52 Small Changes: One Year to a Happier, Healthier You

Yes, it's almost the end of the year, Christmas is over, the New Year is fast approaching and for many people, resolutions are being planned. We can make changes anytime in our lives, but for some reason, we see the new year as a clean page to start.

"Many of us yearn for instant gratification, and when something takes too long, we give up or move on. Unfortunately, the instant gratification we crave is the exact thing that hinders us from achieving success in our quest for change. The secret to making change that lasts is to acknowledge and accept that change takes time and that patience during the process is essential."

I agree with Blumenthal that 'small changes feed our need to succeed." To that end Brett Blumenthal's book 52 Small Changes actually spans the entire year. She has come up with one change per week that we can incorporate on our way to becoming a "happier, healthier you." The book has four target areas: Diet and Nutrition, Fitness and Prevention, Mental Well - Being and Green Living.

Week One's topic is water - drinking more of it. A basic tenet that we're all aware of and recognize the importance of, but really don't carry out. By just having the one goal for an entire week and following through, one could achieve a feeling of success and the desire to continue on with other small but beneficial changes.

Blumenthal targets a lot of other 'known' issues such as adequate sleep, food choices, additives, vitamins etc. Some of the suggestions such as breathing right, taking at least a half hour a day for yourself, cleaning products and identifying additives provided lots of food for thought. Each topic is explored and the benefits explained. If you're already following that week's suggestions there are ideas for taking it up a notch.

I think the idea of one small change a week is great. However I think some of the ideas would require greater introspection and thought, such as Participate in Your Life (mindful thinking), Find Your Own Spirituality and Living with Purpose. However, that being said, 52 Small Changes does introduce the ideas for consideration.

The book is cleanly laid out, easy to read and includes pictures, graphs and blurb boxes. I think a reader could pick and choose ideas from the book that are pertinent to the changes they would like to see in their lives. I don't think every idea would work for everyone. Do I think I could make 52 changes this year? No, but I will be making some and 52 Small Changes has given me some ideas.

Farewell: The Greatest Spy Story of the Twentieth Century

Farewell is an interesting book loaded with detail and informed speculation about the activities of a disgruntled KGB officer who was determined to do damage to the organization and officials who, in his view, shunted him aside and prevented him from attaining a positiion of prominence and deserved affluence. During the first two years of the 1980's, Lt.Col. Vladimir Vetrov copied, photographed, and passed on to the West truly massive amounts of evidence that Farewell's authors, Kostin and Raynaud, present as demonstrating the near-total reliance of the Soviet Union on espionage rather than its own research and development to maintain parity in the arms race that characterized the long Cold War from the end of WW II until the collapse of Eastern Europe's multi-state edifice of communism in 1989.

Contrary to what a casual observer unfamiliar with the case might imagine, Vetrov did not work through the American CIA, the British MI6, or any other well developed western intelligence organization. Instead, Vetrov cleverly contacted the French, who at the time had no intelligence operatives in the Soviet Uniion. With an added touch of irony, while working as a KGB officer in France, Vetrov made his initial overtures to the French DST (Directorate of Territorial Surveillance), an internal counter-intelligence organization roughly comparable to the FBI. The DST had neither the experience nor the legally mandated authority to handle foreign agents in intelligence gathering. However, when the first documents provided by Vetrov were brought to the attention of the newly elected French President, Francois Mitterand, he supported the DST in its efforts to continue with Operation Farewell.

One consequence of Vetrov's use of the French DST was that he was able to rely on his years of experience and training as a KGB intelligence officer to direct his own activities, including his first contacts with an ordinary French businessman rather than a government official, and subsequently with the DST personnel to whom he passed on information. According to the authors, and based on interviews with former KGB officers and others with expert knowledge of intelligence and counter-intelligence, had Vetrov followed the initial proposals of the DST or operated according to any other set of established intelligence agency protocols, his operation would have been uncovered almost immediately, rather than continuing over a period of two productive years.

Vetrov's dissatisfaction with his circumstances as a KGB officer may, at first glance, seem unwarranted, inconsistent with the comfortable circumstances in which he and his family lived. Their Moscow apartment, by Soviet standards, was spacious and luxuriously furnished, even containing art work of substantial monetary value and attesting to the good taste of Vetrov and his wife Svetlana. Vetrov had his own car, a fairly unusual convenience, and his son's education at a university or university-level technical institute was sure to be paid for by the state. In addition, Vetrov had a rustic home in the country where he and his family went for weekends and vacations, escaping the crowds, traffic, and Stalinist drabness of Moscow.

