In response to a request from the Secretary of the Department of Health and Human Services, the Institute of Medicine convened a committee to identify possible demonstration projects that might be implemented in 2003, with the hope of yielding models for broader health system reform within a few years. The committee is recommending a substantial portfolio of demonstration projects, including chronic care and primary care demonstrations, information and communications technology infrastructure demonstrations, health insurance coverage demonstrations, and liability demonstrations. As a set, the demonstrations address key aspects of the health care delivery system and the financing and legal environment in which health care is provided. The launching of a carefully crafted set of demonstrations is viewed as a way to initiate a "building block" approach to health system change.
In January 2004, the Institute of Medicine (IOM) hosted the 1st Annual Crossing the Quality Chasm Summit, convening a group of national and community health care leaders to pool their knowledge and resources with regard to strategies for improving patient care for five common chronic illnesses. This summit was a direct outgrowth and continuation of the recommendations put forth in the 2001 IOM report Crossing the Quality Chasm: A New Health System for the 21st Century. The summit's purpose was to offer specific guidance at both the community and national levels for overcoming the challenges to the provision of high-quality care articulated in the Quality Chasm report and for moving closer to achievement of the patient-centerd health care system envisioned therein.
How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation's effort to improve health care.
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.
Academic Writing has been widely acclaimed in all its editions as a superb textbook—and an important contribution to the pedagogy of introducing students to the conventions of academic writing. The book seeks to introduce student readers to the lively community of research and writing beyond the classroom, with its complex interactions, values, and goals. It presents writing from a range of disciplines in the humanities, social sciences, and natural sciences, cultivating students’ awareness of the subtle differences in genre. This new edition has been revised throughout and contains many new exercises, updated examples, a new section on research proposals, and wider disciplinary coverage. The organization of the book has also been revised to better fit with the timeline of most teaching terms.
As whale-watchers gather in the Pacific Northwest, a B&B manager gets a glimpse of a killer in this mystery novel by the USA Today bestselling author. It’s whale-watching season in the California town of Redwood Cove, and Kelly Jackson is preparing for the tourist rush at Redwood Heights—a Victorian-style estate owned by her boss. With a string of recent jewelry thefts in the area, she’s also busy keeping tabs on the many dust-covered artifacts displayed throughout the property. But when Kelly finds a visitor’s dead body on the grounds, the police start keeping tabs on her—as a murder suspect. Clearing her own name will be a whale of a chore, even with the help of the Silver Sentinels, a group of local retirees who are always ready for an investigation. Now Kelly’s on the hunt for clues hidden behind the mansion’s glamorous façade. But if she doesn’t find the killer soon, she may wind up history herself.
Curl up with a glass of merlot and travel to California wine country, where a sweet, unsuspecting town becomes the site of mischief and murder… This is a cozy mystery that will check all your boxes: a charming bed and breakfast, a clever heroine and a lovable cattle dog named Rex…you are sure to fall for this series! Weeding out killers wasn’t part of the job description . . . Kelly Jackson, manager of the Redwood Cove Bed and Breakfast, is excited to participate in an event to raise awareness for the plight of struggling veterans in their Northern California coastal community. Local wineries are sponsoring tastings, and to prepare for a culinary competition, professional chefs will forage for wild edible greens. Kelly plans to come along, despite a warning to beware of poachers, who have been stealing the highly valued succulent Dudleya farinosa. The senior sleuths who call themselves the Silver Sentinels join forces with environmental activists known as the Succulent Saviors to thwart the poaching operation. When a consultant for the sale of a local winery is murdered, the poachers are suspected—but so is a wine merchant, Kelly's friend Phil. As Kelly and the Silver Sentinels attempt to root out the real killer, what she digs up might just put her permanently underground . . .
In The Social Production of Art Janet Wolff shows systematically that the arts can be understood adequate only in a sociological perspective and argues that art is the complex construction of a number of historical factors.
