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His groundbreaking exploration of the nature of madness, R.D. Laing's The Divided Self illuminated the nature mental illness, making the mysteries of the mind comprehensible to a lay audience. This Penguin Modern Classics edition includes an introduction by Professor Anthony S. David. First published in 1960, this watershed work aimed to make madness comprehensible, and in doing so revolutionized the way we perceive mental illness. Using case studies of patients he had worked with, psychiatrist R. D. Laing argued that psychosis is not a medical condition, but an outcome of the 'divided self', or the tension between the two personas within us: one our authentic, private identity, and the other the false, 'sane' self that we present to the world. Laing's radical approach to insanity offered a rich existential analysis of personal alienation and made him a cult figure in the 1960s, yet his work was most significant for its humane attitude, which put the patient back at the centre of treatment. R.D. Laing (1927-1989), one of the best-known psychiatrists of modern times, was born in Glasgow, Scotland. R.D. Laing's writings range from books on social theory to verse, as well as numerous articles and reviews in scientific journals and the popular press. His many publications include The Divided Self, Self and Others, Interpersonal Perception, The Politics of Experience and The Bird of Paradise, and Madness and Folly. If you enjoyed The Divided Self, you might like Sigmund Freud's The Joke and Its Relation to the Unconscious, also available in Penguin Modern Classics. 'One of the twentieth century's most influential psychotherapists' Guardian 'Laing challenged the psychiatric orthodoxy of his time ... an icon of the 1960s counter-culture' The Times

• Sales Rank: #1503881 in Books
• Published on: 2010-03-02
• Released on: 2010-03-02
• Format: International Edition
• Original language: English
• Number of items: 1
• Dimensions: 7.75" h x .60" w x 5.00" l, .40 pounds
• Binding: Paperback
• 224 pages

Review
"Dr. Laing is saying something very important indeed. . . . This is a truly humanist approach."
—Philip toynbee in the Observer

"It is a study that makes all other works I have read on schizophrenia seem fragmentary. . . . The author brings, through his vision and perception, that particular touch of genius which causes one to say Yes, I have always known that, why have I never thought of it before?'"
—Journal of Analytical Psychology

About the Author
R.D. Laing, one of the best-known psychiatrists of modern times, was born in Glasgow in 1927. R.D. Laing's writings range from books on social theory to verse, as well as numerous articles and reviews in scientific journals and the popular press. His many publications include The Divided Self, Self and Others, Interpersonal Perception, The Politics of Experience and The Bird of Paradise, Madness and Folly. R.D. Laing died in 1989. Anthony David graduated in medicine from Glasgow University in 1980. After training in neurology he switched to psychiatry at the Maudsley & Bethlem Hospitals. He is currently Professor of Cognitive Neuropsychiatry at the Institute of Psychiatry, King's College, London. He has edited several books including The Self in Neuroscience and Psychiatry (2003) with T. Kircher, and Insight and Psychosis (2nd ed., 2004) with X. Amador, and is author of over 350 publications in peer-reviewed medical and scientific journals.

Most helpful customer reviews

2 of 2 people found the following review helpful.
Fantastic.
By adam christopher
This is an excellent and entertaining book. You don't have to be a schizophrenic or psychology researcher to find value within its pages. I randomly ordered this book a few years ago - having never heard of Laing and having never read anything in this genera - and it is now one of my favorite books that I have ever read. Highly recommended for anyone with even the slightest interest. Laing takes case studies of an extremely complex phenomenon - the divided self- and breaks it down logically to such an extent that even comatose schizophrenia becomes completely understandable

2 of 2 people found the following review helpful.
Where "everything is suffused with nothingness"
By Phyllis Antebi Ph.D
The divided self like the divided mind, is an abstraction and like all things human, requires our compassion to understand. While The Divided Self is not a new book (around since 1959/1960) it remains to this day a ground breaking psychological study.
Who as a psychologist, philosopher, or student of literature has not come across the idea of the schizoid personality? Some even believe it is the plague of our times. For example, you can read, "The Shallows", "The Minimal Self", and "The Culture of Narcissism". This state of deepening fragmentation of the self manifests as the false self system, a sort of borderline psychoses. In this world where everything is "suffused with nothingness", the real self lays hidden just waiting for some penetrating soul to help it discover "It" is not really an "IT" but an "I".

