PDF Ebook Crossing the Quality Chasm: A New Health System for the 21st Century

PDF Ebook Crossing the Quality Chasm: A New Health System for the 21st Century

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Crossing the Quality Chasm: A New Health System for the 21st Century

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From The New England Journal of Medicine

The Institute of Medicine's Committee on Quality of Health Care in America has issued its second and final report, Crossing the Quality Chasm: A New Health System for the 21st Century. The committee has done an excellent job, but its report is as noteworthy for what it omits as for what it says. It identifies and analyzes with great insight and clarity deficiencies in the quality of our present medical care delivery system, and it is persuasive in outlining how the system ought to work. But it does not say much about the fundamental causes of those deficiencies. Nor does it address the central question: Can we really ``cross the quality chasm'' in medical care without major reform of the whole system? The committee's earlier report, To Err Is Human: Building a Safer Health System (Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, eds. Washington, D.C.: National Academy Press, 1999), was released in the fall of 1999. The report created an immediate sensation with its estimate of 44,000 to 98,000 deaths annually due to errors in hospital care, which it said were due more to error-prone institutional systems than to mistakes by individual health care workers. Predictably, the report launched a spate of governmental and private projects to study the cause and reporting of such events and the means of preventing them. The committee's second report moves beyond the initial focus on medical mishaps and takes a broader look at other problems with the quality of health care. It suggests, in general terms, a variety of ways in which the effectiveness and efficiency of health care should be improved. The report is thoughtful, painstaking, and totally reasonable, and yet it has attracted much less attention than its predecessor. Why hasn't Crossing the Quality Chasm had more impact? I think there are several reasons. First, it contains nothing nearly so sensational as the claim made in the first report that tens of thousands of deaths are caused by medical errors. Second, most of the problems in our health care system that are identified in the second report have been widely recognized for some time. For example, as important causes of reduced quality, the report cites fragmentation of responsibility and lack of continuity in the care of individual patients. It describes the lack of coordination and communication among providers and between providers and patients. And it faults the system for not sufficiently employing electronic-information technology. It criticizes the system's failure to rely on evidence-based guidelines as standards for practice and faults providers for failing systematically to record and report outcomes. It also finds the current health care delivery system insufficiently responsive to the needs of patients and not sufficiently accountable to payers or patients. All these problems are certainly important. But they have been described before, and this report offers little that is substantive in the way of new and practical ways to solve them. This omission is probably the chief reason for the lukewarm reception given this study. Granted, the study calls for greater attention to the need for improving the quality of care. It calls for workshops, more research and education, a reexamination of current payment methods, and many other general initiatives of this kind. It urges Congress to establish a ``Health Care Quality Innovation Fund'' to support projects on the improvement of quality, and it estimates that something ``on the order of $1 billion over 3 to 5 years'' would be needed. The report also suggests that the Agency for Healthcare Research and Quality should identify ``not fewer than 15 priority conditions'' and should convene a meeting to ``develop strategies, goals, and action plans for achieving substantial improvements in quality in the next 5 years for each of the priority conditions.'' But these recommendations, however well intended, do not go to the heart of the matter, and they offer little in the way of fundamental solutions. In fairness to the committee's meticulous and scholarly work, I should acknowledge that it did not set out to ``recommend specific organizational approaches to achieve the aims set forth.'' The committee was no doubt asked instead to concentrate on general aims, to suggest principles and guidelines for improving the quality of care, rather than confront the controversies that would result from suggesting basic reforms in the organization of the health system. So, what is wrong with the organization of our present health care system that accounts for its problems with quality? In my view, the central problem is that the system is being directed mainly by market forces, which are as ill suited to the achievement of the quality goals envisioned in this report as they are to the attainment of the equally important goals of cost control and universal access. The notion that health care is basically an economic commodity represents a radical change from earlier assumptions about the social purpose of health care. It has gained currency only during the past 10 to 20 years, but it has already produced public policies that are rapidly converting our health care system into a vast competitive marketplace. We now have a large and growing sector of health care delivery controlled by private business, to a degree unmatched in any other nation. As is the case with other markets in the U.S. economy, the part of medical service that is privately insured is distributed primarily according to the ability to pay. The multiple independent private insurers (mostly investor-owned) constantly seek to reduce their payments to providers and their financial obligations to sick patients. Similar economic pressures and incentives are at work in the governmental half of the system. In all parts of the system, the providers of care (i.e., hospitals and physicians) see themselves as competing businesses struggling to survive in a hostile economic climate, and they act accordingly. The predictable result is a fragmented, inefficient, and expensive system that neglects those who cannot pay, scrimps on the support of public health services and medical education, and has all of the deficiencies in quality that are so well described and analyzed in this report. It is a system that responds more to the financial interests of investors, managers, and employers than to the medical needs of patients. The best way to achieve substantial improvements in the quality of care, I believe, would be to change the system. Unfortunately, the committee does not say that. It concentrates instead on suggestions for modifying behavior in the current system. However, the prospects for persuading participants caught up in the present commercially dominated system to behave in a more socially responsible way are not very good. I suspect most members of the committee know that but that they felt constrained by the terms of their charge to focus on incremental improvements in the quality of the present system. Given those constraints, they have done all that could have been expected, and they have done it very well. A more definitive approach to the problems they address must await major reforms in the health care system. Arnold S. Relman, M.D. Copyright © 2001 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

