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Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
In the tradition of international bestsellers, Future Shock and Megatrends, Michael J. Saylor, CEO of MicroStrategy, brings TheMobile Wave, a ground-breaking analysis of the impact of mobile intelligence -- the fifth wave of computer technology. The Mobile Waveargues that the changes brought by mobile computing are so big and widespread that it's impossible for us to see it all, even though we are all immersed in it. Saylor explains that the current generation of mobile smart phones and tablet computers has set the stage to become the universal computing platform for the world. In the hands of billions of people and accessible anywhere and anytime, mobile computers are poised to become an appendage of the human being and an essential tool for modern life. With the perspective of a historian, the precision of a technologist, and the pragmatism of a CEO, Saylor provides a panoramic view of the future mobile world. He describes how: A Harvard education will be available to anyone with the touch of a screen. Cash will become virtual software and crime proof. Cars, homes, fruit, animals, and more will be tagged so they can tell you about themselves. Buying an item will be as easy as pointing our mobile device to scan and pay.Land and capital will become more of a liability than an asset. Social mobile media will push all businesses to think and act like software companies. Employment will shift as more service-oriented jobs are automated by mobile software. Products, businesses, industries, economies, and even society will be altered forever as the Mobile wave washes over us and changes the landscape. With so much change, The Mobile Wave is a guidebook for individuals, business leaders, and public figures who must navigate the new terrain as mobile intelligence changes everything.
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
The book introduces anti-sway control approaches for double-pendulum overhead cranes, including control methods, theoretical analyses, simulation results and source codes of each control design. All methods are analyzed and verified by MATLAB. Passivity-based, sliding-mode-based and Fuzzy-logic-based control methods are massively discussed. This book is suitable for both academic researchers and industrial R&D engineers.
Even in the city where the Eighteenth Amendment was passed, the party went on—a history of bootleggers and speakeasies in the nation’s capital. Despite the passage of the Volstead Act, it was estimated that in 1929, bootleggers brought twenty-two thousand gallons of whiskey, moonshine, and other spirits into Washington, DC’s speakeasies—every week. The bathtub gin-swilling capital dwellers made the most of Prohibition. This rollicking history brims with stories of vice—topped off with vintage cocktail recipes and garnished with a walking tour of former speakeasies. Discover an underground city ruled not by organized crime but by amateur bootleggers, where publicly teetotaling congressmen could get a stiff drink behind House office doors and the African American community of U Street was humming with a new sound called jazz. Includes photos!