Nevertheless, Vetrov was convinced, I think with good reason, that over the course of his life, his originality, his pertinent scientific and technical knowledge, and his hard work had been discounted, leaving him in the position of a bureaucratic mediocrity to be retired without promotion to the coveted rank of full Colonel. The legitimate means Vetrov used in seeking advancement, such as preparing on his own initiative thoroughly informed analyses and detailed forecasts of the Soviet systems scientific and technological capabilities and limitations, were routinely ignored.

Vetrov attributed his keenly felt lack of recognition to a totalistic state that, in all its manifestations, had become thoroughly corrupt. Granting of promotions and awards for exemplary service were based on nepotism or were outcomes of bureaucratic in-fighting, rather than demonstrated merit. A mid-career officer without connections could expcet little more than to be routinely compensated and left alone, denied the opportunity to serve at higher institutional levels working on the most prestigious projects and being acknowledged accordingly.

Given the relative ease and comfort of his position, however, it seems reasonable to wonder why Vetrov didn't just ride it out and retire to a quiet life in the country. Yes, he was ambitious, intelligent, hard-working, and under-valued, but was this sufficient reason to risk his future and the future of his family simply to avenge being overlooked and unappreciated?

The authors gave a good deal of thought to this question and even consulted psychologists, criminologists, and others with the kind of expertise and insight that might provide a plausible answer. They offer a fairly lengthy and, I think, unconvincing account of Vetrov's self-destruction. My reading of Farewell is that, yes, Vetrov was motivated by revenge, but he was also arrogant, self-centered, mercurial, and impulsive, an impatient, even action-seeking man who drank excessively and indulged in numerous extra-marital affairs. His conflicting accounts of his lengthy sexual relationship with a KGB translator named Ludmilla Ochinka betrayed the fact that he was torn between his family and a life with his mistress. Wracked with ambivalence, he vacillated endlessly in what must have been an estraordinarily stressful set of circumstances, and may or may not have been exacerbated by threats Ludmilla made to expose him.

Vetrov, clearly, was not the sort who was able to say "Oh, what the Hell?" and let it go at that. His frustration with his career in the KGB, exacerbated by the stress and uncertainty of his personal life, generated rebellion that eventually proved self-destructive.

Interestingly, Vetrov received little in the way of material compensation for documents that NATO countries considered invaluable. Greed was not his motive, nor was he consistently inclined to leave the Sovite Union. Vetrov was convinced that he was a good deal smarter than the colleagues who might find him out, and he maintained his conviction that he could provide for his material needs and personal safety without gifts or extrication to France or elsewhere. He needed the French only as a mail-pouch contact with the outside world. Otherwise, he could take care of himself.

Kostin and Rayanud, in the final chapter of their book, make an effort to assess the geo-political importance of Operation Farewell, including its role in ending the Cold War. Certainly, the more than three thousand documents that Vetrov was able to send to the West gave ample evidence that Soviet intelligence was remarkably effective in at least one important way: stealing top secret, highly technical, weapons-grade information from the U.S., France, and most of the West. Vetrov, thus, provided nations on the capitaist side of the Iron Curtain with information they needed to bring an end to the sieve-like seepage of precious informaton that had enabled the Soviets to maintain military parity with the West. Furthermore, by not publicly acknowledging what they knew to be serious breaches of security, Western nations could provide misinformation, thereby slowing Soviet scientific and technological progress even more than if they had simply plugged the innumerable leaks.

Finally, and this is a point emphasized by Kostin and Raynaud, when Ronald Reagan decided to escalate the Cold War, he forced the Soviet Union to invest more of its scarce resources in weapons development. By shutting off the supply of stolen scientific and technological information of military importance, Operation Farewell contributed to convincing the Soviet Union that it could not compete without driving itself into bankruptcy.

All this happened at a very interesting, even precarious, time: The U.S. had just elected a hawkish president, Ronald Reagan, who rejected detente and had quickly installed Pershiing missiles in Western Europe. The French had just elected a socialist president, Francois Mitterand, who had appointed several communists to his cabinet, and who favored elimination of secret services of all kinds. And Vladimir Vetrov had had enough of being taken for granted and ignored.