1 of 1 people found the following review helpful.
A Classic for a reason.
By Privacy Concerns
This should be mandatory reading for Psychology majors, and anyone who wants to work in the mental health field.

On one hand, this is a great book about schizophrenics and their existential issues.

On the other hand, everything in this book also applies to non-psychotic people, and THIS is why this book is so far ahead of others in its field, even for as old as it is. It's too bad not many people read it anymore.

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Planning Office Spaces is a clear, accessible book written to help designers and their clients understand thechallenges to be faced when planning a new office. It explains what questions should be asked and shows the alternative solutions on offer and their advantages and disadvantages. Written by an expert team of authors the book is aimed at anyone involved in planning an office.

• Sales Rank: #768676 in Books
• Published on: 2010-10-13
• Original language: English
• Number of items: 1
• Dimensions: 9.25" h x .75" w x 6.75" l, 1.05 pounds
• Binding: Paperback
• 144 pages

Review
"a primer for creating the perfect productive office" --FastCompany

"With freedom and flexibility quickly becoming cornerstones of office designs, Planning Office Spaces enters the scene to provide all those involved in their creation with a tool to guide them on their way" --FRAME

"Planning Office Spaces is a revolutionary manifesto for office design." --Evening Standard

"Ganz frisch, ganz praktisch, ganz einfach: Planning Office Spaces"
--WEAVE

"Anyone concerned about workplace design should read this book" --Research Design Connections

From the Back Cover
"Workplace design made accessible - this book is a masterpiece of concise, balanced and coherent advice for users and architects" (Francis Duffy, co-founder of DEGW)

"Planning Office Spaces is an inspiring and eminently practical book. A great source for anyone aspiring to successful office design"(Ian Fielder, CEO BIFM)

"A straightforward presentation of complicated concepts and a must read for both managers and staff before engaging in any workplace design process" (Michael Joroff, senior lecturer MIT)

About the Author
Juriaan van Meel is�co-founder of�ICOP, an international�workplace consultancy firm based in the Netherlands. Next to that he is a senior researcher at the Danish Centre for Facilities Management. He is also the author of The European Office and co-author of The Office, the Whole Office and Nothing but the Office.

Yuri Martens is a researcher and a practitioner on workplace strategy. Previously he worked at the Center for People and Buildings in the Netherlands, where with Juriaan van Meel, he co-authored the Werkplekwijzer.

Hermen Jan van Ree is Senior Manager at the Investment Property Databank. Previously he worked as a Senior Research Fellow at University College London and as a researcher manager in both the Netherlands and the United States.

Most helpful customer reviews

3 of 3 people found the following review helpful.
A must read for the office rennovator
By 1sttymhmownr
I panicked when my boss charged me with redesigning our whole office. I had no idea where to start or where to turn for help. This book helped me frame the project and gave me some really great examples. Lots of pictures are a great asset to this book. Worth every penny.

2 of 2 people found the following review helpful.
great primer / very visual
By Chad M.
If you're not an architect or a classically trained interior designer this is a great walk through about how to approach space design and what kind of uses to consider. If you do have to work with an Architect or Designer on your project this will help you get a quick handle on trade vernacular etc...

3 of 4 people found the following review helpful.
A little more than I needed, but very helpful
By BRIAN KRELL
I was looking for a reference for my new small office and while this book covered a lot of things that weren't relevant for me, the fundimentals it addressed were very helpful.

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[I903.Ebook] Ebook Free Hebrew Calligraphy: A Step-by-Step Guide, by Jay Seth Greenspan

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This is the first comprehensive guide to the ancient art of Hebrew lettering. The book offers amateurs, artists, & beginners of all ages everything they need to know to make beautiful Hebrew script. You will find: • Tools & materials needed • Different properties of various pens & inks • The theory of angles & proportion • Portfolio of beautifully hand lettered plates to guide you • Suggestions for the choice of a text, script, layout, & deigns Contents: (major headings only) Part I: Preliminaries & preparation 1. What you need 2. Preparing yourself for calligraphy 3. Theory & practice Part II: The plates • Introduction to the plates • The YOD group • The slanted VAV group • The squared off letter or wedge group • The truncated RESH group • The rounded letter group • The anomalous letter group • Additional plates Part III: Developing an illuminated manuscript 1. After the plates 2. The manuscript 3. Illuminating the manuscript Part IV: The art of the Sofer There are illustrations throughout the book.

