springer us jan 1997 (85 risultati)

Buch. Condizione: Neu. Neuware - In the 15 years of the acquired immunodeficiency syndrome (AIDS) pandemic much has been learnt about its natural history and complications. It is clear that the lung is a major target organ both for the human immunodeficiency virus (HIV), and a wide array of infectious and non-infectious pulmonary complications. A great deal of information on the epidemiology, microbiology, immunology, clinical features, diagnosis and management of these pulmonary complications has accumulated during the past 15 years. Given the enormous explosion in information, it is now timely to bring together this knowledge in this 25-chapter volume on AIDS and respiratory medicine. The contributors to this volume are prominent epidemiologists, doctors, microbiologists and scientists from Europe, USA and Africa. Professors Chretien and Enarson give a masterful account of the epidemiology of lung complications of HIV. Drs Zumla, Rowland Jones and Professor McMichael give a detailed summary of the lung immune responses to HIV. They outline normal lung defenses and discuss the consequences of HIV infection on them. The pulmonary radiological features of HIV and its complications as seen in the USA and Europe are illustrated by Professors Armstrong and Dee and this is compared and contrasted by Professor Tshibwabwa-Tumba who brings together his vast experience of chest X-rays in AIDS patients from Central Africa. Drs O'Doherty and Miller deal with the uses, and potential applications, of nuclear medicine in imaging of the chest in AIDS patients.

Buch. Condizione: Neu. Neuware - Representation and Retrieval of Video Data in Multimedia Systems brings together in one place important contributions and up-to-date research results in this important area. Representation and Retrieval of Video Data in Multimedia Systems serves as an excellent reference, providing insight into some of the most important research issues in the field.

Buch. Condizione: Neu. Neuware - Managing Change in the Postal and Delivery Industries brings together practitioners, postal administrators, the express industry, regulators, economists and lawyers to examine the important policy and regulatory issues facing the postal and delivery industries. This volume reviews such topics as international postal policy, the universal service obligation, regulation and competition, entry and the role of scale and scope economics, cost analysis in postal services, and service standards. This book provides a unique perspective on the problems facing postal and delivery networks.

Buch. Condizione: Neu. Neuware - Numerical software is central to our computerized society. It is used to control aeroplanes and bridges, operate manufacturing lines, control power plants and refineries, and analyse financial markets. Such software must be accurate, reliable, robust, efficient, easy to use, maintainable and adaptable. Quality assessment and control of numerical software is still not well understood. Although measurement is a key element, it remains difficult to assess many components of software quality and to evaluate the trade-offs between them. Fortunately, as numerical software is built upon a long established foundation of mathematical and computational knowledge, there is great potential for dramatic breakthroughs. This volume will address enabling techniques and tools such as benchmarks, testing methodologies, quality standards, metrics, and accuracy control mechanisms, and their application to software for differential equations, linear algebra, data analysis, as well as the evaluation of integrals, derivatives and elementary and special functions.

Buch. Condizione: Neu. Neuware - The purpose of this book is to discuss, in depth, the current state of research and practice in database security, to enable readers to expand their knowledge. The book brings together contributions from experts in the field throughout the world. Database security is still a key topic in mist businesses and in the public sector, having implications for the whole of society.

Buch. Condizione: Neu. Neuware - In recent years global optimization has found applications in many interesting areas of science and technology including molecular biology, chemical equilibrium problems, medical imaging and networks. The collection of papers in this book indicates the diverse applicability of global optimization. Furthermore, various algorithmic, theoretical developments and computational studies are presented. Audience: All researchers and students working in mathematical programming.

Buch. Condizione: Neu. Neuware - This state-of-the-art text explores developments in geometric modeling, product modeling and their applications. In particular, it looks at the means by which product geometry emerges from the conceptual stages of design, and the use of geometric reasoning for applications downstream of design, including manufacture ands assembly. Much existing design research is either totally geometry based or totally non-geometric, and the interface between the two areas is of intense interest to industry, as well as being crucial for the successful development of integrated systems for design and manufacture. This interface is currently not well understood and the book makes a significant contribution towards its understanding. This book is essential reading for technical managers and research and development engineers.