The real impact of Operation Farewell on the fall of the Soviet bloc and the end of the Cold War is difficult to assess. The story, however, is a good one, well told and well worth reading, even though its protagonist, at the end, is executed by the KGB he had sought to discredit.

Happy This Year!: The Secret to Getting Happy Once and for All

A practical, yet inspirational work that proposes it’s the inner world of our psyches that determines happiness, not outside forces. We have control over our own happiness and this powerful book offers concrete advice on how to tap into it and nourish it all year round. The author focuses explicitly on the positive ways we can establish a higher set-point in our thoughts, speech, and actions, resulting in greater sustainable levels of happiness. Regardless of what the year and your life may bring, we can become measurably and sustainably happier.

I've read several books on happiness, and this one is just delightful! Weaving personal stories, international culture, and do-able suggestions together, Will Bowen constructs an upbeat and engaging experience for the reader.

The thing I like best about "Happy This Year" is that the approach is so practical. The book presents down-to-earth, effective ways to (well, let's face it) change one's thinking habits and belief in oneself. Because, basically, that's what it takes to feel lasting happiness.

I did most of the work Bowen suggests, and raised my happiness "set-point" to a level I never knew existed. Even though I recently encountered some difficult life challenges, I've realized that my happiness level returns to its new high set-point as long as I keep practicing what I learned from this book.

If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently

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2005 ACHE Book of the Year. Fred Lee's best-selling healthcare book in a 2-disc MP3 audio-book format. The 9 1/2 principles in this highly personal and refreshingly written book will help any hospital team gain the extraordinary competitive advantage that comes from being seen as "the best" by their own employees, consumers, and community. Like his all day seminars, in these pages, Lee addresses the vexing reality that most of our approaches to patient satisfaction will not lead to patient loyalty. He takes aim at service excellence initiatives, quality, and performance improvement efforts and patient satisfaction surveys, dispelling some of our most cherished beliefs about loyalty and leadership..

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Plagues and Peoples

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This study describes the dramatic impact of infectious diseases on the rise and fall of civilizations. Plague demoralized the Athenian Army during war, and ravaged the Roman Empire. In the 16th century smallpox was the decisive agent that allowed Cortez with only 600 men to conquer the Aztec Empire, whose subjects numbered millions. As recently as 1918-19, an epidemic of influenza claimed 21 million victims and seemed to threaten civilization itself. Diseases such as syphilis, cholera, smallpox and malaria have been devastating to humanity for centuries. This book, through an impressive accumulation of evidence, demonstrates the central role of pestilence in human affairs and the extent to which it has changed the course of history.No small themes for historian William McNeill: he is a writer of big, sweeping books, from The Rise of the West to The History of the World. Plagues and Peoples considers the influence of infectious diseases on the course of history, and McNeill pays special attention to the Black Death of the 13th and 14th centuries, which killed millions across Europe and Asia. (At one point, writes McNeill, 10,000 people in Constantinople alone were dying each day from the plague.) With the new crop of plagues and epidemics in our own time, McNeill's quiet assertion that "in any effort to understand what lies ahead the role of infectious disease cannot properly be left out of consideration" takes on new significance..

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The American Health Care Paradox: Why Spending More is Getting Us Less

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Foreword by Harvey V. Fineberg, President of the Institute of Medicine

For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We’ve left out of our tally the most impactful expenditures countries make to improve the health of their populations—investments in social services.

In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of “health care,” archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care “system” developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world.

Offering a unique and clarifying perspective on the problems the Affordable Care Act won’t solve, this book also points a new way forward.

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Human Resources in Healthcare: Managing for Success, Fourth Edition

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Human Resources in Healthcare: Managing for Success, Fourth Edition Description

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Human Resources in Healthcare: Managing for Success, Fourth Edition, presents the techniques and practices behind effective management of people the healthcare profession s most important asset. It provides the concepts and practical tools necessary for meeting the unique challenges in today s healthcare environment.

