Care Pathways are being developed throughout the health service to improve the quality and effectiveness of care. Are they being developed efficiently and making the most of the latest clinical computing systems? This is the first practical guide on how Information Technology and systems methods can support the development, implementation and maintenance of Care Pathways. Case studies throughout highlight team approaches to facilitation, clinical knowledge management, process analysis and redesign, and computerisation - providing insights into how e-Pathways can be used to support high quality patient care. The information is presented in an easy-to-read style, and requires no prior knowledge of IT systems. Doctors, nurses and managers throughout primary and secondary care, as well as healthcare information technology specialists and suppliers will find this to be essential reading.

As environmental problems grow larger and more pressing, conservation work has increasingly emphasized broad approaches to combat global-scale crises of biodiversity loss, invasive species, and climate change. Pathways to Success is a modern guide to building large-scale transformative conservation programs capable of tackling the complex issues we now face. In this strikingly illustrated volume, coauthors Nick Salafsky and Richard Margoluis walk readers through fundamental concepts of effective program-level design, helping them to think strategically about project coordination, funding, and stakeholder input. Pathways to Success is the definitive guide for conservation program managers and funders who want to increase the effectiveness of their work combating climate change, species extinctions, and the many challenges we face to keep our planet livable.

Hydrogen may someday fuel our cars and power and heat our homes and businesses and revolutionize the way we use energy. Moving to a hydrogen economy could help reduce our reliance on foreign oil, improve local air quality, and reduce the risk of climate change. Despite the potential of hydrogen, there is no guarantee that the hydrogen economy will happen as the obstacles are considerable and the competing visions are many. Pathways to a Hydrogen Future seeks to untangle the competing visions of a hydrogen economy, explain the trade-offs and obstacles and offer recommendations for a path forward. The results are based on a detailed simulation model developed at Sandia National Laboratories: "The Hydrogen Futures Simulation Model (H2Sim)". The H2Sim is a high-level strategic tool for evaluating the economic and environmental trade-offs of alternative hydrogen production, storage, transport, and end use options in the year 2020. An executive version of H2Sim is included with the book allowing readers to explore the various scenarios discussed. H2Sim's ease of use and its ability to provide answers to these types of questions make it a powerful educational and policy making tool. The model's structure is ideal for exploring "what-if" questions, such as: Can fuel cell vehicles (FCVs) compete economically with current cars if the FCVs are 2.5 times as efficient? Should the hydrogen be produced at fueling stations or at central locations and transported to fueling stations?* Includes an executive version of H2Sim allowing readers to explore the various scenarios discussed * H2Sim's ease of use and ability to provide answers makes it a powerful educational and policy making tool * The model's structure is ideal for exploring "what-if" questions, such as: Can fuel cell vehicles (FCVs) compete economically with current cars if the FCVs are 2.5 times as efficient? Should the hydrogen be produced at fueling stations or at central locations and transported to fueling stations?

An inspirational argument for the creation of a new pilgrimage tradition in the United States. Pilgrimage is a sacred tradition that has existed around the world for centuries. Every year, more than one hundred million devotees from different cultures and faiths embark on journeys to such holy sites as Santiago de Compostela, Mecca, and Banaras. For some, making a pilgrimage is a spiritual act, while for others it is a secular experience of personal restoration. And yet there has never existed a tradition of pilgrimage within the United States. Cultural geographer James E. Mills makes a compelling case for the creation of a network of American pilgrimage routes to heal societal divisions and foster a new ethos of humanitarianism and environmentalism. He also addresses practical considerations for the development, ownership, and administration of future routes. Pilgrimage Pathways for the United States is for anyone considering a pilgrimage and for those of us who are interested in connecting and protecting our natural world, including environmentalists, interfaith clergy, political leaders, community developers, and activists.

The 2011 Arab Spring protests seemed to mark a turning point in Middle East politics, away from authoritarianism and toward democracy. Within a few years, however, most observers saw the protests as a failure given the outbreak of civil wars and re-emergence of authoritarian strongmen in countries like Egypt. But in Delta Democracy, Catherine E. Herrold argues that we should not overlook the ongoing mobilization taking place in grassroots civil society. Drawing upon ethnographic research on Egypt's nongovernmental organizations (NGOs) in the wake of the uprisings, Herrold uncovers the strategies that local NGOs used to build a more democratic and just society. Departing from US-based democracy advocates' attempts to reform national political institutions, local Egyptian organizations worked with communities to build a culture of democracy through public discussion, debate, and collective action. At present, these forms of participatory democracy are more attainable than establishing fair elections or parliaments, and they are helping Egyptians regain a sense of freedom that they have been denied as the long-time subjects of a dictator. Delta Democracy advances our understanding of how civil society organizations maneuver under state repression in order to combat authoritarianism. It also offers a concrete set of recommendations on how US policymakers can restructure foreign aid to better help local community organizations fighting to expand democracy.

Presents the spiritual practices of the Hopi, Cherokee, Apache and Sioux Indians

Understanding White Privilege delves into the complex interplay between race, power, and privilege in both organizations and private life.

To read current biomedical science, one has to have a working knowledge of how important effector molecules cause transduction of their signal within cells, altering the control of genes. This work aims to provide that basic knowledge for medical readers. Students of immunology or cell biology will note its relevance. One will learn how platelets, macrophages, neutrophils, T and B lymphocytes and natural killer cells perform their functions and how skin, breast, prostate and colon cancers emerge. The associated diagrams and tables are used to obviate extensive text. Appropriate references to articles and reviews by workers in each field are given so that further consideration can easily be undertaken. We are all at differing stages of our appreciation of immunology and of pat- physiology. Some persons will have a profound background in biochemistry or molecular biology. Others will have a reminiscence of lectures received years ago. Since this work is principally for clinical doctors, the sections that can be avoided at first reading are marked with an asterisk (*). Always proceed line by line and think of associations that you know. Do you feel comfortable with the statement, “Interleukin 6 stimulates glucose uptake in renal proximal tubular cells, and that action is associated with Stat3, PI3K/Akt, MAPKs and NF-kB signal pathways”? If not, please read on.

When it comes to treating depression, one size definitely doesn't fit all. How do you find the science-based treatment that will work for you? What can you do to restore the fighting spirit and motivation that are so essential for overcoming this illness? Leading psychiatrist-researcher Jesse Wright and his daughter, Laura McCray, a family physician, have helped many thousands of depressed patients discover effective pathways to wellness. Here they describe powerful treatment tools and present a flexible menu of self-help strategies you can try today or turn to in the future. Dozens of easy-to-use worksheets and forms can be downloaded and printed from the companion Web page. Learn proven ways to break the cycle of negative thinking, restore energy and a sense of well-being, strengthen your relationships, and make informed decisions about medications. You can beat depression and keep your life headed in a positive direction. This book shows how.

The definitive endodontics reference, Cohen's Pathways of the Pulp is known for its comprehensive coverage of leading-edge information, materials, and techniques. It examines all aspects of endodontic care, from preparing the clinician and patient for endodontic treatment to the role the endodontist can play in the treatment of traumatic injuries and to the procedures used in the treatment of pediatric and older patients. Not only does Hargreaves and Cohen's 10th edition add five chapters on hot new topics, it also includes online access! As an Expert Consult title, Cohen's Pathways of the Pulp lets you search the entire contents of the book on your computer, and includes five online chapters not available in the printed text, plus videos, a searchable image collection, and more. For evidence-based endodontics research and treatment, this is your one-stop resource!