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Improving Social Confidence and Reducing Shyness Using Compassion Focused Therapy: Series editor, Paul Gilbert

by Lynne Henderson

Shyness can affect most of us to varying degrees, and tends to affect children more than adults as people tend to grow in confidence as they get older. It is therefore a universal emotion but in some people it is a more pronounced personality trait. Severe shyness is referred to as 'social anxiety disorder', however this self-help book is written for the people experiencing different degrees of shyness. Shyness has evolved as an emotion over thousands of years and can be helpful in some circumstances, however normal shyness can become chronic thanks to negative thoughts, avoidance and withdrawal. While shyness has its functions, it becomes a problem when it interferes with life goals, develops into social anxiety disorder or leads on to 'learned pessimism', mild depression and even 'learned helplessness'. This self-help book, based on the groundbreaking new Compassion Focused Therapy, sets out the background to shyness - its evolutionary functions, why it becomes chronic in some people, and sets out skills and exercises based on CFT to help the reader overcome problematic shyness.

Improving Social Confidence and Reducing Shyness Using Compassion Focused Therapy: Series editor, Paul Gilbert

by Lynne Henderson

Shyness can affect most of us to varying degrees, and tends to affect children more than adults as people tend to grow in confidence as they get older. It is therefore a universal emotion but in some people it is a more pronounced personality trait. Severe shyness is referred to as 'social anxiety disorder', however this self-help book is written for the people experiencing different degrees of shyness. Shyness has evolved as an emotion over thousands of years and can be helpful in some circumstances, however normal shyness can become chronic thanks to negative thoughts, avoidance and withdrawal. While shyness has its functions, it becomes a problem when it interferes with life goals, develops into social anxiety disorder or leads on to 'learned pessimism', mild depression and even 'learned helplessness'. This self-help book, based on the groundbreaking new Compassion Focused Therapy, sets out the background to shyness - its evolutionary functions, why it becomes chronic in some people, and sets out skills and exercises based on CFT to help the reader overcome problematic shyness.

Improving Sustainability During Hospital Design and Operation

by Stefano Capolongo Marta Carla Bottero Maddalena Buffoli Emanuele Lettieri

This book describes the Sustainable High Quality Healthcare (SustHealth) project, which had the goal of developing an original multidisciplinary evaluation tool that can be applied to assess and improve hospitals' overall sustainability. The comprehensive nature of the appraisal offered by this tool exceeds the scope of most current rating systems, which typically permit a thorough evaluation of relevant environmental factors when designing a new building but fail to consider social and economic impacts of the design phase or the performance of the hospital's operational structure in these fields. The multidisciplinary evaluation system was developed, from its very inception through to its testing, by following a scientific experimental method in which a global perspective was constantly maintained, as opposed to a focus only on specific technical issues. Application of the SustHealth rating tool to a currently functioning hospital, or one under design, will identify weaknesses and guide users to potential low-cost short-term solutions and longer-term strategies for improvement.

Improving the Efficiency and Effectiveness of Genomic Science Translation: Workshop Summary

by Sarah H. Beachy

The process for translating basic science discoveries into clinical applications has historically involved a linear and lengthy progression from initial discovery to preclinical testing, regulatory evaluation and approval, and, finally, use in clinical practice. The low rate of translation from basic science to clinical application has been a source of frustration for many scientists, clinicians, investors, policy makers, and patients who hoped that investments in research would result in improved products and processes for patients. Some feel that the anticipated deliverables from the Human Genome Project have not yet materialized, and although understanding of human health and disease biology has increased, there has not been a concomitant increase in the number of approved drugs for patients over the past 10 years. "Improving the Efficiency and Effectiveness of Genomic Science Translation" is the summary of a workshop convened by the Institute of Medicine Roundtable on Translating Genomic-Based Research for Health in December 2012 to explore ways to improve the efficiency and effectiveness of the translation of genomic science to clinical practice. The workshop convened academic researchers, industry representatives, policy makers, and patient advocates to explore obstacles to the translation of research findings to clinical practice and to identify opportunities to support improvement of the early stages of the process for translation of genetic discoveries. This report discusses the realignment of academic incentives, the detection of innovative ways to fund translational research, and the generation or identification of alternative models that accurately reflect human biology or disease to provide opportunities to work across sectors to advance the translation of genomic discoveries.

