Created by Samuel Ruggles as a haven for wealthy New Yorkers, both Gramercy Park and Union Square have been among Manhattan's most desirable neighborhoods for more than 150 years. From writers and artists to powerful politicians, illustrious figures like O. Henry, Andy Warhol, Samuel Tilden and Joseph Kennedy have walked its streets. The National Arts Club and the Players Club attract patrons from around the city who are in search of a taste of grander times. Tourists flock to historic sites like the Theodore Roosevelt House, the Gramercy Park Historic District and the picturesque Union Square Park. Local tour guide Alfred Pommer and coauthor Joyce Pommer reveal the stories on the streets of the neighborhoods.
For someone like Joyce, who was getting back into horses after a 40 year absence, finding the new, which is really reinventing the old, information on horse gentling was like making that discovery as a 6 year old that pollywogs turn into frogs. Now trainers speak of gentling the horse, not breaking it. We as people are becoming caring individuals who honor animals as the Native American’s did, as little sister and little brother. We are also finding that animals, in turn assist our growth and keep us in balance. The main theme of It's Hard to Stay on a Horse While You're Unconscious is the journey of mother and daughter into acquiring horses, and their resultant experiences. In It's Hard to Stay on a Horse While You're Unconscious we are traveling into a wild land, for in life we rarely know what lies beyond that next turning of the canyon walls. If we follow the Chapter Headings, though, we will have some guidelines, “Watch for Lions, Dodge Wildfires, Get a Horse, Stampede with a Mustang.” The trailblazing aspect of It's Hard to Stay on a Horse While You're Unconscious lies in it appendices. When Joyce noted that a horse needs trained on both sides, or a foal, when imprinted, needs to be massaged all over, she hypothesized that it had something to do with the Corpus callosum, which is the bridge between the two brain hemispheres. When studying the brain, she discovered it is first necessary to understand how a horse sees. Thus, following the narrative is a bit of science, an Appendix on The Eye, and one on The Brain.
While there are numerous Lean Certification programs, most companies have their own certification paths whereby they bestow expert status upon employees after they have participated in or led a certain number of kaizen events. Arguing that the number of kaizen events should not determine a person's expert status, The Lean Practitioner's Field Book: Proven, Practical, Profitable and Powerful Techniques for Making Lean Really Work outlines a true learning path for anyone seeking to understand essential Lean principles. The book includes a plethora of examples drawn from the personal experiences of its many well-respected and award-winning contributors. These experts break down Lean concepts to their simplest terms to make everything as clear as possible for Lean practitioners. A refresher for some at times, the text provides thought-provoking questions with examples that will stimulate learning opportunities. Introducing the Lean Practitioner concept, the book details the five distinct Lean Practitioner levels and includes quizzes and criteria for each level. It highlights the differences between the kaizen event approach and the Lean system level approach as well as the difference between station balancing and baton zone. This book takes readers on a journey that begins with an overview of Lean principles and culminates with readers developing professionally through the practice of self-reliance. Providing you with the tools to implement Lean tools in your organization, the book includes discussions and examples that demonstrate how to transition from traditional accounting methods to a Lean accounting system. The book outlines an integrated, structured approach identified by the acronym BASICS (baseline, analyze, suggest solutions, implement, check, and sustain), which is combined with a proven business strategy to help ensure a successful and sustainable transformation of your organization.
