Using imported heirloom grains and fruits, Spanish explorers, fur traders, missionaries, and some Native Americans planted subsistence gardens in the Pacific Northwest. After immigration surged in 1843, it took a surprisingly short time for the region’s fertile lands to become a commercial agricultural powerhouse. Demand for food exploded with the industrial revolution as well as the urbanization of Europe and eastern America, and the doors of international export opened wide. Agribusiness expanded to meet the need. By 1890, advancements in mechanization, seed quality, irrigation, and sustainable practices had spurred a farming boom. Columbia Basin irrigation and the development of synthetic fertilizers, as well as Cooperative Extension efforts and impressive work by agricultural researchers greatly boosted regional production. Harvest Heritage explores the people, history, and major influences that shaped and transformed the Pacific Northwest’s flourishing agrarian economy.
Social changes in European societies place migration and cultural diversity on the European political agenda. The European initiative Migrant Friendly Hospitals (MFH) aims to identify, develop and evaluate models of effective interventions. It has the following objectives: To strengthen the role of hospitals in promoting the health of migrants and ethnic minorities in the European Union and to improve hospital services for these groups. This report reviews models of effective intervention in the medical literature and provides the background information needed to enable partner hospitals taking part in the MFH initiative to select and implement suitable interventions. The interventions reviewed in this study are grouped in four areas: Communication, Responsiveness Empowerment of migrant and minority patients and communities. Monitoring of the health of migrants and minorities and the health care they receive. [Ed.]
This timely study analyzes social, economic, political, provider, and patient factors shaping collective patient involvement in European health care from the postwar period to the present day. Examining representative countries England, the Netherlands, Germany, and Sweden, it documents the roles of providers and legislatures in facilitating consumer involvement, and the varied forms of patient input into hospital operations. These findings are compared and contrasted against the intent and ideals behind patient involvement to assess the effectiveness of implementation policy, strengths and drawbacks of patient participation, and patient satisfaction and outcomes. The book’s conclusions identify emerging forms of patient participation and predict the impact of health policy on the future of European collective patient involvement. Included in the coverage: · Patient involvement: who, what for, and in what way? · The Netherlands: the legislative process to collective patient involvement · England: formal means of public involvement—a continuous story of discontinuity · Germany: Joint Federal Committee—the “Little Legislator” · Sweden: reasons for a late emergence of patient involvement · Lessons to be learned from implementing patient involvement The Evolution and Everyday Practice of Collective Patient Involvement in Europe will interest and inspire scholars and researchers in diverse fields, including social policy, sociology, political sciences, and nursing studies, as well as patient organizations, policymakers, and healthcare providers.
Over a decade has passed since the publication of the First Edition; we have yet to understand the pathogenesis of rheumatoid arthritis and there is still no cure. A wide range of developments in techniques, materials, imaging and understanding of biological processes justify this rewrite. Above all, the experience of many colleagues worldwide with commitments to a particular anatomical or technical area has led to a more balanced and refined approach to the problems of rheumatoid surgery. It has also highlighted areas where we need radically new solutions. The two additional authors, apart from their relative youth, bring expertise in their respective fields: Steve Copeland, on the shoulder and Jo Edwards on the mechanisms of tissue damage and the rationale of medical measures. We are conscious of the importance of communication between orthopaedic colleagues worldwide and the need to use a language shared with rheumatologists and histopathologists. We consider it is for the surgeon to know more of this disease than the narrow confines of surgical technique. We are doctors with a special interest in rheumatoid arthritis and we aim to maintain the broader view rather than be confined by the limitations of over specialisation. Although joint replacement is at present a major weapon for the relief of suffering we appreciate that it is an unphysiological procedure and there are other directions for progress.
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