Improving the Health, Safety, and Well-Being of Young Adults

by Board on Children, Youth, and Families National Research Council Clare Stroud Steve Olson Institute of Medicine Tara Mainero

Young adults are at a significant and pivotal time of life. They may seek higher education, launch their work lives, develop personal relationships and healthy habits, and pursue other endeavors that help set them on healthy and productive pathways. However, the transition to adulthood also can be a time of increased vulnerability and risk. Young adults may be unemployed and homeless, lack access to health care, suffer from mental health issues or other chronic health conditions, or engage in binge drinking, illicit drug use, or driving under the influence. Young adults are moving out of the services and systems that supported them as children and adolescents, but adult services and systems--for example, the adult health care system, the labor market, and the justice system--may not be well suited to supporting their needs. Improving the Health, Safety, and Well-Being of Young Adults is the summary of a workshop hosted by the Board on Children, Youth, and Families of the Institute of Medicine (IOM) and the National Research Council (NRC) in May, 2013. More than 250 researchers, practitioners, policy makers, and young adults presented and discussed research on the development, health, safety, and well-being of young adults. This report focuses on the developmental characteristics and attributes of this age group and its placement in the life course; how well young adults function across relevant sectors, including, for example, health and mental health, education, labor, justice, military, and foster care; and how the various sectors that intersect with young adults influence their health and well-being. Improving the Health, Safety, and Well-Being of Young Adults provides an overview of existing research and identifies research gaps and issues that deserve more intensive study. It also is meant to start a conversation aimed at a larger IOM/NRC effort to guide research, practices, and policies affecting young adults.

Improving the Medicare Market: Adding Choice and Protections

by Committee on Choice Managed Care: Assuring Public Accountability Information for Informed Purchasing by on Behalf of Medicare Beneficiaries

Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress.However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sector--yet protect them as consumers and patients.This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed care--how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters.The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

by Institute of Medicine of the National Academies

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are serious—for these individuals and their families; their employers and the workforce; for the nation’s economy; as well as the education, welfare, and justice systems.Improving the Quality of Health Care for Mental and Substance-Use Conditionsexamines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substance–use conditions will benefit from this guide to achieving better care.

Improving the Quality of Long-Term Care

by Committee on Improving Quality in Long-Term Care

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Improving the Utility and Translation of Animal Models for Nervous System Disorders

by Institute of Medicine Forum on Neuroscience and Nervous System Disorders Bruce M. Altevogt Diana E. Pankevich Board on Health Sciences Policy Theresa M. Wizemann

Nervous system diseases and disorders are highly prevalent and substantially contribute to the overall disease burden. Despite significant information provided by the use of animal models in the understanding of the biology of nervous system disorders and the development of therapeutics; limitations have also been identified. Treatment options that are high in efficacy and low in side effects are still lacking for many diseases and, in some cases are nonexistent. A particular problem in drug development is the high rate of attrition in Phase II and III clinical trials. Why do many therapeutics show promise in preclinical animal models but then fail to elicit predicted effects when tested in humans? On March 28 and 29, 2012, the Institute of Medicine Forum on Neuroscience and Nervous System Disorders convened the workshop "Improving Translation of Animal Models for Nervous System Disorders" to discuss potential opportunities for maximizing the translation of new therapies from animal models to clinical practice. The primary focus of the workshop was to examine mechanisms for increasing the efficiency of translational neuroscience research through discussions about how and when to use animal models most effectively and then best approaches for the interpretation of the data collected. Specifically, the workshop objectives were to: discuss key issues that contribute to poor translation of animal models in nervous system disorders, examine case studies that highlight successes and failures in the development and application of animal models, consider strategies to increase the scientific rigor of preclinical efficacy testing, explore the benefits and challenges to developing standardized animal and behavioral models. Improving the Utility and Translation of Animal Models for Nervous System Disorders: Workshop Summary also identifies methods to facilitate development of corresponding animal and clinical endpoints, indentifies methods that would maximize bidirectional translation between basic and clinical research and determines the next steps that will be critical for improvement of the development and testing of animal models of disorders of the nervous system.