Schizophrenia is a chronic, severe, and disabling psychosis, which is an impairment of thinking in which the interpretation of reality is abnormal. Psychosis is a symptom of a disordered brain. Approximately one percent of the population world-wide develops schizophrenia during their lifetime. Although schizophrenia affects men and women with equal frequency, the disorder often appears earlier in men, usually in the late teens or early twenties, than in women, who are generally affected in the twenties to early thirties. People with schizophrenia often suffer symptoms such as hearing internal voices not heard by others, or believing that other people are reading their minds, controlling their thoughts, or plotting to harm them. The current evidence concerning the causes of schizophrenia is a mosaic. It is quite clear that multiple factors are involved. These include changes in the chemistry of the brain, changes in the structure of the brain, and genetic factors. Viral infections and head injuries may also play a role. New molecular tools and modern statistical analyses are allow focusing in on particular genes that might make people more susceptible to schizophrenia by affecting, for example, brain development or neurotransmitter systems governing brain functioning. State-of-the-art imaging techniques are being used to study the living brain. They have recently revealed specific, subtle abnormalities in the structure and function of the brains of patients with schizophrenia. In other imaging studies, early biochemical changes that may precede the onset of disease symptoms have been noted, prompting examination of the neural circuits that are most likely to be involved in producing those symptoms. This new book presents the newest in-depth research from around the world on schizophrenia.
A Northern California B&B is the perfect spot for murder in this cozy mystery series debut by the USA Today bestselling author of Murder at the Mansion. If it weren’t for the fact that she’s replacing a dead man, Kelly Jackson would love her new job managing the Redwood Cove Bed and Breakfast on the coast of Northern California. But Bob Phillips did plunge off the cliff to his death. And Kelly’s starting to think it may not have been an accident. With a little help from Bob’s retired friends—the “Silver Sentinels”—Kelly starts snooping around for answers. When she’s not overseeing the B&B’s annual Taste of Chocolate and Wine Festival, Kelly and the Silver Sentinels are making serious headway—so serious that Kelly is attacked. And when another body turns up, Kelly knows she better act fast to uncover the killer before she gets sent on a permanent vacation.
There’s a corpse among the chanterelles! Redwood Cove Bed and Breakfast manager Kelly Jackson is hosting a cooking class during the Week of the Mushroom festival to attract guests, not drama. But soon after she finishes foraging for an edible mushroom species on sacred Native American land, a local newspaper reporter gets shot dead at the same site. With suspicions spreading like fungi in the quaint Northern Californian community over the culprit’s identity, Kelly and a savvy gang of sleuthing seniors known as the “Silver Sentinels” must uncover the truth about the secluded property before a tricky killer prepares another lethal surprise . . .
Film and television have never been more prevalent or watched than they are now, yet we still have little understanding of how people process and make use of what they see. And though we acknowledge the enormous role the media plays in our culture, we have only a vague sense of how it actually influences our attitudes and desires. In Perverse Spectators, Janet Staiger argues that studying the interpretive methods of spectators within their historical contexts is both possible and necessary to understand the role media plays in culture and in our personal lives. This analytical approach is applied to topics such as depictions of violence, the role of ratings codes, the horror and suspense genre, historical accuracy in film, and sexual identities, and then demonstrated through works like JFK, The Silence of the Lambs, The Texas Chain Saw Massacre, Psycho, and A Clockwork Orange. Each chapter shows a different approach to reconstructing audience responses to films, consistently and ingeniously finding traces of what would otherwise appear to be unrecoverable information. Using vivid examples, charting key concepts, and offering useful syntheses of long-standing debates, Perverse Spectators constitutes a compelling case for a reconsideration of the assumptions about film reception which underlie contemporary scholarship in media studies. Taking on widely influential theories and scholars, Perverse Spectators is certain to spark controversy and help redefine the study of film as it enters the new millennium.
Das einzige Buch, das einen der geheimnisvollsten Anleger im Investmentgeschaft portratiert: Charlie Munger - der Kopf, der hinter Investmentguru Warren Buffett stand. Geschrieben von Janet Lowe, beruhmte Autorin der WILEY Speaks-Bestsellerreihe. Sie hat hier eine faszinierende Verbindung von Geschaftsphilosophie, und Biographie geschaffen, eine einzigartige Kombination aus Mungers Witz, Humor, Know-How und Erfolg. Offenbart werden auch die Taktiken und Techniken dieses wenig bekannten, aber au?erst einflu?reichen Finanzgenies und Lehrmeisters von Warren Buffett. Ein Buch zum Verschenken schon!
