Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector
Summary: The volumes in the European Observatory on Health Systems and Policies series focus on key issues for health policy-making in Europe. This book is a joint venture between the WHO/EO and the EuroDRG which addresses the challenges of using Diagnosis Related Group systems in Europe.
Since her suicide at age thirty, Sylvia Plath (1932-1963) has been celebrated for her impeccable and ruthless poetry, which excels at describing the most extreme reaches of Plath's consciousness and passions. Her work includes the autobiographical novel, The Bell Jar, and such collections as The Collosus, Ariel, and the Pulitzer Prize -- winning Collected Poems. Based on exclusive interviews and extensive archival research, Rough Magic probes the events of Plath's life -- including her turbulent marriage to the English poet Ted Hughes -- in a biography that stands alone in its compassionate view of this fiercely talented, deeply troubled artist.
The focus of the present work is nonrelativistic and relativistic quantum mechanics with standard applications to the hydrogen atom. The author has aimed at presenting quantum mechanics in a comprehensive yet accessible for mathematicians and other non-physicists. The genesis of quantum mechanics, its applications to basic quantum phenomena, and detailed explanations of the corresponding mathematical methods are presented. The exposition is formalized (whenever possible) on the basis of the coupled Schroedinger, Dirac and Maxwell equations. Aimed at upper graduate and graduate students in mathematical and physical science studies.
Preventing a Biochemical Arms Race responds to a growing concern that changes in the life sciences and the nature of warfare could lead to a resurgent interest in chemical and biological weapons (CBW) capabilities. By bringing together a wide range of historical material and current literature in the field of CBW arms control, the book reveals how these two disparate fields might be integrated to precipitate a biochemical arms race among major powers, rogue states, or even non-state actors. It seeks to raise awareness among policy practitioners, the academic community, and the media that such an arms race may be looming if developments are left unattended, and to provide policy options on how it—and it's devastating consequences—could be avoided. After identifying weaknesses in the international regime structures revolving around the Biological Weapons and Chemical Weapons Conventions, it provides policy proposals to deal with gaps and shortcomings in each prohibition regime individually, and then addresses the widening gap between them.
For better or worse, television has been the dominant medium of communication for 50 years. Almost all American households have a television set; many have more than one. Transmitting images and sounds electronically is a relatively recent invention, one that required passionate inventors, determined businessmen, government regulators, and willing consumers. This volume in the Greenwood Technographies series covers the entire history of television from 19the-century European conceptions of transmitting moving images electrically to the death of TV as a discrete system in a digital age. Magoun also discusses the changing face of television in the displays that people watch around the globe. Television: The Life Story of a Technology appeals to students and lay readers alike in highlighting key events and people: the American engineers and entrepreneus such as Vladimir Zworykin and David Sarnoff who ignited the television industry; the bloom of programming choices in tandem with the Baby Boom generation; the development of cable and satellite TV; the Asians who innovated American inventions in videorecording and flat-panel displays; the use of TV in wartime; and the new worlds of digital and high-definition television. Based on the latest research, this crisply written, sometimes provocative survey includes a glossary, timeline, and bibliography for further infomration.
Get a quick, expert overview of current diagnosis and management of scaphoid fractures with this concise, practical resource by Drs. Geert Buijze and Jesse B. Jupiter. This easy-to-read reference presents a summary of today’s best evidence-based approaches to diagnosis and management in this critical area. Provides must-know information on scaphoid fractures, including how to apply evidence-based management, anatomy, diagnosis, acute fracture management, malunion treatment, and nonunion management. Presents case scenarios followed by discussions of the importance of the problem, current opinion, evidence, and key recommendations. Consolidates today’s evidence-based information on scaphoid fractures into one convenient resource.
This unique work of reference traces the origins of the modern laws of warfare from the earliest times to the present day. Relying on written records from as far back as 2400 BCE, and using sources ranging from the Bible to Security Council Resolutions, the author pieces together the history of a subject which is almost as old as civilisation itself. The author shows that as long as humanity has been waging wars it has also been trying to find ways of legitimising different forms of combatants and ascribing rules to them, protecting civilians who are either inadvertently or intentionally caught up between them, and controlling the use of particular classes of weapons that may be used in times of conflict. Thus it is that this work is divided into three substantial parts: Volume 1 on the laws affecting combatants and captives; Volume 2 on civilians; and Volume 3 on the law of arms control. This third volume deals with the question of the control of weaponry, from the Bronze Age to the Nuclear Age. In doing so, it divides into two parts: namely, conventional weapons and Weapons of Mass Destruction. The examination of the history of arms control of conventional weapons begins with the control of weaponry so that one side could achieve a military advantage over another. This pattern, which only began to change centuries after the advent of gunpowder, was later supplemented by ideals to control types of conventional weapons because their impacts upon opposing combatants were inhumane. By the late twentieth century, the concerns over inhumane conventional weapons were being supplemented by concerns over indiscriminate conventional weapons. The focus on indiscriminate weapons, when applied on a mass scale, is the core of the second part of the volume. Weapons of Mass Destruction are primarily weapons of the latter half of the twentieth century. Although both chemical and biological warfare have long historical lineages, it was only after the Second World War that technological developments meant that these weapons could be applied to cause large-scale damage to non-combatants. thi is unlike uclear weapons, which are a truly modern invention. Despite being the newest Weapon of Mass Destruction, they are also the weapon of which most international attention has been applied, although the frameworks by which they were contained in the last century, appear inadequate to address the needs of current times. As a work of reference this set of three books is unrivalled, and will be of immense benefit to scholars and practitioners researching and advising on the laws of warfare. It also tells a story which throws fascinating new light on the history of international law and on the history of warfare itself.