This edition has been thoroughly revised and includes the following new content:

An expanded chapter on employment law and employee relations

A new chapter on credentialing of healthcare providers

A thorough update on staff recruitment, selection, and retention practices

An expanded section on performance management, including workplace bullying

A new chapter on workforce planning in a rapidly changing healthcare system

A new chapter on nurse staffing in healthcare organizations

New problem-based learning cases to engage students and expand learning comprehension

Updated short cases, discussion questions, and exercises throughout

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Advocacy, An Issue of Perioperative Nursing Clinics, 1e (The Clinics: Nursing)

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Advocacy, An Issue of Perioperative Nursing Clinics, 1e (The Clinics: Nursing) Description

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This issue of Perioperative Nursing Clinics, Guest Edited by Terri Goodman, PhD, RN, CNOR, will focus on Nurse Advocacy, with article topics including: the Nurse advocate; Patient right to safety; Advocacy through public policy; Advocating for patient families; Advocating for Laryngectomy Patients; Advocating for cancer patients; and Advocating for the patient in industry..

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Explanation in Causal Inference: Methods for Mediation and Interaction

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Explanation in Causal Inference: Methods for Mediation and Interaction Info

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The book provides an accessible but comprehensive overview of methods for mediation and interaction. There has been considerable and rapid methodological development on mediation and moderation/interaction analysis within the causal-inference literature over the last ten years. Much of this material appears in a variety of specialized journals, and some of the papers are quite technical. There has also been considerable interest in these developments from empirical researchers in the social and biomedical sciences. However, much of the material is not currently in a format that is accessible to them. The book closes these gaps by providing an accessible, comprehensive, book-length coverage of mediation.

The book begins with a comprehensive introduction to mediation analysis, including chapters on concepts for mediation, regression-based methods, sensitivity analysis, time-to-event outcomes, methods for multiple mediators, methods for time-varying mediation and longitudinal data, and relations between mediation and other concepts involving intermediates such as surrogates, principal stratification, instrumental variables, and Mendelian randomization. The second part of the book concerns interaction or "moderation," including concepts for interaction, statistical interaction, confounding and interaction, mechanistic interaction, bias analysis for interaction, interaction in genetic studies, and power and sample-size calculation for interaction. The final part of the book provides comprehensive discussion about the relationships between mediation and interaction and unites these concepts within a single framework. This final part also provides an introduction to spillover effects or social interaction, concluding with a discussion of social-network analyses.

The book is written to be accessible to anyone with a basic knowledge of statistics. Comprehensive appendices provide more technical details for the interested reader. Applied empirical examples from a variety of fields are given throughout. Software implementation in SAS, Stata, SPSS, and R is provided. The book should be accessible to students and researchers who have completed a first-year graduate sequence in quantitative methods in one of the social- or biomedical-sciences disciplines. The book will only presuppose familiarity with linear and logistic regression, and could potentially be used as an advanced undergraduate book as well.
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Understanding Healthcare Financial Management, Sixth Edition

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Understanding Healthcare Financial Management, Sixth Edition Info

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Today's healthcare managers are placing increased emphasis on financial implications when making operating decisions. Understanding Healthcare Financial Management, sixth edition, provides the financial theory and the "nuts and bolts" managers in a variety of provider settings need to make better decisions. Real-world examples and spreadsheet analyses are featured throughout the book.

The sixth edition features new and expanded material:

• Medicare reimbursement methods
• Pay-for-performance and consumer-directed health plans
• Revenue cycle
• Credit enhancement
• Business unit forecasting
• Merger activity in the health services industry
• Antitrust regulation
• Overview of derivatives

Companion website enhances learning and clarifies concepts

Go online to access additional tools for financial decision making:

• Spreadsheet models that illustrate text calculations
• Spreadsheet problem sets that cover new concepts
• A bonus chapter, "Distributions to Owners: Bonuses, Dividends, and Repurchases"
• Tutorial on using a financial calculator

New online resources:

• A healthcare reform primer that explains how new reform legislation - the Patient Protection and Affordable Care Act - affects healthcare financial management
• Mini-cases that provide more detailed real-world practice with concepts

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The Gift of Caring: Saving Our Parents from the Perils of Modern Healthcare

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The Gift of Caring: Saving Our Parents from the Perils of Modern Healthcare Description

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In this book, author and biologist Marcy Houle shares her personal journey of caring for her father, a surgeon, who developed Alzheimer's disease, and later her mother, who succumbed to other medical conditions.