Teen investors have powerful advantages over the rest of us. Many are whizzes at financial research on the Internet. They’re quick to master online stock trading. According to an August 2000 Wall Street Journal article, today more young Americans own investments than ever before, with 35 percent of eighth through twelfth graders owning stock or bonds, usually in a parent’s name, while about one-fifth own mutual funds. Often these teenage investors have amassed substantial nest eggs—even before they’ve finished high school. Although teen investors need adult cosigners for their brokerage and mutual fund custodial accounts, it’s not unusual for them to be the driving force behind their parents’ and relatives’ investment decisions. Now teens have another leg up—a book that explains the successes and investment strategies of real-life teen investors, along with the wisdom of Wall Street pros, and tips on how to make the most of the Web. The popularity of stock-picking contests and high school investment clubs—along with successful marketing vehicles, such as Stein Roe’s Young Investors Fund—have created a growing demand for investment information focused on teens, written for teens. Street Wise provides exactly what they want.
Janet Giltrow's Academic Writing: Writing and Reading in the Disciplines has been widely acclaimed in all its editions as a superb textbook—and an important contribution to the pedagogy of introducing university and college students to the conventions of writing in an academic milieu. Giltrow draws meaningfully on theory, especially genre theory, while using specific texts to keep the discussion grounded in the particular. Exercises throughout help students to interpret, summarize, analyze, and compare examples of academic and scholarly writing. The book is intended to demystify scholarly genres, shedding light on their discursive conventions and on academic readers' expectations and values. Academic Writing: An Introduction is a concise version of the full work, designed to be more compact and accessible for use in one-term writing courses. This new edition has been revised throughout and contains many new exercises, updated examples, an expanded discussion of research writing in the sciences, new glossary entries, and a new section on research ethics and the moral compass of the disciplines.
Academic Writing has been widely acclaimed in all its editions as a superb textbook—and an important contribution to the pedagogy of introducing students to the conventions of academic writing. The book seeks to introduce student readers to the lively community of research and writing beyond the classroom, with its complex interactions, values, and goals. It presents writing from a range of disciplines in the humanities, social sciences, and natural sciences, cultivating students’ awareness of the subtle differences in genre. The fourth edition has been revised throughout and includes a new chapter on visual rhetoric, a new section on the academic peer review system, updated examples, expanded exercises, and new glossary entries.
Villians" provides a rare insight into local and family traditions of petty crime. It looks at attitudes to crime and law enforcement, and the relationship of those attitudes to the culture in which they are expressed. This book should be of interest to students and teachers in police studies, ethnomethodology and women's studies.
She’s got to solve this—or her friends are sunk . . . Kelly Jackson, manager of the Redwood Cove Bed and Breakfast, is fond of the Doblinsky brothers, Ivan and Rudy, members of the Silver Sentinels, a crew of crime-solving senior citizens in their Northern California seaside hamlet. After she discovers a jewel-encrusted dagger—with what appears to be dried blood on the blade—on their fishing boat, they share their family history with Kelly, and she learns that the knife may be part of a set from their long-ago childhood in Russia. Its sudden reappearance is eerie, but the mystery grows much more serious when a body is found on the boat. The victim was a member of the community and part of the Russian Heritage Festival, and some of the organizers were clearly harboring some bitterness. But the story behind this murder seems as layered as a nesting doll—and Kelly’s feeling completely at sea . . .
Film Cultures is thought-provoking and challenging. By opening film theory up to the many simultaneous networks of relation (that is, the cultures) of film, it asks both viewer and student to take film more seriously." - Communication Research Trends "Film Cultures weaves together insights from cultural theory and film studies to provide a complex and absorbing theoretical account of contemporary film culture. Harbord writes with authority, imagination and wit and her delicate deployment of modernist and postmodernist cultural accounts makes rewarding reading." - Christine Geraghty, Professor of Film and Television, University of Glasgow Film Cultures argues that our tastes for film connect us to social, spatial and temporal networks of exchange and meaning. Whether we view film in the multiplex, arthouse or the gallery, as cinema premiere, video hire or from a cable channel, whether we approach film as a singular object or a hypertext linked to ancillary products, our relationship to film is inhabiting a culture. Shifting the focus of film analysis from the text to paths of circulation, Film Cultures questions how film connects us to social status, and national and global affiliations.