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Review

"...CommitteeÂ’s strong findings and bold vision will give new momentum to the processes of change in American health care." -- Institute for Healthcare Improvement website

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Product details

Series: Quality Chasm

Hardcover: 360 pages

Publisher: National Academies Press; 1 edition (August 19, 2001)

Language: English

ISBN-10: 0309072808

ISBN-13: 978-0309072809

Product Dimensions:

6.1 x 1 x 9.1 inches

Shipping Weight: 1.5 pounds (View shipping rates and policies)

Average Customer Review:

4.5 out of 5 stars

22 customer reviews

Amazon Best Sellers Rank:

#402,495 in Books (See Top 100 in Books)

The IOH, Institute of Health, published two exhaustive reports on healthcare: To Err is Human and Crossing the Quality Chasm. They are dry, academic, ponderous and difficult to read. However they are two of the most important books written about healthcare in the United States and mandatory reading for anyone in the field of medicine. Virtually every other book on improving healthcare quotes or uses the research from these two books.Healthcare is under a radical transformation based on enormous economic and demand pressures. In order to be successful we have to understand the system, warts and all. We have to have solutions based on empirical peer reviewed data. These IOH reports do just that. While they may seem dated and many of the initiatives advocated by these books are well underway, these books remain 'bibles' of a sort for understanding the US medical system. I strongly recommend reading this books because so much of the current reform, language, and subsequent published literature is based on these two reports.I recently attended a training by Intermountain Healthcare in UT - the hospital system discussed during the election debates. The CFO quoted from these books. That is just one illustration of how influential and important these books are. Even if you don't work in medicine these books will help you manage and direct your own care. Read also "Overtreated" by Shannon Brownlee, which also uses IOH data and research.Not easy reads but few important reads are.