Lean is about building and improving stable and predictable systems and processes to deliver to customers high-quality products/services on time by engaging everyone in the organization. Combined with this, organizations need to create an environment of respect for people and continuous learning. It’s all about people. People create the product or service, drive innovation, and create systems and processes, and with leadership buy-in and accountability to ensure sustainment with this philosophy, employees will be committed to the organization as they learn and grow personally and professionally. Lean is a term that describes a way of thinking about and managing companies as an enterprise. Becoming Lean requires the following: the continual pursuit to identify and eliminate waste; the establishment of efficient flow of both information and process; and an unwavering top-level commitment. The concept of continuous improvement applies to any process in any industry. Based on the contents of The Lean Practitioners Field Book, the purpose of this series is to show, in detail, how any process can be improved utilizing a combination of tasks and people tools and introduces the BASICS Lean® concept. The books are designed for all levels of Lean practitioners and introduces proven tools for analysis and implementation that go beyond the traditional point kaizen event. Each book can be used as a stand-alone volume or used in combination with other titles based on specific needs. Each book is chock-full of case studies and stories from the authors’ own experiences in training organizations that have started or are continuing their Lean journey of continuous improvement. Contents include valuable lessons learned and each chapter concludes with questions pertaining to the focus of the chapter. Numerous photographs enrich and illustrate specific tools used in Lean methodology. Implementing Lean: Converting Waste to Profit explores implementation methods, line balancing methods, including baton zone or bumping, and implementing Lean in the office and machine shops. The goal of this book is to introduce the balance of the tools and how to proceed once the analysis is completed. There are many pieces to a Lean implementation and all of them are interconnected. This book walks through the relationships and how the data presented can be leveraged to prepare for the implementation. It also provides suggest solutions for improvements and making recommendations to management to secure their buy-in and approval.
Designed for advanced practice nurses and advanced practice nursing students, as well as Physician's Assistant students and practitioners, Advanced Health Assessment & Clinical Diagnosis in Primary Care, 4th Edition, is a practical resource that takes you to the "next step" of health assessment, beyond basic history and physical examination and through the diagnostic reasoning process. Accessible and concise, it approaches physical examination by focusing on a specific chief complaint rather than a diagnosis of a disease entity. Each chapter is organized into four major areas: Focused History; Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis. Those who master the diagnostic reasoning process in this text will be able to accurately diagnose the majority of conditions they will see in clinical practice. Easy-to-follow format with consistent organization improves your ability to understand and accurately perform the different elements of the diagnostic reasoning process: Focused History sections walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis. Key Questions highlight what questions to ask the patient, followed by an explanation of what the patient's responses might signify, to guide you toward an accurate assessment and precise diagnosis. Focused Physical Examination sections explain how to conduct more advanced diagnostic techniques and offer interpretations of the findings. Laboratory and Diagnostic Studies sections give a brief outline of what types of laboratory or diagnostic studies would be appropriate for the chief complaint or suspected diagnosis. Differential Diagnosis sections contain the most common differential diagnoses for each chief complaint and summarize the history and physical examination findings, along with the laboratory and diagnostic studies indicated. Differential Diagnosis tables offer an at-a-glance summary of possible diagnoses. Reordered table of contents, organized alphabetically by patient problem rather than by body system, simplifies and accelerates information retrieval. A list of chapters by body system is also included for reference. Three new chapters: Chapter 23: Palpitations Chapter 36: Weight Loss/Gain (Unintentional) Chapter 38: The Abdominal X-ray Additional Evidence-Based Practice boxes provide additional research-based tips on conducting the most effective exams for more accurate diagnoses.
Take the ‘next step’ in health assessment! Advanced Health Assessment and Clinical Diagnosis in Primary Care, 5th Edition goes beyond basic history and physical examination to help you master the diagnostic reasoning process. You’ll develop this key skill by following assessment guidelines that focus on a specific complaint rather than beginning with a previously established diagnosis or disease entity. Written by advanced practice nursing experts Joyce Dains, Linda Baumann, and Pamela Scheibel, this edition includes new chapters on evidence-based preventive health screening and on heartburn and indigestion, along with a new full-color design. Master the differential diagnosis process outlined in this book, and you’ll be able to accurately diagnose the majority of patients seen in today’s primary care settings. A clear, consistent diagnostic reasoning process takes you to the next step of health assessment — beyond basic history and physical examination to diagnostic reasoning. Diagnostic Reasoning: Focused History sections use ‘self-questions’ to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis. Diagnostic Reasoning: Focused Physical Examination sections explain how to perform more advanced diagnostic techniques and interpret the findings. Key Questions guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient's responses might signify. Laboratory and Diagnostic Studies sections outline the types of studies that might be appropriate based on the focused history and focused physical examination. Differential Diagnosis sections offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies. Differential Diagnosis tables provide a quick-reference summary of possible diagnoses for each patient problem. Evidence-Based Practice boxes — more than 30 are NEW — summarize the scientific evidence related to the diagnosis of patient problems. Alphabetical Table of Contents provides a convenient listing of common health problems.
