1.

Record Nr.

UNINA9910465075103321

Autore

Lazris Andrew

Titolo

Curing Medicare : A Doctor’s View on How Our Health Care System Is Failing Older Americans and How We Can Fix It / / Andy Lazris ; with a foreword by Shannon Brownlee

Pubbl/distr/stampa

Ithaca : , : ILR Press, an imprint of Cornell University Press, , 2016

©2016

ISBN

1-5017-0387-0

Edizione

[Revised edition.]

Descrizione fisica

1 online resource (263 pages) : illustrations

Collana

The culture and politics of health care work

Disciplina

368.38/200973

Soggetti

Geriatrics - United States

Older people - Medical care - United States

Medicare

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Includes index.

Nota di bibliografia

Includes bibliographical references (pages 219-236) and index.

Nota di contenuto

Introduction : my boss -- Defining quality : the quest for numerical perfection -- Defining thorough : finding and fixing everything -- Excessive specialization, expectation, and litigation -- Hospitalization : the pinnacle of thorough -- Long term care : the unwitting geriatric ICU -- Quality and value : moving toward a cure -- Afterword : redefining thorough.

Sommario/riassunto

Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare's payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for



the primary care that can make a real difference in the lives of the elderly.Lazris offers straightforward solutions to ensure Medicare's solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.

2.

Record Nr.

UNINA9910822513003321

Titolo

Linguistic approaches to Portuguese as an additional language / / edited by Karina Veronica Molsing, Cristina Becker Lopes Perna, Ana Maria Tramunt Ibaños

Pubbl/distr/stampa

Amsterdam ; ; Philadephia : , : John Benjamins Publishing Company, , [2020]

©2020

ISBN

90-272-6150-4

Descrizione fisica

1 online resource (312 pages)

Collana

Issues in Hispanic and Lusophone linguistics ; ; Volume 24

Disciplina

469.8007

Soggetti

Portuguese language - Study and teaching - Foreign speakers

Second language acquisition

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

The roles of L1 Spanish versus L2 Spanish in L3 Portuguese morphosyntactic development / Jennifer Cabrelli, Michael Iverson, David Giancaspro and Becky Halloran González -- Syntactic contrasts in early and late Brazilian Portuguese-European Portuguese bidialectal bilinguals : data from production / Tammer Castro, Jason Rothman and



Marit Westergaard -- Learning to perceive, produce and recognise words in a non-native language : Australian English vs. European Spanish learners of Brazilian Portuguese / Jaydene Elvin, Daniel Williams and Paola Escudero -- Multi-directionality in language transfer : development of the vowel system of Brazilian Portuguese as a second (L2) or third language (L3) / Leticia Pereyron and Ubiratã K. Alves -- The lexical aspect hypothesis : off-line evidence from Chinese learners of European Portuguese as an L2 / Custódio Martins and Mário Pinharanda Nunes -- How learners of Portuguese as an additional language talk about their experience from a cognitive perspective / Luciane Corrêa Ferreira and Desirée Oliveira -- Implementing the concept of 'pedagogic mediation' with the use of language corpora for the teaching of Portuguese as an L2 or L3 / Jonathan Fleck, M. Rafael Salaberry and Hélade Scutti Santos -- Leveraging Spanish knowledge and cognitive aptitude in Portuguese learning / Carrie Bonilla, Ewa Golonka, Nick B. Pandža, Jared Linck, Erica B. Michael, Martyn Clark, Alia Lancaster and Dorna Richardson -- Autonomous Portuguese L3 learning through an innovative adaptive language platform / Jared A. Linck, Catherine J. Doughty, TaraLee Mecham, Carrie Bonilla, Martyn Clark, Ewa Golonka and William Burns -- Exploring second language acquisition : the role of implict and explicit knowledge in native and target languages / Rita Ferraro -- The linguistic and anthropological dimensions within enunciation in additional languages : a look at a Portuguese language instructional setting / Bruna Sommer-Farias.

Sommario/riassunto

"This book includes a selection of theoretical and practical accounts of the acquisition of Portuguese from a broad range of linguistic perspectives. This collection is particularly appealing in the broad academic sphere of language acquisition due to the fact that there has yet to be one entirely dedicated to Portuguese as an Additional Language (PAL). This volume showcases the breadth of research being carried out on topics ranging from the acquisition of aspects from the main language modules (syntax, morphology, semantics, phonology, and pragmatics) to applied perspectives involving corpus-based approaches and experimental methodologies. Moreover, we present studies addressing a variety of learning contexts and learner types. The target audience includes researching scholars with a background in second language acquisition studies interested in learning more about the acquisition of Portuguese as an Additional Language from linguistic perspectives"--