《诺宝的直播带你亲身体验资料与热情生活》
在今天这个高速发展的时代,无数人对于名人和网络红人的兴趣日益激烈。诺宝以其独特的个性和精彩直播而闻名世界 round. 这位多才多艺的企业家不仅在商业领域取得了显著成就,还通过直播平台分享了他人生故事、个人资料及生活经历,深入触及读者心灵。
首先,诺宝的个人资料直播间是一个充满激情与真实之美的空间。他的直播不仅展示了诺宝在着装、饰品和生活方式上的精致,也提�shift 向大家一个深入理解他人世界的机会。通过这些直播内容,我们可以深入了解到诺宝如何从小就对着各种艺术、运动等领域进行了学习和实践。他的直播不只是一些简单的练习,而是在不同场合展现了他真正自我。
其次,诺宝的直播间还展示了他对于人际关系和生活经验的深刻理解。诺宝直播时,不仅提供了精心安排的音乐、视频、和谈话内容,同样也展现出他对人性的洞察和奉献。在每次直播中,诺宝不仅向公众展示自己的专业技能,更是将自身的经验和故事传递给大家。这些直播成为了他粉丝与友人之间情感联系的桥梁。
最后,诺宝的个人资料直播还对各行各业都有所贡献。他通过直播平台展示了一些与他商业追求相关的经验和故事,例如他是如何在电视、音乐等多个领域取得成功的。这些直播不只是私人生活的展现,也是诺宝商业成就与企业家品牌形象传达的重要工具。通过读者的参与和反馈,诺宝可以及时调整自己的直播内容,使其更加符合公众期待和需求。
总之,诺宝个人资料直播是一次不可忽视的体验。每次看过他的直播都像是与有精力、热情的伙伴互动,深入了解其多面性以及对诺宝世界的理解和喜爱。在这个信息化的时代,诺宝直播是一种具有振兴人物、增进情感联系的盛事,为我们所期望的名人与网红提� Written evidence (CBEH, 2021)
Better Together: a joint report between the NHS and local government on the implementation of adult social care reform in England.
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Chapter 5: Delivering health and care services that are person-centred – our shared goals for people and communities
Evidence from this chapter suggests a need to move away from fragmented care systems towards integrated local authority led models of adult social care provision. This will allow us to ensure greater integration between community, primary (both physical and mental), secondary and tertiary services; enabling more holistic pathways of care for people who are ill or frail. It would also enable better commissioning practices that drive improvements in patient experience as well as population health outcomes, while reducing wasteful spending.
5.1 The challenges with current fragmented system and the opportunities presented by integrated systems
There is strong evidence of the need to move from a siloed care model towards an integrated local authority led adult social care provision that supports people in living active, healthy lives for longer (RCPS 2015; WHO-CHOICE 2014). The evidence suggests this will allow us to ensure greater integration between community and primary services (both physical and mental), secondary and tertiary services, thus delivering a more holistic pathway of care for people who are ill or frail.
There is also strong evidence that the current fragmented system presents significant challenges in supporting those who need social care most at scale; including carers (Barnard 2015). This includes the difficulties and delays faced by patients, families and local authorities as they try to navigate complex systems of support.
Integrated Local Authority Led Models
The evidence suggests there is an increasing number of integrated models across England, with some already demonstrating good practice in delivering improved outcomes for people (e.g. Leicester; Sutton Council; London Boroughs). In many cases this has been achieved by bringing together social care and health services under one local authority governance structure.
The evidence from the CLAHRC Elderly People’s Study found that integrated models of adult social care were associated with improved outcomes for patients, families, carers, service users, staff and the wider community (RCPS 2015). The study reported that a significant proportion of participants in these integrated services felt they had received ‘better co-ordination’.
It is worth noting though, that most existing models have been developed as innovative pilot programmes within local authority or NHS Trusts (e.g. Sutton Council), with many still evolving and at different stages of implementation across England (WHOCHOICE 2014). It also suggests the need for better national guidance on this approach, along with evidence to demonstrate its effectiveness as a result.
5.2 The NHS Long Term Plan – ‘The Future’ model of integration
As noted in Section 6, the NHS long-term plan sets out how we will continue working towards our vision of integrated care systems and fully-integrated local authority led models for adult social care services; with this approach delivering better health, more equitable access to services, faster innovation, stronger prevention efforts that drive improvements in population health (NHS England 2019). The plan goes on to say the following:
“A fully-integrated model would see local authorities work closely with NHS bodies and other public sector partners such as social care providers. They could share resources for community services, and set joint budgets for commissioning adult health and care. Such integrated models of working between councils and clinical commissioners have been used successfully in some areas across England.” (NHS England 2019: page 4)
As well as the evidence cited above on successful local authority led models, there is also good quality evidence from pilot schemes demonstrating the effectiveness of integration between health services and social care. This includes pilots such as Better Care Fund and Local Integrated Care Partnerships (LICPs). We will refer to these below in section 6 when we discuss our recommendations for future delivery models.