This book is written as the product of an Institute of Medicine initiative to reduce the mortality and morbidity from errors in the American healthcare system. The Institute of Medicine is a private organization created by congressional charter to advise the federal government on specific matters. Their mission statement is to "advance and disseminate knowledge to improve human health." This book is the final report of the Committee on the Quality of Health Care in America. Their homepage is available by searching the Internet using the full committee name. Membership of the committee and sponsors of the project are available at that web site.The format of the book is to present evidence for quality problems in healthcare in America and make recommendations. The operational definition of quality used in the book is "The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." There are thirteen recommendations presented initially and are discussed in relevant chapters. The recommendations vary in scope from suggesting that multiple parties need to be committed to quality as a way to decrease the burden of disease to suggestions that specific agencies fund pilot studies to look at how reimbursement can be aligned with quality. Six major parameters are discussed as guiding quality and it is suggested that 15 specific conditions be a focus for improving quality.There is no difficulty in identifying literature studies that demonstrate quality problems in hospital and clinical populations. A survey of current research is included in Appendix A. A review of the tables in this appendix show the types of quality markers that are typically studied in the literature. The authors make the argument that errors due to quality lapses or deficiencies need to be actively worked on and that the current high error rates are not acceptable. Health care has become a major political issue and the political factions are shaping up to be government and business on one side and physicians and other health care providers on the other. There has been a major revamping of the health care system in the past decade to control costs. That required the active cooperation of the insurance industry and government. There is still medical inflation and limited access with 40 million Americans uninsured. Should we believe that another cooperative effort between industry and government will improve quality any more than it has controlled cost or improved access?The authors acknowledge weaknesses in their suggestions about changing the face of American medicine, but they minimize the adverse impact of the current funding mechanisms for medical care and the issue of information systems integration and security. A good example can be found in their application of engineering principles to clinical settings - - where teams see patients for four hours of direct contact time and the remaining time is for documentation and returning calls. That plan would not be economically feasible in many settings. The high cost and lack of flexibility of the current reimbursement schemes are not mentioned as a potential reason why these plans won't work.Information technology is seen as a way to enhance both productivity and safety. The authors suggest that e-mail can lead to productive exchanges between physicians and patients. Many physicians have been doing this for years. Many have also stopped with the advent of security concerns about medical privacy. With larger IT systems the critical issue is backward compatability with older systems. That usually requires custom designs that are extremely expensive. Those problems usually need to be solved before bedside computing and decision support can be developed. Security is acknowledged as a problem that needs to be solved. In spite of a federal initiative in this area, the important precedent to remember is how the financial privacy of Americans was protected. The authors point out that medical privacy requirements need to be more stringent than other industries. At the same time they point out that some opinions suggest that there is a trade off between privacy protections and the need to advance information technology in health care. If they are suggesting that the Internet should be at the heart of this infrastructure and the Internet is not secure, what does that mean?A practical approach might be to focus on the areas where data is entered into computer systems and make sure that non-human analysis occurs at those levels. For example, all hospitals enter pharmacy orders into computer systems. Many hospitals require that physicians write separate discharge orders. Both of these points are areas where there could be immediate improvements in accuracy. A focused study and solution could be engineered now. The necessary software and hardware requirements could be placed on a central web site and available for download by hospital and clinic IT staff. Existing reviewers could be charged with documenting the baseline level of errors and the degree of improvement.This book succeeds as a broad survey of what has been done about quality in certain settings. It contains some interesting ideas about what can possibly be accomplished by applying conceptual advances from other fields. It does not discuss the significant drawbacks of evidence based medicine. It lacks a practical plan for transitioning to a new system and in effect creates a new chasm. With a work like this, whether you like the conclusions depends a lot on your interpretation of the evidence and your personal experience. As a practicing physician and a previous quality reviewer I have significant areas of disagreement with what is presented in this book. Areas of controversy are not elaborated upon. I suppose you could say that level of analysis is not required, but recommendations about the future of health care in America should at least meet the criteria of "evidence based" and all the evidence should be discussed.George Dawson, MD

The original book for healthcare reform! Tracks Institute of Medicine (IOM)'s diagnosis of root causes of healthcare costs and inffectiveness. Summarizes the results of workshops in which the best minds in healthcare, computer sciences and policy come together to understand and observe various dimensions of healthcare and its problems. Addressing root causes always better than addressing symptoms. That's what this book represents!

good reference book. Delivered as promised and on time.

Information is dry reading and information is a bit dated but the book is good overall.

Great reference for anyone interested in quality in our health care system. it is unfortunate that many of the policy makers haven't really read this and digested what the lessons were. It was written a decade ago and we are still struggling with recommendations that were made then. I would recommend this to anyone interested in this topic.

The healthcare challenge is one that will take a lot to change. I think the book outlines the issues really well and makes you think about what is required to change the healthcare system. The question now is how do undertake such a massive overhaul?

If you are in anyway involved in health care, this is essential reading. Physicians, hospital administrators, purchasers, health plan execs, and grad students must immediately put this on the top of their reading list. Lives may depend on it.In it, the highly respected Institute of Medicine builds a powerful case for how the current health care system is severely broken and how it has produced a "chasm" between what we known must be done for patients (based on current science of medicine) and what is actually done. The information conveyed is shocking but true. Even more importantly, the Institute gives us a plan for building a new, more accountable quality-driven approach to health care.Read it and perhaps you too will be motivated to take action to improve health care delivery in America.

