Quality

Six Interventions To Radically Improve the U.S. Healthcare System


 

Danielle Scheurer, MD, MSCR, SFHM

China saw its population grow last year, along with an improved male-female ratio and the level of education, according to a survey from the National Bureau of Statistics that was released on last Wednesday.
Google's brand is now worth more than 109 billion U.S. dollars, around 2 billion dollars more than Apple, making it the most lucrative in the world.
Following the devaluation in mid-August, the renminbi rallied in September and October. Devaluation resumed in November, however, and the renminbi closed at its weakest level in three months at 6.4082 to the dollar yesterday. “Since October many countries around China have experienced some capital outflow, and China has had its share,” said Xie Yaxuan, an economist at China Merchants Securities in Shenzhen. “The strengthening dollar is bound to cause some repositioning into dollar assets.”
However, Baty said the stabilization of Chinese universities' rankings is no cause for alarm. "Continued investment built on decades of spending, and increased internationalization in Chinese higher education will no doubt ensure China's universities continue to strengthen," he said.
For democrats, the outburst of such primal emotions is disturbing because they are so hard to contain.
《自杀小队》将于2016年8月5日上映。

Until now Thor has been the neglected child of the Marvel Cinematic Universe. Though some liked Kenneth Branagh’s first film featuring the god of thunder, Chris Hemsworth was arguably overshadowed by Tom Hiddleston’s preening popinjay of a villain, Loki. And the second film, the humourless Thor: The Dark World, is widely regarded as the worst film released by Marvel Studios to date. So to inject new life into this sagging franchise, Marvel brought in New Zealand comedy auteur Taiki Waititi to add some Kiwi quirk. This time Thor faces down the goddess of death, played by Cate Blanchett. Thor may have the hammer, but she has the attitude. Released November 1 in Serbia and Hungary, November 2 in Cambodia and Israel and November 3 in India and Canada. (Credit: Marvel Studios)
trade贸易,mark记号:商标
另一名来自美国的毕业生写道,来自世界各地的知识的丰富性和深度为课程带来了巨大的价值,他补充称,“鉴于这里汇聚着众多的文化和经验,有关贿赂的课堂道德讨论不像典型的美国学校那样枯燥。”
印度尼西亚佩母德兰——在巴厘岛的佩母德兰,可以在长了珊瑚的佛像周围进行水肺潜水,也可以到地面上享受海滩胜地和餐馆美食。
当然,格雷泽又从库布里克那借鉴了一些拍摄手法,尤其是外星人在无边际的外太空出生的一幕。他借鉴了尼古拉斯·罗格的《天降财神》,或许在画面的安排上也借鉴了大卫·林奇。但是在科幻情调中,他带给我们当代现实主义的勇气和动力,使我们回想起像肯·罗奇这样的影片制作人的作品,甚至是阿巴斯·基亚罗斯塔米和他的《樱桃的滋味》的开头,一个绝望的男人开着车,绕着德黑兰的流动劳动力市场,拼命的找人来帮他。这些奇妙的外星人题材被打磨的通俗化甚至矫情做作。外星人不解的在电视上看着汤米库珀的一幕已经成为色调悬念的代表作。
['?:b?n]
女学员开始攻读EMBA课程的年龄(36岁)较男性年轻两岁左右,但高级职位上的男女比例基本平衡,担任较初级职位的女性略多一些——26%的女学员担任专业职位,男学员的这一比例为24%。
celebrity
That was true, too, of “Mad Men” on AMC. which in its seventh season has all but exhausted its characters and its 1960s setting, but is still keeping viewers guessing about the end, which won’t air until next year. “The Sopranos” ended ambiguously. “Breaking Bad,” put an end to Walter White. Now, the next television mystery looming ahead centers on Don Draper’s last moments, dead or alive.

Metric transparency stimulates rapid improvements and fosters goal alignment. Measurement and reporting of cost is absolutely essential in moving the value equation.

