More Pages: Institute Page 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93


Great overview of the topic from various sources.
Best of breed collection of essays on data warehousing

Very informative
HQDA Recommended Reading

Good book, if flawed.As a Bulldog, I've been to several of these games, and the title of this book is not an exaggeration. This book is a great read for any college football fan, even if everything is not 100% accurate.
Civil WarsThe author has also done books on other college football rivalries, including Army-Navy and Auburn-Alabama.


Review For 2000-2001 Combat Fleets of The WorldHowever, there is no color photographs in this book, only black and white photographs. Some of the description of the warships are a little too brief; some don't even have a schematic for them.
Overall, I would recommend this book with the above mentioned reservation.
Excellent

Crossing boundaries, in more ways than oneWhile the authors set out to validate the Congolese quest for relief from political and economic hardship at home, the image they present of this loosely-defined community of traders will do nothing for its image abroad. These individuals define themselves through the act of quietly circumventing the rules (particularly import duties and immigration laws), resisting governmental authority without manifesting any visible signs of dissent. This is understandable, given the corrupt and authoritarian Congolese regimes of recent decades. But the transnational traders' ethos of stealthy noncompliance extends to their overseas existence as well, with the result in these Parisian cases being a gamut of criminal activity from smuggling and apartment squatting to drug dealing and theft. "Model immigrants" they are not, regardless of whether their behavior represents a survival strategy. One wonders just how representative this underworld is of the larger community of Congolese living in Paris, and whether those Congolese living more lawful existences there object to being tarred with this brush of illegality.
Such moral qualms aside, I give "Congo-Paris" high marks for its thorough and penetrating analysis of its subjects, a very difficult group to interview given its members' legal status and clandestine activities. No doubt its success owes much to the collaboration between MacGaffey (British) and Bazenguissa (Congolese). The book also skillfully negotiates the difficult and shifting theoretical territory of anthropology to bring outside perspectives to bear on its subjects. Finally, it makes a strong case for redefining anthropology in the context of ongoing processes of globalization. I suspect that we will be seeing a good many more studies like this one in the future.
This lively book shows benefit from jets and mobile phones.

Well-researched and Original
Thought-provoking

This book will not get you thereThe format of the book is to present evidence for quality problems in healthcare in America and make recommendations. The operational definition of quality used in the book is "The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." There are thirteen recommendations presented initially and are discussed in relevant chapters. The recommendations vary in scope from suggesting that multiple parties need to be committed to quality as a way to decrease the burden of disease to suggestions that specific agencies fund pilot studies to look at how reimbursement can be aligned with quality. Six major parameters are discussed as guiding quality and it is suggested that 15 specific conditions be a focus for improving quality.
There is no difficulty in identifying literature studies that demonstrate quality problems in hospital and clinical populations. A survey of current research is included in Appendix A. A review of the tables in this appendix show the types of quality markers that are typically studied in the literature. The authors make the argument that errors due to quality lapses or deficiencies need to be actively worked on and that the current high error rates are not acceptable. Health care has become a major political issue and the political factions are shaping up to be government and business on one side and physicians and other health care providers on the other. There has been a major revamping of the health care system in the past decade to control costs. That required the active cooperation of the insurance industry and government. There is still medical inflation and limited access with 40 million Americans uninsured. Should we believe that another cooperative effort between industry and government will improve quality any more than it has controlled cost or improved access?
The authors acknowledge weaknesses in their suggestions about changing the face of American medicine, but they minimize the adverse impact of the current funding mechanisms for medical care and the issue of information systems integration and security. A good example can be found in their application of engineering principles to clinical settings - - where teams see patients for four hours of direct contact time and the remaining time is for documentation and returning calls. That plan would not be economically feasible in many settings. The high cost and lack of flexibility of the current reimbursement schemes are not mentioned as a potential reason why these plans won't work.
Information technology is seen as a way to enhance both productivity and safety. The authors suggest that e-mail can lead to productive exchanges between physicians and patients. Many physicians have been doing this for years. Many have also stopped with the advent of security concerns about medical privacy. With larger IT systems the critical issue is backward compatability with older systems. That usually requires custom designs that are extremely expensive. Those problems usually need to be solved before bedside computing and decision support can be developed. Security is acknowledged as a problem that needs to be solved. In spite of a federal initiative in this area, the important precedent to remember is how the financial privacy of Americans was protected. The authors point out that medical privacy requirements need to be more stringent than other industries. At the same time they point out that some opinions suggest that there is a trade off between privacy protections and the need to advance information technology in health care. If they are suggesting that the Internet should be at the heart of this infrastructure and the Internet is not secure, what does that mean?
A practical approach might be to focus on the areas where data is entered into computer systems and make sure that non-human analysis occurs at those levels. For example, all hospitals enter pharmacy orders into computer systems. Many hospitals require that physicians write separate discharge orders. Both of these points are areas where there could be immediate improvements in accuracy. A focused study and solution could be engineered now. The necessary software and hardware requirements could be placed on a central web site and available for download by hospital and clinic IT staff. Existing reviewers could be charged with documenting the baseline level of errors and the degree of improvement.
This book succeeds as a broad survey of what has been done about quality in certain settings. It contains some interesting ideas about what can possibly be accomplished by applying conceptual advances from other fields. It does not discuss the significant drawbacks of evidence based medicine. It lacks a practical plan for transitioning to a new system and in effect creates a new chasm. With a work like this, whether you like the conclusions depends a lot on your interpretation of the evidence and your personal experience. As a practicing physician and a previous quality reviewer I have significant areas of disagreement with what is presented in this book. Areas of controversy are not elaborated upon. I suppose you could say that level of analysis is not required, but recommendations about the future of health care in America should at least meet the criteria of "evidence based" and all the evidence should be discussed.
George Dawson, MD
Essential Reading for Everyone in Health CareIn it, the highly respected Institute of Medicine builds a powerful case for how the current health care system is severely broken and how it has produced a "chasm" between what we known must be done for patients (based on current science of medicine) and what is actually done. The information conveyed is shocking but true. Even more importantly, the Institute gives us a plan for building a new, more accountable quality-driven approach to health care.
Read it and perhaps you too will be motivated to take action to improve health care delivery in America.


What film commentary ought to be
a well-written analysis of this brilliant filmRosenbaum mixes his own thoughtful analysis with excerpts from various interviews he conducted with Jarmusch to illuminate the many aspects of the film: from Neil Young's haunting soundtrack, to the role of tobacco, to its place in the acid western genre.
if you love the film, this book is the perfect companion piece.


Easy to follow directions, good photos, very good book
Many elegant and unusual Christmas ideas

if you can't think of what to paint, we'll tell you
It's not just the picturesBut Barron and Guenther were not content to stop with a catalog. Even without the pictures, this book would rate five stars. Guenther for one writes about having viewed this exhibit as a 17-year-old, giving true historical context for the gallery.
From an essay on music (which tackles the sticky wicket of Wilhelm Furtwaengler) to an explanation of the structure of the Nazi art and culture hierarchy, "Degenerate Art" provides literate and precise insight to the cultural philosophy of the Third Reich. It remains as objective as you can be about that era, refusing to stoop to shouting "rabid Nazi idiots" -- Barron and Guenther allow their readers to come to that conclusion all on their own.
The unsolved riddle, however, is one we have yet to resolve for ourselves. Witness Rudy G., and the dung-laden Virgin. How can art and government live side by side? One is empty without the other, but how do we define fine lines?
Barron and Guenther's book does not answer that question, but it certainly gives both sides of the debate a ton of ammunition.