Books on the topic 'Engine mounting'

Health care organizations are under increasing pressure to account for their performance to outside constituencies. This chapter reviews the background, nature, and consequences of organized efforts to enhance transparency in health care. Market reforms and quality concerns create mounting demands for public transparency, but health care quality is difficult to assess in a way that is both fair and accessible to a general audience. Public quality reporting has not been shown to improve quality of care, and there is a risk that it produces nominal rather than effective transparency. Especially when combined with economic incentives, transparency regimes tend to breed gaming, which is repeatedly ignored by systems designers. Health professionals typically react negatively, even if they also participate in and derive some benefits from transparency efforts. Future research needs to explore systematically the strategies that professionals, patients, and organizations engage in when creating and receiving public quality information.

Last Year at Betty and Bob’s: An Actual Occasion is the third in a series of three novellas emerging from a writing practice that taps the cusp of consciousness between dreaming and waking. An Actual Occasion revisits the viral transitioning of the becoming rat-woman from Last Year at Betty and Bob's: A Novelty (vol. 1 in the trilogy). The adventure focuses on the Gritta’s, a gang of artists on retreat in the Dolomite Mountains, as they engage with the idiosyncratic, keeper of the keys, Roberta. Her other-worldly Café Arcadia, a magical cathedral of voluminous aphorism, is an archival refuge and durational homage to Benjaminian storytelling. This futurist fairy-tale is tinged with a curious mix of 19th-century feminist idioms and a queer, post-pandemic sanguinity.

With a large number of severely wounded military veterans returning home from various wars, sport is seen as vehicle to achieving rehabilitation goals. Introducing injured veterans to sport experiences can also have important mental health benefits. The purpose of this chapter is to review research on physical activity and wounded warriors. Sport- and physical activity–based recreation experiences have helped wounded warriors to re-engage in life and give their lives purpose. Other benefits include a renewed recognition and value of family relationships. In camps that lasted multiple days, participants reported that feeling respected and cared for enhanced their quality of life. Gaining sport skills has also led to improved physical self-concept. Some injured soldiers have reported being inspired by other injured veterans. PA experiences providing benefits often go well beyond traditional disability sports, such as surfing, scuba diving, yoga, horseback riding, white water rafting, mountain climbing, fly fishing, ballet, and Outward Bound programs.

There is much we can learn about conservation from native peoples, says Gene Anderson. While the advanced nations of the West have failed to control overfishing, deforestation, soil erosion, pollution, and a host of other environmental problems, many traditional peoples manage their natural resources quite successfully. And if some traditional peoples mismanage the environment--the irrational value some place on rhino horn, for instance, has left this species endangered--the fact remains that most have found ways to introduce sound ecological management into their daily lives. Why have they succeeded while we have failed? In Ecologies of the Heart, Gene Anderson reveals how religion and other folk beliefs help pre-industrial peoples control and protect their resources. Equally important, he offers much insight into why our own environmental policies have failed and what we can do to better manage our resources. A cultural ecologist, Gene Anderson has spent his life exploring the ways in which different groups of people manage the environment, and he has lived for years in fishing communities in Hong Kong, Malaysia, Singapore, Tahiti, and British Columbia--as well as in a Mayan farmtown in south Mexico--where he has studied fisheries, farming, and forest management. He has concluded that all traditional societies that have managed resources well over time have done so in part through religion--by the use of emotionally powerful cultural symbols that reinforce particular resource management strategies. Moreover, he argues that these religious beliefs, while seeming unscientific, if not irrational, at first glance, are actually based on long observation of nature. To illustrate this insight, he includes many fascinating portraits of native life. He offers, for instance, an intriguing discussion of the Chinese belief system known as Feng-Shui (wind and water) and tells of meeting villagers in remote areas of Hong Kong's New Territories who assert that dragons live in the mountains, and that to disturb them by cutting too sharply into the rock surface would cause floods and landslides (which in fact it does). He describes the Tlingit Indians of the Pacific Northwest, who, before they strip bark from the great cedar trees, make elaborate apologies to spirits they believe live inside the trees, assuring the spirits that they take only what is necessary. And we read of the Maya of southern Mexico, who speak of the lords of the Forest and the Animals, who punish those who take more from the land or the rivers than they need. These beliefs work in part because they are based on long observation of nature, but also, and equally important, because they are incorporated into a larger cosmology, so that people have a strong emotional investment in them. And conversely, Anderson argues that our environmental programs often fail because we have not found a way to engage our emotions in conservation practices. Folk beliefs are often dismissed as irrational superstitions. Yet as Anderson shows, these beliefs do more to protect the environment than modern science does in the West. Full of insights, Ecologies of the Heart mixes anthropology with ecology and psychology, traditional myth and folklore with informed discussions of conservation efforts in industrial society, to reveal a strikingly new approach to our current environmental crises.