A series of articles published between The New England Journal of Medicine and the Harvard Business Review aims to discover and suggest solutions to the issues currently ailing the U.S. healthcare system.1 The first installment focused on how to improve value on a large scale. The authors discuss the major barriers to realizing the value equation, along with some propositions for overcoming these barriers on a large scale.2 Although all six barriers are extremely difficult to surmount, the authors argue that because they are all mutually reinforcing in the current state, all will need to be addressed swiftly, tenaciously, and simultaneously.

The biggest story of the festival had nothing to do with films. It was about shoes. On Tuesday trade magazine Screen reported that a group of women had been denied access to a screening of Todd Haynes' Carol because their footwear – flat shoes with rhinestones – was unsuitable for the red carpet. Further tales came tumbling forth, social media erupted in indignation and soon enough we were soon dealing with a fully fledgedscandale. The Cannes press office rushed out a garbled statement: “Rules have not changed throughout the years (Tuxedo, formal dress for Gala screenings) and there is no specific mention about the height of the women's heels as well as for men's. Thus, in order to make sure that this rule is respected, the festival's hosts and hostesses were reminded of it.” Well, that cleared that up. Perhaps wisely, press screenings are exempt from any dress code: scruffy journalists are free to ascend the Palais' steps in flip flops and trainers.

1

The swap is due largely to the major security breach at software company Adobe in October which affected tens of millions of users.
Simply put, bladeless fans are fans without blades. They work by sucking in air at their base and then blowing them out through several holes in their ring. The fan is reported to have been invented by James Dyson, who calls it the "Air Multiplier." Just like the flying jetpack, it earned a spot in Time's list of notable inventions of 2009. And just like the jetpack, it was not the first of its kind. The first bladeless fan was actually patented in 1981 by a Japanese company called Tokyo Shiba Electric. Although Tokyo Shiba's bladeless fan was never manufactured, James Dyson's initial design of a bladeless fan design looked so similar to that of Tokyo Shiba Electric that the patent office refused to grant him a patent. The patent granted to Tokyo Shiba had already expired, but the patent office still required something substantially different before it could grant a new patent to James Dyson. Dyson's patent manager, Gill Smith, did not deny the similarities between both bladeless fans but said the difference between them was the "technology."
根据欧洲央行的最新预测,迄今难以实现像美国或英国那样强劲增长的欧元区,2016年将增长1.7%。今年欧元区将实现1.5%的增长,得益于量化宽松支持经济。
体积大未必就是好的。
他通过电梯门递出一张纸条,上面写着"有人被困在电梯内,请叫物业来帮忙。"寄希望于有人可以捡到并来救他。
平均工作经验:11年
Spielman was sifting through dirt at the Emek Tzurim national park on the slopes of the Mount of Olives in Jerusalem when she noticed the small rectangular object.
要向依法依规的市场主体发出“前行、前行、再前行”的信号;向依靠劳动创业创新者亮起“可以、可以、再可以”的绿灯;对那些违法违规不良行为,就要及时亮出黄牌,甚至出红牌罚他下场。