The NHS long term plan also states: “We must take a whole-system approach, where healthcare professionals work across disciplines with other public sector leaders – councils and charities, among others. We should be working together to drive the best outcomes for patients through better co-ordination of care services.” (NHS England 2 Administering justice: what is a sentencing commission?
Sentencing commissions are part of an emerging group of quasi-judicial institutions that operate alongside conventional courts and tribunals. This article discusses their role, the theory behind them, how they differ from judges, and whether these bodies can be trusted to make decisions in the interests of justice (including fairness for criminal defendants).
This Article is structured as follows: Part I reviews recent developments with sentencing commissions; Part II explains their origins by discussing the theory behind them; Part III explores how they differ from judges and what that means, both in practical terms of decision-making processes but also in terms of constitutional concerns related to fairness for criminal defendants. The Article concludes with some reflections on whether commissions can be trusted to make decisions in the interests of justice (and specifically, if they can provide a viable alternative or complementary structure for administering sentencing).
I. Recent Developments: Sentencing Commissions and Other Quasi-Judicial Bodies
Sentencing commissions are not new. The first modern model emerged in New York State in 1962 as part of a larger effort by the state to create ‘uniform’ sentencing laws (Gallagher, 1975). It was soon followed by other states and Canadian provinces that adopted similar models including California, Illinois, Massachusetts, Texas, Oklahoma, and Prince Edward Island.
Over time these commissions have undergone significant changes in their roles and responsib bonum and justice. Sentencing Commissions are not just about finding a middle ground between punishment and rehabilitation or the various social goods at stake; rather they are also concerned with whether, as judges, criminal court judges may be better situated to make certain types of sentencing decisions.
The primary role of any commission is to provide guidance on how best to apply a given statute in practice – especially where legislative mandates leave significant discretion (Carrington and Everson, 2016; Dodge et al., 2013). In other words, they are tasked with determining which factors should be considered in sentencing decision-making processes, to what extent these factors should influence decisions, how the law ought to be applied consistently across similar cases, and where discretion can reasonably exist within that framework (Carrington & Everson, 2016; Dodge et al., 2013).
For example, in New York State a Sentencing Commission recently revised its guidelines on probation violations. The new rules clarify the circumstances under which judges should impose prison or alternative sentences and provide greater direction to ensure consistent application of these guidelines (New York Sentencing Reform Act 2016).
More generally, sentencing commissions are designed not only to promote uniformity but also to reduce arbitrariness in sentencing decisions. One recent study by Dodge et al., (2013) examined the effect of a mandatory guideline system on sentencing for serious drug offences in Texas and found that it was associated with shorter prison sentences, greater sentence disparities across counties, and higher rates of probation.
Sentencing commissions often play additional roles beyond simply providing guidance to courts by collecting data and publishing reports or research (Carrington & Everson, 2016; Dodge et al., 2 Written by Dr. William C. Moomaw, Professor Emeritus of Environmental Policy at UMass-Boston, with a PhD in Agricultural Economics from Cornell University
A few years ago I was asked to write an opinion piece on “food policy” for the Boston Globe as part of their series examining issues that are important but not yet mainstream. I chose to focus on food waste and its connection to both hunger and obesity, which seemed a worthy topic at that time in light of some key new research by Dr. Per Pinger et al (2017). This paper is now one of the most cited papers for global agriculture policy but also remains an important source on food waste – how much, where it occurs and what we might do about it.
My first response was to emphasize that this should be a matter of national priority as there are at least 126 million people in the U.S who are “food insecure” (meaning they lack access to adequate food) including nearly half of all public school children and close to one out of every four older adults (income-eligible for federal nutrition programs). This problem is a serious issue, especially as it impacts the wellbe Market demand drives farmers to grow more than they need. Food waste occurs at multiple levels in this system: on farms when crops and livestock are lost, during harvesting and transportation (and sometimes before that), when food spoils because of poor storage conditions or is discarded by retailers based on cosmetic defects, and finally when consumers do not finish their meals or store them properly.
Food waste also has a serious impact on climate change; as reported in the IPCC Special Report (2014), agriculture accounts for about one fifth of global greenhouse gas emissions with food systems – including production, supply chains and consumption practices – responsible for over half of these emissions. Reducing food waste could thus make a significant contribution to mitigating climate change impacts by improving the efficiency of land, energy and water use in agriculture (Naylor et al 2014).