Improving Upper Body Control: An Approach To Assessment And Treatment Of Tonal Dysfunction

by Regi Boehme

Improving Upper Body Control: An Approach to Assessment and Treatment of Tonal Dysfunction

Improving Use of Medicines and Medical Tests in Primary Care

by Lynn Maria Weekes

This book is about optimizing the use of medicines and medical tests in primary care. It provides a comprehensive resource for students, researchers, health practitioners and administrators seeking information on how to design, implement, scale-up and build capability for interventions and programs that result in changes in prescribing and medical/diagnostic test ordering by health professionals. Drawing on work from Australia, Canada and the United States of America, the book begins with the evidence-base and theoretical frameworks that underpin successful behaviour change programs. It provides details on particular interventions such as clinical audit, academic detailing, choosing wisely and supports for consumers. Real world examples explore the process of designing, implementing and evaluating interventions and the factors that can help and hinder this process. This is a practical text that will be useful to the beginner and more experience program implementation professionals alike.

Improving Women’s Health Across the Lifespan (Lifestyle Medicine)

by Michelle Md, Michelle Tollefson

There is renewed interest in lifestyle medicine – the focus on food, physical activity, stress management, high-quality connections, restorative sleep, and avoidance of toxic substances – in the prevention, treatment, and sometimes reversal of chronic disease, but very little information exists on its application for improving specific women’s health issues across the lifespan. Consequently, there is a growing need among health professionals who care for women for a textbook that addresses evidence-based lifestyle solutions to manage the health challenges they face every day in their offices. This book begins with a review of the fundamentals of Lifestyle Medicine through the lens of a woman’s lifespan. It provides information about lifestyle interventions to improve gynecologic and sexual health and to manage and sometimes reverse gynecologic diseases. It clarifies the importance of lifestyle and behaviors before and during pregnancy to address infertility, reduce adverse pregnancy outcomes, and to lower non-communicable diseases in children along with emerging epigenetic evidence. The use of Lifestyle Medicine to prevent and manage breast and gynecologic cancers, enhance health as part of cancer survivorship, and decrease the risk or reduce many of the symptoms and diseases experienced during menopause including vasomotor symptoms and osteoporosis are also discussed. Additionally, the text covers cardiovascular disease, diabetes, autoimmune disorders, dementia and mental health from the perspective of gender specific differences. This book provides practical resources on implementing the components of lifestyle medicine. Some of the topics covered include models of care for women and families, reimbursement, health coaching and behavioral change, community engagement and health equity for under-resourced settings. The electronic version of the book presents supplemental material featuring in-depth reading, as well as online and digital resources for implementing Lifestyle Medicine. The book is an evidence-based source of information on women’s health issues for health professionals already practicing lifestyle medicine, as well as an entry level textbook for those new to the field of lifestyle medicine. The collective expertise of each of the editors along with content provided by leaders within the American College of Lifestyle Medicine fills a much-needed void within the specialty of Lifestyle Medicine and is for providers of women’s health globally. Features: ● Provides a basic overview of Lifestyle Medicine (nutrient-rich diet, exercise, stress resilience, sleep, and high-quality connections) in the care of women across the lifespan. ● Provides lifestyle-focused treatment recommendations for specific women health issues. ● Includes strategies for implementing Lifestyle Medicine with vulnerable populations and in communities. ● Summarizes key points at the close of each chapter and includes supplemental material with in-depth reading. ● Features additional resources for implementing lifestyle medicine into practice. "This women's health book is evidence based and comprehensive. There is nothing like it. Women need up to date information about physical activity, nutrition, sleep, stress resilience, social connection and substance use. In addition, there is a desire to better understand the power of these pillars throughout a woman's life including pregnancy, menopause and the golden years. This book fills that need." Elizabeth Pegg Frates, MD, DipABLM, FACLM, President Elect of the American College of Lifestyle Medicine "Healthy aging begins at pre-conception. Evidence overwhelmingly shows that it’s we women who—through our lifestyle behavior choices—can take far greater control of our own health destinies, as well as the health destinies of our children and generations to come. We cannot underestimate the power of what we eat, how we move, and what we think in regard to our optimal hea