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PDF Download Coloring Books for Kids & Toddlers: Animals Coloring: Children Activity Books for Kids Ages 2-4, 4-8 (Volume 1)

PDF Download Coloring Books for Kids & Toddlers: Animals Coloring: Children Activity Books for Kids Ages 2-4, 4-8 (Volume 1)

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Coloring Books for Kids & Toddlers: Animals Coloring: Children Activity Books for Kids Ages 2-4, 4-8 (Volume 1)

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Product details

Series: Coloring Books for Kids & Toddlers (Book 1)

Paperback: 100 pages

Publisher: R., Jane J.; 1 edition (February 27, 2017)

Language: English

ISBN-10: 1544139039

ISBN-13: 978-1544139036

Product Dimensions:

8.5 x 0.2 x 11 inches

Shipping Weight: 9.6 ounces (View shipping rates and policies)

Average Customer Review:

4.7 out of 5 stars

140 customer reviews

Amazon Best Sellers Rank:

#875 in Books (See Top 100 in Books)

It's hard to find simple coloring books for children two- or three-years-old these days. This one fits the bill nicely with fun, not overly complicated images. The drawings have thick, clean lines to guide coloring. The paper is also sturdy and there's no printing on the back of the pages for easy pull-out and display. Highly recommended!

The photos of the animals are in large print so it is easy for toddlers to color in. Very simple drawings but my son loves looking through this coloring book so much it’s a staple in his book collection. He also spends so much time naming all the animals on the front and back cover.

The drawings are cute and easy to color, but for toddlers, I'd have preferred a bit thicker paper (this is fine but still not very thick so markers WILL bleed), with pre-perforated pages that can be torn out so the kids can choose one page at a time. Also, the spine is rather tight, so the pages do not lie all the way flat when the coloring book is opened (especially in the beginning and end of the book) so combined with the fact these pages aren't tear-able, little ones end up having to hold press open the book while coloring. If those issues were fixed, I'd have bought again and in more variations (there are a few of those books). We'll make do with this one, but it misses the point for me.

This is a perfect first coloring book. Pictures are large with lots of different themes. Some are very simple for beginners, others are a bit more detailed but not too difficult. Themes consist of animals- farm, domestic, wild and zoo, fish and sea and a circus theme. All are easy to identify for toddlers and pre-k. Backside of each page is plain for additional drawing. I hadn't purchased a coloring book in years so was a little surprised by the cost. Much more expensive than a discount store, but is a quality product that I likely wouldn't find there either.

Glad to have found a coloring book that doesn't contain cartoon characters! Two complaints though: 1) the pages could be thicker so you can't see the next picture behind the current one you're coloring in, and 2) some of the drawings are weird -- the picture of the dog also has a pile of poop next to it, unrelated pairs of animals are on the same page, and there several performing circus animals (do circuses even exist anymore?)

This book is great for a toddler just starting to color on her own. My 1.5 year old searches for this book on her shelf and loves to point out the different animals, even when she's not coloring. The pages are very thick, which is unusual for a coloring book. Combined with the fact that there is one image per page (no image on reverse), you can't see through the page. This makes the pages a good material for writing letters to friends/family and including a baby coloring art piece.The images themselves are very cute, with little details like pawprints and bubbles in addition to a central animal. The images seem to be grouped by theme, so ocean animals are first, then zoo animals, then barnyard, etc.Overall, I love this book best of the three coloring books we've purchased so far.

I have a 2.5 old, who is very interested in drawing and coloring.Books from dollar store have these thin brownish pages, that tear easily, not so smooth, it is harder to color. This book is exactly what I was looking for - white smooth pages, but I think still pencil coloring suits best! Cute drawings, no small details, perfect for starters. I bought it as a warehouse deal (the back of book bit wrinkled from humidity), it was even better price. Really recommend teaching the grip as soon you start coloring with little one. My older one skipped this part and he learned the proper grip only at 4.5. Younger was tought as soon as she started showing interest in drawing/coloring (I put it in hand over and over as a game), and now, though they have 2 year difference, their level is equal. So I am bit upset with myself, that I went with the flow with first born, not teaching him, only applauding for every effort :D :D Fine motor skills (hand movement center in brain is near language center) and I can see difference in their use of language too. (Of course, she is the second child also ;)) so thats my 2 cents, how I would change something :)But the book it self is great. Only thing it would make it perfect, if pages could tear easier from the back.

Cute pictures, good for young children and elderly. I bought this for a loved one with dimentia that loves to color. The pictures are basic and dark lines are easy for the young and old to see. There are several different animals on each page but not too overly stimulating.

