The Front Runner

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All the Truth Is Out

All the Truth Is Out Pdf/ePub eBook Author: ,
Editor: Vintage
ISBN: 038535312X
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All the Truth Is Out by , Summary

Now a major motion picture "The Front Runner" starring Hugh Jackman An NPR Best Book of the Year In May 1987, Colorado Senator Gary Hart—a dashing, reform-minded Democrat—seemed a lock for the party’s presidential nomination and led George H. W. Bush by double digits in the polls. Then, in one tumultuous week, rumors of marital infidelity and a newspaper’s stakeout of Hart’s home resulted in a media frenzy the likes of which had never been seen before. Through the spellbindingly reported story of the Senator’s fall from grace, Matt Bai, Yahoo News columnist and former chief political correspondent for The New York Times Magazine, shows the Hart affair to be far more than one man’s tragedy: rather, it marked a crucial turning point in the ethos of political media, and the new norms of life in the public eye. All the Truth Is Out is a tour de force portrait of the American way of politics at the highest level, one that changes our understanding of how we elect our presidents and how the bedrock of American values has shifted under our feet.

The Front-Runner of the Catholic Reformation

The Front-Runner of the Catholic Reformation Pdf/ePub eBook Author: Franz Posset
Editor: Routledge
ISBN: 1351889303
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The Front-Runner of the Catholic Reformation by Franz Posset Summary

Johann von Staupitz is generally acknowledged as one of the most important influences on Martin Luther, convincing him of the sin-remitting grace of God. It was this revelation that was to spur Luther to formulate his theology of salvation by faith alone which was to lead to his break with the Catholic church. When Luther was brought to task by the church authorities for his heretical views it was Staupitz who was deputed to remonstrate with him, and it was Staupitz who sent a copy of his theses on indulgences to the Pope. Despite Luther's defection from Rome, he was to remain on good terms with the orthodox Staupitz who was consistently at the forefront of reformation within the Catholic Church. This book sheds light on the spiritual and theological beliefs of Staupitz, placing him in the midst of the late medieval reform efforts in the Augustianian order. It argues that as reformer, sermonizer, and friend of humanists Staupitz was a major player in the world of early sixteenth century theology who had a profound influence on the course of the Reformation.

The Front Runner (All the Truth Is Out Movie Tie-in)

The Front Runner (All the Truth Is Out Movie Tie-in) Pdf/ePub eBook Author: Matt Bai
Editor: Vintage
ISBN: 0525567305
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The Front Runner (All the Truth Is Out Movie Tie-in) by Matt Bai Summary

Now a major motion picture "The Front Runner" starring Hugh Jackman An NPR Best Book of the Year In May 1987, Colorado Senator Gary Hart—a dashing, reform-minded Democrat—seemed a lock for the party’s presidential nomination and led George H. W. Bush by double digits in the polls. Then, in one tumultuous week, rumors of marital infidelity and a newspaper’s stakeout of Hart’s home resulted in a media frenzy the likes of which had never been seen before. Through the spellbindingly reported story of the Senator’s fall from grace, Matt Bai, Yahoo News columnist and former chief political correspondent for The New York Times Magazine, shows the Hart affair to be far more than one man’s tragedy: rather, it marked a crucial turning point in the ethos of political media, and the new norms of life in the public eye. All the Truth Is Out is a tour de force portrait of the American way of politics at the highest level, one that changes our understanding of how we elect our presidents and how the bedrock of American values has shifted under our feet.

Front Runner

Front Runner Pdf/ePub eBook Author: Felix Francis
Editor: Penguin UK
ISBN: 1405915226
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Front Runner by Felix Francis Summary

Things are hotting up in this latest thriller from bestselling author Felix Francis, in his fifth solo novel Front Runner. Jefferson Hinkley is back. Operating as an undercover investigator for the British Horseracing Authority, Jeff is approached by the multiple-champion jockey, Dave Swinton, to discuss the delicate matter of his losing races on purpose. Little does Jeff realise that his visit to Swinton's house will result in a brutal attempt on his life. Shortly after Jeff narrowly escapes a certain and grisly death, the charred body Dave Swinton is found in his burnt out car at a deserted beauty spot in Oxfordshire. The police seem think it's a suicide but Jeff is not so sure. He starts to investigate those races that Swinton could have intentionally lost, but soon discovers instead that there are those who would prevent him from doing so, at any cost. Praise for Dick Francis and Felix Francis: 'From winning post to top of the bestseller list, time after time' Sunday Times 'The Francis flair is clear for all to see' Daily Mail 'The master of suspense and intrigue' Country Life

Retooling for an Aging America

Retooling for an Aging America Pdf/ePub eBook Author: Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans
Editor: National Academies Press
ISBN: 9780309131957
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Retooling for an Aging America by Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans Summary

