Finding What Works in Health Care

Finding What Works in Health Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-07-20

Total Pages: 267

ISBN-13: 0309164257

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Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.


Gardening with Water

Gardening with Water

Author: James Van Sweden

Publisher: Random House (NY)

Published: 1995

Total Pages: 232

ISBN-13:

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By bringing what H. Marc Cathey, president of the American Horticultural Society, has called "a new wave of naturalism" to America, James van Sweden and his partner, Wolfgang Oehme, have revolutionized American landscape design. Van Sweden and Oehme are internationally renowned for their public projects and private commissions: responsible for the Hudson River Park in New York City and several gardens of the U.S. National Arboretum in Washington, D.C., they have landscaped the properties of celebrity clients such as Oprah Winfrey and David Brinkley, as well as many more modest gardens for private homeowners. According to van Sweden, no garden is too small to benefit from the soothing, sensuous qualities of water. Gardening with Water, the first in a new series of books to be written by van Sweden, covers everything from birdbaths and small fountains to waterfalls, swimming pools, lily pools, and water edges. Writing for professional and nonprofessional gardeners alike, van Sweden begins with an overview of influences -- from Frank Lloyd Wright's "Falling Water" to palace gardens in Kyoto, Japan -- before surveying close to a hundred of his own projects to illustrate how he and Wolfgang Oehme introduce water into their garden designs. Several chapters are devoted to practical questions: what to plant, where to plant, whom to contact, and how to build. Clear instructions are supplemented with numerous illustrations, extensive diagrams, and a detailed glossary of trees, plants, and flowers (including Oehme and van Sweden's trademark grasses).


Pentagon 9/11

Pentagon 9/11

Author: Alfred Goldberg

Publisher: Office of the Secretary, Historical Offi

Published: 2007-09-05

Total Pages: 330

ISBN-13:

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The most comprehensive account to date of the 9/11 attack on the Pentagon and aftermath, this volume includes unprecedented details on the impact on the Pentagon building and personnel and the scope of the rescue, recovery, and caregiving effort. It features 32 pages of photographs and more than a dozen diagrams and illustrations not previously available.


Architecture in the Garden

Architecture in the Garden

Author: James Van Sweden

Publisher:

Published: 2002

Total Pages: 296

ISBN-13:

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The elements of garden architecture—paths, walls, gates, fences, terraces, sheds, lighting, furniture, waterworks, and art—together form the backbone of any well-designed garden. In this beautifully illustrated and accessible book, legendary landscape architect James van Sweden explains how to design and build a garden like a professional. He leads his readers on a tour through some of his most exquisitely designed gardens—in the country, in the city, in the suburbs, and by the shore. “When it comes to planning a comfortable and rewarding garden,” van Sweden writes in his Introduction, “the challenges that confront the owner of an estate or a weekend cottage are often substantially the same. The principles and techniques used for organizing a large site work equally well in a more modest setting.” Each case study highlights a particular architectural element, breaking it down into practical ideas that any gardener can apply to his or her own garden or yard. The book includes dozens of detailed schematic drawings that can be used to build many of the elements described by the author, along with an extensive, illustrated glossary. Architecture in the Garden is sure to inspire you with its many practical ideas on how to domesticate your landscape and design an outdoor space that suits your taste as well as your lifestyle.


Noise and Military Service

Noise and Military Service

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-01-20

Total Pages: 339

ISBN-13: 0309099498

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The Institute of Medicine carried out a study mandated by Congress and sponsored by the Department of Veterans Affairs to provide an assessment of several issues related to noise-induced hearing loss and tinnitus associated with service in the Armed Forces since World War II. The resulting book, Noise and Military Service: Implications for Hearing Loss and Tinnitus, presents findings on the presence of hazardous noise in military settings, levels of noise exposure necessary to cause hearing loss or tinnitus, risk factors for noise-induced hearing loss and tinnitus, the timing of the effects of noise exposure on hearing, and the adequacy of military hearing conservation programs and audiometric testing. The book stresses the importance of conducting hearing tests (audiograms) at the beginning and end of military service for all military personnel and recommends several steps aimed at improving the military services' prevention of and surveillance for hearing loss and tinnitus. The book also identifies research needs, emphasizing topics specifically related to military service.