Selasa, 14 Juni 2011

[X383.Ebook] PDF Ebook Business Roles 2 Copy masters: Simulations for Business English (Cambridge Copy Collection) (Bk. 2), by John Crowther-Alwyn

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Business Roles 2 contains short, easy-to-administer role plays which get students speaking. Its simulations give students prescribed roles, which enables them to concentrate on their communication skills and fluency while participating in lively discussions. The authentic situations are set in manufacturing and service organisations around the world, so a wide range of business topics can be discussed.

  • Sales Rank: #3492340 in Books
  • Published on: 1999-11-28
  • Original language: English
  • Number of items: 1
  • Dimensions: 8.78" h x .55" w x 11.69" l, .0 pounds
  • Binding: Spiral-bound
  • 104 pages

Review
Business Roles offers a practical and easy-to-use alternative to enliven classroom discussions and involve students more by engaging them in interesting and realistic situations. There is excellent value for money here and busy teachers will find this resource a valuable addition to their existing stock of materials. Modern English Teacher

'This is a very useful resource to have around as the simulations are very well-prepared - a boon for the busy teacher with little preparation time.'

Provides a wealth of supplementary material and ample opportunities for a great deal of fluency work and communicative practice in the classroom. All the simulations are fictional but reflect very real conflicts and situations in an international business context.' IATEFL Issues

Most helpful customer reviews

0 of 0 people found the following review helpful.
I would like to have had a greater variety of business situations
By Frances Durbin
I would like to have had a greater variety of business situations. Actually none of them met my students' specific fields. However, the improvement of having seven roles, and if you have a smaller group, indicating which roles could be eliminated, was a nice improvement.

0 of 0 people found the following review helpful.
Highly recommended if you teach English to businessmen
By Laure Pavillard
I have been teaching English to businessmen and secretaries for nearly two years and a half and I must admit that this book has been of a great help to me. There are lots of varied and motivating activities which adults enjoy very much. Business Roles 1 is just as good!

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Senin, 13 Juni 2011

[U420.Ebook] Download PDF Wireless Transceiver Circuits: System Perspectives and Design Aspects (Devices, Circuits, and Systems)From CRC Press

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Wireless Transceiver Circuits: System Perspectives and Design Aspects (Devices, Circuits, and Systems)From CRC Press

Modern transceiver systems require diversified design aspects as various radio and sensor applications have emerged. Choosing the right architecture and understanding interference and linearity issues are important for multi-standard cellular transceivers and software-defined radios. A millimeter-wave complementary metal–oxide–semiconductor (CMOS) transceiver design for multi-Gb/s data transmission is another challenging area. Energy-efficient short-range radios for body area networks and sensor networks have recently received great attention. To meet different design requirements, gaining good system perspectives is important.

Wireless Transceiver Circuits: System Perspectives and Design Aspects offers an in-depth look at integrated circuit (IC) design for modern transceiver circuits and wireless systems. Ranging in scope from system perspectives to practical circuit design for emerging wireless applications, this cutting-edge book:

  • Provides system design considerations in modern transceiver design
  • Covers both systems and circuits for the millimeter-wave transceiver design
  • Introduces four energy-efficient short-range radios for biomedical and wireless connectivity applications
  • Emphasizes key building blocks in modern transceivers and transmitters, including frequency synthesizers and digital-intensive phase modulators

Featuring contributions from renowned international experts in industry and academia, Wireless Transceiver Circuits: System Perspectives and Design Aspects makes an ideal reference for engineers and researchers in the area of wireless systems and circuits.

  • Sales Rank: #4297773 in Books
  • Published on: 2015-02-06
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.10" h x 1.30" w x 6.20" l, .0 pounds
  • Binding: Hardcover
  • 580 pages

Review

"This book is great for academic professionals and researchers working in multiple areas of wireless transceivers, since the coverage is comprehensive."
―Chih-Ming Hung, MediaTek Inc., Hsinchu, Taiwan

About the Author

Woogeun Rhee holds a B.S. from Seoul National University, South Korea; M.S. from the University of California, Los Angeles, USA; and Ph.D. from the University of Illinois, Urbana-Champaign, USA. Previously, Dr. Rhee was with Conexant Systems, Newport Beach, California, USA, and the IBM Thomas J. Watson Research Center, Yorktown Heights, New York, USA. In August 2006, he joined the Institute of Microelectronics at Tsinghua University, Beijing, China. He holds 19 U.S. patents, has edited numerous scientific journals, and is a member of the Technical Program Committee for the IEEE ISSCC and the IEEE A-SSCC.

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Minggu, 12 Juni 2011

[B104.Ebook] Ebook Download The Dolphin Way: A Parent's Guide to Raising Healthy, Happy, and Motivated Kids-Without Turning i nto a Tiger, by Dr. Shimi Kang

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The Dolphin Way: A Parent's Guide to Raising Healthy, Happy, and Motivated Kids-Without Turning i nto a Tiger, by Dr. Shimi Kang

In this inspiring book, Harvard-trained child and adult psychiatrist and expert in human motivation Dr. Shimi Kang provides a guide to the art and science of inspiring children to develop their own internal drive and a lifelong love of learning. Drawing on the latest neuroscience and behavioral research, Dr. Kang shows why pushy “tiger parents” and permissive “jellyfish parents” actually hinder self-motivation. She proposes a powerful new parenting model: the intelligent, joyful, playful, highly social dolphin. Dolphin parents focus on maintaining balance in their children’s lives to gently yet authoritatively guide them toward lasting health, happiness, and success.