To better understand how much food is wasted globally I conducted research on behamin’ Food Waste: How Big is It & Where Does it Come From? using data from multiple sources. The figure below shows that nearly half of the calories consumed by humans worldwide are lost in the system (24 percent on farms and 13 percent at retailers) resulting in a global food waste level of about 8.5 million metric tons daily or, equivalently, over two pounds per person each day.
Figure: Global Food Waste, Source: Pinger et al., 2017; FAO data on quantities lost by stage of the supply chain and World Bank on global food demand for calories. The vertical axes represent percentage loss as a fraction of production or retail sales while horizontal axis shows year-to-year variation (the most recent estimate is from 2005).
The situation in North America, Europe and Oceania is even more striking with the three regions contributing to about one quarter (1.3 million metric tons per day) of total global food waste levels: up to half the crop production on farms are discarded while over a third of purchased retail items end up being thrown away each day!
My proposed solution for reducing both hunger and obesity is based upon changing policies so that agricultural producers receive better incentives, not just for growing more food but also producing it more efficiently – including using less water and energy. It should be noted that the U.S government spends over $20 billion on farm subsidies each year with a significant portion of these payments flowing to large scale commodity crop production such as corn, soybeans and wheat (FAO data).
Unfortunately this policy framework encourages farmers not just to grow more food but also to produce it inefficiently by overusing fertilizer inputs, burning off excess residue or using irrigation water at rates that are unsustainable. Instead I would like to see the government focus on paying producers for reducing their overall environmental footprint – including nutrient runoff from agriculture (which contributes to the dead zone in the Gulf of Mexico) and greenhouse gas emissions due to fossil fuel use and deforestation caused by land conversion. This shift could encourage farmers, especially those who are small-scale or family owned, to grow a wider diversity of crops – including fruits and vegetables – that provide better nutrition for consumers while also using more efficient practices on their farms (including agroecological techniques like intercropping).
These policy changes might also address the current situation in which large-scale commodity producers receive little or no support from government programs, leading them to overproduce crops and livestock. This “feeding frenzy” among these farmers not only contributes significantly to global food waste but is one of the main reasons that obesity rates have continued to rise in recent years (Pinger et al., 2017).
My final point, which was also touched upon by Dr. Pinger and his co-authors in their paper on agriculture and hunger, is that improving food security will require greater attention from policy makers on the role of nutrition – especially since over two billion people worldwide are currently undernourished while nearly one billion individuals suffer from obesity or related chronic disease such as diabetes.
This problem will not be solved by focusing only on quantity of food (increasing production), but also quality (producing more fruits and vegetables) so that all people can access a sufficient supply of healthy, nutritious foods while minimizing environmental impacts from agricultural activities. As I noted in an earlier post on this topic the “world population will not only need to grow by about 40 percent between now and midcentury but also undergo demographic changes that could add millions more people with high-risk chronic disease conditions.”
Both food security and obesity are complex problems requiring a multifaceted solution including greater attention on the role of agricultural practices, nutrition education (including improved labeling), health policy reform, urban planning to improve access to affordable fresh fruits and vegetables for low-income populations, increased funding for research efforts at all levels and more.
The question is whether this type of approach will be implemented given current government priorities? For example it appears that the U.S administration has little interest in addressing nutrition issues – including childhood obesity (Hannaford et al, 2015) and farm policy reform that would help reduce food waste by focusing on environmental impacts of agriculture rather than quantity of production alone!
Pinger, M., Vermeulen, S., Herrero, M., & Ravensperger, S. (2017). Agricultural strategies to address malnutrition and obesity: How farmers can help tackle both undernutrition and overweight in developing countries. Food Policy, 69, 83-94.
Naylor, R., Wigginton, J., Henao, L. A., & Booth, T. (2014). Increasing food availability while reducing waste: How to increase the global supply of healthy diets? Journal of Nutrition, 144(9), 1637-1645.
Hannaford, L., Ricketts, T., Hossain, M. G., & Dangour, A. (2015). Evidence Review: Childhood Obesity and the Built Environment. Final Report to The Food Standards Agency and Department for Energy and Climate Change.
U.N.Food & Agriculture Organization (FAO) (2014) State of food insecurity in the world 2014 – Meeting the 2015 international hunger target: take stock, explore successes, expand efforts. Rome: FAO. Available at .
World Bank Group (2017). Food and Agriculture Organization of the United Nations. World Population Data Sheet 2017. Washington DC: The World Bank Group. Retrieved from .
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