• Sales Rank: #3415047 in Books
• Published on: 1988-10-31
• Ingredients: Example Ingredients
• Number of items: 1
• Binding: Hardcover
• 186 pages

Most helpful customer reviews

6 of 6 people found the following review helpful.
Brilliant start to learning calligraphy!!!!
By J. V. Rose
This book teaches you a basic form of hebrew calligraphy, and then shows you different types of fonts. It also teaches you how to hold the pen, how to draw lines in angles and degrees, and how to erase mistakes.

This book is very helpful, and perfect for a beginner. A********

15 of 15 people found the following review helpful.
Good introduction to hebrew calligraphy
By bookology
There are many books on roman script calligraphy, but this is one of only a handful on hebrew calligraphy. No prior knowledge of general calligraphy or the hebrew alphabet is assumed. Detailed instruction on forming the standard hebrew square script is provided, along with a short annotated bibliography of additional scripts and medieval examplars. This book is a fine introduction for beginning hobbyists and is available at reasonable prices. More serious hobbyists and aspiring professionals will be better serves by seeking out the much more rare and expensive book by Cara Goldberg Marks called 'Handbook of Hebrew Calligraphy.'

3 of 3 people found the following review helpful.
An introduction to calligraphy, using one basic Hebrew script
By Ginevra
I was surprised to find that this book spent most of its time covering the basics of calligraphy in general and included no models for decorative Hebrew scripts. This is not a good book for the intermediate, much less, advanced scribe of any alphabet. Most of the book talks about calligraphy tools you need, lighting, work space, how to hold a pen, etc. at a level that is only appropriate for someone completely unfamiliar with calligraphy. There is very specific instruction on each letter, and how each is formed, but in only one basic style. There is only one page where you can see a comparison of Ashkenazic and Sephardic scripts, and they are not elaborate examples. There are eight b/w illustrations of manuscripts, but they are so small you can't see the lettering. If you are doing a serious project in Hebrew script, and already have basic experience with calligraphy tools, this book is only going to show you one basic script option, which probably won't be enough. If you are new to calligraphy and just want to be able to create basic Hebrew lettering with a nib pen, then this is a good introduction.

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Principles of Estate Planning, 2nd Edition covers all aspects of estate planning, from the basic principles of property transfers to complex financial techniques that can be used to deal with a wide variety of client circumstances. The authors bring a wealth of experience in both professional and academic arenas that help students understand the concepts that are critical for achieving important professional designations as well building a successful practice with real-world examples of common estate planning problems.

• Sales Rank: #925755 in Books
• Published on: 2015-05-27
• Original language: English
• Number of items: 1
• Dimensions: 10.80" h x 1.30" w x 8.40" l, .0 pounds
• Binding: Paperback
• 672 pages

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[T365.Ebook] Ebook Download Mechanics of Fibrous Composites, by Carl T. Herakovich

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Mechanics of Fibrous Composites, by Carl T. Herakovich

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Comprehensive coverage of micro and macro mechanics of composite materials.
* Case studies on designing composite materials and laminates.
* Uses both SI and U.S. Customary units throughout.
* This is the only book that covers laminated tubes and damage mechanics and the only one that presents an extensive array of actual experimental results for the nonlinear, inelastic response of polymeric and metallic matrix composites.

• Sales Rank: #1264231 in Books
• Published on: 1997-11-27
• Original language: English
• Number of items: 1
• Dimensions: 10.24" h x .87" w x 7.20" l, 1.88 pounds
• Binding: Paperback
• 480 pages

From the Publisher
A comprehensive look at the fundamental principles of the mechanics of composites. This book includes an extensive array of results demonstrating the wide range of possibilities for mechanical and thermal properties of fibrous composites. It includes an introductory chapter on the properties and advantages of fibrous composites and discusses two-dimensional and three-dimensional constitutive equations, lamination theory, test methods, response of polymer matrix and metal matrix composites, interlaminar stresses, failure and damage, laminated tubes, laminated plates and micromechanics.