As the medical director for Child and Youth Mental Health community programs in Vancouver, British Columbia, Dr. Kang has witnessed firsthand the consequences of parental pressure: anxiety disorders, high stress levels, suicides, and addictions. As the mother of three children and as the daughter of immigrant parents who struggled to give their children the “best” in life—Dr. Kang’s mother could not read and her father taught her math while they drove around in his taxicab—Dr. Kang argues that often the simplest “benefits” we give our children are the most valuable. By trusting our deepest intuitions about what is best for our kids, we will in turn allow them to develop key dolphin traits to enable them to thrive in an increasingly complex world: adaptability, community-mindedness, creativity, and critical thinking.

Life is a journey through ever-changing waters, and dolphin parents know that the most valuable help we can give our children is to assist them in developing their own inner compass. Combining irrefutable science with unforgettable real-life stories, The Dolphin Way walks readers through Dr. Kang’s four-part method for cultivating self-motivation. The book makes a powerful case that we are not forced to choose between being permissive or controlling. The third option—the option that will prepare our kids for success in a future that will require adaptability—is the dolphin way.

  • Sales Rank: #578627 in Books
  • Published on: 2014-05-01
  • Released on: 2014-05-01
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.38" h x 1.25" w x 6.38" l, 1.00 pounds
  • Binding: Hardcover
  • 352 pages

Review
“The perception of today’s parents as micro�managers who steal all the oxygen is often correct, and as the research trickles in, we are seeing a generation of kids who are lacking internal control. Award-winning physician Kang shows parents how these kids—likened to tiger cubs—are 'increasingly dependent on external rewards to stay motivated' and how parents are turning their cubs into the 'overworked, middle-aged.' Kang views this tiger style as 'under parenting' that includes too much 'pushing, pulling, directing, instructing, scheduling, and monitoring.' Seeking to right the scales, the author shows parents how to develop skills such as creativity, critical thinking, communication, and collaboration—what she calls the CQ, or cognitive quotient. By encouraging parents to model dolphins, who instruct by play, exploration, social bonds, altruism, contribution, and family and community values, kids will strengthen their own internal compass and have a stronger core with a greater chance at personal success and happiness. Combining scientific research with personal stories, Kang has a soothing and encouraging tone that will appeal to many readers.”
—Library Journal (STARRED REVIEW)

“With�insight, professional expertise and unfailing instinct, Dr. Shimi Kang�provides essential guidance in restoring sanity to 21st Century parenting. Compassionate to parent and child, loving and reasoned in its approach,�The Self-Motivated Kid is�highly readable, emotionally nurturing and intellectually satisfying.
—Gabor Mat�, M.D., co-author of Hold On To Your Kids: Why Parents Need To Matter More Than Peers

“If you're looking for effective but practical strategies to calm the chaos in your kids' lives, foster their internal motivation and truly prepare them to function successfully in the adult work - read this book! Using concrete evidence, Dr. Kang shows why “Tiger” approaches to parenting do more harm than good. Her Dolphin approach will have you and your kids cheering. �Highly recommended!”
—Amy McCready, Founder of PositiveParentingSolutions.com and author of If I Have to Tell You One More Time...The Revolutionary Program That Gets Your Kids to Listen Without Nagging, Reminding or Yelling

"In The Self-Motivated Kid, Dr. Shimi Kang writes insightfully of the real lives of parents, weaving science with spirit, and embedding highly practical suggestions into every chapter. I highly recommend this book!"
—Michael Gurian, author of The Wonder of Boys and The Wonder of Girls

“Ready to give your kids back their childhood—the part YOU loved? The joy? The creativity? The afternoons you still remember with such longing? If you're driving your kid to the lessons neither of you likes, instead of giving yourselves BOTH a chance to relax, play or just ‘waste’ time, it's time to turn around the car. This book is your U-turn to joy.”
—Lenore Skenazy, author of the book and founder of the blog Free-Range Kids

"The Self-Motivated Kid is an excellent parenting tool to implement in our daily life to help guide our children to be happy and healthy. She focus on adaptability and uses fantastic resources and examples from her own experience to solidify her case. An excellent read through and through. The Self-Motivated Kid is a parenting guide that every home should own."
—Working Mommy Journal


"I think this is a fantastic book to revolutionize your parenting approach."
—Along Came Kids

"Dr. Kang gives us a lot to think about. It’s a good read, with eye-opening examples and many practical suggestions for incorporating some of this thinking into your own life. The Self-Motivated Kid offers a roadmap for finding a little more balance in the way we parent, so that we can help our children become happy, successful, independent, and self-motivated adults."
—Daniela Duriavig, Life Over Easy

"I want you to read The Self-Motivated Kid. Unlike trendy books, I believe that it’s here for the long-run. It’s not a formula or a recipe or a how-to parent, but rather a roadmap for helping our children achieve a lifetime of happiness and fulfillment. And really, what more do we want as parents?"
—Mara Shapiro, Be Nice Or Leave Thanks

"This book conveys a lot of information and prompts considerable self-reflection. I found it a very worthwhile read. In addition to the prescriptions, there are lots of great quotations, helpful acronyms and checklists in this book. And beyond prompting parents to assess whether they’re happy with the way they’re parenting (and if not, to make some changes), it also provides a bit of a road map to help each of us find a little more balance in lives."
—Out and About with the GeoKs

"This book really opened my eyes to the idea that balance in parenting is as important as balance in life. Dr Kang uses evidence based research to make her points about the importance of being an authoritative parent. I feel like this book has made me understand much better the kind of parent that I want to be and I know that it will very dog-eared from all my referencing as my son grows up."
—Emma Finlayson, Savvy Mom

"I would be shocked if this book did not make almost any parents take a long, hard look at themselves and their schedule and the life they are leading and ask some very hard questions.� What I can only hope is that parents will implement the answers."
—MBA Mama Musings

"If you were to pick just one book on parenting this year, I would recommend The Self-Motivated Kid."
—Motherless Moments

About the Author
Shimi Kang, M.D., is the medical director for Child and Youth Mental Health for Vancouver and a clinical associate professor at the University of British Columbia. Dr. Kang has helped hundred of children, adolescents, and parents move toward positive behaviors and better mental health.

