since the trend was more discernable there than elsewhere. Suburbanization, however, was never a simple matter of outlying communities growing in parallel with cities. Instead, resources were diverted from central cities as they were transferred to the suburbs. The example of the Detroit metropolis asks whether the mass suburbanization which originated there represented the \"American dream,\" and if so, by whom and at what cost. This book will appeal to those interested in cities and suburbs, American studies, technology and society, political economy, working-class culture, welfare state systems, transportation, race relations, and business management.
The Neighborhood Outfit
2014
From the slot machine trust of the early 1900s to the prolific Prohibition era bootleggers allied with Al Capone, and for decades beyond, organized crime in Chicago Heights, Illinois, represented a vital component of the Chicago Outfit. Louis Corsino taps interviews, archives, government documents, and his own family's history to tell the story of the Chicago Heights \"boys\" and their place in the city's Italian American community throughout the twentieth century. Exploring the role of community context in the generation of criminal enterprises, Corsino delves into the social and cultural forces that created a vibrant Italian enclave while simultaneously contributing to illicit activities so pervasive the city's name became synonymous with vice. As Corsino shows, organized crime had its roots in discrimination that blocked opportunities for Italians' social mobility. The close-knit Italian communities that arose in response to such limits produced a rich supply of social capital Italians used to pursue alternative routes to success that ranged from Italian grocery stores to union organizing to, on occasion, crime. In particular he offers invaluable insights into the ways established Outfit figures brought in new recruits and how social forces worked to guarantee a pool of potential soldiers. Learned and readable, The Neighborhood Outfit throws light on a little-known corner of the history of Chicagoland organized crime.
Digital State
2013
Accounts of the early events of the computing industry-the Turing machine, the massive Colossus, the ENIAC computer-are well-told tales, and equally well known is the later emergence of Silicon Valley and the rise of the personal computer. Yet there is an extraordinary untold middle history-with deep roots in Minnesota. From the end of World War II through the 1970s, Minnesota was home to the first computing-centered industrial district in the world.
Drawing on rare archival documents, photographs, and a wealth of oral histories,Digital Stateunveils the remarkable story of computer development in the heartland after World War II. These decades found corporations-concentrated in large part in Minnesota-designing state-of-the-art mainframe technologies, revolutionizing new methods of magnetic data storage, and, for the first time, truly integrating software and hardware into valuable products for the American government and public. Minnesota-based companies such as Engineering Research Associates, Univac, Control Data, Cray Research, Honeywell, and IBM Rochester were major international players and together formed an unrivaled epicenter advancing digital technologies. These companies not only brought vibrant economic growth to Minnesota, they nurtured the state's present-day medical device and software industries and possibly even tomorrow's nanotechnology.
Thomas J. Misa's groundbreaking history shows how Minnesota recognized and embraced the coming information age through its leading-edge companies, its workforce, and its prominent institutions.Digital Statereveals the inner workings of the birth of the digital age in Minnesota and what we can learn from this era of sustained innovation.