根据乔治亚工学院2014年的一项研究,运动确实可以开发智力,即使你不喜欢举重训练或者不喜欢健身馆的环境,想改用吃坚果的方式提高记忆力,通过锻炼提高记忆力其实只需要20分钟。在这项实验中,研究人员要求参与者进行20分钟的高强度训练,他们发现,仅仅20分钟就可以让年轻人的“事件记忆”能力(也叫长期记忆力)提高10%。
outstanding
有些科学家认为,那些记忆力超群的人其实是采用了一种特殊的“归档法”来使自己记忆的东西变得有条理。有的时候,魔术师们也会用上一些需要超高记忆能力的心理欺骗术使观众连连惊叹。但是你如果你只是担心自己会忘记日常生活中的一些小事情,其实并不需要用到心理欺骗术这么高端的东西啦!一些科学小方法就可以帮助你实现这个目标。以下就是10个提高记忆能力的方法,你记得住吗?
In 2016, fear and anger became dominant political emotions in the UK and the US — two of the most important, stable and enduring democracies.
Hillary stays on: Clinton’s CV is chock full of firsts: The only first lady to become a U.S. senator turned viable presidential candidate turned secretary of state. Now a private citizen, she continues to be one of the most watched and listened-to women on the planet. All bets on that she will be the 2016 Democratic presidential candidate and the free world’s presumptive next leader. She’s done little to quiet the chatter, including hitting the speaking circuit last month at an estimated $200,000 fee per event and inking a reported $14 million book deal.
For those outside the scientific community, the response to the retraction has been mixed.
编者案:伦敦奥运会开幕在即,让我们来看看本届奥运会都有哪些比赛项目吧,同时在看看的同时也不要忘了学学比赛项目的词汇,一举两得何乐而不为呢?
最近雇主已经加大招聘力度。劳工部数据显示,10月份新增就业岗位17.1万个,今年以来平均每个月增加15.7万个。这个速度高于去年,并且是2006年以来最强劲的就业增长。[qh]
目前,微博上最红的10位网红共有4000万名粉丝。Papi酱是目前最火的网红之一,她已经签署了一份合同,视频广告费用达到了惊人的340万美元。
源于:repertory(n 仓库),剧目的仓库-全部剧目
我对事物持悲观态度
Even if the tapering is smooth, the Fed could spend much of the year grappling with the prospect of raising its interest-rate target as early as 2015.
CEOs: Newbies Mary Barra at GM and Mark Fields at Ford start playing close attention to the moves made by FCA’s Sergio Marchionne. Despite running his growing empire on two continents, Marchionne tacked on a U.S market share gain of 1.2 points, unhindered by one of the weakest product lineups in the business and troubles with his much heralded eight-speed transmission.

2

2. Livers grow by almost half during waking hours. New research suggests that livers have the capacity to grow by almost 50 percent during the day, before shrinking back to their original size at night. They are the only organ we know of that oscillate this way.
德系三巨头:由于奔驰的几款低价产品不可避免地会损害它“要么最好,要么什么都不是”(the best or nothing)的商誉,该公司也开始陷入低迷。而即将推出的新7系轿车则会进一步巩固宝马在美国富人圈中的地位。另外,起价30,795美元的奥迪A3,很可能会使奥迪的销量较2014年增长15%,新款Q7也将进一步提高奥迪的利润。
If you think Kevin Durant is scrawny now, just take a look at his tiny physique back when he played at Montrose Christian.
去年,CPI指数上涨在一月时达到峰值2.5%,随后在剩下的时间里在2%以下波动。
['l?sti?]
Exports to both South Korea and Asean countries fell by about 3 per cent, however, while those to re-exporter Hong Kong dropped by more than 16 per cent.
Bank of China posted earnings per share of Rmb0.56, down from Rmb0.61, and a pre-tax dividend per share of Rmb0.175, down from Rmb0.19 last year.
For now, most of the activity around bitcoin is monetary in nature, so it makes sense that its critics point to volatility. Though the value of one bitcoin in U.S. dollars has fallen 67% in the past year, its value over the past two years is up 1,879%, according to the market price chart at blockchain.info. So whether it’s a good investment or a bad one is a matter of perspective.
9. Investors brains are so distracted, in denial, they won't get out in time.
[?'θ?:riti]
Who greets a member of any royal family, however young, with a high five?
Second, McDermott, a career 39.9% three-point shooter, addresses Oklahoma City's biggest roster weakness—a lack of perimeter options around Russell Westbrook—and remains on a bargain rookie deal through the end of next season.