Most helpful customer reviews

5 of 5 people found the following review helpful.
"Look deep into nature, and then you will understand everything better."
By Mina
An illuminating read on the challenges of parenting in the twenty-first century, the limits of the "tiger" model (Battle Hymn of the Tiger Model by Amy Chua), and the opportunities offered by a parenting style inspired to one of the most wonderfully adaptable, self-reliant and socially connected creatures on earth: dolphins.

In her memoir, Battle Hymn Of The Tiger Mom (Penguin Press, 2011), Yale professor Amy Chua, recorded her personal experience as a mother and the challenges she had to face raising her two daughters. Coming from a strict Chinese family, Chua received a very tough education ('no good grades in school, no toys, no playdates, no boyfriends' kind of upbringing): according to the law professor, her parents' demanding and restrictive strategy was the best gift anybody ever gave to her and she admittedly tried to raise her kids in the same way (without apparent success with one of her daughters, tough). The authoritarian brand of parenting made famous by Chua's provocative memoir proudly excludes playing, choices, even bathroom breaks during piano practice. Her book stirred quite a controversy among critics and readers. Although not intended as a parenting guide, she strongly asserted her point of view about education in this country: "I do believe that we in America can ask more of children than we typically do, and they will not only respond to the challenge, but thrive."

The cultural divide between Western and traditional Chinese parents is as wide as the geographical distance separating them: while we try to respect our children's individuality encouraging them to pursue their own passions and providing a nurturing environment, in many eastern cultures parents believe that the best way to protect their children is preparing them for the future with strict rules and strong work habits. I am a strong supporter of the idea that virtue lies in the middle, not in the extremes.

As a Harvard-trained psychiatrist, researcher, and co-founder of the Youth Culture and Mental Health Fund for the BC Mental Health Foundation, Shimi Kang, M.D. has worked with thousands of people dealing with stress, family conflicts, work-life balance, depression, anxiety, addictions, psychosis, and suicidal thoughts: drawing from her range of expertise and experience, and in response to Chua's brutally honest story of extreme parenting, her guide, The Dolphin Way, argues that motivation as an external imposition doesn't bring lasting results. Chua's "tiger" parenting style (yelling, bribing, punishing) kills self-motivation:

"Pushing, hovering, demanding, and cajoling may get results when tasks are simple, but when tasks become complex, involve creativity, and require critical thinking, these external motivators work poorly. Carrots and sticks can't replace autonomy, mastery, and purpose as the foundation of self-motivation, pleasure, and joy."

And so does the opposite:

"When we motivate via toys, money, or too much praise, we also take away the chance for internal rewards - that amazing dose of dopamine that keeps us feeling happy."

At best, the "tiger" parenting focuses on mastery alone and it works only when the child finds the activity imposed by her/his parents to be important enough for her/him to master it. And even when children of "tiger" parents bolt out of the gates, so to speak, they do it only because of external pressure and will be often passed over by those who experienced a more relaxed approach to academics and extracurricular activities. The "tiger" kids will underperform in the real world; they will more likely develop addictions, self-harm habits, and suicidal tendencies. Action based on external motivation will last only as long as the external pressure, reward, punishing are in place. On the other end of the parenting spectrum, the permissive style (the "jellyfish") will breed irresponsible and impulsive kids, poor relation skills, no respect for authority, poor school/work performance, and risky behaviors. The risks of parenting with an excess of control and micro-managing, or complete lack of guidance, are enormous. Both models destroy curiosity, the very roots of self-motivation.

"I think, at a child's birth, if a mother could ask a fairy godmother to endow it with the most useful gift, that gift should be curiosity", Eleanor Roosevelt used to say. I couldn't agree more with her. Curiosity is linked to our brain's dopamine reward system and fuels our self-motivation for learning: when we look at the world with curiosity, we stop judging and simply engage our thinking brain to observe and interact.

The dolphin-way appears to be the perfect balance between the authoritarian parenting model (the "tiger"), and the permissive style (the "jellyfish"). Dolphins, with all their attributes and qualities, are a powerful metaphor for a successful parenting: they display qualities of intelligence, creativity, learning, communication, and social connection, all traits necessary to fare with success in the shift age. They are social creatures, living and traveling in pods. They teach their young through role modeling, play. and guidance. They're the most altruistic and collaborative animal species, with a brain size second only to humans. The dolphin parenting model is about guiding rather instructing, teaching by example, emphasizing the importance of play, exploration, social bonds, and community values, rather than competition and isolation. All these positive traits are natural to human parenting, but we have lost connection with them because of our imbalanced, over-competing, over-achieving lifestyle.

