Panacea or revolution? 'Evidence-based medicine' and 'cost-effectiveness' have become buzz-phrases for a wide variety of initiatives and planning processes which aim to give patients treatments that will benefit them. On the surface this seems a reasonable idea, but there are underlying currents which cast doubt on the process and reveal methodological problems, which must be understood if the concepts are to be properly used. Assuming no prior knowledge of the field, and written in the clear, straightforward manner the author uses in the highly successful Health Economics for the Uninitiated, this book is a short practical guide on how to use these concepts, and how to avoid their pitfalls. It will appeal to doctors, nurses, health service managers, patient organizations, academics and students of health care. It will provide essential support to those working in health care companies, and in the pharmaceutical and medical equipment industry.
Contracting out public sector services and divesting public enterprises are reforms that have enjoyed widespread global popularity in recent years. Better services, lower prices and greater accountability are the promises made by politicians, senior executives, and investment companies when functions are moved from the public sector to private enterprise. But in Privatization, Graeme A. Hodge challenges these assumptions. Through an examination of hundreds of international studies on the performance of privatization activities, Hodge demonstrates that privatizing public services is often not the guaranteed panacea portrayed by its political supporters. Importantly, privatization activities can lead to modest gains, but there are also winners and losers in this reform. It therefore deserves far more care and balanced debate than it usually attracts.
The cochlear implant is a device that bypasses a nonfunctional inner ear and stimulates the auditory nerve directly. Written by the "father" of the multi-electrode implant, this comprehensive text and reference gives an account of the principles underlying cochlear implants and their clinical application. For the clinician, the book will provide guidance in the treatment of patients; for the engineer and researcher it will provide the background for further research; and for the student, it will provide a through understanding of the subject.
This book provides a full explanation and understanding of the English law of ship mortgages. Some of the key topics that this title covers include: • Beneficial ownership of ships and the registration system under the Merchant Shipping Act 1995 • Nature of ship mortgage and the different forms of mortgage and security interest that can be created • Rights and obligations undertaken by both the owner and the mortgagee • Methods by which a mortgagee can enforce his security • Problems that can arise in consequence of the insolvency of the owner
This book examines Public–Private Partnerships (PPP), and tracks the movement from early technical optimism to the reality of PPP as a phenomenon in the political economy. Today's economic turbulence sees many PPP assumptions changed: what contracts can achieve, who bears the real risks, where governments get advice and who invests. As the gap between infrastructure needs and available financing widens, governments and businesses both must seek new ways to make contemporary PPP approaches work.
Panacea or revolution? 'Evidence-based medicine' and 'cost-effectiveness' have become buzz-phrases for a wide variety of initiatives and planning processes which aim to give patients treatments that will benefit them. On the surface this seems a reasonable idea, but there are underlying currents which cast doubt on the process and reveal methodological problems, which must be understood if the concepts are to be properly used. Assuming no prior knowledge of the field, and written in the clear, straightforward manner the author uses in the highly successful Health Economics for the Uninitiated, this book is a short practical guide on how to use these concepts, and how to avoid their pitfalls. It will appeal to doctors, nurses, health service managers, patient organizations, academics and students of health care. It will provide essential support to those working in health care companies, and in the pharmaceutical and medical equipment industry.
This book discusses in detail the application of physical separation procedures together with modern instrumental analysis techniques such as HPLC, gas chromatography, and anodic strip-ping voltammetry. Particular emphasis is given to environmental samples where the greatest concern for the effects of speciation on trace element transport, toxicity, and bioavailability have been ex-pressed. Special chapters are also devoted to methods of sam-pling and storage, and to the mathematical modeling of chemical speciation. Although designed for the practical analytical chemist, this publication is essential reading for researchers in or entering the field of chemical speciation.
Uses interviews with such notables as Paul McCartney, Mick Jagger, Ice T, and Richard Thompson to explore the celebration of death and destruction through popular music and includes a list of the forty greatest death records of all time.
This classic textbook focuses on medical law and its relationship with medical practice and modern ethics. Offering medical as well as legal facts, it provides thorough coverage of all of the topics found on medical law courses, and in depth analysis of recent court decisions, encouraging students to think analytically about the subject
An invaluable guide for maritime archeologists, recreational divers, historians and others interested in the drama adventure and romance of Western Australia's rich maritime history.