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Coloring Books for Kids & Toddlers: Animals Coloring: Children Activity Books for Kids Ages 2-4, 4-8 (Volume 1) PDF

Coloring Books for Kids & Toddlers: Animals Coloring: Children Activity Books for Kids Ages 2-4, 4-8 (Volume 1) PDF

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Publication Date: December 15, 2015

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#5,479 Paid in Kindle Store (See Top 100 Paid in Kindle Store)

“Broken Faces” by Deborah Carr tells the story of Lady Alexandra Baldwyn “Lexi”, her brother Charles, his friend Freddie Chevalier, with whom Lexi is in love, and Charles’ fiancée, Meri. 1914 England was a difficult time. Charles and Meri were engaged to be married, but that didn’t stop Charles from one last fling with his mistress…where Meri found them together. Meri is heartbroken and breaks the engagement.The war in France was raging and young men were joining up to fight the Huns. Freddie goes home to Jersey where he tends the farm with his father until he decides that he needs to help in the fight. Lexi just wants to contribute and volunteers, driving ambulances and delivering supplies in England. Meri joins the V.A.D. and is nursing in a field hospital in France. Charles is fighting in the trenches and is soon joined by Freddie. Freddie is wounded in the face and is evacuated to the field hospital where Meri is a nurse. Eventually Freddie ends up in a Facial Reconstruction Hospital in Amiens where everything possible is done to repair the damage done to his face.I could just re-write the story in my review, because there are so many facets of this novel. However, I must say that reading this novel gave a true glimpse of what had to be the most horrible type of warfare. Human beings maimed and killed over a swath of land known as “no man’s land”, constant barrage of munitions, mud, filth, deprivation. This book follows these four young people as they come to grips with their lives during and after the war. With carnage and damage surrounding them, can they even think of going on with new lives.I enjoyed the book from the historical viewpoint, but it was hard reading of the terrible injuries and the attempts of the men and women to overcome them.

It was a love story with a lot of history of WW1 woven through it. The broken faces title refers to the soldiers whose faces were maimed while fighting in France. The families and their homes were beautifully described. The nurses and support people came to life in this heart breaking, at times, story. I think you will like the ending.

I loved this book and did not want it to end. I fell in love with the characters and felt their pain, and happiness. Sure there were some gory war parts but mostly the lives of four special people. This is a must read!

A story about WWI and all the horror war can bring. But even during war time life goes on; people find love and hope for a better future. An excellent story!

I found this incredibly hard to put down. I don't read a lot of historical fiction, but this enthralled me from the beginning, and as I went along, I couldn't help wondering what would happen next. And, of course, there was the happily after ever I crave - even if the characters did have to go through hell to get there. I can't wait to see what DM Carr has in store for readers next.

Could not put this book down - so heart wrenching in places, so explicit in places - gave a real insight into the tragic injuries suffered by so many during the great war. Love is oh so strong and not everyone realises it!Seriously recommend this book if you like war stories!

The story was ok but dragged on & no one being honest or telling the truth. It ended happy with all problems worked out.

If you have a weak stomach do not read as there are parts in the book that are gorey . But, with that being said I so enjoyed this book. Definitely a lot of suspense and a great love story. I will definitely follow this author

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Download PDF The 5Es of Inquiry-Based Science (Professional Resources for K-12 Teachers)

Download PDF The 5Es of Inquiry-Based Science (Professional Resources for K-12 Teachers)

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The 5Es of Inquiry-Based Science (Professional Resources for K-12 Teachers)

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Product details

Series: Professional Resources

Paperback: 168 pages

Publisher: Shell Education; 1 edition (January 1, 2013)

Language: English

ISBN-10: 1425806899

ISBN-13: 978-1425806897

Product Dimensions:

7.3 x 7.3 x 9.2 inches

Shipping Weight: 10.4 ounces (View shipping rates and policies)

Average Customer Review:

4.3 out of 5 stars

7 customer reviews

Amazon Best Sellers Rank:

#51,052 in Books (See Top 100 in Books)

This is an excellent book if you are not familiar with the 5E or Learning Cycle approach to teaching science. It is extremely short, but there is enough information on each topic to get you started using the model in your classroom. If you're using the 5E approach, you'll want to keep this one handy to refer to as you are getting started lesson planning.I highly recommend the 5E approach. Basically, you start by Engaging student's interest (this is the anticipatory set, nothing new there), then having them Explore before Explaining what's going on. That's the big difference with this model. The kids do a lab or activity to gain some knowledge about a concept before you teach it, instead of learning about it and then doing a lab to confirm that what you told them was true. 5E is a much better way to teach science!Now here's why I only gave it four stars. 1) A lot of their examples are aimed at the lower grades. They usually give three examples per topic. Often, one will be for K-2, one for 3-5, and one for 6-12. Ok, so their audience may be more elementary school teachers, but it's not helpful to lump together seven grade levels any way you slice it. Just give four examples. 2) In some sections it feels like an entire book could be written about something they describe in two paragraphs. I'm not faulting them for that; this is a brief overview. My quibble is that they could have included a lot more citations so that you could follow up with topics you want to explore in more depth. I guess I'd have liked an annotated bibliography.

