Hospital Capacity Management: Insights and Strategies details many of the key processes, procedures, and administrative realities that make up the healthcare system we all encounter when we visit the ED or the hospital. It walks through, in detail, how these systems work, how they came to be this way, why they are set up as they are, and then, in many cases, why and how they should be improved right now. Many examples pulled from the lifelong experiences of the authors, published studies, and well-documented case studies are provided, both to illustrate and support arguments for change. First and foremost, it is necessary to remember that the mission of our healthcare system is to take care of patients. This has been forgotten at times, causing many of the issues the authors discuss in the book including hospital capacity management. This facet of healthcare management is absolutely central to the success or failure of a hospital, both in terms of its delivery of care and its ability to survive as an institution. Poor hospital capacity management is a root cause of long wait times, overcrowding, higher error rates, poor communication, low satisfaction, and a host of other commonly experienced problems. It is important enough that when it is done well, it can completely transform an entire hospital system. Hospital capacity management can be described as optimizing a hospital’s bed availability to provide enough capacity for efficient, error-free patient evaluation, treatment, and transfer to meet daily demand. A hospital that excels at capacity management is easy to spot: no lines of people waiting and no patients in hallways or sitting around in chairs. These hospitals don’t divert incoming ambulances to other hospitals; they have excellent patient safety records and efficiently move patients through their organization. They exist but are sadly in the minority of American hospitals. The vast majority are instead forced to constantly react to their own poor performance. This often results in the building of bigger and bigger institutions, which, instead of managing capacity, simply create more space in which to mismanage it. These institutions are failing to resolve the true stumbling blocks to excellent patient care, many of which you may have experienced firsthand in your own visit to your hospital. It is the hope of the authors that this book will provide a better understanding of the healthcare delivery system.
Geoecology is a fruitful interdisciplinary field, relating rocks to soils to plant and animal communities and studying the interactions between them. Modern geoecology especially concentrates on showing how geology and soils affect the structure, composition, and distribution of plant communities in a certain research area. This book applies the principles of geoecology to Western North America, and to a specific kind of rock, the fascinating serpentine belts that run along the continental margins of the West Coast from Alaska to Baja. The authors come from different disciplines: Alexander is a soil scientist, Coleman a geologist, Harrison a biological researcher, and Keeler-Wolfe a vegetation ecologist. It begins with an overview of the geology of this rock and this region, covering mineralogy, petrology, and stratigraphy of West Coast serpentine. It will continue with serpentine soils and their development and distribution, and serpentine effects on plants and vegetation and animals. The serpentine geoecology of the different regions of Western North America, concentrating on California, will conclude the study. So, this academic book should appeal to plant ecologists, soil scientists, researchers in geoecology, and students in advanced courses in soil science.
The information in this book was gathered from information in the census records, order books, wills, Vital Statics and deeds all available at the Virginia Library, Richmond, Va. and the King & Queen County, Va. Court, which provided the basis for this book about a family that lived in King & Queen County, Virginia at a time when being a person of Color came with many restrictions.
In this book, the promovendus investigates the critical role a preacher and his/her homilies have in bringing transformation, development and healing in the human society. The investigation shows how a preacher has been sidelined on issues of progress, when from time immemorial he/she has been a critical and pivotal component in the phenomenon. The study is an attempt to reclaim a preachers role in bringing progress and healing in underdeveloped communities through homilies, particularly, in Venda, rural South Africa. This book proposes a preacher as the transformer, developer and healer of the people.