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15 of 16 people found the following review helpful.
Ideal Desk Reference or Text for Composite Materials
By H. Pat Artis
Mechanics of Fibrous Composites
Whether you are a practicing engineer looking for a desk reference, or an instructor looking for a text to introduce high level undergraduate or graduate level engineering students to the mechanics of composite materials, Herakovich's text is an ideal choice.
From my own perspective of a practicing engineer, the book's value as a desk reference is unparalleled. Herakovich includes an extensive section on notation and terms in the preface of the book as well as providing an extensive review of the concepts of solid mechanics as well as the 3-D constitutive equations of solids in the early chapters. For the engineer who may not have worked in the mechanics of materials for sometime, these sections prevent you from having to dig out a dusty old undergraduate text to review basic concepts.
Having set the stage, Herakovich provides a detailed discussion of the mechanical properties, design, and test methods for laminated materials. The chapter on test methods should be of particular interest to instructors who want to include lab exercises in their courses.
Moreover, the exercises included within the text are a reflection of Herakovich's thirty years of practical teaching experience. The exercises are carefully crafted to stretch and focus the student's understanding of the theoretical concepts conveyed by the text. A solution guide is also available for instructors who wish to employ the text for a professional seminar or college course.
For engineers involved in the design or certification of products, the chapter on failure analysis provides a detailed discussion of the competing theories of damage mechanics and failure prediction.
Finally, the author begins each chapter with a wealth of thought provoking quotes that reveal a range of interests far beyond the boundaries of composite materials.

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[L436.Ebook] Download AT THE GREEK BOSS'S BIDDING (Harlequin comics), by Jane Porter

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After an accident leaves him temporarily blinded, Greek tycoon Kristian Koumantaros is not taking well to being stuck at home. His arrogant personality has driven away all his previous nurses, but that'’s not going to stop Elizabeth from doing her job! And while his accident has left his face scarred, Elizabeth can'’t help but see a special kind of beauty there…...

• Sales Rank: #297037 in eBooks
• Published on: 2015-12-11
• Released on: 2015-12-11
• Format: Kindle eBook

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7 of 7 people found the following review helpful.
Passion, Determination and Pride!
By Marilyn Shoemaker
To describe this book I would use the adjectives passion, pain, loneliness, despair, wealth, determination and pride. This was truly a story which goes to show one that money can't buy everything.......it can't buy love and it certainly can't buy happiness.

Both of these characters came from extreme wealth and position. Kristian Koumantaros was in a horrible accident and not only in pain due to physical injuries but he had lost use of his legs and eye sight. His disposition was so miserable he went through several nurses and sent them all running. Now the owner of an English nursing firm has come to an isolated location in Greece make sure she gets the job done and helps this angry and desolate man heal.

Elizabeth Hatchet suffered her own pain from a failed marriage, and hiding secrets about her past. She has been hired by a woman she believes to be Kristian's fianc� and if she does not help him to get on his feet, Elizabeth fears she will loose her nursing business. She also becomes aware of just how handsome, rugged and sexy this Greek billionaire is and vows not to succumb to his charm.

However, the tables are turned on both Kristian and Elizabeth as the attraction between them sizzles, a friendship develops and they share an evening of passion. But it doesn't just stop there......they run into Elizabeth's ex-husband and her true identity is exposed!

This is a wonderful story about finding peace, respect, joy and love during an incredible healing process. Bravo Jane Porter for again, entertaining your readers with a strong and powerful love story set in beautiful Greece.

4 of 4 people found the following review helpful.
A classic Jane Porter short romance thrill!
By D. Merrimon Crawford
Jane Porter's At The Greek Boss's Bidding is a contemporary romance focusing on The Greek Tycoon as the hero in a series. Jane Porter is the ultimate at writing explosive romance that takes the reader on roller-coaster with a range of emotions along with her characters --- and this is one of the author's best short romances! Sensual, driven by conflict, intensity and overwhelming physical attraction, this romance is a riveting and fun read.

Recovering from a horrifying accident, Kristian Koumantaros uses a wheelchair and is blind. Despite his physical limitations, Kristian is a powerful and seductive force who would match and better any walking man. When he sends away every nurse Elizabeth Hatchet sends him, her small company is nearly bankrupt from expenses. She decides that the only solution is to deal with this impossible patient herself even if it means a trip to Athens and a donkey ride up through winding paths to the remote monastery-turned-estate in Taygetos. Explosive banter, sexual attraction, plot twists, emotional twists and quite a few underlying secrets lead to excitement. Elizabeth is a source of frustration to the hero because she is a physical therapist and enforces a rigorous rehabilitation plan on this powerful Greek tycoon. Kristian is powerful and used to being in charge and having people obey his commands. Unlike all his other nurses, Elizabeth is strong and independent. She refuses to be wound around his finger. As the sparks of frustration and passion grow between Kristian and Elizabeth, will the electricity heat up enough to ignite or will they somehow find a way to their hearts? When their past secrets are exposed, can romance win or will the past overshadow their passion?