With a parenting style modeled on the dolphin behavior, discipline is assertive and positive, not restrictive; supportive, not punishing or dismissing. Dolphin parents are clear authority figures (not friends, or personal assistants, helicopters, slaves, drivers) that establisheclear rules and guidelines while responding to the emotional needs of a child. Kang's book offers numerous and practical examples of "dolphin" inspired approaches and communication strategies.

Unlike many other parenting books, The Dolphin Way offers guidance, not instruction, in a perfect dolphin-parenting way: it doesn't add any more tasks to a parent's to-do list. It actually helps eliminate some, clearly illustrating the multiple benefits of such a model:

- being warm and responsive helps children form secure attachments and protects them from internalizing issues such as depression and anxiety

- enforcing limits decreases the chance children will engage in acting out self-destructive behaviors (aggression, interpersonal conflict, drug and alcohol abuse)

- communicating about thoughts and feelings strengthens children's empathy, emotional regulation, and relationship skills

- showing understanding for academic struggles helps children become better problem solvers and learners

- encouraging independence helps children develop self-reliance, a desire to help others, and better emotional health

To use Albert Einstein's words, "look deep into nature, and then you will understand everything better."

3 of 3 people found the following review helpful.
in defense of Lego...
By Angeliki
I wasn't at all impressed with the 'viewpoint' of the author, even though I do agree with the concept of nor over-loading our kids and taking a 'dolphin like' approach to parenting. I will stick to the intro, because it gives (as an intro should) a good preview of the mind-set of the author; in this case I find it a bit dogmatic. She begins the book by telling the story of the day it dawned on her that her son would be happier playing freely than playing the piano (they never went to piano again... that I find to bit extreme, especially since she later claims she would like her children to appreciate music... mix messages, to say the least). This incident is followed by a trip to a toy store where she is disillusioned by the way Lego has evolved (i.e. it's no longer a box with colorful bricks but rather Lego come in different themed sets). Her take on Lego is so skewed and narrow-minded and it unfortunately follows suite with the rest of the intro (I couldn't read page to page the rest of the book, it lost me) Lego, she decided, is no longer about imagination and creativity. She bases that on the difficulty she, her 6 yr old and husband had with following the complicated instructions. Her outlook did not allow her to consider that following these complicated instructions builds a different set of skills, such as persistence and understanding how things are made; that step by step is the only way to go, from the ground up, the sense of accomplishment, that practice matters; And crucially that once you are done building based upon the instructions you are free to create! And kids, as well as adults DO create amazing structures, machines, whole worlds with today's diverse Lego sets. It s magical! or rather, i CAN be and it should be if you allow your IMAGINATION to take place, and suspend judgement for anything that is not 'as good as it used to be'. So she concludes that it'd be better if she let her kid out in the garden to dig up worms... ((Which is fun. But it's not comparable to Lego building). And i think this viewpoint provides an good example for her overall world-view: Just like with Lego she romanticizes the old ways of her parents' as well as her carefree childhood in a way that feels forced and simplistic.
However, if you are a new parents who has never thought about parenting, who feels under pressure to 'perform' in your new role, and are basically clueless about it, it could give some food for thought, and an alternative to the 'tiger way' (what's up with these animal metaphors anyway!?). But be open-minded, or at least critical while reading an opinionated piece (this, or any other piece).
I should say that i m not your 'average reader' for this kind of books (I m a developmental psychologist) since I have read many of the classics. I would say you are MUCH better off going with writers that are recognized experts on parenting and have been tested throughout the years for their solid advice and approach, such as Montessori, Piaget, Winnicott etc.

3 of 3 people found the following review helpful.
... book by any means-- The Dolphin Way reads more like a study in psychology with tips and tricks than ...
By Jordana Kujavsky
Not your typical parenting book by any means-- The Dolphin Way reads more like a study in psychology with tips and tricks than your every-day-run-of-the-mill "self-help book". While some of her advice and focus is more applicable to different age groups than where I am as a parent at the moment (a toddler and one in-utero vs. school-aged kids), much of Kang's insight and guidance is fascinating and really "clicks" for every day behaviours and habits.

Kang reminds us that we all know the secret to parenting. There is no one way to parent properly, but we have to listen to our intuition rather than forcing a "right way" on ourselves and our kids because that's what everyone else is doing. We need to remember to act not out of fear and the need to control, but rather based on guidance and showing our kids what they need to "figure it out". If you've ever taken a basic psych course and learned about Maslow's hierarchy of needs, that's what we're talking about here: self-motivation and self-actualization for vitality.

If you're looking for a new perspective on parenting that serves as more of a reminder than of a to-do list that makes you feel guilty about your parenting, then I highly recommend this book.

Note: I received an Advanced Reader's Copy of this book from the publisher in exchange for a fair and honest review.

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Selasa, 07 Juni 2011

[X788.Ebook] Download PDF Death Knocking, Life Calling: The Amazing True Story of Randy and Mary Ann Gallaway, by Randy Gallaway, Bear Mills, Mary Ann Gallaway

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Death Knocking, Life Calling: The Amazing True Story of Randy and Mary Ann Gallaway, by Randy Gallaway, Bear Mills, Mary Ann Gallaway

Death Knocking, Life Calling: The Amazing True Story of Randy and Mary Ann Gallaway, by Randy Gallaway, Bear Mills, Mary Ann Gallaway



Death Knocking, Life Calling: The Amazing True Story of Randy and Mary Ann Gallaway, by Randy Gallaway, Bear Mills, Mary Ann Gallaway

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Death Knocking, Life Calling: The Amazing True Story of Randy and Mary Ann Gallaway, by Randy Gallaway, Bear Mills, Mary Ann Gallaway

Inspirational non-fiction autobiography. This is the amazing story of how eighteen-year-old Randy Gallaway was given up for dead by a team of doctors following a horrific electrocution at an industrial site. However, one doctor fought to save his life. The story follows Randy through thirty-eight surgeries including having both arms amputated. Then it documents his extraordinary life over the next forty-eight years to demonstrate how God used him to change the lives of hundreds of thousands of people. It concludes with Randy and wife Mary Ann’s work around the world to provide a) hope and b) prosthetic devices for those in need.