Buch. Condizione: Neu. Neuware - Nitrates remain among the most commonly used therapeutic agents in cardiology. That they can re lieve pain in angina pectoris has been known at least since 1867, when Lauder Brunton described their clinical use. Now, almost 130 years later, we are constantly learning more about their optimal use in anginal syndromes. For example, there is no doubt that nitrate tolerance occurs, but equally no doubt that certain drug dosages help to attenuate such toler ance. Thus, our understanding of nitrate tolerance has been taken further by the advent of new nitrate preparations and by studies at a basic science level. The current intense interest in nitrates has been rekindled by the growing emphasis on the role of the endothelium in the production of nitric oxide, a basic cardiovascular regulator. If nitric oxide is vasodilator and protects the vascular endothelium, then nitrates should also have similar properties. Hence this book starts off with the role of the endothelium and ni trates in vasodilation. Next, the mechanisms of ac tion of nitrates are considered with emphasis on the role of cyclic GMP. The chief limitation to the use of nitrates lies in nitrate tolerance. After carefully looking at all the evidence, the authors of the third chapter conclude that the mechanism is likely to be multifactorial. The mechanism responsible for the tolerance still remains unknown. In vitro tolerance may be due to enhanced production of vascular superoxide [1].

Buch. Condizione: Neu. Neuware - Computational Issues in High Performance Software for Nonlinear Research brings together in one place important contributions and up-to-date research results in this important area. Computational Issues in High Performance Software for Nonlinear Research serves as an excellent reference, providing insight into some of the most important research issues in the field.

Buch. Condizione: Neu. Neuware - This thoroughly revised and updated three volume set continues to be the standard reference in the field, providing the latest in microelectronics design methods, modeling tools, simulation techniques, and manufacturing procedures. Unlike reference books that focus only on a few aspects of microelectronics packaging, these outstanding volumes discuss state-of-the-art packages that meet the power, cooling, protection, and interconnection requirements of increasingly dense and fast microcircuitry. Providing an excellent balance of theory and practical applications, this dynamic compilation features step-by-step examples and vital technical data, simplifying each phase of package design and production. In addition, the volumes contain over 2000 references, 900 figures, and 250 tables.Part I: Technology Drivers covers the driving force of microelectronics packaging - electrical, thermal, and reliability. It introduces the technology developer to aspects of manufacturing that must be considered during product development.Part II: Semiconductor Packaging discusses the interconnection of the IC chip to the first level of packaging and all first level packages. Electrical test, sealing, and encapsulation technologies are also covered in detail.Part III: Subsystem Packaging explores board level packaging as well as connectors, cables, and optical packaging.

Buch. Condizione: Neu. Neuware - Control theory methods in economics have historically developed over three phases. The first involved basically the feedback control rules in a deterministic framework which were applied in macrodynamic models for analyzing stabilization policies. The second phase raised the issues of various types of inconsistencies in deterministic optimal control models due to changing information and other aspects of stochasticity. Rational expectations models have been extensively used in this plan to resolve some of the inconsistency problems. The third phase has recently focused on the various aspects of adaptive control. where stochasticity and information adaptivity are introduced in diverse ways e.g .- risk adjustment and risk sensitivity of optimal control, recursive updating rules via Kalman filtering and weighted recursive least squares and variable structure control methods in nonlinear framework. Problems of efficient econometric estimation of optimal control models have now acquired significant importance. This monograph provides an integrated view of control theory methods, synthesizing the three phases from feedback control to stochastic control and from stochastic control to adaptive control. Aspects of econometric estimation are strongly emphasized here, since these are very important in empirical applications in economics.