At The Greek Boss's Bidding is a wonderful romance that is superbly written and a delight to read. The prologue hooks in the reader from the beginning and never lets up. The emotions range from tense drama to moments of tenderness. Both characters are dynamic, strong and independent. Just when the two reach a calm, an exposed secret or a person, enters. Kristian and Elizabeth are both faced with challenges that heighten the passion and expose the person beneath. Jane Porter's writing is magnificent in all the ways that count: careful attention to setting, character development and plot development. Whereas the reader experiences a face paced roller coaster ride, Jane Porter creates each detail with sharp meticulous precision. Magnificent!

4 of 4 people found the following review helpful.
Another Porter Classic!!!!
By E.Capri
The main characters are Kristian Koumantaros and Elizabeth are lovable funny, strong willed characters. Kristian is of course the alpha male but taken down a peg or two do to an accident that lost him his ability to walk or see along with causing the death of his brother and several close friends. At this stage when you find out about the loses he has suffered, besides his physical injuries you can sympathize with why the guy is so bitter, but as the story progresses you see the healing process being and how his "forced proximity" and relationship with Elizabeth brings him full circle, from tragedy to hope and love.

If your looking for a quick read a cute and belivable love story with characters that give you a good laugh and a tear for good measure, pick up this book. I also recommend "MARCO'S PRIDE" also by Jane Porter!

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[L799.Ebook] Download Ebook The Globalization of Health Care: Legal and Ethical Issues, by I. Glenn Cohen

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The Globalization of Health Care is the first book to offer a comprehensive legal and ethical analysis of the most interesting and broadest reaching development in health care of the last twenty years: its globalization. It ties together the manifestation of this globalization in four related subject areas - medical tourism, medical migration (the physician "brain drain"), telemedicine, and pharmaceutical research and development, and integrates them in a philosophical discussion of issues of justice and equity relating to the globalization of health care.

The time for such an examination is right. Medical tourism and telemedicine are growing multi-billion-dollar industries affecting large numbers of patients. The U.S. heavily depends on foreign-trained doctors to staff its health care system, and nearly forty percent of clinical trials are now run in the developing world, with indications of as much of a 10-fold increase in the past 20 years. NGOs across the world are agitating for increased access to necessary pharmaceuticals in the developing world, claiming that better access to medicine would save millions from early death at a relatively low cost. Coming on the heels of the most expansive reform to U.S. health care in fifty years, this book plots the ways in which this globalization will develop as the reform is implemented.

• Sales Rank: #2460383 in Books
• Published on: 2013-03-28
• Original language: English
• Number of items: 1
• Dimensions: 6.50" h x 1.50" w x 9.30" l, 1.77 pounds
• Binding: Hardcover
• 480 pages

About the Author

I. Glenn Cohen is an Assistant Professor at Harvard Law School and Co-Director of the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School. Professor Cohen is one of the world's leading experts on the intersection of bioethics (sometimes also called "medical ethics") and the law, as well as health law. Professor Cohen has spoken at legal, medical, and industry conferences around the world and his work has been covered on PBS, NPR, ABC, Mother Jones, the New York Times, the Boston Globe, and several other media venues. He frequently contributes Op-Eds in the New York Times and the Washington Post.

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0 of 0 people found the following review helpful.
Health Care Reform Challenges (The Author does a good job covering this topic within the book
By RusticTraveller
This book is well written and extremely informative. As a Healthcare provider, I am always looking for books related to healthcare. As you read this book, some of the items within my review are explored, If you want to learn more about Healthcare within a Global context purchase this book.

Health Care Reform Challenges (The Author does a good job covering this topic within the book.)

In both advanced and emerging economies, the three fundamental goals of a healthcare system are:

Improve the health of the populace
Offer financial protection against exorbitant costs
Respond to health consumer expectations
However, the primary objective of any healthcare system remains the improvement of health outcomes of the population it serves. Yet, because health care can be extremely expensive and the need for care can be unpredictable, the means for risk sharing and providing financial assistance continue to be equally critical. The third objective – the responsiveness to consumer expectations- includes qualities such as respect, dignity, autonomy and confidentiality. Moreover, equality in healthcare can be implied by these primary objectives, thus improving health outcomes includes optimizing the average health of the populace and diminishing the differences in services received by groups and individuals. This implicit goal drives the need for financial assistance and protections.