Like many children of aging parents, Marcy often felt powerless traveling this sad trajectory - watching them fall through the cracks of a fragmented and confusing healthcare system, where professionals often wrote off their symptoms as "just old age". The tragic secret? According to coauthor and geriatrics physician Elizabeth Eckstrom, these symptoms frequently are not "just old age". Rather, the problem is that the current healthcare delivery model for older people is ill-equipped to provide the comprehensive, person-centered care seniors need. Today, thousands of aging people face unnecessary suffering, hospitalizations, nursing home stays, and even death due to complications that could have been prevented or treated.

The Gift of Caring reveals these pitfalls and provides families with tools they can use to avoid them. Dr. Eckstrom shares professional medical insights into what Marcy could have done to safeguard her parents, and shows how we can become our loved one's best advocate.

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Plagues and Peoples

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Plagues and Peoples Description

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Upon its original publication, Plagues and Peoples was an immediate critical and popular success, offering a radically new interpretation of world history as seen through the extraordinary impact--political, demographic, ecological, and psychological--of disease on cultures. From the conquest of Mexico by smallpox as much as by the Spanish, to the bubonic plague in China, to the typhoid epidemic in Europe, the history of disease is the history of humankind. With the identification of AIDS in the early 1980s, another chapter has been added to this chronicle of events, which William McNeill explores in his new introduction to this updated editon.

Thought-provoking, well-researched, and compulsively readable, Plagues and Peoples is that rare book that is as fascinating as it is scholarly, as intriguing as it is enlightening. "A brilliantly conceptualized and challenging achievement" (Kirkus Reviews), it is essential reading, offering a new perspective on human history.


From the Trade Paperback edition.No small themes for historian William McNeill: he is a writer of big, sweeping books, from The Rise of the West to The History of the World. Plagues and Peoples considers the influence of infectious diseases on the course of history, and McNeill pays special attention to the Black Death of the 13th and 14th centuries, which killed millions across Europe and Asia. (At one point, writes McNeill, 10,000 people in Constantinople alone were dying each day from the plague.) With the new crop of plagues and epidemics in our own time, McNeill's quiet assertion that "in any effort to understand what lies ahead the role of infectious disease cannot properly be left out of consideration" takes on new significance.Upon its original publication, Plagues and Peoples was an immediate critical and popular success, offering a radically new interpretation of world history as seen through the extraordinary impact--political, demographic, ecological, and psychological--of disease on cultures. From the conquest of Mexico by smallpox as much as by the Spanish, to the bubonic plague in China, to the typhoid epidemic in Europe, the history of disease is the history of humankind. With the identification of AIDS in the early 1980s, another chapter has been added to this chronicle of events, which William McNeill explores in his new introduction to this updated editon.

Thought-provoking, well-researched, and compulsively readable, Plagues and Peoples is that rare book that is as fascinating as it is scholarly, as intriguing as it is enlightening. "A brilliantly conceptualized and challenging achievement" (Kirkus Reviews), it is essential reading, offering a new perspective on human history.


From the Trade Paperback edition..

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Ethical Issues in Clinical Research: A Practical Guide

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Ethical Issues in Clinical Research: A Practical Guide Info

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This book teaches researchers how to resolve the ethical dilemmas that can arise at any stage in clinical research. In addition to explaining pertinent regulations and laws, Dr. Lo helps investigators understand the gaps and uncertainties in regulations, as well as situations in which merely complying with the law may not fulfill ethical responsibilities. Most chapters include real-life examples that the author walks through, discussing the salient issues and how to approach them. This book can be used in courses on research ethics that are required or encouraged by major National Institutes of Health grants in academic health centers.

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Stedman's Medical Terminology Flash Cards

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Stedman's Medical Terminology Flash Cards La revue

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Stedman's Medical Terminology Flash Cards, Second Edition contains 800 flash cards made up of prefixes, suffixes, and root words to help users learn the building blocks of medical terminology. Each form is presented on the front of the card, and the definition and word building samples appear on the back. This edition features a new full-color design with specialties color-coded and illustrations added to cards. Any student of medical terminology, or any student in nursing, health professions or medicine will value this quick, easy format for assessing their medical terminology knowledge.

A companion website includes an audio pronunciation glossary and a question bank, including multiple choice, fill-in-the-blank, spelling bee, matching exercises, figure labeling, and medical records based questions.