Buch. Condizione: Neu. Neuware - Finite Fields are fundamental structures of Discrete Mathematics. They serve as basic data structures in pure disciplines like Finite Geometries and Combinatorics, and also have aroused much interest in applied disciplines like Coding Theory and Cryptography. A look at the topics of the proceed ings volume of the Third International Conference on Finite Fields and Their Applications (Glasgow, 1995) (see [18]), or at the list of references in I. E. Shparlinski's book [47] (a recent extensive survey on the Theory of Finite Fields with particular emphasis on computational aspects), shows that the area of Finite Fields goes through a tremendous development. The central topic of the present text is the famous Normal Basis Theo rem, a classical result from field theory, stating that in every finite dimen sional Galois extension E over F there exists an element w whose conjugates under the Galois group of E over F form an F-basis of E (i. e. , a normal basis of E over F; w is called free in E over F). For finite fields, the Nor mal Basis Theorem has first been proved by K. Hensel [19] in 1888. Since normal bases in finite fields in the last two decades have been proved to be very useful for doing arithmetic computations, at present, the algorithmic and explicit construction of (particular) such bases has become one of the major research topics in Finite Field Theory.

Buch. Condizione: Neu. Neuware - From the President of the Research Society on Alcoholism On behalf of the Research Society on Alcoholism, I am pleased to introduce this thirteenth volume of Recent Developments in Alcoholism about alcohol and violence. Current concepts are presented in well-organized sections that - cus on epidemiology, neurobiology, psychology, and family issues. It is - coming increasingly clear that age, gender, socioeconomic circumstances, and genetics affect aggressive behavior and vulnerability to alcoholism. This v- ume contains up-to-date discussions of these issues. Indeed, the information presented here will help all alcohol researchers to identify biological and social factors that contribute to the comorbidity of alcoholism and aggression. The editors and associate editors should be congratulated for bringing toge- er such important information. This volume will be a valuable resource for investigators and therapists alike. Ivan Diamond M. D. , Ph. D. President, Research Society on Alcoholism From the President of the American Society of Addiction Medicine The American Society of Addiction Medicine is honored to continue its - sponsorship with the Research Society on Alcoholism of Recent Developmen ts in Alcoholism. The topic of alcohol and violence is a particularly timely one, given the growing number of studies that are examining the relationship between the two. These studies are consistent with the hypothesis that al- hol can increase aggression and contribute to both domestic and criminal violence. Intoxicating blood levels of alcohol have been found to be especially prevalent in those injured in fights and assaults.

Buch. Condizione: Neu. Neuware - Proceedings of an international symposium, held in Ulm, Germany, September 21-24, 1994.

Buch. Condizione: Neu. Neuware - The virtual campus: Trends for higher education and trainingwas the theme of the IFIP Working Conference on which this book is based. lt was a joint event of Working Groups 3.3 and 3.6, Research and distance Education respectively, of IFIP Technical Committee 3 for Education. International dissemination and promotion of cooperation are IFIP aims that we particularly wanted to address. This is why we opened the event to non WG members and have established a virtual forum on the WEB that has been widely visited. The programme for the 27 to 29 November 97 in Madrid included invited speakers from leading institutions in the field, reviewed and selected contributions from an open call for papers, on-site demonstrations of !arge European projects and discussion sessions involving distant and present participants. The event attracted experts from 23 countries. About a hundred persons were involved, from all over the world. The spread and accessibility of information and communication technologies are rapidly changing p!'actices in learning and research activities, both in professional and academic settings. The number, variety and scale of experiences reported in recent publications shows a growing international involvement concerning not only small groups of researchers but also institutions fully committed in that direction.

Buch. Condizione: Neu. Neuware - During the past few years, we have been witnessing the rapid growth of the ap plications of Interactive Digital Video, Multimedia Computing, Desktop Video Teleconferencing, Virtual Reality, and High Definition Television (HDTV). An other information revolution which is tied to Cyberspace is almost within reach. The information, data, text, graphics, video, sound, etc. , in the form of multi media, can be requested, accessed, distributed, and transmitted to potentially every household. This is changing and will continue to change the way of people doing business, functioning in the society, and entertaining. In the foreseeable future, many personalized, portable information terminals, which can be car ried while traveling, will provide the link to central computer network to allow information exchange including videos from a node to node, from a center to a node, or nodes. Facing this opportunity, the question is what are the major significant technical challenges that people have to solve to push the-state-of-the-art for the realiza tion of the above mentioned technology advancement From our professional judgement We feel that one of the major technical challenges is in Video Data Compression. Video communications in the form of desktop teleconferencing, videophone, network video delivery on demand, even games, are going to be major media traveling in the information super highway, hopping from one node in the Cyberspace to the other.