Very informative and comprehensive. I had very little knowledge about the 5 E, and now I feel like I have what I need to create 5E lesson plans.

Uses a lot of repetition to rehash standard educational best practices. Nothing groundbreaking here.

One of the few text books I am keeping. Its short and practical.

This is a good resource for persons interested in science.

I loved this book! It was not only an easy read, but every chapter had tons of practical ideas that could be implemented immediately. It helped me remember how much fun teaching science could be when lessons are more engaging! Highly recommend for educators who teach science!

Everything was fine.

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Download Big Open: On Foot Across Tibert's Chang Tang, by Rick Ridgeway

Download Big Open: On Foot Across Tibert's Chang Tang, by Rick Ridgeway

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Big Open: On Foot Across Tibert's Chang Tang, by Rick Ridgeway

Download Big Open: On Foot Across Tibert's Chang Tang, by Rick Ridgeway

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About the Author

Rick Ridgeway is a mountaineer, writer, and businessman who currently serves as Patagonia’s vice president of environmental affairs. His books include The Shadow of Kilimanjaro: On Foot across East Africa, The Big Open: On Foot across Tibet’s Chang Tang, and The Last Step: The American Ascent of K2, an account of his experience as one of the first Americans to climb the second-highest mountain in the world.Galen Rowell (1940–2002) was an internationally celebrated photographer, mountaineer, and author. The recipient of an Ansel Adams Award for Conservation Photography, he was a respected writer with 18 books and numerous magazine articles to his name. His work was frequently featured in National Geographic, Life, Sports Illustrated, and Outside.Conrad Anker is a world-renowned mountaineer who has summited Everest three times and climbed many of the other challenging heights around the world. Best known for having discovered the body of early twentieth-century adventurer George Mallory on Everest in 1999, Anker is captain of the North Face Athlete Team and continues to inspire with his climbing prowess and his thoughtful dedication to the people of the Himalaya. He is the author of The Lost Explorer, about finding Mallory, and the primary coauthor of National Geographic's The Call of Everest.

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Product details

Paperback: 320 pages

Publisher: National Geographic (May 1, 2005)

Language: English

ISBN-10: 0792238990

ISBN-13: 978-0792238997

Product Dimensions:

6 x 1 x 9 inches

Shipping Weight: 1.2 pounds (View shipping rates and policies)

Average Customer Review:

5.0 out of 5 stars

2 customer reviews

Amazon Best Sellers Rank:

#551,493 in Books (See Top 100 in Books)

I've read a lot of outdoor adventure books and this is a great one. A nice switch from the "I climbed a mountain and almost died" type book (which I love.) As another reviewer said, I would have loved more photos. But the read was first rate. The feeling it gave me of being so far from civilization was excellent.

Adventure and conservation in one of the worlds most legendary places. There are not that many places left to explore in our world and this story is about exploring one of the last places. Highly recommended!

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Download Delicious Desserts: An Adult Coloring Book with Beautiful Cakes, Sweet Candies, Heavenly Chocolates, Cute Cupcakes, Tasty Ice Creams, and Delightful Cookies, by Jade Summer

Download Delicious Desserts: An Adult Coloring Book with Beautiful Cakes, Sweet Candies, Heavenly Chocolates, Cute Cupcakes, Tasty Ice Creams, and Delightful Cookies, by Jade Summer

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Product details

Paperback: 105 pages

Publisher: CreateSpace Independent Publishing Platform (January 7, 2017)

Language: English

ISBN-10: 1542406501

ISBN-13: 978-1542406505

Product Dimensions:

8.5 x 0.2 x 11 inches

Shipping Weight: 12 ounces (View shipping rates and policies)

Average Customer Review:

4.4 out of 5 stars

94 customer reviews

Amazon Best Sellers Rank:

#26,079 in Books (See Top 100 in Books)

 This is a really “sweet” coloring book of desserts. The variety range from wedding and birthday cakes to counter displays of penny candy. It is the perfect set of designs for those who like to color delicious and sweet treats. The desserts are displayed in a beautiful manner rather than just a cake or such. You will see a full table design with drinks or backgrounds in many of the illustrations. It certainly makes it a lot more fun to color when I can imagine the whole table set with deliciousness.The designs are detailed but not what I consider intricate with small areas to color. I am able to use a wide variety of coloring medium on these designs.While you can have access to .PDFs when you purchase this book, my review is based on the book as it is received from Amazon. That way you will know what the pages look like and how they accept color. I like that the publisher provides the digital version as well so you can choose the paper you wish to use and/or to color the pictures as many times as you choose.This is what I found while coloring in this book and testing the paper with my coloring medium:25 x 2 each – Dessert inspired Designs covering a wide range of subjectsPaper is typical of CreateSpace: white, thin, slightly rough and non-perforated. The back of the page is printed black which is something I am find typical of Jade Summer coloring books.The designs do not merge into the binding. There is a heavy framing line at the outer edges of the design to give the project a more finished look, especially for framing. There is a slight shadowing effect to the framing line which gives the image an almost 3D effect.Glue Binding (there is room to cut the pages out if you choose to do so.)Though you cannot see the bleed-through easily due to the back of the page being printed in black, I recommend the use of a blotter page when working in this book. I use a page of card stock or several sheets of heavyweight paper under my working page. It keeps seeping ink and marring dents from ruining the pages below.Alcohol-based markers bleed through the page quickly.Water-based markers bleed through in spots.Gel pens and India ink pens leave shadows on back of the page. India ink can bleed through if you apply heavily or multiple coats.Coloring Pencils work well with this paper. I found that I could layers the same color for deeper pigment or multiple colors and I could blend easily using a blending stick. I tested both oil and wax based pencils. I also found that hard lead pencils leave dents through the paper.

The coloring books produced by CreateSpace have a more than decent price-quality ratio, in my eyes. Sure, you can't expect outstanding, artist-grade paper quality for this very afforable price, but the paper *is* good enough so you can color with colored pencils, crayons and marker – with only minor drawbacks.The paper is relatively absorbant, so ink from different kinds of makers gets soaked up pretty quickly, which makes it harder to mix different colors or use a blender. Also, if you color too many times over the same spot, the paper starts to feel rough or gets just a bit wavy. Some markers tend to bleed through to the back of the pages, too.However! The coloring books by Jade Summer offer a few good solutions for these issues:For one thing, all images are single-sided with the back of the page printed in black, so the bleedthrough doesn't really matter, in my opinion. I would recommend the use of a blotter page, though! Just to make sure the ink doesn't bleed all the way through to the next illustration.Also, each of the 25 illustrations is included twice, so can easily test different color schemes or marker types or coloring techniques.For me, the biggest bonus is this, though: the books comes with a coupon code that allows you to download a PDF version. If you like the illustrations, but not the CreateSpace paper, you can print the illustrations out as often as you like and on the paper of your chosing! You can also download a small selection of the artist's most popular coloring pages.The illustrations are beautiful, with lovely backgrounds and settings. They are not overly intricate, so they should be good for beginners and children, but the pictures have a nice level of detail, nevertheless, so they are also nice for experienced coloristas. The lineart is very clean and a joy to color.

I found the coloring pages in Delicious Desserts coloring book delicious. Gives me opportunity to use colored pencils, gel pens and markers. My only negative issue is that the pages are not perforated. I always remove the pages of a coloring book to scan them then print them on my favorite which is white construction paper. This way I can color a page a second time if I want to.

Lots of yummy desserts to color! I use Copic markers and it doesn't show up on the black back pages. Includes two copies of each plus a downloadable PDF on Jade Summer's web site.I didn't realize I had to email her with the title and access number to receive a copy. I emailed her this morning so I'm not sure how long it takes.UPDATE: Received the PDF file in less than 24 hours.

One of my favorite coloring books! I love to color food designs, and these are great. Not overly simple like a lot of the food-themed books out there.Printed on one side, pages are black on the back. 25 different designs with a duplicate of each. Well constructed. There's a digital copy available from the publisher when you purchase, which is awesome.