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Management And Leadership For Nurse Administrators: Navigate 2 Advantage Access

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Management And Leadership For Nurse Administrators: Navigate 2 Advantage Access Description

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Management and Leadership for Nurse Administrators, Seventh Edition provides professional administrators and nursing students with a comprehensive overview of management concepts and theories. This text provides a foundation for nurse managers and executives as well as nursing students with a focus on management and administration. This current edition includes 15 chapters, framed around the Scope and Standards for Nurse Administrators, American Organization of Nurse Executive competencies, and current trends in healthcare management. The American Nurses Credentialing Center’s focus on magnetism is also integrated into this edition, specifically on transformational leadership, structural empowerment, exemplary professional practice, innovation and improvement, and quality. Management and Leadership for Nurse Administrators, Seventh Edition has a substantive focus on planning and managing evidence-based initiative, phases of implementation, and evaluation methods within the context. Features: Real world examples Case Studies with questions Learning Objectives Leadership Skills Professional Skills Knowledge of Healthcare Environment Skills Future of Nursing: Four Key Messages.

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Jonas' Introduction to the U.S. Health Care System, 7th Edition (Health Care Delivery in the United States (Jonas & Kovner's))

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Jonas' Introduction to the U.S. Health Care System, 7th Edition (Health Care Delivery in the United States (Jonas & Kovner's)) La revue

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"There are many books on the U.S. healthcare system, but few have the longevity of this one. It is easy to read and straightforward in its approach to difficult subjects such as the rise of the Tea Party and how that movement has impacted healthcare. This update is certainly needed as the landscape has changed dramatically since the previous edition was published in 2007."--Doody's Medical Reviews

This best-selling textbook remains the most concise and balanced introduction to the United States health care system. Providing an accessible overview of the basic components of the system, this latest edition is also entirely updated to address the health care reform bill of 2010 and subsequent changes to health care services, delivery, and financing.

Like its predecessors, Jonasí Introduction to the U.S. Health Care System includes an overview of health care personnel, hospitals and other institutions, the federal government, financing and payment mechanisms, and managed care. It has been updated to offer insights into the 2010 health care reform bill and its resulting political and medical fallout, and a new chapter on health care system trends and consequences has been added. All students of health care administration and policy, as well as practicing health care professionals seeking a clear and concise overview of our health care system, will benefit from this resource.

Key Features of the Updated Edition:

• Remains the most concise and balanced introduction to the U.S. health care system
• Entirely updated to address the 2010 health care reform bill and subsequent changes to health care services, delivery, and financing
• Includes new chapter on health care system trends and consequences
• Ideal for use in undergraduate courses on the U.S. health care system, in graduate survey courses, and in courses introducing the subject to medical students
• Comes with instructor materials, including PowerPoints, an instructor manual, and a test bank

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ALTERED GENES, TWISTED TRUTH: How the Venture to Genetically Engineer Our Food Has Subverted Science, Corrupted Government, and Systematically Deceived the Public

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ALTERED GENES, TWISTED TRUTH: How the Venture to Genetically Engineer Our Food Has Subverted Science, Corrupted Government, and Systematically Deceived the Public La revue

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This book uncovers the biggest scientific fraud of our age. It tells the fascinating and frequently astounding story of how the massive enterprise to restructure the genetic core of the world's food supply came into being, how it advanced by consistently violating the protocols of science, and how for more than three decades, hundreds of eminent biologists and esteemed institutions have systematically contorted the truth in order to conceal the unique risks of its products–and get them onto our dinner plates.



Altered Genes, Twisted Truth provides a graphic account of how this elaborate fraud was crafted and how it not only deceived the general public, but Bill Clinton, Bill Gates, Barack Obama and a host of other astute and influential individuals as well. The book also exposes how the U.S. Food and Drug Administration (FDA) was induced to become a key accomplice--and how it has broken the law and repeatedly lied in order to usher genetically engineered foods onto the market without the safety testing that's required by federal statute. As a result, for fifteen years America's families have been regularly ingesting a group of novel products that the FDA's own scientific staff had previously determined to be unduly hazardous to human health.



By the time this gripping story comes to a close, it will be clear that the degradation of science it documents has not only been unsavory but unprecedented--and that in no other instance have so many scientists so seriously subverted the standards they were trained to uphold, misled so many people, and imposed such magnitude of risk on both human health and the health of the environment.