Benoit Battistelli, president of the EPO, said the increase in patent filings by Chinese companies reflects both their increasing expansion into Europe and the fact that China is becoming a globally innovative knowledge-based country.
爆破公司总指挥贾永胜告诉中国国营电视台CCTV说:像这样在市中心的大规模爆破任务,不但要保证爆破结果(精确),还要控制爆破产生的不良影响。
[kru:]
电视剧版《何以笙箫默》改编自顾漫同名小说,由钟汉良和唐嫣主演,2015年1月首播。它讲述了一对情侣分离7年后重逢,一个执着于等待和相爱的故事。这部小说一直是网络小说中的佼佼者,并于2003年出版。凭借完美情人何以琛一角,演员钟汉良迅速跻身为女粉丝心中的白马王子。
Not until recently anyway. But scientists at Weill Cornell Medical College have at last managed to—at least with mice and monkeys. This produced artificial retinas, whose chips convert images into electronic signals and whose tiny projectors convert electronic signals into light.
他参照美国脱口秀节目主持人的话说:“我一直想和Jay Leno见面,”说这话之前他自己就笑了起来。达拉斯买家俱乐部明星Jared不以为然回应道:“对不起,你又叫什么名字?但观众们似乎意识到了两人之间尴尬的气氛,一位观众开玩笑说:“认为Jared Leto妄想Grinder看着他。”
The only things in the way are his staff, Republicans in Congress and the limits of his power. And those are important. Campaign promises of 45 per cent tariffs on Chinese goods have turned into investigations into Beijing’s intellectual property regime.
Adding to the growing literature of sell-side analysts who think the answer to Apple's (AAPL) market valuation woes (down 35% since September) is a low-cost iPhone, MorganStanley's Katy Huberty has looked at China, the world's largest smartphone market, and done the math.
Newt Scamander is a magiczoologist who studies magical creatures.

3

In total, Chinese mainland has 54 institutions in the listing of top 300 universities in Asia.
By turns breathtaking, hilarious and disturbing, Jonathan Glazer’s extraordinary, erotic film achieves a rare blend of fantasy and realism
《橘色》,导演:肖恩·贝克(Sean Baker)。
vt. 打碎,破掉
Judge Business School at the University of Cambridge jumps five places to fifth. Not only is it the first time it has broken into the top five, but it is also the first occasion that LBS is not the top-placed UK school in the MBA ranking.
In this Sept. 18, 1990, file photo, Steve Jobs, president and CEO of NeXT Computer Inc., shows off his company's new NeXTstation after an introduction to the public in San Francisco
Beijing is banning Chinese tour groups from visiting South Korea, the latest retaliation against the planned Korean deployment of the US-built Thaad missile shield, according to two people with knowledge of the plans.
Yao has been at the center of a hostile takeover battle for China's largest real estate developer China Vanke Co Ltd (000002.SZ).
Deadpool will release on February 12, 2016 and it looks like it's going to be a hilarious movie. Oh yes, there's going to be plenty of action and killing as well.
And in the UK, could this be the year that the big consultancies make proper inroads into the legal market Will other “alternative business structures” — aka purveyors of “Tesco law” — finally gain a toehold at the consumer end by offering fixed-fee services, putting work out to tender to loose networks of lawyers, or cranking up the legal chatbot for instant, affordable advice Someone has to bust this sector open for the sake of the average citizen.
节目34 歌曲《家人》,谭晶
约瑟夫?斯蒂格利茨(Joseph Stiglitz)等诺贝尔经济学奖得主、比尔?麦吉本(Bill McKibben)等环保活动人士、乔治?索罗斯(George Soros)及新经济思维研究所(Institute for New Economic Thinking)、阿尔?戈尔(Al Gore)和其他现代思想家全都提醒我们,传统经济学家(以及他们效力的银行、企业和政府机构)都已对坏的经济学理论成瘾,他们在破坏美国的未来。
Like any college kid, Evan Wray loved using the tiny pictograms known as emoji. But he hated that there was no emoji to express his Fighting Irish pride with fellow University of Notre Dame students. So, alongside co-founder Sean O’Brien, he built a modest business on that disconnect. TextPride, as it was called, licensed images from brands in the sports and entertainment world and sold them as sticker packs. Within a messaging app like Kik, users could buy a packet of stickers for Disney’s Frozen for $1.99, for example.
Those with 3-years of driving experience and no records of traffic accident crimes, dangerous driving, drugs or drink driving will be allowed to take examinations for online-driving services.
在本届达沃斯世界经济论坛(World Economic Forum)盛大闭幕会议上,与会者承认风险的存在,认为缺乏有效管理的新兴市场很容易受到危机冲击,但他们最终得出的结论是,前景是多年来最为光明的。