Improving Your Memory: How to Remember What You're Starting to Forget

by Janet Fogler Lynn Stern

An essential handbook packed with proven techniques for remembering what you don’t want to forget.In the years since the previous edition of Improving Your Memory was published, technology has dramatically changed how we keep track of life’s many details. Appliances and car lights turn themselves off, smartphones and computers remind us of appointments, and Google lets us search for the information that we can’t remember. Still, we grow frustrated and anxious when words won’t come, when we misplace items, or when we forget meetings, birthdays, names. University of Michigan social workers Janet Fogler and Lynn Stern have completely updated their friendly and usable guide to memory improvement techniques. Recognizing that people worry something is wrong with them when they forget things, Fogler and Stern suggest that the antidote to worry is taking positive actions to help us remember what we want to remember. They provide readers with tools for understanding and improving memory, including sixteen helpful exercises. Simple techniques like writing information down, creating a catch word or phrase, altering something in your environment, and reviewing details in advance can put you actively in charge of retrieving information more easily. As in previous editions, Improving Your Memory reinforces memory techniques through real-life examples. This accessible handbook also discusses how memory works; how it changes with age, stress, illness, and depression; and why people remember what they do. Many readers will see immediate improvement in their memory after reading the book.

Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic

by Julie Livingston

In Improvising Medicine, Julie Livingston tells the story of Botswana's only dedicated cancer ward, located in its capital city of Gaborone. This affecting ethnography follows patients, their relatives, and ward staff as a cancer epidemic emerged in Botswana. The epidemic is part of an ongoing surge in cancers across the global south; the stories of Botswana's oncology ward dramatize the human stakes and intellectual and institutional challenges of an epidemic that will shape the future of global health. They convey the contingencies of high-tech medicine in a hospital where vital machines are often broken, drugs go in and out of stock, and bed-space is always at a premium. They also reveal cancer as something that happens between people. Serious illness, care, pain, disfigurement, and even death emerge as deeply social experiences. Livingston describes the cancer ward in terms of the bureaucracy, vulnerability, power, biomedical science, mortality, and hope that shape contemporary experience in southern Africa. Her ethnography is a profound reflection on the social orchestration of hope and futility in an African hospital, the politics and economics of healthcare in Africa, and palliation and disfigurement across the global south.

Impulse: The Science of Sex and Desire

by Jon E. Grant Samuel R. Chamberlain

Sex is everywhere in modern society, yet it remains taboo. We all have questions about sex that are too uncomfortable to ask – how do we get reliable answers? In this go-to guide Drs Grant and Chamberlain use their clinical expertise to answer the questions you wish you could ask about sex. Questions like: Is my sex drive or sex behavior normal? Can someone have too much sex? Or too little? How has Internet dating and pornography changed sex? This go-to guide will help you understand common sexual issues, know when to worry (or not) about different sexual behaviors, and learn how our sex lives adapt to changing technology or in times of crisis. It also provides step-by-step advice for dealing with a range of sexual issues, and practical strategies for strengthening relationships.

In a Little Kingdom

by Perry Stieglitz

First Published in 1991. Routledge is an imprint of Taylor & Francis, an Informa company.

