Calming fears, alleviating suffering, enhancing and saving lives -- this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward -- amidst jarring changes in our health care system -- is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.
The men in Charles Kenney's family have been drawn to firefighting since his grandfather Charles "Pops" Kenney joined the Boston Fire Department in 1932. In his working class, Irish-Catholic neighborhood, there were other jobs that offered a decent wage, but none had the sense of belonging that comes with being a fireman, or the purity of purpose that comes with saving lives. Pops was on the scene of the notorious Cocoanut Grove fire in 1942; the author's father, "Sonny" served with distinction until an explosion blew him from a third-story window; and two of the author's brothers were "sparks" as children, amateur firefighters, whose career goals were thwarted by a court order integrating the Boston fire department and changing the rules for employment forever. One became a cop, the other a paramedic and rescue man with an elite squad sent to Ground Zero in the aftermath of the collapse of the World Trade Center. Spanning sixty years of firefighting history in America, Rescue Men captures what it's really like to be a fireman.
Americans have always thought their healthcare system was the best in the world. But starting in the late 1990s, shocking reports emerged that showed this was far from the truth. Treatment-related deaths or "complications" were found to be the fifth leading cause of death for Americans, and hundreds of thousands of patients were being harmed by botched medical procedures. Spurred by the quality crisis, a group of visionary physicians led by Donald Berwick and Paul Batalden embarked on a study of industrial "quality improvement" techniques, daring to apply them to the practice of medicine despite resistance from the medical community. The Best Practice tells the story of this burgeoning movement, and of how the medical landscape is being radically transformed -- for the better.
A member in the Society of the Sacred Heart for nearly thirty years; president of Manhattanville College in New York; recipient of a doctorate in philosophy; philanthropic advisor to the Rockefeller family; beloved wife of Jerome I. Aron; pivotal board member of some of the most generous foundations in the world, including Atlantic Philanthropies and the John D. and Catherine T. MacArthur Foundation. Today, Elizabeth McCormack is regarded by many as the very soul of philanthropy. Her unstinting practical advice and compassion have helped to inform the distribution of hundreds of millions of dollars to worthy causes around the world.
Discusses major developments in aircraft, doctrine, training, and operations. The author also provides discussions of airlife, in-flight refueling, military budgets, industry, and inter-service squabbling. He deftly sketches the evolution of the air arms of each of the different services and provides clear analyisis of military budgets.
Contains 58 photos and 10 maps and charts. “The return of Allied forces to the Philippines in the fall of 1944 further throttled Japan’s already tenuous pipe line to the rich resources of Malaya and the Netherlands Indies, and with it the last vestige of her ability to meet the logistical requirements of a continuing war. The Battle for Leyte Gulf marked the end of Japan as a naval power, forcing her to adopt the desperation kamikaze tactic against the United States Fleets. The Philippine victories were primarily Army and Navy operations. Marines, comprising only a fraction of the total forces engaged, played a secondary but significant role in the overall victory. The campaign was important to the Corps in that the Marine aviators, who had battled two years for air control over the Solomons, moved into a new role, their first opportunity to test on a large scale the fundamental Marine doctrine of close air support for ground troops in conventional land operations. This test they passed with credit, and Marine flyers contributed materially to the Philippine victory. Lessons learned and techniques perfected in those campaigns form an important chapter in our present-day close air support doctrines.”-C. B. CATES, GENERAL, U.S. MARINE CORPS, COMMANDANT OF THE MARINE CORPS
This revised edition provides the mathematical background and algorithmic skills required for the production of numerical software. It includes rewritten and clarified proofs and derivations, as well as new topics such as Arnoldi iteration, and domain decomposition methods.
Revised and updated, the third edition of Golub and Van Loan's classic text in computer science provides essential information about the mathematical background and algorithmic skills required for the production of numerical software. This new edition includes thoroughly revised chapters on matrix multiplication problems and parallel matrix computations, expanded treatment of CS decomposition, an updated overview of floating point arithmetic, a more accurate rendition of the modified Gram-Schmidt process, and new material devoted to GMRES, QMR, and other methods designed to handle the sparse unsymmetric linear system problem.
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