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Describes how the interests of doctors, patients, and the government have shaped the current health care system, and discusses the key issues of the future.
Most of the policy discussion about stimulating innovation has focused on the federal level. This study focuses on the significant activity at the state level, with the goal of improving the public's understanding of key policy strategies and exemplary practices. Based on a series of workshops and conferences that brought together policymakers along with leaders of industry and academia in a select number of states, the study highlights a rich variety of policy initiatives underway at the state and regional level to foster knowledge based growth and employment. Perhaps what distinguishes this effort at the state level is most of all the high degree of pragmatism. Operating out of necessity, innovation policies at the state level often involve taking advantage of existing resources and recombining them in new ways, forging innovative partnerships among universities, industry and government organizations, growing the skill base, and investing in the infrastructure to develop new technologies and new industries. Many of these initiatives are being guided by leaders from the private sector and universities. The objective of Best Practices in State and Regional Innovation Initiatives: Competing in the 21st Century is not to do an empirical review of the inputs and outputs of various state programs. Nor is it to evaluate which programs are superior. Indeed, some of the notable successes, such as the Albany nanotechnology cluster, represent a leap of leadership, investment, and sustained commitment that has had remarkable results in an industry that is actively pursued by many countries. The study's goal is to illustrate the approaches taken by a variety of highly diverse states as they confront the increasing challenges of global competition for the industries and jobs of today and tomorrow.
Describes more than 200 hikes within a 60-mile radius of the Triad. From the short botanical paths to 20-mile hikes, these trails will satisfy hikers with a few minutes or all day.
Better Hearing with Cochlear Implants provides a comprehensive account of a decades-long research effort to improve cochlear implants (CIs). The research was conducted primarily at the Research Triangle Institute (RTI) in North Carolina, USA, and the results provided key pillars in the foundation for the present-day devices. Although many of these results were reported in journal articles and other publications, many others were only reported in Quarterly and Final Progress Reports for the National Institutes of Health, which supported the RTI effort. In addition, the Progress Reports provided details that could not be included in the publications. The book is an annotated compilation of the most important sections from the most important reports that gives readers access to previously unpublished data and also a broad and logically organized overview of the research. Four main sections are included to describe the major lines of investigation: design and evaluation of novel processing strategies; electrical stimulation on both sides with CIs; combined electric and acoustic stimulation of the auditory system; and representations of temporal information with CIs. Large advances were made in each of these areas, and readers will appreciate the significance of the research and how the different areas related to each other. Each main section includes an introduction by the authors followed by two or more chapters, and the first chapter in the book describes the work conducted at the RTI in the context of the multiple other efforts worldwide. The book may be used as a primary text on CIs, and it can serve as a multifaceted reference for physicians, audiologists, neuroscientists, designers of neural prostheses, and scientists and other specialists whose work is aimed at the remediation of hearing loss. In all, a fascinating history is presented, which began with little or no speech recognition with CIs for any user and ended with high levels of speech recognition for the great majority of users, including the ability to converse with ease via cell phones. This is a long trip in a short time, and historians of science and technological developments will be interested in knowing how such a rapid development was possible, and about the twists and turns on the way to the destination.
Describes the 1911 fire that destroyed the Triangle Shirtwaist factory in New York's Greenwich Village, the deaths of 146 workers in the fire, and the implications of the catastrophe for twentieth-century politics and labor relations.
Esther Gottesfeld is the last living survivor of the notorious 1911 Triangle Shirtwaist fire and has told her story countless times in the span of her lifetime. Even so, her death at the age of 106 leaves unanswered many questions about what happened that fateful day. How did she manage to survive the fire when at least 146 workers, most of them women, her sister and fiancé among them, burned or jumped to their deaths from the sweatshop inferno? Are the discrepancies in her various accounts over the years just ordinary human fallacy, or is there a hidden story in Esther's recollections of that terrible day? Esther's granddaughter Rebecca Gottesfeld, with her partner George Botkin, an ingenious composer, seek to unravel the facts of the matter while Ruth Zion, a zealous feminist historian of the fire, bores in on them with her own mole-like agenda. A brilliant, haunting novel about one of the most terrible tragedies in early-twentieth-century America, Triangle forces us to consider how we tell our stories, how we hear them, and how history is forged from unverifiable truths.
Dr. Kissick was an active participant in the drafting of Medicare legislation in the 1960s and for the past twenty-five years has held joint positions in a medical school and a business school where he has specialized in healthcare management. Drawing on his long experience in the field, he discusses the dimensions of the current crisis, the financial and medical implications of alternative proposals-- including the program put forth by the Clinton administration--and the requirements for long-term strategies.