4

不过,中国的手机制造商却在2016年实现了崛起。华为出货量同比增长了30.2%,达到了1.393亿台,再次排在全球第三。
n. 泄漏
Yes. With the US Federal Reserve likely to raise interest rates a few times in 2018, trading is likely to be choppy in emerging markets. Sometimes it may feel a bit like a rerun of the 2013 “taper tantrum”. However, average GDP growth will rise to 5 per cent, up from a forecast 4.7 per cent this year. This will mostly be because Russia and Brazil, which have stumbled, will bounce back.
“New Yorkers have been waking up and realizing this long period of prosperity has wreaked a little bit of havoc on things that we think of as classic New York,” said Simeon Bankoff, the executive director of the Historic Districts Council, noting that 2015 will mark the 50th anniversary of the New York City landmarks preservation law. “Things we always thought were going to be there are just closing left and right.”
[pr?'d?ktiv]
“If they, say, delay a customary process for Korean imports and take other retaliatory measures on Korean products, there is nothing Korea can do about it,” he said.
One of the designer's most important companions in later life was his Birman cat Choupette, who he has called his one true love and said he would marry if it were legal.
"The guy must have weighted the pros and cons of the situation: he had a great chance to survive a stranded elevator, but would have been doomed if he left homework undone," joked @Zealshifang.
While the president emerged as the narrow winner on the night, the encounter, which was cordial and largely uneventful compared with the previous two debates, is unlikely to have much impact on the outcome of the election.
James Bond Themes 7. "Nobody Does It Better" by Carly Simon
《使女的故事》

5

新年的祝福,平日的希冀,愿你心境祥和、充满爱意,愿你的世界全是美满,
达洛伊西奥设计了一款名叫Summly的应用软件,该软件能够将繁冗的文章精简成几行关键句子。早一代Summly软件发布后,技术观察家意识到在这个无论资讯还是财报,一切新闻都快速阅于掌上的时代,这样一款简洁、精准的摘要软件蕴含着巨大的价值。该应用吸引了包括好莱坞明星和亚洲首富李嘉诚在内的全世界投资者的兴趣。
该机构还表示,周二仍有876个岗位无人报名,其中包括上海和西安的铁路警察。
这位曾演唱过《Royals》(《皇室贵族》)的少年天才在20岁的时候就在联合制作人杰克·安东诺夫的帮助下更上一层楼,把对电子音乐的无限展望与人类的尺度结合在一起,亲手打造了自己的第二张专辑。
这一奖项于3月14日在阿姆斯特丹公布,是基于对全球上百万名旅客的调查而选出的。
sc=scene(n 风景),roll(n 卷)-卷着风景的画卷
8月7日
“…called the interviewer by the wrong name.”
enter进入+prise进入抓住[目标]→事业;进取心
"If all these train tickets were lined up, they would circle the earth 7 times," said Zhu Jiansheng, deputy director of the Institute of Computing Technologies with the Chinese Academy of Railway Sciences, where the ticketing system was developed.
designated
节目12 小品《大城小事》,艾伦 王宁 常远
反对:《请以你的名字呼唤我》在很多方面的表现都很不错,但却没有哪一方面是最突出的。也许“甜茶”蒂莫西克莱门特的表演是该片冲奥的最大可能。
lasting