  • Sales Rank: #1349649 in Books
  • Published on: 2014-12-10
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.00" h x .50" w x 6.00" l, .66 pounds
  • Binding: Paperback
  • 220 pages

Most helpful customer reviews

0 of 0 people found the following review helpful.
God is good!
By Valerie A
We had the privilege of getting to know Mary Ann and Randy on a trip to Israel in March with members of our church. Randy is the most positive person I have ever met. You NEVER see him without a smile. Reading his story truly makes you stop and thank God for the life you have been blessed with and praise God for what He has done in the lives of Randy and Mary Ann. I am amazed how Randy handled the situation and pain he had to endure and came through it with a faith that can move mountains. That can only come from God. There is a paragraph in the book that is the theme of Randy's life: "God is good. If you give your life and your future to God, and if you love Him, He will redeem the bad things that happen in your life. As it says in Romans 8:28-29, He will transform the terrible things that happen and use them for His glory. He may even go beyond that and make your recovery and transformation a platform for you to help others." That is Randy. When your path crosses with Randy and Mary Ann's, you are truly blessed and can see God working through the two of them. This story will not disappoint. I started it on Christmas Day and did not put it down until I finished it.

0 of 0 people found the following review helpful.
Hadicapped by an accident, Randys' book is a rare find for a life worth living
By Brother Albert
Some lives are meant to be told, Randy has one of those lives that needs to be read. Thank you Randy for being honest in the way you share how tragic life can be when someone in your work environment is not only careless but unfeeling as well. The way you explain having to forgive every time the root of bitterness tries to form in your heart reminds me of Corrie Ten Boom and the guard who was so cruel to her and her sister, and Corries' struggle to forgive him. If there is a person out there who needs to read a book to help them cope with their own handicapped life they need to read this one. Randy is truly an inspiration for the rest of us. Thank you Randy and Mary Ann for allowing others to glimpse into your lives and take some comfort and encouragement for our own struggles through life. May the Lord keep you close to Him always,
your brother in Christ,
Albert R.

0 of 0 people found the following review helpful.
It was so good and I think about him when I feel I ...
By georgia steward
Bob and I have known Randy and Mary Ann for several years, and had heard him speak about his life on the subject of forgiveness. It was so good and I think about him when I feel I have been wronged, so minor to his situation. This book is great, shows how God has worked so many blessings in their lives physical and spiritual to help people from all walks of life. I could not put it down, easy to read and really makes you know no matter how hard times can get, God has a plan for all of us. I would recommend this book to anyone who wants to be inspired and read about a true miracle.

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Senin, 06 Juni 2011

[V703.Ebook] Fee Download How Doctors Think, by Jerome Groopman

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How Doctors Think, by Jerome Groopman

How Doctors Think, by Jerome Groopman



How Doctors Think, by Jerome Groopman

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How Doctors Think, by Jerome Groopman

On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong -- with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can -- with our help -- avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.

Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems.

How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

  • Sales Rank: #44136 in Books
  • Brand: Houghton Mifflin Company
  • Published on: 2007-03-19
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.00" h x .75" w x 6.00" l, 1.10 pounds
  • Binding: Hardcover
  • 307 pages
Features
  • Great product!

From Publishers Weekly
Starred Review. SignatureReviewed by Perri KlassI wish I had read this book when I was in medical school, and I'm glad I've read it now. Most readers will knowJerome Groopman from his essays in the New Yorker, which take on a wide variety of complex medical conditions, evocatively communicating the tensions and emotions of both doctors and patients.But this book is something different: a sustained, incisive and sometimes agonized inquiry into the processes by which medical minds—brilliant, experienced, highly erudite medical minds—synthesize information and understand illness. How Doctors Think is mostly about how these doctors get it right, and about why they sometimes get it wrong: "[m]ost errors are mistakes in thinking. And part of what causes these cognitive errors is our inner feelings, feelings we do not readily admit to and often don't realize." Attribution errors happen when a doctor's diagnostic cogitations are shaped by a particular stereotype. It can be negative: when five doctors fail to diagnose an endocrinologic tumor causing peculiar symptoms in "a persistently complaining, melodramatic menopausal woman who quite accurately describes herself as kooky." But positive feelings also get in the way; an emergency room doctor misses unstable angina in a forest ranger because "the ranger's physique and chiseled features reminded him of a young Clint Eastwood—all strong associations with health and vigor." Other errors occur when a patient is irreversibly classified with a particular syndrome: "diagnosis momentum, like a boulder rolling down a mountain, gains enough force to crush anything in its way." The patient stories are told with Groopman's customary attention to character and emotion. And there is great care and concern for the epistemology of medical knowledge, and a sense of life-and-death urgency in analyzing the well-intentioned thought processes of the highly trained. I have never read elsewhere this kind of discussion of the ambiguities besetting the superspecialized—the doctors on whom the rest of us depend: "Specialization in medicine confers a false sense of certainty." How Doctors Think helped me understand my own thought processes and my colleagues'—even as it left me chastened and dazzled by turns. Every reflective doctor will learn from this book—and every prospective patient will find thoughtful advice for communicating successfully in the medical setting and getting better care.Many of the physicians Dr. Groopman writes about are visionaries and heroes; their diagnostic and therapeutic triumphs are astounding. And these are the doctors who are, like the author, willing to anatomize their own serious errors. This passionate honesty gives the book an immediacy and an eloquence that will resonate with anyone interested in medicine, science or the cruel beauties of those human endeavors which engage mortal stakes. (Mar. 19)Klass is professor of journalism and pediatrics at NYU. Her most recent book is Every Mother Is a Daughter, with Sheila Solomon Klass.
Copyright � Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Bookmarks Magazine
Jerome Groopman, Harvard professor of medicine, AIDS and cancer researcher, and New Yorker staff writer in medicine and biology, isn't new to the popular medical-writing scene. Before How Doctors Think, he penned three other books—The Anatomy of Hope, Second Opinions, and The Measure of Our Days—that explore the role of art in the hard science of medicine. Here, Groopman's readable prose emphasizes the human element, the give-and-take so important to successful diagnosis and treatment. One critic, however, compares the book's medical pyrotechnics to an episode of the medical show House, while another takes issue with the author's stance against Big Pharma. For the most part, critics see Groopman's latest effort as a compelling meditation on the interactions between doctors and patients—an effort reminding us that mistakes and miscommunications can be minimized but not eliminated.

