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The recent development of light rail transit in the Twin Cities has been an undeniable success. Plans for additional lines progress, and our ways of shopping, dining, and commuting are changing dramatically. As we embrace riding the new Hiawatha light rail line, an older era comes to mind—the age when everyone rode the more than 500 miles of track that crisscrossed the Twin Cities. In Twin Cities by Trolley, John Diers and Aaron Isaacs offer a rolling snapshot of Minneapolis and St. Paul from the 1880s to the 1950s, when the streetcar system shaped the growth and character of the entire metropolitan area. More than 400 photographs and 70 maps let the reader follow the tracks from Stillwater to University Avenue to Lake Minnetonka, through Uptown to downtown Minneapolis. The illustrations show nearly every neighborhood in Minneapolis and St. Paul as it was during the streetcar era. At its peak in the 1920s and early 1930s, the Twin City Rapid Transit Company (TCRT) operated over 900 streetcars, owned 523 miles of track, and carried more than 200 million passengers annually. Recounting the rise and fall of the TCRT, Twin Cities by Trolley explores the history, organization, and operations of the streetcar system, including life as a streetcar operator and the technology, design, and construction of the cars. Inspiring fond memories for anyone who grew up in the Twin Cities, Twin Cities by Trolley leads readers on a fascinating and enlightening tour of this bygone era in the neighborhood and the city they call home. John W. Diers has worked in the transit industry for thirty-five years, including twenty-five years at the Twin Cities Metropolitan Transit Commission. He has written for Trains, and has served on the board of the Minnesota Transportation Museum. Aaron Isaacs worked with Metro Transit for thirty-three years. He is the author of Twin City Lines—The 1940s and The Como-Harriet Streetcar Line. He is also the editor of Railway Museum Quarterly.
Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
TRB's National Cooperative Highway Research Program (NCHRP) Report 568: Riprap Design Criteria, Recommended Specifications, and Quality Control examines design guidelines; recommended material specifications and test methods; recommended construction specifications; and construction, inspection, and quality control guidelines for riprap for a range of applications, including revetment on streams and riverbanks, bridge piers and abutments, and bridge scour countermeasures such as guide banks and spurs.