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Introduction to Healthcare Quality Management, Second Edition

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Introduction to Healthcare Quality Management, Second Edition Info

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Introduction to Healthcare Quality Management explains the basic principles and techniques of quality management in healthcare. This revised edition features a new chapter devoted to the use of high-reliability concepts that help organizations achieve safety, quality, and efficiency goals. This reader-friendly book, complete with helpful charts and diagrams, examines a range of topics, from measuring performance to creating high-quality services that result in satisfied customers. Practical examples and case studies apply quality concepts and tools to real-life situations. Each chapter contains a list of key words and defines important glossary terms to help you understand the vocabulary of healthcare quality management. As an added bonus to this edition, each chapter now includes an expanded list of websites that provides additional resources to customize and enhance your understanding of healthcare quality management.

Key discussions include the following topics:

Quality characteristics most important to healthcare stakeholders, including payers and consumers

Regulatory mandates and accreditation standards that influence healthcare quality activities

Proper techniques for gathering and effectively analyzing healthcare performance measurement data

New technology-based services that improve the patient experience

Key tactics and strategies that organizational leaders and improvement project teams must implement to accomplish quality goals

Methods for redesigning healthcare processes to achieve more reliable performance

Patient safety initiatives that reduce harmful medical errors

Resource management activities that improve continuity of care and prevent service overuse and underuse

Organizational factors that affect quality management and performance reliability

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Health Policy Analysis

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Health Policy Analysis Description

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Drawing from the perspectives of a variety of disciplines, this innovative text is unlike any others of its kind. Health Policy Analysis: An Interdisciplinary Approach, Second Edition analyzes current U.S. health policy and proposes various alternatives for developing future health policy without pushing a single solution set—rather, it considers the viewpoints of economics, political science, management, communications, technology, and public health.
Organized into three sections, this unique text first explores the current and historical issues with the U.S. healthcare system and considers the alternatives for future policy that have strong support.
It then reviews the political processes that influence planning in various healthcare settings; presents the accepted methods of economic and financial analysis; and addresses the ethical and other value considerations that must enter into the health policy process.
Finally, it takes a look at the roles, skills, and leadership that health professionals can bring to the policy making process in their local and national communities.
The Second Edition offers:
• An expansive new look at the Affordable Care Act woven throughout Chapters 1-5
• New chapter on evidence-based medicine.
• Greater emphasis and focus on the learning health system as well as cost and outcomes, in light of the shrinking crisis of the uninsured.
• All new cases in each chapter..

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Curriculum Development for Medical Education: A Six-Step Approach

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Curriculum Development for Medical Education: A Six-Step Approach Info

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Based on a proven six-step model and including examples and questions to guide application of those timeless principles, Curriculum Development for Medical Education is a practical guidebook for all faculty members and administrators responsible for the educational experiences of medical students, residents, fellows, and clinical practitioners.

Incorporating revisions driven by calls for reform and innovations in medical education that challenge established teaching models, the third edition includes an awareness of new accreditation standards and regulatory guidelines. The authors have expanded their discussion of survey methodology for needs assessment and stress the importance of writing competency-based goals and objectives that incorporate milestones, entrustable professional activities, and observable practice activities. With updated examples focusing on interprofessional education, collaborative practice, and educational technology, they describe educational strategies that incorporate the new science of learning. A completely new chapter presents the unique challenges of curriculum development for large, long, and integrated curricula.

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Social Security, Medicare & Government Pensions: Get the Most Out of Your Retirement & Medical Benefits

Read Social Security, Medicare & Government Pensions: Get the Most Out of Your Retirement & Medical Benefits gratuitment. book online now. You also can download comics, magazine and also books. Get online Social Security, Medicare & Government Pensions: Get the Most Out of Your Retirement & Medical Benefits today.

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Social Security, Medicare & Government Pensions: Get the Most Out of Your Retirement & Medical Benefits La revue

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Your complete guide to Social Security retirement and medical benefits

The rules for claiming Social Security have changed. Find out if you still qualify to “file and suspend” benefits or to choose between your own benefits and spousal benefits before these strategies disappear. Learn this and more with Social Security, Medicare & Government Pensions―completely updated for 2016.

Social Security benefits. Figure out how to get retirement, disability, dependents and survivors benefits, or Supplemental Security Income (SSI). Decide whether it’s best to claim benefits early, at full retirement age, or not until you turn 70―and how to time your claims so you and your spouse get the best benefits.