Buch. Condizione: Neu. Neuware - Electronics has become the largest industry, surpassing agriCUlture, auto. and heavy metal industries. It has become the industry of choice for a country to prosper, already having given rise to the phenomenal prosperity of Japan. Korea. Singapore. Hong Kong. and Ireland among others. At the current growth rate, total worldwide semiconductor sales will reach $300B by the year 2000. The key electronic technologies responsible for the growth of the industry include semiconductors. the packaging of semiconductors for systems use in auto, telecom, computer, consumer, aerospace, and medical industries. displays. magnetic, and optical storage as well as software and system technologies. There has been a paradigm shift, however, in these technologies. from mainframe and supercomputer applications at any cost. to consumer applications at approximately one-tenth the cost and size. Personal computers are a good example. going from $500IMIP when products were first introduced in 1981, to a projected $lIMIP within 10 years. Thin. light portable. user friendly and very low-cost are. therefore. the attributes of tomorrow's computing and communications systems. Electronic packaging is defined as interconnection. powering, cool ing, and protecting semiconductor chips for reliable systems. It is a key enabling technology achieving the requirements for reducing the size and cost at the system and product level.

Buch. Condizione: Neu. Neuware - The 1995 International Cryogenic Materials Conference (lCMC) was held at the Greater Columbus Convention Center in Columbus, Ohio, in conjunction with the Cryogenic Engineering Conference (CEC) on July 17-21. The interdependent subjects of the two conferences attracted more than eight hundred participants, who came to share the latest advances in low-temperature materials science and technology. They also came for the important by products of the conferences: identification of new research areas, of collaborative research possibilities, and the establishment and renewal of exploration professional relationships. Ted Collings (Ohio State University), as Chairmen of the 1995 ICMC; Ted Hartwig (Texas A&M University), as Program Chairman; and twenty-one other Program Committee members expertly arranged the ICMC technical sessions and related activities. The contributions of the CEC board and its Conference Chairman James B. Peeples of CVI, Inc., were central to the success of the eleventh CEC/ICMC. Jeff Bergen of Lake Shore Cryogenics served as Exhibits Chairman. Local arrangements and conference management were expertly handled under the guidance of Centennial Conferences, Inc. Skillful assistance with editing and preparation ofthese proceedings was provided by Ms. Vicky Bardos ofSynchrony, Inc.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -The future of healthcare may be very simple. You will sit in your living room chair and drink your tea, coffee, and beer. As you sip, the chair will absorb an encyclopedia of knowledge about your physical state of affairs. A life-management computer in your kitchen will integrate the data and then display it for you on your watch face. A daily physical work-up precisely tailored to your body will pop up on the display, showing you what you have to do over the next 24 hours to avoid all the major disease processes currently plaguing the world. This comprehensive data bank will draw on all the world's medical databases, which have been integrated to help you prevent disease. You will rise from your chair and undertake an exact modicum of exercise tailored to your requirements, performing proscribed activities that will build your stamina precisely based on your 'chair data. ' The health status-monitoring sweatshirt that you wear during exercise will continue its analysis throughout the day. Your diet will be calibrated from your medical database, which vii viii 21st-CENTURY MIRACLE MEDICINE will be stored in a now-common bathroom appliance, the special preventive care server. In fact, clothed in your own domestic decor, the home will become the most sophisticated medical center in the world. All you have to do is keep going, as medicine becomes an invisible service, and your life will be effortlessly extended ten to twenty years. 372 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -I welcome this book on behalf of radiographic practitioners every where. It arrives at a time of rapid change within the world of medical imaging where advancing technology and changes in employment conditions are having a major effect on the everyday working practices of those who physically and clinically direct radiation. The development of radiography as a graduate profession within the United Kingdom provides the opportunity for role extension and role fulfilment for radiographers. Moves toward standardized quality assurance and quality control programmes in radiography and radi ology include not only the audit of equipment but also working practices. The science and art of image production form the corner stone for these working practices where radiographic skills and image quality lead to the provision of a caring, quality service. This book will help the development and continuation of this programme by affording detailed information on a wide range of imaging procedures for radiographers, including positioning and procedural protocols, as well as image acceptance criteria. A major feature of this book is the systematic chronological presentation of its content which makes it a boon to both the new and experienced practitioner as well as those studying for a radiography degree or involved in the first year of the FRCR examination. Elizabeth Unett and Amanda Royle are experienced radiographers and educationists in imaging sciences. They have both played a major role in the development of clinical education programmes for diploma and undergraduate radiography students. 