Copyright � 2004 Phillips & Nelson Media, Inc.

From Booklist
By far the largest number of examples New Yorker staff writer and Harvard physician Groopman adduces to show how doctors think shows them thinking well for the good of their patients. In the initial example, one doctor seen by a woman with a long-standing weight-loss condition concedes being stumped and sends her to a specialist who finds the cause of her woes and, most probably, saves her from an early death. Both physicians are praiseworthy, the second more than the first only because he believed a patient whom others had come to pooh-pooh as a complainer and then thought of examining for something that the others had missed. The lesson? A doctor has to think with the patient, not despite or against her or from an assumption of superior knowledge. Subsequent chapters show doctors thinking in resistance to economic pressure by hospitals and insurers, in thorough solidarity with parents about their children's care, against a host of professional assumptions and in resistance to pestering by drug companies--all to help patients achieve their own goals as far as possible. An epilogue suggests a few questions patients should ask to help their doctors think clearly and, as the last chapter's title puts it, "In Service of the Soul." A book to restore faith in an often-resented profession, well enough written to warrant its quarter-million-copy first printing. Ray Olson
Copyright � American Library Association. All rights reserved

Most helpful customer reviews

2 of 2 people found the following review helpful.
Great reminder for physicians on common cognitive errors and how ...
By katarinaism
Great reminder for physicians on common cognitive errors and how to avoid them as much as possible. The theme of trying to attach a diagnosis to a patient that doesn't quite fit, often based on their demographics or what is 'most likely' is reiterated throughout the book. Of course common conditions can present in uncommon ways, but the emphasis on trying to reach a diagnosis right away opens up the risk of missing something important - one example cited aortic dissection misdiagnosed as musculoskeletal pain and another a compression fracture that turned out to be cancer in a young boy. While these examples are extreme they are certainly not unheard of. Another was overreliance on clinical algorithms which resonated with me.

As a neurology resident we commonly evaluate patients with suspected stroke and grade the severity based on several exam findings which together make up the NIH stroke scale. This score helps determine whether to administer a clot busting drug called tpa, which can decrease the disability caused by a stroke but comes with a nontrivial risk of bleeding, both systemically and in the brain. While a high score indicates a severe stroke (or some other global process mimicking a stroke), a low score can be deceptive, as even a low score can indicate significant disability. For example, one patient working in a very cognitively demanding field had intact motor function and speech but was unable to accurately calculate even simple equations. His score was 1 (the highest score is 32). While some may argue that the patient had a low score, without treatment he would not have been able to continue his career- a large consequence for someone in their prime. The decision was made to give the patient the drug, and the next day his Mri indeed showed small strokes in a part of the brain important in solving calculations. He had no residual symptoms, and no untoward side effects from the drug. The idea of treating each patient as an individual is thus emphasized.

Another point made in the book was not to prematurely write a symptom off as being psychological. I once admitted a patient with acute onset of altered mentation and agitated behavior who had recently lost their family member. The family had reiterated that the loss was a month ago and that up until a few days prior to coming into the hospital the patient had been completely normal with the exception of some normal grief. She had gone to another hospital prior who felt that this may have been psychological, as the patient had imaging that turned out normal and labs which showed no drug ingestion. I admitted that while I had some ideas for what may be causing it, we would need further testing to confirm. An eeg showed a pattern consistent with encephalitis and the patient was found to have suspected autoimmune encephalitis, which presents with very bizarre neuropsychiatric symptoms (read the book Brain on Fire if interested). She responded beautifully to a course of treatment that dampened the immune system's abnormal response.

Of course there are the misses too- a time that I once thought a brain wave test on a child with autism and tics signified seizures, but in retrospect was artifact from repetitive hand movements the child was making.

Overall, I loved this book. While the information presented is going to be familiar to most physicians, it will make you think critically about your practice behaviors and how to improve upon them, as well as the limitations of medicine.

1 of 1 people found the following review helpful.
Compulsory Reading For Those Seeking To Understands The Mind Of Doctors
By ZyPhReX
There are doctors that follow the tune that the Medical Industrial Complex plays, and there are ones who buck the trend. Dr. Groopman is one of the latter, thankfully.