The book has a lot of historical content along with some poetry and humor. The main part is falily history including some of the sescenants of James Gram born in Scotland in 1670 along with documentation on the descendants
Part armchair travelogue, part guide book, this projected three-volume series—divided into the western, central, and eastern United States—will introduce readers to all 155 national forests across the country. This Land is the only comprehensive field guide that describes the natural features, wildernesses, scenic drives, campgrounds, and hiking trails of our national forests, many of which—while little known and sparsely visited—boast features as spectacular as those found in our national parks and monuments. Each entry includes logistical information about size and location, facilities, attractions, and associated wilderness areas. For about half of the forests, Robert H. Mohlenbrock has provided sidebars on the biological or geological highlights, drawn from the "This Land" column that he has written for Natural History magazine since 1984. Superbly illustrated with color photographs, botanical drawings, and maps, this book is loaded with information, clearly written, and easy to use. This volume covers national forests in: Alaska, Nevada, Arizona, Oregon, California, Utah, Idaho, Washington
Selects three hundred and eighty one of the best schools in the United States based on student feedback, and provides information on tuition, financial aid, housing, admission requirements, and similar statistics.
The Native peoples of the Pacific Northwest inhabit a vast region extending from the Rocky Mountains to the Pacific Ocean, and from California to British Columbia. For more than two decades, A Guide to the Indian Tribes of the Pacific Northwest has served as a standard reference on these diverse peoples. Now, in the wake of renewed tribal self-determination, this revised edition reflects the many recent political, economic, and cultural developments shaping these Native communities. From such well-known tribes as the Nez Perces and Cayuses to lesser-known bands previously presumed "extinct," this guide offers detailed descriptions, in alphabetical order, of 150 Pacific Northwest tribes. Each entry provides information on the history, location, demographics, and cultural traditions of the particular tribe. Among the new features offered here are an expanded selection of photographs, updated reading lists, and a revised pronunciation guide. While continuing to provide succinct histories of each tribe, the volume now also covers such contemporary—and sometimes controversial—issues as Indian gaming and NAGPRA. With its emphasis on Native voices and tribal revitalization, this new edition of the Guide to the Indian Tribes of the Pacific Northwest is certain to be a definitive reference for many years to come.
The brand new book from the international bestselling self-help author Robert Kelsey's internationally bestselling self-help books have helped tens of thousands of people overcome fear of failure and under confidence. Now Robert is back and is here to debunk the ever pervasive myths around the trail-blazing rebel outsider.... Our culture celebrates outsiders while – in reality – slamming the door in their face. The modern world craves innovation while alienating original thinkers. It encourages creativity while shutting-out all but a privileged few from individualistic expression. What a waste! Yet achieving great things as a genuine outsider is possible. Outsiders can find their own way – succeeding without compromising their individuality. They just need to forge an edge. The Outside Edge is all about learning to harness the unique vantage point you possess in order to give yourself the edge required to succeed. It will show you when to embrace your outsider status and go against convention, and when to play the game, do as the insiders do and make sure you can get progress. Think of The Outside Edge as a manual for positively directing your insecurity, awkwardness and role-confusion – towards a meaningful future, shaped and pursued on your own terms. By getting The Outside Edge you can: Identity and understand the causes of feeling like an "outsider" Accept yourself while focusing on "finding meaning" for your life Motivate yourself using strong goals, often harnessing creativity Acquire the skills needed to succeed on your own terms Avoid pitfalls such as poor judgement, negativity and extremism.