352 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , -- , . . , . . I . . . I . . . . . I . . . . . I . . . . . . . . . . . . . . . . . . . . . . . t . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . t , , . . ' . . . . . . . . . . . . Common Conditions in Gynaecology: A problem-solving approach is not meant to be a fully comprehensive gynrecological text although the majority of conditions, particularly those occurring commonly, are well covered. The emphasis of this book is in dealing with problems rather than learning pathologies. This book advocates a patient-centred ap proach to the discussion, diagnosis and management of conditions presenting as gynrecological problems. The emphasis throughout is on the acquiring of clinical skill rather than the storage of facts. The authors acknowledge of course that some factual information is neces sary, but only to provide the basis upon which to build the clinical and communicative skills that are now well recognized as the major goals of a medical education. No book can ever replace the experience gained in the clinic and at the bedside, this book aims to complement and indeed foster a true clinical learning mode. We hope that all who have an interest in caring for and learning more about women with gynrecological problems might find this book of value. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . Doctor-patient communication and 1 the gyn~cological history . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . Kevin Browne and Clare Davenport 1. 312 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Schools concentrate too much on knowledge and not enough on insite. Jostein Gaarder, philosopher, Bergen The problems of the world cannot possibly be solved by sceptics or cynics whose horizons are limited by the obvious realities. We need men who can dream of things that never were. John F. Kennedy, Dublin, Ireland, 28 June 1963 It is only when practitioners realize what they are dealing with that they can even begin to understand how to begin to help. This book was of starting the ball rolling, and is compiled and written with the intention a general overview of as much as possible. Practitioners from other disciplines have asked me to direct the book at their professions, so that I may achieve a greater readership. This is impossible: I am an osteopath. Due to the scope of sports medicine, especially in the field of osteopathy, this book is by no me ans complete. I may have omitted some basic concepts but they can be found elsewhere as the reader searches the references. What I have included is some basic concepts that I feel need driving horne. 408 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -This book addresses the needs of the newly defined basic surgical trainee. Most BSTs now take part in prolonged rotations, with rela tively brief exposure to a wide range of different specialties. This book is designed to go with the trainee through the rotation, to provide a practical guide to the procedures that s/he may be expected to perform in each specialty. The Editors have deliberately avoided including major procedures at which the BST will be an interested observer. The emphasis throughout is on a clear practical guide to the minor and intermedi ate procedures which the trainee will perform. Undoubtedly, the first attempts at most of these procedures will be well supervised, but we hope that the descriptions in this book will help the trainee to master each procedure rapidly and with confidence. In addition we have included chapters on general aspects such as medical management, local anaesthetic techniques and basic surgi cal skills such as knot tying and instrument handling. We have adopted a direct, didactic style, because basic surgical trainees need clear direction. There are of course many other ways of doing most of the procedures described in these pages, and such variations will doubtless stimulate helpful discussions on practical points. Discussion and justification have been kept to a minimum, because we have focused on the essential practical steps of the procedures described. 328 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -In a Grain of Sand.- Starry Messengers, Eyes of Glass.- Ripples of Light.- Quantum Realities.- Alternate Realities: Seeing Things Invisible. 320 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -'Studies have found that the purchasing power of American women is potentially the greatest in the world. So why not support the rights of women while you shop Fun to read, easy to use, and packed wit' 452 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -George Hall--teacher, historian, engineer, and computer analyst--uniquely draws upon the competing perspectives of traditional science, the exciting new science of chaos, and the burgeoning and important tenets of complexity theory, catastrophe theory, and fuzzy logic to look for a common theme. 