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Regional Development and Planning for the 21st Century examines a number of related themes including: the traditional approach of local and regional planning initiatives developed within the context of national goals; the current decline of bi-polar political and ideological blocs; political decentralization and concurrent economic centralization including the growth of multi-national corporations; devolution of centralized planning powers to regions and localities, and the rise and acceptance of sustainable development concepts. The book is divided into five parts addressing: 1 - adjustments to political, economic and social change; 2 the problems of urban housing and housing and health; 3 - adjustments to environmental change, development policies and sustainability; 4 - the problem of rapid urban growth and mega cities; 5 - adjustments of changing urban networks. The contributors are from several countries worldwide and the chapters examine the issues at a global level.
Drawing on key international reports and input from leading healthcare practitioners and educators worldwide, this ground-breaking book closely examines the real issues facing medicine and medical education. With a wide-ranging, evidence-based approach, the author identifies key drivers of change in both the developing and developed world.He examin
The U.S. today faces the most complex and challenging security environment in recent memory— even as it deals with growing constraints on its ability to respond to threats. Its most consequential challenge is the rise of China, which increasingly has the capability to deny the U.S. access to areas of vital national interest and to undermine alliances that have underpinned regional stability for over half a century. Thus, the time is right for the U.S. to adopt a long-term strategy for dealing with China; one that includes but is not limited to military means, and that fully includes U.S. allies in the region. This book uses the theory and practice of peacetime great-power strategic competition to derive recommendations for just such a strategy. After examining the theory of peacetime strategic competition, it assesses the U.S.-China military balance in depth, considers the role of America's allies in the region, and explores strategies that the U.S could adopt to improve its strategic position relative to China over the long term.
This symposium was jointly organized by the United States Environmental Protection Agency and The Netherlands Ministry of Housing, Spatial Planning and the Environment. These proceedings will provide a stimulus for taking up the challenges of environmental policy development in the 21st century, and will contribute to continuing co-operation.Clean air is a basic condition for health. Air pollution aggravates respiratory problems, leading to increased sickness absenteeism, increased use of health care services and even premature mortality. Air pollution is under intensive discussion in the United States and Europe.In The Netherlands, a wide range of policy instruments have been formulated which have reduced air pollution. For example; since 1975, sulphur dioxide and lead emissions have been reduced. However, emission reduction figures for many other substances are more modest. Many air pollution problems persist because progress in countering these problems is nullified by growth in the economy and traffic. Another important target is the prevention of climate change. The international community is agreed that the increasing concentration of greenhouse gases in the atmosphere has led to a gradual increase in the earth's temperature. In terms of the environmental consequences and social implications, the greenhouse problem surpasses all other air quality problems.Across Europe, strategies are being developed to reduce acidification and photochemical air pollution. An air emission ceiling for each country in the European Union is being agreed. In the area of climate change, there is good co-operation between the United States, The Netherlands and other EU Members States in the ongoing global negotiations. This is the start of a new movement. In the last century economies and societies developed through increasing human productivity. In the next century they must develop through increasing the productivity of fuel and natural resources.
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
This book challenges the dominant strategic culture and makes the case for restraint in US grand strategy in the 21st century. Grand strategy, meaning a state’s theory about how it can achieve national security for itself, is elusive. That is particularly true in the United States, where the division of federal power and the lack of direct security threats limit consensus about how to manage danger. This book seeks to spur more vigorous debate on US grand strategy. To do so, the first half of the volume assembles the most recent academic critiques of primacy, the dominant strategic perspective in the United States today. The contributors challenge the notion that US national security requires a massive military, huge defense spending, and frequent military intervention around the world. The second half of the volume makes the positive case for a more restrained foreign policy by excavating the historical roots of restraint in the United States and illustrating how restraint might work in practice in the Middle East and elsewhere. The volume concludes with assessments of the political viability of foreign policy restraint in the United States today. This book will be of much interest to students of US foreign policy, grand strategy, national security, and International Relations in general.