Healthcare around the globe has improved greatly over the last several decades with longer life expectancy and greater access to medical care. In addition, the overall welfare gains resulting from these factors impact regional economies through improvements in worker education, productivity and savings. However, on a macroeconomic scale, evidence of the impact on better health outcomes remains mixed. Regardless of the differing studies on this issue, IntelMedic, with his extensive expertise in the field, believes it is clear that limited access to medical care, growing healthcare costs and inefficiencies in financial assistance in both advanced and emerging markets has prompted the urgent call for reforms.

Limited Financial Coverage (I would have liked to see more content on healthcare financial coverage.)

Some form of universal insurance coverage has been adopted by most advanced economies, with the United States as an exception, although the Affordable Care Act passed in 2010 attempted to address that issue. By design, medical insurance pools risk and offers financial protections from the cost to treat catastrophic illnesses. Moreover, it provides access to medical services that are considered essential for the overall public health, such as vaccinations and healthy child checkups. These would be unaffordable for a significant percentage of the population.

Healthcare Inequalities (I would have liked to see deeper coverage on this topic within the book)

Despite the gains made in the overall healthcare delivery system, inequalities still exist, and they are driven mainly by socioeconomic factors, including education, income and occupation. Therefore, these determining factors exist apart from the healthcare system. However, it may be possible to concurrently achieve both efficiency and equity objectives, although some characteristics of healthcare systems may negatively impact equality in care, such as informal payments, which are common in emerging markets and disproportionally encumber the poor.

Escalating Costs (I would have liked to see more coverage on this topic within the book.)

Another critical challenge to providing universal coverage is the rapid growth of health care costs. Since 1970, the total per capital cost has grown fourfold, and healthcare spending as a percentage of GDP has risen from 6 percent to 12 percent across advanced markets. In emerging markets, total healthcare spending has risen from under 3 percent to over 5 percent of GDP. This has resulted in greater fiscal pressure on households, businesses and governments, with the primary causes of increasing costs being aging populations, rising incomes and technological advancements. Other elements resulting in rising costs include health policies and the availability of medical insurance coverage, as they interact and produce effects that work as catalysts for growing expenses.

In addition to the growth in spending, the evolution of the disease profile and its related risk factors represents a crucial challenge, especially for emerging markets. The majority of advanced economies and some emerging markets have progressed from primarily treating communicable diseases (CDs) to primarily treating noncommunicable diseases (NCDs). While many emerging economies are still evolving, NCDs represent the leading causes of death worldwide, producing more deaths annually than all other causes combined. In fact, close to 80 percent of deaths resulting from NCDs occur in poorer nations. The economic impact has resulted in the allocation of healthcare budgets increasingly towards treating NCDs. To a great extent, many NCDs are a result in lifestyle risk factors, such as poor diet, tobacco use, abuse of alcohol and a lack of physical activity, and some governmental measures, such as tax increases on tobacco and alcohol, may have a positive effect on health outcomes.

Inefficiencies in the Delivery of Healthcare

The evidence showing great inefficiencies in the delivery of healthcare is extensive, and shows inefficiencies on both allocation of services and productivity. As a result, some countries could maintain their levels of health outcomes while reducing spending through tighter controls. A report by the Organization for Economic Cooperation and Development (OECD) has suggested that tightening controls to reduce inefficiencies in healthcare delivery systems could actually raise the life expectancy at birth by more than one year. In contrast, a 10 percent increase in per capital healthcare spending would result in a life expectancy increase by a mere three to four months. Moreover, the World Health Organization (WHO) has estimated that an astounding 20 to 40 percent of all resources spent on healthcare is wasted. The most common drivers of these inefficiencies are ineffective and inappropriate use of drugs, poor quality of care, medical errors, corruption, waste and fraud.

Complexity

Healthcare reform can be inherently complex due to the potential for negative trade-offs between reform objectives, such as enhancing the progress of improved health outcomes while tightening controls and costs. In fact, a critical concern that all countries confront remains determining an appropriate level of spending on healthcare, even defining what is appropriate. These efforts at reform are further complicated by outside factors as noted above, including lifestyle choices, pollution, education, occupation and income. In addition, while spending on healthcare remains a crucial determinant in total health outcomes, the spending levels may be too high in some advanced economies. In these situations, addressing the large inefficiencies in the systems may produce the most effective methods of improving health outcomes.