464 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Captain Snow, a veteran police officer and acclaimed author of Protecting Your Life, Home, and Property, gives us a startling look, as only a police officer can, at the violence, tears, and terror that shatter homes and lives across America, and tells us what we can do about it. Walking us through the course of a regular night shift, we witness, first-hand, tragic and vividly real scenes of abuse that are becoming all too commonplace. We learn the heart-wrenching story of a woman who has suffered burns, broken limbs, and even a fractured skull at the hands of her brutal husband, but is too terrified to report his crimes. We see the chilling evidence of neglect in a bare, airless, padlocked room where a son has imprisoned his elderly mother without sufficient food, medicine, or human contact, awaiting her death. And we hear the stuttered excuses of a father lying about the scald marks on his baby's legs as the child screams in agony. Abusers, we discover, come from every walk of life, and no one is untouched by the powerful consequences of violence, neglect, and emotional and sexual abuse in this country. Snow goes on to reveal the tactics of violence and terror these abusers all wield - whether against a parent, wife, or child. More importantly, he shows that this hateful legacy of abuse need not continue. At the heart of this book is an urgent, persistent question: How can we stop these horrible crimes With an insider's knowledge forged from years of experience on the police force, combined with in-depth research, Snow provides a refreshingly practical perspective: tough solutions to conquer this growing crime. Taking on the ranks of the police, the courts, and public education, he sounds a clarion call for reform and reeducation. Captain Snow also gives invaluable advice - in this less-than-perfect world - to victims and their loved ones on how they can now use the police and legal system to their best advantage in fighting against abuse. 328 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Here is a beautiful blend of detective story, character profile, and history of science that will keep readers glued to the pages as they explore this fascinating and largely forgotten chapter of astronomy. 328 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Important. Urgent. Practical. Very, very, useful. -- Jonathan Kozol, author of Amazing GraceLead poisoning is one of the most common and preventable pediatric health problems today. US Centers for Disease ControlBetween one and a half to two million children under the age of six -- one out of eleven American preschoolers -- have elevated levels of lead in their blood, a condition that can cause damage to their developing brains, resulting in learning disabilities, behavior problems, and decreased IQs. A severe problem that affects not only children from our poorest neighborhoods but also those from many middle- and upper-income families, lead poisoning is most often caused by the lead-based paint that is present on the walls, woodwork and facades of 75% of all American homes built before 1989 -- 57 million US homes and apartments.Getting The Lead Out: The Complete Resource on How to Prevent and Cope with Lead Poisoning is the first comprehensive, action-oriented book on this compelling health issue. It defines and elaborates on the major sources of lead in the home and environment, medical concerns, prevention strategies, and techniques for controlling lead hazards, while offering advice to parents and homeowners on where to turn should their child -- or home -- be found to have high lead levels. 292 pp. Englisch.

Taschenbuch. Condizione: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -This book is all about improving the health care of elderly people, which is facing unprecedented challenges in the 1990s. Energies need to be concentrated in three main areas: - the development of high quality care in community settings - the future role of specialized hospital services - the way that long-term care is delivered. All of these are interconnected and success with any of them depends on successful relationships. For example, success in community care requires working interfaces with primary care, the private sector and hospital care. These interfaces are not static but comprise dynamic interactions between people - people in different teams, with different back grounds, training, perspectives and interests. What people do is influenced strongly by the organizations they work for. These inescapable facts lead us to the structure of this book. By concentrating on sectors, people and organizations, we hope to deal with all the important relationships in a coherent way. Yet this book is not intended to be from a service providers' perspective. We have arranged the book in this way so that providers are best equipped to meet the needs of their customers - whether they are patients, resi dents or clients. We know that elderly people may experience dislocation in their care because of frictions and gaps be tween different sectors, disciplines, teams and organizations. To achieve seamless care, there is a need for greater under standing and harmony of purpose and action across the care spectrum. 312 pp. Englisch.