In How Doctors Think, The New Yorker staff writer and Harvard professor of medicine & researcher Dr. Groopman offers a distinctive look into the structure of Big Medica in search for what exactly is the type of mindset Doctors employ when practicing their jobs.

Groopman does a compelling job throughout the book in making sure he relates the plights plaguing medicine from both sides of the coin, from the patients perspective, as well as from the perspective of a physician. This aids in the book not being one sided. It helps greatly that he’s also a Doctor with experience in this very field.

From medical, money, marketing, uncertainty, dogma, to various other components of medicine, Groopman attempts to turn over as many stones as possible in his search for what issues are the ones plaguing Doctors the most.

A notable point in the book that hit close to home, which many people will relate to is the emotional tension that can arise at times between patients and their doctors. Essentially, whether patients and doctors like each other. Groopman relates what Social Psychologist, Judy Hall discovered regarding emotional tension:

“..that those feelings are hardly secret on either side of the table. In studies of primary care physicians and surgeons, patients knew remarkably accurately how the doctor actually felt about them. Much of this, of course, comes from nonverbal behavior: the physician’s facial expressions, how he is seated, whether his gestures are warm and welcoming or formal and remote. “The doctor is supposed to be emotionally neutral and evenhanded with everybody,” Hall said, “and we know that’s not true.”[1]

What’s worse, is that Hall’s research indicated:

“…that the sickest patients are the least liked by doctors, and that very sick people sense this disaffection. Overall, doctors tend to like healthier people more.”[2] So much for quality health care.

Along with the above example, the author additionally notes many other examples of issues that arise due to a crisis in communication which can arrive in myriad ways.

In fact, one of these issues that Groopman relates is that:

“…on average, physicians interrupt patients within eighteen seconds of when they begin telling their story.”[3]

Another salient aspect of Big Medica that the author sunk his teeth into was the psychological aspect of medicine. Predictably, far too often doctors/western medicine view the patients psychological components as being apart from the body, rather than taking a much-needed holistic approach.

Additionally, the institutional dogma that reigns down from the top is also touched upon in a few instances by the author. Open-mindedness is scoffed at, while conformity was expected.

Recounting an example of choosing between the availability of multiple medical options regarding a particular treatment, Groopman relates something noted by physician Jay Katz, who taught at Yale Law school at the time:

“In both [treatments]…we were educated for dogmatic certainty, for adopting one school of thought or the other, and for playing the game according to the venerable, but contradictory, rules that each institution sought to impose on staff, students and patients.”[4]

Another disturbing component that doctors acquiesce to that is covered by Groopman is how doctors far too often give into to corporate interests. This very issue has covered by other doctors such as Dr. Brogan, Dr. Breggin, Dr. Mercola and many others.

This book sheds much needed light into the inner workings of how doctors operate – how they think. While the author notes that a sizeable amount of the issues have a variety of roots at the outset, such as communication, what he conveys still leads to much concern within the Medical Industrial Complex.

In the end, individuals will need to become much more proactive/responsible in their health if they plan to breakaway from the conventional medical system that puts profits over people.

____________________________________________________________________________________

Sources & References:

[1] Dr. Jerome Groopman, M.D., How Doctors Think, pg. 19.
[2] Ibid., pg. 19
[3] Ibid., pg. 17
[4] Ibid., pg. 153

Kindest Regards,
Zy Marquiez
TheBreakAway.wordpress.com

2 of 2 people found the following review helpful.
Changed My Life
By guzzihap
I have gone my whole life being afraid to talk straight to Doctors, and therefore never had much of success
getting the care to go in the direction that I needed it to go. I spent YEARS in a medical plan that served up to
me a new Med School Graduate every year as my GP. Each year I asked for help with my headaches and was
told that I didn't have a problem. I'd been hosed down with Agent Orange in Viet Nam, and had daily headaches
forever.
So I read Dr. Groopman's book and it taught me (an Engineer) how Doctors THINK. Now if you feel that you
just KNOW that Doctors have swelled heads, you never met a Design Engineer! We are the most egotistical
folks on the planet! But the book gave me the inside scoop on what I had been missing my whole life...a clear
understanding of what the DOCTOR is going through while He/She is interviewing you regarding your medical
history and complaints. It opened my eyes to the foolish mistakes I had been making all those years (decades).
I went to the next Doctor. Her name tag was so new it was hand-written. She explained to me that I didn't have
any allergies (like every year's Doctor had told me) and that I should just take a Decongestant. I told her if she
didn't send me to the Alergist, I would quit the plan. I FINALLY went to see an Allergist. They found some trouble,
and treated it immediately. Without this book, I would still be waiting to meet this year's new MD, with a headache.
It may sound corny, but this is a BREAKTHROUGH BOOK! You NEED it if you aren't getting the kind of results
from the Medical Profession that you want to get. It helps you CONNECT with your Physician, not just to bully him.
You really, truly need to understand how He/She thinks, and this is your KEY. BUY IT! BUY IT NOW!!! Hap

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Sabtu, 04 Juni 2011

[O998.Ebook] Ebook Download Aviation and Tourism: Implications for Leisure Travel, by Andreas Papatheodorou

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Aviation and Tourism: Implications for Leisure Travel, by Andreas Papatheodorou