White Matter: A Memoir of Family and Medicine is the story of a Bostonian close-knit Jewish working-class family of five sisters and one brother and the impact they and their next generation endured due to the popularization of lobotomy during the 20th century. When Janet Sternburg’s grandfather abandoned his family, and her uncle, Bennie, became increasing mentally ill, Sternburg’s mother and aunts had to bind together and make crucial decisions for the family’s survival. Two of the toughest familial decisions they made were to have Bennie undergo a lobotomy to treat his schizophrenia and later to have youngest sister, Francie, undergo the same procedure to treat severe depression. Both heartrending decisions were largely a result of misinformation disseminated that popularized and legitimized lobotomy. Woven into Sternburg’s story are notable figures that influenced the family as well as the entire medical field. In 1949, Egas Moniz was awarded the Nobel Prize in Medicine for developing the lobotomy, and in the three years that followed his acceptance of the award, more Americans underwent the surgery than during the previous 14 years. By the early 1950s, Walter Freeman developed an alternate technique for lobotomy, which he proselytized during his travels throughout the country in a van he dubbed the “Lobotomobile.” The phrase “prefrontal lobotomy” was common currency growing up in Janet Sternburg’s family and in White Matter she details this scientific discovery that disconnects the brain’s white matter, leaving a person without feelings, and its undeserved legitimization and impact on her family. She writes as a daughter consumed with questions about her mother and aunts—all well meaning women who decided their siblings’ mental health issues would be best treated with lobotomies. By the late 1970s, the surgical practice was almost completely out of favor, but its effects left patients and their families with complicated legacies as well as a stain on American medical history. Every generation has to make its own medical choices based on knowledge that will inevitably come to seem inadequate in the future. How do we live with our choices when we see their consequences?
Bodies of Belief argues that the paradoxical evolution of the Baptist religion, specifically in Pennsylvania and Virginia, was simultaneously egalitarian and hierarchical, democratic and conservative.
First published in 1983, Aesthetics and the Sociology of Art provides a lucid account of two divergent tendencies in the study of aesthetics. At the one extreme, traditional aestheticians have assumed that art and literature are wholly independent, following only the laws and inspirations of artists and artistic movements, and that the question of aesthetic value is accordingly unproblematic. At the other extreme, some sociologists have treated works of art as no more than manifestations of the socio-economic circumstances which produce them, arguing that aesthetic value is therefore entirely relative matter. Janet Wolff shows how both the extreme positions are untenable, and argues convincingly that we must accept that the conceptions and criteria of aesthetic value are socially constructed and inevitably ideological, while stopping short of the reductionist alternative which fails to recognise the irreducible questions of pleasure and of aesthetic discourse. This book provides an invaluably clear guide both to old debates and to otherwise obscure modern controversies, which will be welcomed both by students and scholars in the sociology of art, in aesthetics, in art history, and in literary criticism.
Introducing Social Research Methods: Essentials for Getting the Edge is a concise and student-friendly introduction to research methods that uses examples from around the world to illustrate the centrality of social science research in our everyday lives. Explains complex, multi-faceted concepts and methodologies in straightforward prose Designed for students who are new to or skeptical of social science research methods as useful tools for approaching real-world challenges Persuasively argues that social scientific proficiency unlocks an array of personal and professional opportunities beyond the realms of academia A supplementary website features a glossary, test bank, Power Point presentations, a comprehensive list of web resources, a guide to relevant TED lectures and much more
Everything you need to create exciting thematic science units can be found in these handy guides. Developed for educators who want to take an integrated approach, these teaching kits contain resource lists, reading selections, and activities that can be easily pulled together for units on virtually any science topic. Arranged by subject, each book lists key scientific concepts for primary, intermediate, and upper level learners and links them to specific chapters where resources for teaching those concepts appear. Chapters identify and describe comprehensive teaching resources (nonfiction) and related fiction reading selections, then detail hands-on science and extension activities that help students learn the scientific method and build learning across the curriculum. A final section helps you locate helpful experiment books and appropriate journals, Web sites, agencies, and related organizations.
