The Institute of Medicine’s Roundtable on Value & Science-Driven Health Care has been convened to help transform the way evidence on clinical effec- tiveness is generated and used to improve health and health care. Participants have set a goal that, by the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect t…
The United States faces the real possibility of a catastrophic public health event that involves tens of thousands or hundreds of thousands of victims. Public health emergencies—such as the 2009 H1N1 pandemic, an intentional anthrax release, infectious disease threats such as severe acute respiratory syndrome (SARS), fires, floods, earthquakes, and hurri- canes—highlight the ever-changing t…
OF ALL CREATURES ON THIS EARTH, humans are the most emotional. Our speech, actions (gestures, body movements, and postures), and our faces, too, are frequently contorted with emotion. We express anger, anxiety, fright, shame, joy, love, and sadness, as well as other perhaps socially more subtle emotions, such as guilt, envy, jealousy, pride, relief, hope, gratitude, and compassion. Everything i…
In June 2009 the Institute of Medicine’s (IOM’s) Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop with the goal of convening many of the best minds in health preparedness for a wide-ranging update on preparations for a major public health threat. For the health community, a primary issue at hand before and during a catastrophic incident is how to prov…
As the United States continues to devote extensive resources toward achieving a high-value, high-quality health care system, the capacity to evaluate the state of care is increasingly important. Since 2003, the annual publication of the National Healthcare Quality Report (NHQR) and National Healthcare Disparities Report (NHDR) by the Agency for Healthcare Research and Quality (AHRQ) has played …
The majority of mitigation potential lies in developing countries: Of the 17 billion tonnes of emissions reductions required in 2020, 70% is achievable in developing countries (Project Catalyst, 2009)2. Given the limited ability of developing countries to finance domestic mitigation, this will therefore require large scale financing from developed countries to allow developing countries to mee…
Health and health care are going digital. As multiple intersecting plat- forms evolve to form a novel operational foundation for health and health care—the nation’s digital health utility—the stage is set for fundamental and unprecedented transformation. Most changes will occur virtually out of sight, and the pace and profile of the transformation will be determined by stewardship that fo…
With employees still reeling from workplace budget cuts, now’s a great time for new team building ideas. No, you don’t need an expensive round of paintball to gain the benefits of team building exercises, but you do need to squeeze the most out of them. In this special report, 17 Team Building Ideas, we’ll show you how to do that
Advertising, an essential component in the marketing of any business, has been around for a long time. The Pompeii penis is positively modern compared to some of the advertising relics archaeologists have unearthed in ancient Arabia, China, Egypt, Greece and Rome. The Egyptians used papyrus to create posters and flyers, while lost-and-found advertising (also on papyrus and often relating to ‘…
Slight variations in genetic composition can contribute greatly to the diversity which we see amongst individuals, from determining eye color and height to increasing the risk of developing breast cancer or heart disease. Numerous gene–disease associations are now known, and genetic/genomic testing is a relatively common laboratory approach for diagnosing presymp- tomatic genetic disorders, c…
This volume, Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation, is a Special Report of the Intergovernmental Panel on Climate Change (IPCC). The report is a collaborative effort of Working Group I (WGI) and Working Group II (WGII). The IPCC leadership team for this report also has responsibility for the IPCC Fifth Assessment Report (AR5), scheduled for c…
The prosperity of a nation is tied fundamentally to the health and well-being of its citizens. It follows, then, that citizens—each one a past, current, or future patient—should represent both the healthcare system’s unwavering focus, and its fully engaged agents for change. This precept has several major implications. It means that the quality of health care should not be judged solely b…
The severity of the impacts of extreme and non-extreme weather and climate events depends strongly on the level of vulnerability and exposure to these events (high confidence). [2.2.1, 2.3, 2.5] Trends in vulnerability and exposure are major drivers of changes in disaster risk, and of impacts when risk is realized (high confidence). [2.5] Understanding the multi-faceted nature of vulnerability …
Increasing global interconnectivity, population, and economic growth, and the mutual interdependence of economic and ecological systems, can serve both to reduce vulnerability and to amplify disaster risks (high confidence). Global development pathways are becoming a more important factor in the management of vulnerability and disaster risk. [7.2.1]
‘“The joy of working harmoniously with small groups of people who are dedicated to something bigger than themselves, and are completely loyal to each other, counts in my experience as one of the most rewarding things in life,” a senior manager told me. Most of us would agree with him.’
Within the study we focused on an analysis of any dependence that may connect some emerging countries aiming mainly to emphasize the intensity of correlations between different financial markets. For this purpose we took into consideration two emerging markets, i.e. Romania and Turkey, due to the fact that they are two countries with common history which goes back long time, with similar approa…
Advertising and promotional expenditures have become significant in the marketing of many products. In 1966 about 16 billion dollars was spend on advertising alone. This expenditure is made because advertising has a vital communication function to play in marketing as part of the overall communication mix the firm utilizes to inform and convince customers of the desirability of its product…
“Negotiating Success is an inspiring book whose time has come. While hard skills are critical in negotiations, soft skills make up the essential ingredients that support mutually agreeable gains. Jim’s blend of the two shows how to make the negotiating process human again. His approach on supporting the other in getting what they want invokes reciprocal behavior. This book shows that co…