All countries in the Baltic Sea Region face a growing lack of skilled work force. However, the large potential of a better inclusion of females and elderly employees and managers remains often untapped. Also female and elderly employees can increase the innovation level of a company. This publication provides strategies how to better include this important group in companies. It was developed as part of the flagship project of the EU Strategy for the Baltic Sea Region “Innovative SMEs by Gender and Age (QUICK-IGA)”. The project addresses the following objectives: - levelling of equal opportunities for women south of the Baltic Sea with the ones of northern countries; - strengthening the promotion of innovation in small and medium-sized enterprises by developing working cultures that explicitly improve the equal opportunities of women; - supporting regional development in order to optimally develop human capital and competitiveness through gender and education policy. The manual containing all the project results and additional tools for the management of demographic change at enterprise level. Part I of the book incorporates the strategy programme on "Age, Gender and Innovation: Policies and Strategies to Improve Employability and Work Ability of Women and Older People in the Baltic Sea Region”, whilst part II contains action plans for the Hanse Parlament (network of business chambers) and the Baltic Sea Academy (network of academic institutions) “Promoting the employment of women and older people”.
As editor I want especially to thank Dr. Ernst Freese for helpful co operation in preparing these volumes, and to express my appreclatlOn to Drs. Kurt Hirschhorn and Marvin Legator, the other members of the editorial board. Alexander Hollaender January 1971 Preface The purpose of these volumes is to encourage the development and ap plication of testing and monitoring procedures to avert significant human exposure to mutagenic agents. The need for protection against exposure to possibly mutagenic chemicals is only now coming to be generally realized. The recently issued Report of the Secretary's Commission on Pesticides and Their Possible Effects on Health (the Mrak Report-U.S. Department of Health, Education and Welfare, December 1969) has made an important start. Its Panel on Mutagenicity recommends that all currently used pesticides be tested for mutagenicity in several recently developed and relatively simple systems. Whether recommendations such as these are actually put into effect will depend on convincing government, industry, and the public that the problem is important, that the proposed tests would be effective, and that they can be conducted at a cost that is not prohibitive. Why is it important to screen environmental agents for mutagenic activity? To those who will read this book, the answer is self-evident. The sine qua non of all that we value and all that we are is our genetic heritage.
Transonic flow occurs around moving objects as they approach and cross the sound barrier. Serious problems can occur at this point, such as shock-induced flow separation which can cause the aircraft to spin out of control. Another important practical problem is the achievement of higher aerodynamic performance of aircraft at cruise conditions, which leads to considerable fuel savings. The success in application of numerical methods for simulation of transonic flow and aircraft design depends on developments in the underlying mathematical theory. This book presents a breakthrough in the solvability analysis of boundary value problems, which makes it possible to establish convergence of finite element approximations for shock-free flow and to provide a framework for putting the existing numerical methods on a more sound basis. Also, physical aspects concerned with patterns of formation and propagation of weak shock waves are analysed. This contributes to the understanding of the extreme sensitivity of transonic flow to perturbation of freestream conditions. The developed theoretical knowledge base yields promising concepts of the airfoil design and active flow control by airfoil/wing shape modifications or suction/blowing through a perforated surface. Boundary Value Problems for Transonic Flow * Focuses on Computational Fluid Dynamics. * Addresses practical problems, such as airfoil design and flow control. * Presents developments made in the last two decades. In essence this is a much needed monograph for researchers and engineers in applied mathematics and numerical analysis applied to aerodynamics and for algorithm developers in Computational Fluid Dynamics in the aircraft industry. It gives design engineers the underlying mathematical theory necessary for developing new concepts for airfoil/wing design and flow control.