Medicare & Medicaid. Learn how to qualify for and enroll in both programs, including Medicare Part D drug coverage.

Medigap insurance & Medicare Advantage plans. Understand what new Medigap policies are available (and old ones that aren’t), compare Medigap and Medicare Advantage plans, and choose what’s best for you.

Government pensions & veterans benefits. Discover when and how to claim the benefits you have earned. Whether you’re looking for yourself or helping a parent, you’ll find valuable information here, including how to file many essential forms online..

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Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application, 1e

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Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application, 1e Info

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Better understand the complexities of pharmacology and physiology relevant to your practice with the brand-new medical reference book, Pharmacology and Physiology for Anesthesia. Drs. Hugh Hemmings and Talmage Egan provide the clinical insights you need to effectively administer anesthesia, ensuring patient safety and the most optimal outcomes.

"...This is a useful well-written textbook of pharmacology and physiology. There is a greater emphasis on the pharmacology, but both sciences are dealt with to a high standard...I am happy to recommend this book as a useful learning and reference source." Reviewed by: C.S Reilly on behalf of British Journal of Anaesthesia, Feb 2014

• Access comprehensive, continually updated research on the physiology of organ systems and clinical topics in the pharmacology of anesthetic drugs.
• Quickly and easily reference the information you need through user-friendly tables, figures, and algorithms, all presented in lavish full color throughout.
• Understand the molecular mechanism of drug actions and identify key drug interactions that may complicate anesthesia with dedicated sections on these key areas.
• Search the text and download images online at Expert Consult.

Build a thorough knowledge of pharmacology and physiology focused on clinical practice

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HCPCS Level II Professional - 2016

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HCPCS Level II Professional - 2016 La revue

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HCPCS Level II Professional

Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the Optum360 HCPCS Level II Professional. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. This user-friendly book will guide any coder confidently through current modifiers, code changes, additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).

Professional edition includes the traditional hallmark features:

PQRS icons. Recognize potential for Medicare quality reporting bonus payments with icons denoting which HCPCS codes fall under the Physician Quality Reporting System.

Comprehensive code updates. Access 2016 OPPS files for HCPCS Level II, as well as deleted codes.

APC status indicators and ASC designation symbols. Determine which codes are payable under OPPS, which codes enable billing using ASC groupings and how to accurately use each to help ensure appropriate billing and reimbursement.

DMEPOS icon. Distinguish codes paid under the DMEPOS fee schedule to improve efficiency when coding for supplies that should be submitted under the system to durable medical payers.

In-depth illustrations. Enhance your coding process and accuracy for supplies and services with detailed visual references.

AHA Coding Clinic for HCPCS references. Receive added support with articles on difficult-to-code HCPCS Level II codes or sections.

Color-coded bars and icons. Spot important information to help reduce inaccurate and denied claims with informative flags signaling Pub. 100 references, age and gender edits, quantity alerts, new/deleted/revised code changes and government coverage and rules for each code.

User-friendly appendixes. Navigate additional information easily with structured references and excerpts, including a comprehensive drug table, Pub. 100 references, acronyms/abbreviations, and modifiers.

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Hayes' Principles and Methods of Toxicology, Sixth Edition

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Hayes' Principles and Methods of Toxicology, Sixth Edition Info

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Hayes’ Principles and Methods of Toxicology has long been established as a reliable reference to the concepts, methodologies, and assessments integral to toxicology. The new sixth edition has been revised and updated while maintaining the same high standards that have made this volume a benchmark resource in the field. With new authors and new chapters that address the advances and developments since the fifth edition, the book presents everything toxicologists and students need to know to understand hazards and mechanisms of toxicity, enabling them to better assess risk.

The book begins with the four basic principles of toxicology—dose matters, people differ, everything transforms, and timing is crucial. The contributors discuss various agents of toxicity, including foodborne, solvents, crop protection chemicals, radiation, and plant and animal toxins. They examine various methods for defining and measuring toxicity in a host of areas, including genetics, carcinogenicity, toxicity in major body systems, and the environment. This new edition contains an expanded glossary reflecting significant changes in the field.

New topics in this edition include:

• The importance of dose–response








• Systems toxicology








• Food safety








• The humane use and care of animals








• Neurotoxicology

The comprehensive coverage and clear writing style make this volume an invaluable text for students and a one-stop reference for professionals.

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