Transport is an essential element of tourism, providing the vital link between the tourist generating areas and destinations. Good accessibility, which is determined by the transport services provided, is a fundamental condition for the development of any tourist destination. Moreover the transport industry can be a major beneficiary of tourism because of the additional passenger demand that may be generated. Aviation is an increasingly important mode of transport for tourism markets. Whilst geography has meant that, in modern times, air travel has always been the dominant mode for long distance travel and much international tourism, moves towards deregulation, and in particular the emergence of the low cost carrier sector, have also increased aviation's significance for short and medium haul tourism trips. Thus developments in aviation can have very major implications for many leisure and business tourism markets. However the characteristics and needs of leisure travellers are generally so very different from business travellers that this necessitates a separate consideration of these markets if a detailed understanding of the relationship with aviation is to be gained. In spite of the obvious closeness between the aviation and tourism industries, there are very few specialist texts on this subject. Most tourism focused books consider aviation as just one component of the tourism industry which needs to be discussed, whereas aviation specialist texts rarely concentrate on just leisure travel. In addition there is very little literature that gives a detailed appreciation of the complexities and potential conflicts associated with the development of coherent and effective aviation and tourism policies. Therefore it is the aim of this book to fill this important gap which exists with a comprehensive, in-depth study of the relationship between aviation and leisure travel. The book deals exclusively with issues related to the relationship between aviation and leisure travel. It does this with an analysis of the theoretical concepts relevant to the subject area combined with a detailed investigation of current practice within the aviation and tourism industries. Each chapter is illustrated with case study material that will reinforce the understanding of the issues that are being examined.

  • Sales Rank: #7865365 in Books
  • Brand: Brand: Ashgate
  • Published on: 2008-08-28
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.50" h x 7.00" w x 1.25" l, 2.25 pounds
  • Binding: Hardcover
  • 408 pages
Features
  • Used Book in Good Condition

Review
'This book focuses on the major issues affecting the aviation industry and the tourism products. It gives an excellent and complete overview of today's fast-paced world of competition that has arisen from the development of the "open skies" policy, analyses the low cost airlines and the impact of new technology on the biggest industry in the world.' Francois Vellas, University of Toulouse I, France 'This collection of essays is impressive. Graham, Papatheodorou and Forsyth have succeeded in delivering a comprehensive and fresh look at tourism and aviation, covering all of the critical areas including economic and environmental impacts and including highly readable and instructive destination case studies. For researchers, teachers, students, practitioners and policymakers interested in the intersection between tourism and aviation, this collection of essays is essential reading. Highly recommended.' David Gillen, University of British Columbia, Canada 'Despite the obvious interrelation between air transport and leisure tourism development, there are surprisingly few specialist texts. This book represents a bold and admirable effort to fill this gap and expand and develop the knowledge and understanding of this close and complex relationship through a broad array of contributions on tourism demand, regulation and policy, players such as airlines and airports, economic and environmental impacts, complemented with country case studies.' John Kester, World Tourism Organization (UNWTO) 'The book is clearly aimed at students rather than the more advanced reader looking for detailed critiques of his subject. It is a very workmanlike book that covers its area well and provides a good overview of the area it sets out to cover. It is will doubtless find itself on many students' reading lists. It is recommended for general readers who would like to gain an appreciation of the aviation and tourism industries and the links between them.' Transport Economist 'It provides a single useful source for those wanting either an overall view or others needing the detail of aspects of a particular theme. So, this book is perhaps essential reading for both students and for those who have difficult decisions to make on the future strategy of the aviation and tourism sector.' Tourism, Issue 138, Winter 2008/9 'I would recommend Aviation and Tourism to everyone interested in the aviation and tourism sector. In my view, the editors have a nice and convincing job, and it should also be stressed that they have managed to strike a good balance between industry-based and academic papers. It provides valuable insights into the multiple ways in which aviation affects tourism and the other way round.' Aerlines ezine, Issue 44 'There are interesting chapters which take on specific case studies of countries and regions of the world. Given that this volume was published in 2008, prior to the global economic collapse, the chapters make interesting reading, leaving the reader to ponder whether the issues and trends identified will be the same ones confronting these nations when the global economy, and the global and regional aviation industry, rebound.' Journal of Airport Management, Vol 3 No 4, 2009

About the Author
Dr Anne Graham is Senior Lecturer in Air Transport and Tourism at the University of Westminster, London, UK. Dr Andreas Papatheodorou is Assistant Professor in Industrial Economics with emphasis on Tourism at the University of the Aegean, Greece. Peter Forsyth is Professor of Economics at Monash University, Victoria, Australia, and writes extensively on air transport and tourism.

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0 of 0 people found the following review helpful.
Aviationa and Tourism
By Jerry D. Watson
Product arrived in excellent condition and ahead of the expected delivery date. Great Service. Would highly recommend.

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Rabu, 01 Juni 2011

[C228.Ebook] Free PDF Mardi Gras Activity Book, by Karl Jones

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Mardi Gras comes alive for readers in this bright, bold activity book with colorful craft ideas, recipes, games and mazes, stickers, and even press-out pieces to create a Mardi Gras celebration in your own home!

  • Sales Rank: #2490053 in Books
  • Published on: 2015-12-29
  • Released on: 2015-12-29
  • Original language: English
  • Number of items: 1
  • Dimensions: 11.00" h x .19" w x 8.50" l, 1.00 pounds
  • Binding: Paperback
  • 16 pages

About the Author
Karl Jones is an Assistant Editor at PSS!

Joey Chou is an illustrator living in Los Angeles. He also illustrated the Thanksgiving Activity Book.

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