6

Christie’s biannual evening sale on Dec. 8 raised just 6.5 million pounds with fees, about $9.7 million, against a low estimate of 12.7 million. Nineteen of the 45 works, or 42 percent, failed to sell, including the two most highly valued lots — a 1582 watercolor study of a hare among plants by Hans Hoffmann, a pupil of Albrecht Dürer, and a fine 1770s Francesco Guardi view of the island of San Giorgio Maggiore in Venice, carrying low estimates of 4 million and 1.5 million respectively.
单词charity 联想记忆:
adj. 受影响的,受感动的,受疾病侵袭的 adj. 做
追踪制造业、服务业和建筑业商务活动的官方指标显示,10月份这几个驱动中国经济的关键行业的增长有所放缓。
IE’s alumni have the second-highest average salary increase following graduation, at 39 per cent. The school is ranked first for aims achieved and for international mobility. It is third for career progress. “There is a definite ‘before and after’ for career progression,” says one former student. “Post-MBA I felt I had more of a sense of direction not only of where I wanted to be, but also why, and how to make it happen.”
谈到谷歌总部,人们总会提到那些闪光点——丰富的户外运动设施、免费食品,以及其它数不清的福利。不过,下面要说的是另一项好得有些变态的福利。如果谷歌美国的某位员工在就职期间不幸身故,不管他为谷歌工作了多长时间,在之后十年里,其配偶或“伴侣”每年都可以继续领取该员工薪水的50%。
国务院总理李克强在上周五由人力资源和社会保障部组织的一次会议上表示,要优先促进就业。
[.s?:kju'lein]
问:在过去的几次采访中,你都提到了你和角色之间的联系。那么在目前播放的Aldnoah Zero重,你觉得你和伊奈帆之间的联系是什么?

4.美国电话电报公司

Conclusion

Episodic memory is also known as long-term memory, and the researchers approached the study of exercise in a different manner than previous studies. Other studies examined the impact of aerobic exercise conducted over many months, but this study simply asked participants to lift weights a single time. During the test, half of the participants were asked to use a weight machine before recalling a series of images they were shown at the start of the test. The other half of the participants were also asked to recall the images but without having engaged in any strenuous activity before the recall session. In demonstrating the memory improvement for the participants who engaged in just a single session of weight lifting, the researchers were able to show that improving one's memory through exercise didn't take hours of dedication in the gym. The next time you have the opportunity to lift weights or someone tries to convince you to join the gym you might just want to take him or her up on the offer.
毫不奇怪,信贷具有“助周期性”。当资产价格一片繁荣时,乐观的贷款机构倾向于发放更多贷款,进而加剧市场的狂欢。当资产价格下跌时,贷款机构会控制风险,有时这种做法会加速下跌。
都柏林大学学院(UCD)迈克尔?斯墨菲特商业研究生院(Michael Smurfit Graduate School of Business)的总体进步最大,排名攀升21位至第48名。北京大学(Peking University)光华管理学院(Guanghua School of Management)重回排行榜第38名,去年该院因学员调查反馈率低而未上榜。
单词yacht 联想记忆:
Federica Mogherini, the EU’s foreign policy chief, and Johannes Hahn, the bloc’s enlargement commissioner, have also weighed in, criticising Mr Erdogan’s proposed constitutional changes and his recent rhetoric.
好莱坞的明星们早已着手准备了数周,尤其是对于去当地南瓜地挑选一些南瓜这样的事来说。
北京正努力在年底前完成《区域全面经济伙伴关系协定》(Regional Comprehensive Economic Partnership,简称RCEP)。该协议长期以来被称为中国面对《跨太平洋伙伴关系协定》(Trans-Pacific Partnership agreement,简称TPP)的对策,以及代表了中国争取区域贸易霸权的努力。
This movie tells the story of Wade Wilson, played by Ryan Reynolds, who is a mercenary with accelerated healing powers and a dark sense of humour. He's now on the lookout for the man who almost destroyed his life by subjecting him to rogue experiments. Deadpool belongs to the Marvel Universe and is their most unconventional anti-hero.


Dr. Scheurer is a hospitalist and chief quality officer at the Medical University of South Carolina in Charleston. She is physician editor of The Hospitalist. Email her at [email protected].

References

  1. Ask questions immediately if you don't understand something. If you're in the front row and have been making eye contact, your instructor probably already knows by the look on your face that you don't understand something. A polite raising of your hand is all you need to do to indicate you've got a question.
  2. Here’s the full list:
    The media are annoying, we get that, Your Royal Highness, but there may have been more dignified ways for you (and the establishment you represent) to air your concerns.

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