This personal witty and insightful book teaches us about the fears that drive failure and the self-awareness that can help us navigate it. The great point about this book is that it is both philosophical with regards the nature of fear and its impact on achievement, and practical. For those that may be paralysed by a fear of failure, it offers a way through." —Luke Johnson, serial entrepreneur, Financial Times columnist and Chairman of the RSA "This powerful, insightful book shows you how to unlock your unconscious brakes and step on the acceleration of your true potential!" —Brian Tracy, author of Maximum Achievement "Kelsey offers a successful and eloquent analysis of fear of failure as a mass condition in the modern world, and one we ignore at our peril." —Donald Kirkpatrick, psychoanalyst and a founder of the London Association for Counselling and Psychoanalysis Do fear and doubt hinder your progress in life? Are you paralyzed at key moments by your insecurities? Millions of smart people are held back from achieving their potential by a fear of failure. Many of them don't even realize that this recognized condition is limiting their progress. What's Stopping You? offers no quick-fix solution. Why? Because the key to unlocking you potential for success lies in understanding the root causes of the fears and insecurities that hold you back and in accepting who you are, rather than trying to become someone you are not. Based on extensive research, recognized science and stark reality, this book will help you navigate the barriers that hold you back: at work, with people and in life. "Robert Kelsey has combined thorough research, careful thought and the lessons of his own experience to produce a valuable, original and eminently readable book. I can strongly recommend it to anyone whose progress has been impeded by fear of failure." —John Caunt, author of Boost Your Self-esteem "Confidence is the ultimate secret weapon of any successful entrepreneur. If Robert's book can help you find yours then it will be worth its weight in gold." —Rachel Bridge, author of How I Made It
In a memoir both fascinating and amazing de Warren recounts his life and as a dancer, director, choreographer, choreographer and designer. From Eva Peron, to the Royal Ballet, Shah of Iran to President Ford, amazing twists in a fascinating life.
James Dobbins'(b. 1740, Ireland) story begins in Augusta Co., Va. James and Elizabeth (Stephenson) Dobbins spent their formative years, were married, and began their family. Their sons, Robert Boyd and John, were b. 1783 &'85. The family migrated to Abbeville & Pendleton, SC. James & Elizabeth had seven children. Four daughters and their husbands were: Mary w/John H. Morris (emigrated to Franklin Co., TN), Elizabeth w/George H. Hillhouse (emig. to Giles Co. & Lawrence Co., TN), Sarah w/Hugh F. Callaham (emig. to St. Clair Co., Ala.), Jane w/George Liddell (emig. to Noxubee Co. & Winston Co., MS). Their last-born, James, Jr., b. 1790, died young at home. They & their spouses' families were Scotch-Irish settlers in backcountry of SC. Ten families representing two generations were pioneers and products of history, geography, and culture of frontiers in SC. Six children migrated west, north, & south to new frontiers. Grandchildren of James & Elizabeth became the third Dobbins generation at farther frontiers.
The most comprehensive, best-illustrated survey of the Lone Star State—the new, updated edition of the classic text The History of Texas offers a sweeping exploration of the Lone Star State, covering its history from the pre-Columbian period, to the era of Spanish control, to nineteenth century watershed events, through the 1900s and into the new millennium. This engaging, student-friendly textbook looks at how people of diverse politics, identity, class, ethnicity, and race shaped the state’s past and continue to influence its present. Recent knowledge on the political, social, and cultural history of Texas provides insights on the celebrated figures, unsung heroes, and ordinary people of the state’s past. The sixth edition of this classic text has been revised and updated to reflect the latest scholarship in all fields of Texas history, among them New Indian History and cultural and gender studies. The text offers fresh perspectives on Texas history, including discussions of the Progressive Era, the Great Depression, the Second World War and post-war modernization, and the state’s transition during the 1960s and into the 1980s. Revised chapters provide wide-ranging coverage of Texas in the late 20th and early 21st centuries, including recent statewide and national elections and political debates. This textbook: Connects events in post-World War II Texas to the larger U.S. historical narrative Offers substantial coverage of events occurring from 1900 to 2018 Uses a chronological approach to divide chapters into easily identifiable eras Includes engaging illustrations, maps, and tables, an appendix, and inclusive lists of recommended readings Features online resources for students and instructors, including a test bank, maps, presentation slides, and more Effectively organized to better meet the needs of instructors, The History of Texas is the ideal resource for undergraduate and graduate courses in Texas history at colleges and universities across both the state and the nation.