Completely updated edition, written by a close-knit author team Presents a unique approach to stroke - integrated clinical management that weaves together causation, presentation, diagnosis, management and rehabilitation Includes increased coverage of the statins due to clearer evidence of their effectiveness in preventing stroke Features important new evidence on the preventive effect of lowering blood pressure Contains a completely revised section on imaging Covers new advances in interventional radiology
In the early hours of the morning of June 3rd 1949, General Harold Alexander was alongside the quay at Dunkirk as he lifted a megaphone and called "Is anyone there? Is anyone there?" There was no reply. He had directed the evacuation and was the last to leave Dunkirk. The very next day Churchill stood at the dispatch and gave his We Shall Fight Them on The Beaches speech. Tradition tells us that the dramatic events of the evacuation of Dunkirk, in which 300,000 BEF servicemen escaped the Nazis, was a victory gained from the jaws of defeat. Rather than telling the tale of those who escaped, Peter Smith reveals a story of those sacrificed in the rear-guard battles. For us the Battle for France was not over. In Jun-1940 there were still 41,000 British soldiers fighting the Germans alongside their French allies. Mounting a vigorous counterattack at Abbeville and then conducting a tough defence between the Somme front and the Seine, Peter was fighting a very uncertain battle for mere survival for an even more uncertain future. Peter Smith tells his own story and captures the drama of those military operations and subsequent capture by Rommel's 7th Panzer Division (the infamous Ghost Division') who moved with clandestine stealth towards their objectives. Nothing prepares a man for war and there can be little doubt, Peter was not prepared, even less so for a life as a POW. I lost my freedom that day on the June 8th 1940 when we were told it was every man-for-himself and didn't regain it until April 1945 when I was rescued by Americans near Halberstadt, having walked 1,600km along the Baltic coast from East Prussia. Silent for nearly 80 years, Peter tells his story about his five lost years: the terrible things he saw at Thorn, Stuttoff, Stettin and Halberstadt; working on farms, Peter experienced first had the East Prussian way of life; his period in solitary confinement for stealing apple'; the disintegration and collapse of a whole way of life in East Prussia in the face of the Soviet invasion; and the terrible Long March, when 80,000 British POWs were forced to trek through a vicious winter westwards across Poland, alongside 2 million East German refugees as the Soviets approached. We were all prisoners, as POWs, and refugees alike embraced a dance with death in the coldest winter for 50 years as we all trudged west, and similarly the German Army as it battled to save its population. Peter's story is also about friendship, of physical and mental resilience and of compassion for everyone who suffered. It was a difficult march undertaken in unimaginable wintery arctic conditions, where lack of food, the cold, and death were constant companions.
Recent decades have witnessed the rise of social and environmental certification programs that are intended to promote responsible business practices. Consumers now encounter organic or fair-trade labels on a variety of products, implying such desirable benefits as improved environmental conditions or more equitable market transactions. But what do we know about the origins and development of the organizations behind these labels? This book examines forest, coffee, and fishery certification programs to reveal how the early decisions of programs on governance and standards affect the path along which individual programs evolve and the variety and number of programs across sectors.
This book explores the tenuous existence of seafarers, divided between their time on the ocean and their residence in sailortown economies geared to exploit them. Particular attention is given both to the contribution of seafarers as a global workforce into the nineteenth century, and to their help in creating vibrant multicultural enclaves in port cities worldwide. In addition, research explores the scandalized opinions of outside observers, challenging ideas about public behavior and relationships. Sailortown myths persisted far into the twentieth century, to the detriment of older waterfront districts and their residents, and readers will find this book is invaluable in casting new light on forgotten communities, whose lives bridged urban, maritime and global histories.
To understand modern principles of sustainable management and the conservation of wildlife species requires intimate knowledge about demography, animal behavior, and ecosystem dynamics. With emphasis on practical application and quantitative skill development, this book weaves together these disparate elements in a single coherent textbook for senior undergraduate and graduate students. It reviews analytical techniques, explaining the mathematical and statistical principles behind them, and shows how these can be used to formulate realistic objectives within an ecological framework. This third edition is comprehensive and up-to-date, and includes: Brand new chapters that disseminate rapidly developing topics in the field: habitat use and selection; habitat fragmentation, movement, and corridors; population viability. analysis, the consequences of climate change; and evolutionary responses to disturbance A thorough updating of all chapters to present important areas of wildlife research and management with recent developments and examples. A new online study aid – a wide variety of downloadable computer programs in the freeware packages R and Mathcad, available through a companion website. Worked examples enable readers to practice calculations explained in the text and to develop a solid understanding of key statistical procedures and population models commonly used in wildlife ecology and management. The first half of the book provides a solid background in key ecological concepts. The second half uses these concepts to develop a deeper understanding of the principles underlying wildlife management and conservation. Global examples of real-life management situations provide a broad perspective on the international problems of conservation, and detailed case histories demonstrate concepts and quantitative analyses. This third edition is also valuable to professional wildlife managers, park rangers, biological resource managers, and those working in ecotourism.
Managing People and Organizations in Changing Contexts addresses the contemporary problems faced by managers in dealing with people, organizations and change in a theoretically-informed and practical way. This textbook approaches people management from the perspective of practising and aspiring managers, making it a valuable alternative to existing texts on organizational behaviour and human resource management. This new edition considers new emerging organizational forms such as e-lancing and recent management concerns such as employee engagement, de-professionalization and the growing challenges of social media. Built around a chapter framework that connects different themes to managerial action and practices, this textbook covers a wide range of topics including: managing at the individual, group and organizational levels change management managing creativity and innovation, and corporate governance and corporate social responsibility. There is an increased international flavour, reflected in the range of contemporary case studies and literature used throughout, which explore business and management problems in the private and public sectors. This text will be relevant to practising and aspiring managers studying people management, organizational behaviour and change management.