Includes an afterword by the author In the Freud Archives tells the story of an unlikely encounter among three men: K. R. Eissler, the venerable doyen of psychoanalysis; Jeffrey Moussaieff Masson, a flamboyant, restless forty-two-year-old Sanskrit scholar turned psychoanalyst turned virulent anti-Freudian; and Peter Swales, a mischievous thirty-five-year-old former assistant to the Rolling Stones and self-taught Freud scholar. At the center of their Oedipal drama are the Sigmund Freud Archives--founded, headed, and jealously guarded by Eissler--whose sealed treasure gleams and beckons to the community of Freud scholarship as if it were the Rhine gold. Janet Malcolm's fascinating book first appeared some twenty years ago, when it was immediately recognized as a rare and remarkable work of nonfiction. A story of infatuation and disappointment, betrayal and revenge, In the Freud Archives is essentially a comedy. But the powerful presence of Freud himself and the harsh bracing air of his ideas about unconscious life hover over the narrative and give it a tragic dimension.
Based on findings of a major study of kinship, and including lively verbatim accounts of conversations with family members, provides a new insight into contemporary family life and kin relationships outside the nuclear family.
Public participation is central to a wide range of current public policies - not only in the UK, but elsewhere in the developed and the developing world. There are substantial aspirations for what enhanced participation can achieve. This book offers a critical examination of both the discourse and practice of participation in order to understand the significance of this explosion in participatory forums, and the extent to which such practices represent a fundamental change in governance. Based on 17 case studies across a range of policy areas in two English cities, the authors address key issues such as: the way in which notions of the public are constructed; the motivation of participants; how the interests and identities of officials and citizens are negotiated within forums; and the ways in which institutions enable and constrain the development of participation initiatives. Much of the literature on public participation is highly normative. This book draws from detailed empirical work, theories of governance, of deliberative democracy and social movements to offer a nuanced account of the dynamics of participation and to suggest why experiences of this can be frustrating as well as transformative. This book will be essential reading for students of public and social policy and offers important insights for those directly engaged in developing participation initiatives across the public sector
A woman starts digging up the past in a small Northern California town—and winds up six feet under—in this mystery by the USA Today bestselling author. When a local woman begins searching for a couple she hasn’t seen since the 1960s, Redwood Cove Bed and Breakfast manager Kelly Jackson and the crime-solving group, the “Silver Sentinels,” are quick to help out. They’re also quick to realize that they’re in over their heads. Not only is the woman found dead beside the body of a Greek fortune teller, but one of the Sentinels is attacked. As Kelly juggles the B&B and her role with the town’s food and wine festival, she and her posse of sleuthing seniors must confront a killer obsessed with old secrets . . . and solve a murder mystery more than fifty years in the making.
You're in charge of IT, facilities, or core operations for your organization when a hurricane or a fast-moving wildfire hits. What do you do? Simple. You follow your business continuity/disaster recovery plan. If you've prepared in advance, your operation or your company can continue to conduct business while competitors stumble and fall. Even if your building goes up in smoke, or the power is out for ten days, or cyber warriors cripple your IT systems, you know you will survive. But only if you have a plan. You don't have one? Then Disaster Recovery, Crisis Response, and Business Continuity: A Management Desk Reference, which explains the principles of business continuity and disaster recovery in plain English, might be the most important book you'll read in years. Business continuity is a necessity for all businesses as emerging regulations, best practices, and customer expectations force organizations to develop and put into place business continuity plans, resilience features, incident-management processes, and recovery strategies. In larger organizations, responsibility for business continuity falls to specialist practitioners dedicated to continuity and the related disciplines of crisis management and IT service continuity. In smaller or less mature organizations, it can fall to almost anyone to prepare contingency plans, ensure that the critical infrastructure and systems are protected, and give the organization the greatest chance to survive events that can--and do--bankrupt businesses. A practical how-to guide, this book explains exactly what you need to do to set up and run a successful business continuity program. Written by an experienced consultant with 25 years industry experience in disaster recovery and business continuity, it contains tools and techniques to make business continuity, crisis management, and IT service continuity much easier. If you need to prepare plans and test and maintain them, then this book is written for you. You will learn: How to complete a business impact assessment. How to write plans that are easy to implement in a disaster. How to test so that you know your plans will work. How to make sure that your suppliers won't fail you in a disaster. How to meet customer, audit, and regulatory expectations. Disaster Recovery, Crisis Response, and Business Continuity: A Management Desk Reference will provide the tools, techniques, and templates that will make your life easier, give you peace of mind, and turn you into a local hero when disaster strikes.
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