Kirjahaku

With new methods of treatment standardisation resulting in various benefits for patient outcomes, evidence-based medicine and evidence-based practice have emerged as defining features of western healthcare provision in recent years. Most health professions are now adopting some form of 'evidence-based' framework for clinical training and practice. However, the rise of evidence-based healthcare has drawn sustained criticism regarding the limits of trial based evidence, the reductive character of epidemiological study designs, and the potential for an erosion of the importance of lay perspectives and clinical judgement. Evidence-Based Healthcare in Context introduces readers to the social, cultural and historical underpinnings of 'evidence' in healthcare, critically examining questions about what constitutes ’evidence’ and ’effectiveness’ from perspectives outside medicine, including those of patients, complementary medicine and midwifery. It focuses on the application of contemporary theoretical debates around the nature of medical and health knowledge, providing readers with a series of critical analyses of the production, application and translation of 'evidence' in a range of healthcare contexts. Featuring cutting edge work from leading social scientists in the UK, US, Canada, Norway, Australia and New Zealand, this volume draws on the latest empirical research to provide a thorough critical overview of this important field of health research.

Alfie Dalfie is a book of stories about the travels of Alfie the monkey and his two friends, Rattie the water rat, and Raccie the raccoon. Alfie and his friends sail on the boat Good Name from island to island where they have adventures, such as in the story of "Raccie and the Magic Pillow." Alfie and his friends meet many animals that have problems. Alfie's friends try to solve the problems, but in the end, Alfie finds a solution based on friendship and fairness, such as in the story of "The Giggle Beast of Snake Island."

Otis starts from Manila on a short cruise that turns into weeks and months as his sloop sails further and further into the Pacific Ocean. He is somewhere east of Fiji when he passes through the barrier reef of an island he doesn't know the name of because he doesn't have a chart. He has left a lot behind and now he thinks only of sailing home. But the island he has arrived at won't let him leave, not until he finds out what happened on the Far Atoll.

Jamie has to retrieve the schooner, Stella Maris. It's a condition in his father's will. He has to sail to the Seychelles in the Indian Ocean to recover the schooner from the Outer Islands and then sail home to San Francisco. It's a voyage around the world.

Darryl dresses in men's clothes before hiding aboard the schooner Eleanor Mooreland. Soon after leaving port she is discovered and the captain makes her the ship's boy. This is the beginning of Darryl's life at sea. She sails across the Southern Ocean and she learns how to read a chart and how to use a sextant, and later she learns how to cope with the sea's capacity for loss: for castaways, shipwrecks, and mutinies.

With new methods of treatment standardisation resulting in various benefits for patient outcomes, evidence-based medicine and evidence-based practice have emerged as defining features of western healthcare provision in recent years. Most health professions are now adopting some form of 'evidence-based' framework for clinical training and practice. However, the rise of evidence-based healthcare has drawn sustained criticism regarding the limits of trial based evidence, the reductive character of epidemiological study designs, and the potential for an erosion of the importance of lay perspectives and clinical judgement. Evidence-Based Healthcare in Context introduces readers to the social, cultural and historical underpinnings of 'evidence' in healthcare, critically examining questions about what constitutes ’evidence’ and ’effectiveness’ from perspectives outside medicine, including those of patients, complementary medicine and midwifery. It focuses on the application of contemporary theoretical debates around the nature of medical and health knowledge, providing readers with a series of critical analyses of the production, application and translation of 'evidence' in a range of healthcare contexts. Featuring cutting edge work from leading social scientists in the UK, US, Canada, Norway, Australia and New Zealand, this volume draws on the latest empirical research to provide a thorough critical overview of this important field of health research.

Globalization and the ever decreasing need for human workers have impacted, perhaps especially the Western world, like a slow moving earthquake. So much now seems uncertain and the future approaches as a fearsome threat. So many are aware, only of their lack of power and ability to effect any change in a seemingly inevitable time of deep uncertainty. This has led many to seek stability in a search for their past, a quest to discover those from whom they descended, and a sense that they are not alone. This is not a pointless quest. Who am I, where do I come from, and how should I understand the ancestors who shaped me, are questions human beings have asked from time immemorial. In "So Let Me Just Say" I have attempted to find answers to some of these questions and ask (usually myself) why the people I have interacted with acted the way they did. I have done this, mainly for my family, but hopefully it is interesting for others as well. It is also true that others have memories that can complete our own inner jigsaw puzzle. At times I have simply sought to reclaim the world as it was, or at least as I understood it, so that that world would not be lost and probably misunderstood. What I have experienced cannot be understood without an awareness of the place God has had in my life. In this regard the essay at the beginning of the book is really a questioning of what makes us who we are, and what God's thoughts may be on how we view others. In the face of a rapidly changing world, stability, peace and understanding can still be found and community discovered in a knowing of God, and a deeper understanding of ourselves.

Across the academy, disciplines flock for scientific status, keen to demonstrate that their approach to their subject matter is "scientific." How might literary criticism achieve anything like this sort of methodological consonance? Looking at the history of twentieth-century attempts, from Northrop Frye's macrostructural systematizing and Roman Jakobson's microstructural analysis, through to the collapse of the structuralist project and the recent strategic embrace of evolutionary psychology and cognitive science, this book looks at what hopes remain for a "science" of literary criticism and draws on the work of such thinkers as Richard Dawkins, Hilary Putnam, Richard Rorty, and Kurt Vonnegut to investigate the consequences of adopting a scientific perspective toward literary study. With an increasing number of departments teaching "literature and science" courses, the question of what literary study stands to gain (and what it might risk) from cleaving to the sciences is especially pressing.

Chris the Crab is bored with eating everyone's leftover food, join him as he meets his friends and tries what they eat. Will Chris find something new and tasty to eat, or will he be stuck with his leftovers?

For Christians looking to experience God in new ways, this book provides the basic tools needed to begin a spiritual journey of exploration and transformation through ancient Christian practices of prayer. With a strong biblical foundation and a joyful conversational style, Present to the Presence of God makes these ancient practices easy to grasp for today's reader while still dealing with the deep spiritual concepts behind them. Included is a brief discussion of biblical prayer, the unique spirit of specifically Christian prayer, and clear step-by-step instructions for 12 ancient practices that will be fresh for most Christians, such as Lectio Divina, meditation, and praying with beads. Written by a Bible scholar with an adventurous spirit, this book will give everyone who reads it the freedom and encouragement they need to learn to be present to the presence of God Great for group studies.