The development of the coalfield and the riparian manufacturing districts moulded new industrial landscapes; the growth of ports and conurbations demanded innovative approaches to government and administration; and the business strategies of North East entrepreneurs challenged conventional boundaries. The author concludes that riverside districts, on the Tyne, Tees and Wear, represented more viable working horizons than any 'regional' North East in this era, and raises important questions about the study of the English regions in their historical context."--Jacket.
This book offers practical solutions to achieving sustainable urbandesign and development, and helps designers communicate thesesolutions effectively to planners, developers and policy makers. Addressing sustainability issues in relation to the design andplanning of the urban environment is a complex, multi-disciplinaryissue and solutions never arrive from a single perspective. Theauthors use design as a facilitating factor to consider when and bywhom decisions that contribute to sustainability are made, andthrough three major city-centre case studies - London, Manchesterand Sheffield – they consider social, environmental andeconomic factors and examine their relationship to thedecision-making process. Designing Sustainable Cities begins by identifying thekey processes and lead decision-makers. The following chaptersdevelop an understanding of the dimensions of sustainability,presenting the tools by which the dimensions can be analysed. Laterchapters illustrate the trade-offs and the relationships betweenthe dimensions of sustainability - with case study examples - aswell as the use of IT in making design decisions. Finally, the bookmakes recommendations for future approaches to the design,development and on-going management of urban environments. Designing Sustainable Cities covers: latest research data on the urban environment and theinteraction between social, economic and environmental issues methods of understanding the context in which urban designtakes place guidance on the codes of practice process maps to help understand the context, make trade-offsand develop design solutions that allow for change methods for testing the consequences of design proposals andmonitoring outcomes.
Managing People in Changing Organizations addresses the contemporary problems faced by managers in dealing with people, organizations, and change in a theoretically informed and practical way. It does so by drawing on classic studies in management, up-to-date research (including the author’s own), case studies, and reflective exercises. This textbook approaches people management and organizational development from the perspective of practising and aspiring managers, making it a valuable alternative to existing texts on organizational behaviour, change management, and human resource management. This third edition incorporates new research and recent changes in technology, including artificial intelligence, work and job design, and additional insights into innovation, corporate governance, and sustainability. Built around a chapter framework that connects different themes to managerial action and practices, this textbook covers a wide range of topics including: managing at the individual, group, and organizational levels; culture change; managing internationally; reputation management; managing creativity and innovation; and corporate governance, corporate social responsibility, and sustainability. There is an increased international flavour, reflected in the range of contemporary case studies and literature used throughout, which explore business and management problems in the private and public sectors. The content also reflects the author’s recent experience of consulting and managing at board level. This text will be relevant to practising and aspiring managers studying leadership, people management, organizational behaviour and development, and change management on courses at later stage undergraduate, masters, doctoral, and executive education levels.
Anchored in the core literature on natural resources, energy production, and environmental analysis, Green-lite is a critical examination of Canadian environmental policy, governance, and politics drawing out key policy and governance patterns to show that the Canadian story is one of complexity and often weak performance. Making a compelling argument for deeper historical analysis of environmental policy and situating environmental concerns within political and fiscal agendas, the authors provide extended discussions on three relatively new features of environmental policy: the federal-cities and urban sustainability regime, the federal-municipal infrastructure regime, and the regime of agreements with NGOs and businesses that often relegate governments to observing participants rather than being policy leaders. They probe the Harper era’s muzzling of environmental science and scientists, Canada’s oil sands energy and resource economy, and the government’s core Alberta and Western Canadian political base. The first book to provide an integrated, historical, and conceptual examination of Canadian environmental policy over many decades, Green-lite captures complex notions of what environmental policy and green agendas seek to achieve in a business-dominated economy of diverse energy producing technologies, and their pollution harms and risks.
“A joyful celebration of fan love. Unofficial episode guides don’t come much more engaging than this” (Benjamin Cook, co-author of Doctor Who: The Writer’s Tale). Doctor Who was already the world’s longest-running science fiction series when it returned in 2005 to huge success. Enormously popular, the BBC show encompasses multiple other genres, from horror to comedy to action and historical adventure, and is loved for its uniquely British wit and clever scripting. Its hero, its monsters, and even its theme song have become pop culture icons. In this volume covering six seasons of the new series, two Doctor Who experts provide insights into everything from the history of the show, including Daleks, Cybermen, and the eight Classic Series Doctors, to a detailed episode guide. As Neil Gaiman complained to the authors, “I have just lost four hours to your blasted book. And I only meant to glance at it.” Allons-y!
This classic textbook has provided students of medical law and ethics with a framework for exploring this fascinating subject for over 30 years. This book provides extensive coverage and insight into recent judicial decisions and statutory developments across the United Kingdom alongside the authors' own opinion on current debates and controversies to help you to formulate your own views and arguments. The tenth edition has evolved to reflect changes in the law and shifting ethical opinions. In setting the UK context, it continues to take a comparative approach, including reference to the Scottish position where relevant. A specific chapter on the European dimension in health care and the particular importance attached to this shift in influence from transatlantic jurisdictions to those of the EU is included. Mason & McCall Smith's Law & Medical Ethics is essential reading for any serious medical law student or practitioner. Book jacket.
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