Reflecting the author's evolution as an environmentalist (apparently in Colorado), these 16 essays explain why critical thinking and deep policy are crucial to considering such issues as water rights, alternatives to reduce air pollution, and the evolution of "standing to sue" through case law and theory. Includes critical thinking drills and "research for the adventurous" exercises aimed primarily at undergraduates students in environmental-related science courses. Annotation copyrighted by Book News, Inc., Portland, OR
Intermediaries are independent communication specialists who assist children and vulnerable adults who are involved with the criminal justice system--for example, during police interviews or at trial. This is the first book to look in depth at the role of intermediaries and the remarkable success that their increasing involvement with the justice system represents. Built on case studies and interviews, the book offers a comprehensive explanation of the work of intermediaries and their place in the larger criminal justice system.
Women everywhere have long struggled for recognition as equal, productive members of society, worthy of taking part in the political process. These struggles become even more pronounced in times of conflict and war, when the symbolism and myths of womanhood are used to stoke nationalistic ideas about the survival of the state. Yet for all the rhetoric that takes place in their name, it’s men who generally make decisions regarding war. Women and War examines how women respond to situations of conflict. Drawing on both traditional and feminist international relations theory, it explores the roles that women play before, during and after a conflict, how they spur and respond to nationalist and social movements, and how conceptions of gender are deeply intertwined with ideas about citizenship and the state. As Kaufman and Williams show, women do more than respond to conflict situations; they are active agents in their own right shaping political and historical processes. Their conclusions encourage us to rethink the prevalent assumptions of international relations, history and feminist scholarship and theory.
3 books illuminate the cutting edge medical research that could save your life Right now, science is transforming what we know about preserving and improving human health. These three extraordinary books take you to the cutting edge of emerging science, presenting new findings that might someday save your life. In Antibiotic Resistance: Understanding and Responding to an Emerging Crisis, Karl S. Drlica and David S. Perlin presents a thorough and authoritative overview of the growing resistance of pathogenic bacteria to antibiotics, and what this means to our ability to control and treat infectious diseases. The authors answer crucial questions such as: What is resistance? How does it emerge? How do common human activities promote resistance? What can we do about it? How can we strengthen our defenses against resistance, minimize our risks, extend the effectiveness of current antibiotics, and find new ones faster? Next, in Chips, Clones, and Living Beyond 100: How Far Will the Biosciences Take Us?, Paul and Joyce A. Schoemaker tour the remarkable field of biosciences as it stands today, and preview the directions and innovations that are most likely to emerge in the coming years. They offer a clear, non-technical overview of crucial current developments that are likely to have enormous impact, addressing issues ranging from increased human longevity to global warming, bio-warfare to personalized medicine. Along the way, they illuminate each of the exciting technologies and hot-button issues associated with contemporary biotechnology - including stem cells, cloning, probiotics, DNA microarrays, proteomics, gene therapy, and more. Finally, in It Takes a Genome, Greg Gibson posits a revolutionary new hypothesis: our genome is out of equilibrium, both with itself and its environment. Our bodies weren’t designed to subsist on fat and sugary foods; our immune systems aren’t designed for today’s clean, bland environments; our minds aren’t designed to process hard-edged, artificial electronic inputs from dawn ‘til midnight. That, says Gibson, is why so many of us suffer from chronic diseases that barely touched our ancestors. Gibson reveals the stunningly complex ways genes cooperate and interact; illuminates the genetic “mismatches” that lead to cancer, diabetes, inflammatory and infectious diseases, AIDS, depression, and senility; and considers surprising new evidence for genetic variations in human psychology. From world-renowned leaders and experts, including Karl S. Drlica, David S. Perlin, Paul J. H. Schoemaker, Joyce A. Schoemaker, and Greg Gibson
Since 1958, twenty-five men and two women have forced the Supreme Court to consider whether the Constitution's promises of equal protection apply to gay Americans. Here Joyce Murdoch and Deb Price reveal how the nation's highest court has reacted to these cases--from the surprising 1958 victory of a tiny homosexual magazine to the 2000 defeat of a gay Eagle Scout. A triumph of investigative reporting, Courting Justice gives us an inspiring new perspective on the struggle for civil rights in America.
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