In an Instant: A Family's Journey of Love and Healing

by Bob Woodruff Lee Woodruff

In one of the most anticipated books of the year, Lee Woodruff, along with her husband, Bob Woodruff, share their never-before-told story of romance, resilience, and survival following the tragedy that transformed their lives and gripped a nation.In January 2006, the Woodruffs seemed to have it all-a happy marriage and four beautiful children. Lee was a public relations executive and Bob had just been named co-anchor of ABC's World News Tonight. Then, while Bob was embedded with the military in Iraq, an improvised explosive device went off near the tank he was riding in. He and his cameraman, Doug Vogt, were hit, and Bob suffered a traumatic brain injury that nearly killed him.In an Instant is the frank and compelling account of how Bob and Lee's lives came together, were blown apart, and then were miraculously put together again-and how they persevered, with grit but also with humor, through intense trauma and fear. Here are Lee's heartfelt memories of their courtship, their travels as Bob left a law practice behind and pursued his news career and Lee her freelance business, the glorious births of her children and the challenges of motherhood.Bob in turn recalls the moment he caught the journalism "bug" while covering Tiananmen Square for CBS News, his love of overseas assignments and his guilt about long separations from his family, and his pride at attaining the brass ring of television news-being chosen to fill the seat of the late Peter Jennings.And, for the first time, the Woodruffs reveal the agonizing details of Bob's terrible injuries and his remarkable recovery. We learn that Bob's return home was not an end to the journey but the first step into a future they have learned not to fear but to be grateful for.In an Instant is much more than the dual memoir of love and courage. It is an important, wise, and inspiring guide to coping with tragedy-and an extraordinary drama of marriage, family, war, and nation.A percentage of the proceeds from this book will be donated to the Bob Woodruff Family Fund for Traumatic Brain Injury.From the Hardcover edition.

The In-Between: Unforgettable Encounters During Life's Final Moments

by Hadley Vlahos

Passionate advocate for end-of-life care and TikTok star Hadley Vlahos shares moving stories of joy, wisdom, and redemption from her patients’ final moments in this “brilliant” (Zibby Owens, Good Morning America) memoir. <p><p> Talking about death and dying is considered taboo in polite company, and even in the medical field. Our ideas about dying are confusing at best: Will our memories flash before our eyes? Regrets consume our thoughts? Does a bright light appear at the end of a tunnel? For most people, it will be a slower process, one eased with preparedness, good humor, and a bit of faith. At the forefront of changing attitudes around palliative care is hospice nurse Hadley Vlahos, who shows that end-of-life care can teach us just as much about how to live as it does about how we die. <p><p> Vlahos was raised in a strict religious household, but began questioning her beliefs in high school after the sudden death of a friend. When she got pregnant at nineteen, she was shunned by her community and enrolled herself in nursing school to be able to support herself and her baby. But nursing soon became more than a job: when she focused on palliative care and hospice work, it became a calling. <p><p> In The In-Between, Vlahos recounts the most impactful experiences she’s had with the people she’s worked with—from the woman who never once questioned her faith until she was close to death, to the older man seeing visions of his late daughter, to the young patient who laments that she spent too much of her short life worrying about what others thought of her—while also sharing her own fascinating journey. <p><p> Written with profound insight, humility, and respect, The In-Between is a heartrending memoir that shows how caring for others can transform a life while also offering wisdom and comfort for those dealing with loss and providing inspiration for how to live now. <p> <b>New York Times Bestseller</b>

In-Between Days: A Memoir About Living with Cancer

by Teva Harrison

2016 Governor General's Literary Award Finalist2017 Kobo Emerging Writer Prize Winner2017 Joe Shuster Award NomineeTeva Harrison was diagnosed with metastatic breast cancer at the age of 37. In this brilliant and inspiring graphic memoir, she documents through comic illustration and short personal essays what it means to live with the disease. She confronts with heartbreaking honesty the crises of identity that cancer brings: a lifelong vegetarian, Teva agrees to use experimental drugs that have been tested on animals. She struggles to reconcile her long-term goals with an uncertain future, balancing the innate sadness of cancer with everyday acts of hope and wonder. She also examines those quiet moments of helplessness and loving with her husband, her family, and her friends, while they all adjust to the new normal.Ultimately, In-Between Days is redemptive and uplifting, reminding each one of us of how beautiful life is, and what a gift.

In The Blood

by Don Donaldson

Surviving leukemia, Dr. Holly Fisher is ready to have a child using eggs that were saved before she underwent the fertility-killing treatment. To her horror, she learns her eggs have been stolen from the fertility clinic, taken by a man posing as her lawyer. Holly vows to track the man down, never realizing her attempts will put her in the middle of a medical nightmare.

In Case of Emergency

by Courtney Moreno

What do you do when you can't function? After rookie EMT Piper Gallagher responds to a call outside a Los Angeles shopping mall for a man who can only tell her, "I can't function," the question begins to haunt her. How will Piper continue to function despite the horror she sees working in South Central, and despite her own fractured past? And how will the woman Piper loves continue to function as she experiences the aftershocks of her time spent serving in Iraq? Piper's experiences as a rookie break her down and open her up as her genuine urge to help patients confronts the daily realities of life in the back of an ambulance and a hospital's hallways. This vivid and visceral debut is a rich study in trauma-in its causes and effects, in its methods and disguises, in its power and its pull.