Pictures are drawn really well and are not too complicated. There are a couple of pictures where you cannot really tell what the dessert is but other than that this is a great book for beginner and advanced coloring fans.

I love that it is two of each page it has spured many contests as well as tge fun of seeing what I and my daughter both do with the same picture.The treats are very fun to color, large enough to do nice shading, and so colorful. Would recommend and would buy more from this artist.

Nice black line drawings of all type of deserts: cakes, pies, ice cream, etc. The paper is heavy enough to use color markers on without bleeding through the paper.

Delicious Desserts: An Adult Coloring Book with Beautiful Cakes, Sweet Candies, Heavenly Chocolates, Cute Cupcakes, Tasty Ice Creams, and Delightful Cookies, by Jade Summer PDF
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Delicious Desserts: An Adult Coloring Book with Beautiful Cakes, Sweet Candies, Heavenly Chocolates, Cute Cupcakes, Tasty Ice Creams, and Delightful Cookies, by Jade Summer PDF

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PDF Ebook On the Farm (Bright Baby Touch and Feel), by Roger Priddy

PDF Ebook On the Farm (Bright Baby Touch and Feel), by Roger Priddy

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On the Farm (Bright Baby Touch and Feel), by Roger Priddy

PDF Ebook On the Farm (Bright Baby Touch and Feel), by Roger Priddy

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About the Author

Roger Priddy's passion for educating children through fun, informative and engaging books has led him to create some of publishing's most enduring and successful non-fiction early learning books. Roger lives in London and has three children, who have been the inspiration behind many of his best publishing ideas.

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Product details

Age Range: 1 - 3 years

Grade Level: Preschool and up

Board book: 10 pages

Publisher: Priddy Books; First edition (December 26, 2006)

Language: English

ISBN-10: 0312498594

ISBN-13: 978-0312498597

Product Dimensions:

5.7 x 0.6 x 7.4 inches

Shipping Weight: 4.8 ounces (View shipping rates and policies)

Average Customer Review:

4.5 out of 5 stars

127 customer reviews

Amazon Best Sellers Rank:

#14,922 in Books (See Top 100 in Books)

This book is cute and my daughter enjoys the touch and feel aspect. She is a little young, only four months old, to enjoy this book completely, as it is pretty wordy for her age, but I see her enjoying it a lot more as she gets older. The pictures are great too.

Very nice book. I ordered two of the bright baby brand touch and feel books and one DK brand touch and feel. I do NOT recommend the DK brand. Terrible quality and the "feel" parts are so small I can barely fit my finger on them. This book on the other hand has good quality, large "feel" spots and is over all nice looking.

Nice and compact small board book size.Minimal text but colorful pages and easy for babies to feel with nice large areas to touch.

Cute, simple, and engaging for my 9 month old. I just wanted a book that would give opportunities to learn animal sounds, but the parts you can feel are a plus!

My 10 month old absolutely loves these touch and feel books. He's liked them since he was about 5 months old. We got the "Baby Animals" book as a shower gift and its hands down been his favorite book ever. I have it memorized we've read it so many times. He liked it so much I searched out other books made by the same author. So very pleased with all their books and I think my boy will enjoy them for a long time.

Nice thick board book, great touch and feel parts, but there are way too many words on each page and "story" is way too complicated for that young of age child. My grandson has me read this book last every time, but he still does like it because of touch and feel and because I don't read full story because he's ready to turn page before then.

Bright colors and great pictures. I wouldn't suggest this book for everyday use. My 15month grandson loves this book and after 2 weeks of daily flipping of pages it is falling apart. The binding is broken and the pages are coming unattached. He doesn't chew on the book so this is just from him turning the pages over and over.

This book is very cute & perfect to take along while you’re out and about. The pictures are sharp and bright. My son really loves it! The price point is great too! This is a great series for toddlers & I highly recommend buying them.

My 6 month old son loves his book. It has colorful pages, with realistic pictures. I like that each texture is distinctly different. Also, the textures are fairly close to the real animal textures.

On the Farm (Bright Baby Touch and Feel), by Roger Priddy PDF
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On the Farm (Bright Baby Touch and Feel), by Roger Priddy PDF

On the Farm (Bright Baby Touch and Feel), by Roger Priddy PDF

On the Farm (Bright Baby Touch and Feel), by Roger Priddy PDF

On the Farm (Bright Baby Touch and Feel), by Roger Priddy PDF