The deficiencies in the healthcare delivery market may imply the necessity of government intervention; however, no one model has proven to provide the best results across every country. The extensive market failures and the aspiration to provide basic medical care to all based regardless of the ability to pay has prompted government action in many cases in both advanced and emerging markets. The categories of government intervention, for example regulations, mandates, financing and other provisions, has varied significantly between economies. The differing models of delivering care and financing has resulted in differing levels of public healthcare spending between countries, thus representing the disparity in constraints and preferences. Therefore, each country must determine its optimal level of spending on public health initiatives, although comparing and contrasting levels globally may provide a working benchmark for equality of access, fiscal constraints or other uses of public monies.

The Critical Fiscal Challenge of Healthcare Reform (I would have liked to see more coverage on this topic within the book.)

Healthcare reform will remain a critical fiscal challenge for both emerging and advanced markets. In advanced economies, the spending on public healthcare has increased by at least 4 percentage points of gross domestic product over the last four decades, representing nearly 50 percent of the total increase in public spending. These pressures will intensify, driven primarily by technological advancements and other factors. In fact, some projections show healthcare spending over four decades in certain advanced countries will increase to levels nearing 100 percent of current GDP. In emerging markets, reforms must address their lower health indicators in relation to their fiscal constraints. These reforms will occur concurrent to governments making efforts to reduce their public debt ratios that rose significantly during the global financial crisis. One common benchmark to determine the size of fiscal adjustments needed to restore fiscal balance is the change in fiscal balance less interest payments. According the Fiscal Monitor published by the IMF, this change is necessary to bring public debt ratios in relation to GDP back to a median level of about 60 percent of GDP that existed prior to the financial crisis, and it represents approximately an 8 point reduction in expenditures in advanced markets in conjunction with an increase in revenue.

In relation to healthcare expenditures in advanced economies, addressing the growth in age-related spending along with containing the increases in healthcare spending may constitute a critical element in policy. Emerging markets may have the capacity to increase healthcare expenditures. Indeed in some emerging countries in Latin America and Asia, the crucial challenge will be to expand basic services to a greater percentage of the population in conjunction with eluding the inefficiencies and high expenses of healthcare systems in advanced markets. In others, the crucial challenge will be to improve the efficiency in public expenditures while limiting its growth as a percentage of GDP.

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[O971.Ebook] Ebook Free Hacker, by Malorie Blackman

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• Sales Rank: #1588059 in Books
• Published on: 2004-02-05
• Format: Import
• Original language: English
• Number of items: 1
• Dimensions: 7.80" h x .59" w x 5.08" l, 1.10 pounds
• Binding: Paperback
• 208 pages

Most helpful customer reviews

3 of 6 people found the following review helpful.
THE BOOK THE UNIVERSE SHOULD READ!
By A Customer
i own hacker and pig-heart boy and i would recomend it to anyoon! all my family enjoyed it and you will too! it is about a girl called vicky that is hacking into a the bank computer to help save her dad - he has been accused of stealing over a million pounds from the bank that he works in. this is what the blurb says: WHEN VICKY'S FATHER IS ARRESTED, ACCUSED OF STEALING OVER A MILLION POUNDS FROM THE BANK WHERE HE WORKS, SHE IS DETERMINED TO PROVE HIS INNOCENCE. BUT HOW, WHEN ALL THE EVIDENCE IS HIDDNE IN COMPUTER FILES? HELPED BY HER BROTHER GIB AND HIS BEST FRIEND CHAUCY, VICKY DECIDES TO TRY AND HACK INTO THE BANK'S COMPUTERS. FOR IF THERE IS ONE SCHOOL SUBJECT SHE IS REALLY GOOD AT, IT IS COMPUTING. BUT EVEN IF SHE DOES MANAGE TO BREAK INTO THE SYSTEM, CAN SHE FIND ALL THE ANSWERS BEFOR THE REAL THEIEF FINDS HER? you MUST READ this exellent book! Malorie is such a good author!

0 of 1 people found the following review helpful.
Well Writen Book
By David Russell
I am a Teenager, i quite enjoyed reading - "Hackers" with its plot involving detective work and action. This is a very good book that keeps you interested all the way through the book never a dell moment arises. Well done Malorie Blackman

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