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The Institute of Medicine carried out a study mandated by Congress and sponsored by the Department of Veterans Affairs to provide an assessment of several issues related to noise-induced hearing loss and tinnitus associated with service in the Armed Forces since World War II. The resulting book, Noise and Military Service: Implications for Hearing Loss and Tinnitus, presents findings on the presence of hazardous noise in military settings, levels of noise exposure necessary to cause hearing loss or tinnitus, risk factors for noise-induced hearing loss and tinnitus, the timing of the effects of noise exposure on hearing, and the adequacy of military hearing conservation programs and audiometric testing. The book stresses the importance of conducting hearing tests (audiograms) at the beginning and end of military service for all military personnel and recommends several steps aimed at improving the military services' prevention of and surveillance for hearing loss and tinnitus. The book also identifies research needs, emphasizing topics specifically related to military service.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Seventeen in a series of annual reports comparing business regulation in 190 economies, Doing Business 2020 measures aspects of regulation affecting 10 areas of everyday business activity.
New York Times comedy critic Jason Zinoman delivers the definitive story of the life and artistic legacy of David Letterman, the greatest television talk show host of all time and the signature comedic voice of a generation. In a career spanning more than thirty years, David Letterman redefined the modern talk show with an ironic comic style that transcended traditional television. While he remains one of the most famous stars in America, he is a remote, even reclusive, figure whose career is widely misunderstood. In Letterman, Jason Zinoman, the first comedy critic in the history of the New York Times, mixes groundbreaking reporting with unprecedented access and probing critical analysis to explain the unique entertainer’s titanic legacy. Moving from his early days in Indiana to his retirement, Zinoman goes behind the scenes of Letterman’s television career to illuminate the origins of his revolutionary comedy, its overlooked influences, and how his work intersects with and reveals his famously eccentric personality. Zinoman argues that Letterman had three great artistic periods, each distinct and part of his evolution. As he examines key broadcasting moments—"Stupid Pet Tricks" and other captivating segments that defined Late Night with David Letterman—he illuminates Letterman’s relationship to his writers, and in particular, the show’s co-creator, Merrill Markoe, with whom Letterman shared a long professional and personal connection. To understand popular culture today, it’s necessary to understand David Letterman. With this revealing biography, Zinoman offers a perceptive analysis of the man and the artist whose ironic voice and caustic meta-humor was critical to an entire generation of comedians and viewers—and whose singular style ushered in new tropes that have become clichés in comedy today.
The Natural Resources Defense Council once again provides the definitive account of the current status of Russian nuclear weapons. Taking advantage of previously unavailable information the authors describe the origins, growth, and decline of the massive Soviet nuclear weapons production complex-the places involved in the recent headline-making epi