In Command of Guardians: Executive Servant Leadership For The Community Of Responders

by Eric J. Russell

In Command of Guardians: Executive Servant Leadership for the Community of Responders, Second Edition spotlights the philosophy of servant leadership and offers a pathway for strengthening first responder organizations. Responders work in high-risk, critical situations under the pressure of time and consequence. Being a responder means one must become an active player in the tragedies of others. Because these situations can change the responder over time, a special type of leader is needed to walk beside them while they navigate the realities of public safety and emergency service operations. This book illustrates how being a servant leader to these guardians allows the community of responders to strengthen their resiliency, foster individual growth, and perform at peak levels. “The book spans a wide breadth and depth, and is written in a way that engages the reader immediately. It is packed with sensitive and wise insights, as well as eminently practical advice for today’s emergency services leaders, as well as those of tomorrow.”- Emily Hough, Editor-In-Chief, Crisis Response Journal"Emotionally moving, research-based, and a compelling case for why any organization can benefit from a servant leadership organizational culture. Eric debunks the myth that servant leadership is "soft" and shows how the hard work of skilled servant-leaders is exactly what is needed in the alpha worlds of public safety and emergency services." - Duane Trammell, President, Trammell McGee-Cooper & Associates, Inc“Eric Russell is a pioneer in applying the principles of servant leadership to the communities of brave police, fire, and emergency services responders. This book is destined to be a classic reference work for the field.”-Don M. Frick, PhD, Authorized Robert Greenleaf biographer and co-author of Seven Pillars of Servant Leadership: The Wisdom of Leading by Serving.“In Command of Guardian speaks great leadership truths to first responder communities throughout the world. This is an important work for those in command of the men and woman who put their lives on the line to save others.” – Christophe Libeau, Lieutenant Colonel, Brigade de Sapeurs-Pompiers de Paris

In Defense of Food: An Eater's Manifesto

by Michael Pollan

Amid the widespread confusion about nutrition, Pollan proposes an answer to the question of what we should eat that comes down to 7 words: Eat food. Not too much. Mostly plants.

In Excellent Health: Setting the Record Straight on America's Health Care

by Scott W. Atlas

In Excellent Health offers an alternative view of the much maligned state of health care in America, using facts and peer-reviewed data to challenge the statistics often cited as evidence that medical care in the United States is substandard and poor in value relative to that of other countries. The author proposes a complete plan for reform in three critical areas of the health care puzzle—tax structure, private insurance markets, and government health insurance programs—designed to maintain choice and access to excellence and facilitate competition.

In Falling Snow: A Novel

by Mary-Rose Maccoll

A vivid and compelling story of love, war and secrets, set against the backdrop of WWI France. 'In the beginning, it was the summers I remembered - long warm days under the palest blue skies, the cornflowers and forget-me-nots lining the road through the Lys forest, the buzz of insects going about their work, Violet telling me lies. ' Iris is getting old. A widow, her days are spent living quietly and worrying about her granddaughter, Grace, a headstrong young doctor. It's a small sort of life. But one day an invitation comes for Iris through the post to a reunion in France, where she served in a hospital during WWI. Determined to go, Iris is overcome by the memories of the past, when as a shy, naive young woman she followed her fifteen-year-old brother, Tom, to France in 1914 intending to bring him home. On her way to find Tom, Iris comes across the charismatic Miss Ivens, who is setting up a field hospital in the old abbey of Royaumont, north of Paris. Putting her fears aside, Iris decides to stay at Royaumont, and it is there that she truly comes of age, finding her capability and her strength, discovering her passion for medicine, making friends with the vivacious Violet and falling in love. But war is a brutal thing, and when the ultimate tragedy happens, there is a terrible price that Iris has to pay, a price that will echo down the generations. A moving and uplifting novel about the small, unsung acts of heroism of which love makes us capable.

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