After years of frustration at the stifling atmosphere of political correctness surrounding discussions of Africa, long time World Bank official Robert Calderisi speaks out. He boldly reveals how most of Africa's misfortunes are self-imposed, and why the world must now deal differently with the continent. Here we learn that Africa has steadily lost markets by its own mismanagement, that even capitalist countries are anti-business, that African family values and fatalism are more destructive than tribalism, and that African leaders prey intentionally on Western guilt. Calderisi exposes the shortcomings of foreign aid and debt relief, and proposes his own radical solutions. Drawing on thirty years of first hand experience, The Trouble with Africa highlights issues which have been ignored by Africa's leaders but have worried ordinary Africans, diplomats, academics, business leaders, aid workers, volunteers, and missionaries for a long time. It ripples with stories which only someone who has talked directly to African farmers--and heads of state--could recount. Calderisi's aim is to move beyond the hand-wringing and finger-pointing which dominates most discussions of Africa. Instead, he suggests concrete steps which Africans and the world can take to liberate talent and enterprise on the continent.
Lonely Planet: The world's leading travel guide publisher Lonely Planet's Washington, Oregon & the Pacific Northwest is your passport to the most relevant, up-to-date advice on what to see and skip, and what hidden discoveries await you. Explore Washington wine country, hop a ferry to the San Juan Islands, and dive into the hipster playground of Portland - all with your trusted travel companion. Get to the heart of Washington, Oregon & the Pacific Northwest and begin your journey now! Inside Lonely Planet's Washington, Oregon & the Pacific Northwest: NEW pull-out, passport-size 'Just Landed' card with Wi-Fi, ATM and transportation info - all you need for a smooth journey from airport to hotel Improved planning tools for family travellers - where to go, how to save money, plus fun stuff just for kids What's New feature taps into cultural trends and helps you find fresh ideas and cool new areas our writers have uncovered NEW Accommodations feature gathers all the information you need to choose where to stay NEW Where to Stay in Seattle map is your at-a-glance guide to accommodation options in each neighbourhood Colour maps and images throughout Highlights and itineraries help you tailor your trip to your personal needs and interests Insider tips to save time and money and get around like a local, avoiding crowds and trouble spots Essential info at your fingertips - hours of operation, phone numbers, websites, transit tips, prices Honest reviews for all budgets - eating, sleeping, sightseeing, going out, shopping, hidden gems that most guidebooks miss Cultural insights give you a richer, more rewarding travel experience - history, people, music, landscapes, wildlife, cuisine, politics Over 60 maps Covers Seattle, Bellingham, the San Juan Islands, Olympic Peninsula, Washington Cascades, Central & Eastern Washington, Portland, Wine Country, Ashland, Eastern Oregon, Vancouver, Whistler, Vancouver Island, and more The Perfect Choice: Lonely Planet's Washington, Oregon & the Pacific Northwest is our most comprehensive guide to Washington, Oregon & the Pacific Northwest, and is perfect for discovering both popular and off-the-beaten-path experiences. About Lonely Planet: Lonely Planet is a leading travel media company and the world's number one travel guidebook brand, providing both inspiring and trustworthy information for every kind of traveller since 1973. Over the past four decades, we've printed over 145 million guidebooks and grown a dedicated, passionate global community of travellers. You'll also find our content online, and in mobile apps, video, 14 languages, nine international magazines, armchair and lifestyle books, eBooks, and more. eBook Features: (Best viewed on tablet devices and smartphones) Downloadable PDF and offline maps prevent roaming and data charges Effortlessly navigate and jump between maps and reviews Add notes to personalise your guidebook experience Seamlessly flip between pages Bookmarks and speedy search capabilities get you to key pages in a flash Embedded links to recommendations' websites Zoom-in maps and images Inbuilt dictionary for quick referencing Important Notice: The digital edition of this book may not contain all of the images found in the physical edition.
This book provides a sequel to Robert Ford's comprehensive reference work A Blues Bibliography, the second edition of which was published in 2007. Bringing Ford's bibliography of resources up to date, this volume covers works published since 2005, complementing the first volume by extending coverage through twelve years of new publications. As in the previous volume, this work includes entries on the history and background of the blues, instruments, record labels, reference sources, regional variations, and lyric transcriptions and musical analysis. With extensive listings of print and online articles in scholarly and trade journals, books, and recordings, this bibliography offers the most thorough resource for all researchers studying the blues.
