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BACKGROUND Family interventions are effective in reducing relapse in patients with schizophrenia, but there is little work demonstrating the effectiveness of the interventions in routine service settings. AIMS To test the effectiveness of a needs-based family intervention service for patients recruited as out-patients and their carers, including those of(More)
to be purchased collectively either through social or private insurance. Doctors sought to monopolize access to the resulting funds, which required "walking a tightrope between markets and government". Government help was needed to eliminate competition but no control over the profession was to be ceded in return. Hence the evolution of powerful(More)
It has been frequently claimed that cholera epidemics, both in the 19th century and today, were and can be the key stimulus for procurement of safe water and sanitation, an idea that I call "cholera forcing." "Technology forcing" refers to imposition of exogenous factors that suddenly make possible achievements that had not seemed so; cholera has been seen(More)
was from ours. Chapter 8 (1760-1850) sets death within the larger context of Enlightenment rationalism, romanticism and evangelicalism, whereas Chapter 7 (1660-1760) deals with perceptions of death in a changing political scene. Chapters 4 (1150-1380) and 6 (1558-1660) explore the association of secular and religious attitudes to death, while Chapter 5(More)
In the midst of organizational change and transition, the need for a healthy work environment is greater than ever. Leaders may be in a position of leading staff on a journey they would rather not be on. Although there may not be a choice of destination, there are many decisions to be made along the way that will impact the health and quality of the(More)
  • C Hamlin
  • 1995
The public health field has long been pulled in two directions, either toward a narrower biomedical mission to control infectious disease or toward a broader mission to address the social and economic factors that adversely affect health and wellbeing. This paper explores as an instance of this tension an 1839 controversy between the statistician William(More)
Overview The semiconductor industry is caught on two horns of the economics dilemma: (1) the economics of technology-deep-subwavelength lithography and equipment cost, reticle enhancement technology and mask cost, and manufacturing variability and yield; and (2) the economics of design productivity-design turnaround time, availability of design skills, and(More)