The Golden Age of Aviation is brought to life in this story of the giant Zeppelin airships that once roamed the sky—a story that ended with the fiery destruction of the Hindenburg. “Genius . . . a definitive tale of an incredible time when mere mortals learned to fly.”—Keith O’Brien, The New York Times At the dawn of the twentieth century, when human flight was still considered an impossibility, Germany’s Count Ferdinand von Zeppelin vied with the Wright Brothers to build the world’s first successful flying machine. As the Wrights labored to invent the airplane, Zeppelin fathered the remarkable airship, sparking a bitter rivalry between the two types of aircraft and their innovators that would last for decades, in the quest to control one of humanity’s most inspiring achievements. And it was the airship—not the airplane—that led the way. In the glittery 1920s, the count’s brilliant protégé, Hugo Eckener, achieved undreamed-of feats of daring and skill, including the extraordinary Round-the-World voyage of the Graf Zeppelin. At a time when America’s airplanes—rickety deathtraps held together by glue, screws, and luck—could barely make it from New York to Washington, D.C., Eckener’s airships serenely traversed oceans without a single crash, fatality, or injury. What Charles Lindbergh almost died doing—crossing the Atlantic in 1927—Eckener had effortlessly accomplished three years before the Spirit of St. Louis even took off. Even as the Nazis sought to exploit Zeppelins for their own nefarious purposes, Eckener built his masterwork, the behemoth Hindenburg—a marvel of design and engineering. Determined to forge an airline empire under the new flagship, Eckener met his match in Juan Trippe, the ruthlessly ambitious king of Pan American Airways, who believed his fleet of next-generation planes would vanquish Eckener’s coming airship armada. It was a fight only one man—and one technology—could win. Countering each other’s moves on the global chessboard, each seeking to wrest the advantage from his rival, the struggle for mastery of the air was a clash not only of technologies but of business, diplomacy, politics, personalities, and the two men’s vastly different dreams of the future. Empires of the Sky is the sweeping, untold tale of the duel that transfixed the world and helped create our modern age.
Reservoir quality of Rotliegend sandstones is mainly controlled by their permeability, and porosity, and their mechanical properties. Thus, diagenetic porosity-reducing processes need to be understood to evaluate reservoir quality and geotechnical properties in sandstones. Best reservoir qualities are achieved in mature sandstones with large amounts of quartz cementation. The relative length of grain-contacts compared to the respective grain diameter is identified as proxy for rock strength.
Drawing on the full range of available resources, this book clearly and systematically presents a detailed overview of current knowledge about patent valuation. In the course of the presentation the authors cover such elements of the subject as the following: business implications of the dematerialization of economic life; importance of intellectual property in a knowledge economy; forms of value creation by intangible assets in general and by patents in particular; value proposition of different ways of patent exploitation; patent value affecting environmental factors and factors inherent to the patent portfolio; structure of current instruments of patent valuation. The authors provide a detailed step-by-step account of how to set up a valuation model, with specifications of all the instruments required and attention to any empirical findings that have appeared. In addition, detailed case studies demonstrate the practical execution of major varieties of patent valuation, an appendix describes the mathematics used to compute present value and net value, and a glossary defines technical terms. In addition to its contribution to legal scholarship on patent law, the book is unmatched as a procedural manual for setting up a valuation model before a concrete valuation task. There is no clearer discussion of patent valuation as a crucial element of corporate strategy in the knowledge economy, and as such the book will prove of great practical assistance to business managers and their counsel in any jurisdiction.
This unique new work of reference traces the origins of the modern laws of warfare from the earliest times to the present day. Relying on written records from as far back as 2400 BCE, and using sources ranging from the Bible to Security Council Resolutions, the author pieces together the history of a subject which is almost as old as civilisation itself. The author shows that as long as humanity has been waging wars it has also been trying to find ways of legitimising different forms of combatants and ascribing rules to them, protecting civilians who are either inadvertently or intentionally caught up between them, and controlling the use of particular classes of weapons that may be used in times of conflict. Thus it is that this work is divided into three substantial parts: Volume 1 on the laws affecting combatants and captives; Volume 2 on civilians; and Volume 3 on the law of arms control. This second book on civilians examines four different topics. The first topic deals with the targetting of civilians in times of war. This discussion is one which has been largely governed by the developments of technologies which have allowed projectiles to be discharged over ever greater areas, and attempts to prevent their indiscriminate utilisation have struggled to keep pace. The second topic concerns the destruction of the natural environment, with particular regard to the utilisation of starvation as a method of warfare, and unlike the first topic, this one has rarely changed over thousands of years, although contemporary practices are beginning to represent a clear break from tradition. The third topic is concerned with the long-standing problems of civilians under the occupation of opposing military forces, where the practices of genocide, collective punishments and/or reprisals, and rape have occurred. The final topic in this volume is about the theft or destruction of the property of the enemy, in terms of either pillage or the intentional devastation of the cultural property of the opposition. As a work of reference this set of three books is unrivalled, and will be of immense benefit to scholars and practitioners researching and advising on the laws of warfare. It also tells a story which throws fascinating new light on the history of international law and on the history of warfare itself.
The most comprehensive UK Adult Nursing core text, now in its fourth edition, for the next generation of nurses... This best-selling textbook has been fully revised by a team of experienced nurses for nurses focusing on the issues that are important to them. It provides a comprehensive source of the knowledge and skills required for competent, evidence-based nursing practice. High quality nursing care is patient-centred, knowledgeable and based on the best available evidence. This book will help you to achieve that. Key nursing issues summarise each chapter and enable you to check your understanding Interactive Reflection and Evidence-based practice boxes help make links between theory and practice A Reflection and Learning feature in each chapter to help you consider your learning and professional development and how you can use it to enhance patient/client care An exciting companion website including: Self-test quiz questions with full explanations with the answers Critical-thinking questions with outline answers Full colour photographs, diagrams, tables and care plans Hyper-linked references All the images from the book
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