Undermining the positions of the enemy is one of the most ancient activities. For almost 3000 years even before 1914, it was a popular siege-breaking technique. During the Great War, arguably the greatest siege the world had ever seen, it presented a conflict environment that perfectly favoured the skills of the military miner. During 1915, the Western Front was established as a static line that grew into a huge network of defence-in-depth earthworks. Siege conditions demanded siege tactics and as the ground was everywhere mineable, the Western Front was a prime candidate for underground warfare.??Royal Engineer tunnelling companies were specialist units of the Corps of Royal Engineers within the British Army, formed to dig attacking tunnels under enemy lines during the First World War. The Cornish Miners were one of these specialist units recruited from the tin mines of Cornwall.??In February 1915, eight Tunnelling Companies were created and operational in Flanders from March 1915. By mid-1916, the British Army had around 25,000 trained tunnellers, mostly volunteers taken from mining communities. This is their story.
George H. Hillhouse's clan descended from Scotch-Irish pioneering, migratory stock. His ancestors settled in Camden Co., SC, and later migrated to Pendleton Dist., SC. Some relatives migrated to Crooked Creek, Crittenden Co.,KY. After visiting there, George Hillhouse returned to SC to claim his bride, Elizabeth Dobbins, and they trekked to KY.Elizabeth Dobbins, second daughter of James and Eliz. (Stephenson) Dobbins, lived with her family, 1780s to 1800s, on James Dobbins' Varennes plantation four miles SE of where Anderson, SC, was established, 1826.At age 25-plus (1807) Elizabeth married George H. Hillhouse. They immediately migrated about 600 hundred miles to Crooked Creek, KY, seeking land ceded by Indians. By 1810, they had migrated farther west and southward to Giles and Lawrence Counties, Tenn. There they raised ten children.Probate, Bible, and land records are presented for Hillhouse men in Camden (York) and Pendleton Dist., SC, Livingston Co., KY, Giles and Lawrence Counties, TN.
Authored by three prominent specialists in the field, this text provides comprehensive coverage of diagnostic and treatment modalities for optimal glaucoma management. Revised throughout, this new edition presents the latest guidance in clinical examination, randomized trials, medical treatment, laser therapy, and surgical procedures. Hundreds of illustrations—with many classic black and white figures from the previous editions supplemented with new color images—depict the features of glaucomas and step-by-step procedures for their management, while expanded use of highlighted boxes, lists, and summary tables make the material easy to access. Evidence-based and updated information on all aspects of the glaucomas—including physiology, genetics, interventional trials, and new surgical techniques—offer a well-rounded foundation of knowledge for making the most informed diagnoses and choosing the most effective course of treatment. Combines the cumulative experience of three prominent glaucoma specialists—addressing a full range of clinical needs for practitioners of all levels—for a uniquely written coherent perspective. Includes extensive references to current and historically important sources to provide comprehensive interpretation of the latest medical literature. Synthesizes a classical approach to the glaucomas—based on seven earlier editions spanning over 40 years—with the most up-to-date evidence-based and epidemiologically-derived classifications and outcomes. Coherently correlates with authoritative consensus documents on key areas of glaucoma, drawn up by the world-wide specialists of the World Glaucoma Association, and reprinted in the text. Revamps traditional teachings on the angle closure glaucomas, in concert with the newest international literature and technologies, to keep you up to date on the latest advances. Illustrates detailed surgical interventions applicable to the complete spectrum of clinical settings—from the developing world through contemporary operating rooms. Examines the newest and most promising developments in pharmacology, laser and surgical advances for glaucoma management, to enable you to choose the most effective patient approach. Illustrates invaluable but little-known instruments for clinical and research diagnoses, including optic nerve cupping scales, bleb assessment instruments, and more.
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