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Redesigning Continuing Education in the Health Professions

Redesigning Continuing Education in the Health Professions Pdf/ePub eBook Author: Institute of Medicine,Board on Health Care Services,Committee on Planning a Continuing Health Care Professional Education Institute
Editor: National Academies Press
ISBN: 9780309151337
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Redesigning Continuing Education in the Health Professions by Institute of Medicine,Board on Health Care Services,Committee on Planning a Continuing Health Care Professional Education Institute Summary

Today in the United States, the professional health workforce is not consistently prepared to provide high quality health care and assure patient safety, even as the nation spends more per capita on health care than any other country. The absence of a comprehensive and well-integrated system of continuing education (CE) in the health professions is an important contributing factor to knowledge and performance deficiencies at the individual and system levels. To be most effective, health professionals at every stage of their careers must continue learning about advances in research and treatment in their fields (and related fields) in order to obtain and maintain up-to-date knowledge and skills in caring for their patients. Many health professionals regularly undertake a variety of efforts to stay up to date, but on a larger scale, the nation's approach to CE for health professionals fails to support the professions in their efforts to achieve and maintain proficiency. Redesigning Continuing Education in the Health Professions illustrates a vision for a better system through a comprehensive approach of continuing professional development, and posits a framework upon which to develop a new, more effective system. The book also offers principles to guide the creation of a national continuing education institute.

Cancer Control Opportunities in Low- and Middle-Income Countries

Cancer Control Opportunities in Low- and Middle-Income Countries Pdf/ePub eBook Author: Institute of Medicine,Board on Global Health,Committee on Cancer Control in Low- and Middle-Income Countries
Editor: National Academies Press
ISBN: 9780309133982
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Cancer Control Opportunities in Low- and Middle-Income Countries by Institute of Medicine,Board on Global Health,Committee on Cancer Control in Low- and Middle-Income Countries Summary

Cancer is low or absent on the health agendas of low- and middle-income countries (LMCs) despite the fact that more people die from cancer in these countries than from AIDS and malaria combined. International health organizations, bilateral aid agencies, and major foundations—which are instrumental in setting health priorities—also have largely ignored cancer in these countries. This book identifies feasible, affordable steps for LMCs and their international partners to begin to reduce the cancer burden for current and future generations. Stemming the growth of cigarette smoking tops the list to prevent cancer and all the other major chronic diseases. Other priorities include infant vaccination against the hepatitis B virus to prevent liver cancers and vaccination to prevent cervical cancer. Developing and increasing capacity for cancer screening and treatment of highly curable cancers (including most childhood malignancies) can be accomplished using "resource-level appropriateness" as a guide. And there are ways to make inexpensive oral morphine available to ease the pain of the many who will still die from cancer.

Progressive Post-Keynesian Economics

Progressive Post-Keynesian Economics Pdf/ePub eBook Author: Jesper Jespersen,Finn Olesen
Editor: Edward Elgar Publishing
ISBN: 1788119886
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Progressive Post-Keynesian Economics by Jesper Jespersen,Finn Olesen Summary

This book is devoted to the progression of Post-Keynesian economics, taking stock of the previous 10 years of persistent imbalances in many dimensions of macroeconomic ‘reality’. This has given inspiration to Post-Keynesian scholars to make innovative contributions in areas like methodology, macroeconomic modelling and teaching. One challenge discussed in several chapters is how to model a complex macro-system where microeconomic uncertainty is increasing? This aspect is elaborated in a number of contributions which focus on the role of the financial sector and financialization for macroeconomic disruptions. Additional chapters deal with teaching and the use of case-studies for a better understanding of the real world economy.

The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century Pdf/ePub eBook Author: Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century
Editor: National Academies Press
ISBN: 9780309133180
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The Future of the Public's Health in the 21st Century by Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century Summary

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation’s public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public’s Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation’s health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public’s health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Improving Diagnosis in Health Care

Improving Diagnosis in Health Care Pdf/ePub eBook Author: National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care
Editor: National Academies Press
ISBN: 0309377722
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Improving Diagnosis in Health Care by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care Summary

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Multiple Sclerosis

Multiple Sclerosis Pdf/ePub eBook Author: Institute of Medicine,Board on Neuroscience and Behavioral Health,Committee on Multiple Sclerosis: Current Status and Strategies for the Future
Editor: National Academies Press
ISBN: 9780309171304
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Multiple Sclerosis by Institute of Medicine,Board on Neuroscience and Behavioral Health,Committee on Multiple Sclerosis: Current Status and Strategies for the Future Summary

Multiple sclerosis is a chronic and often disabling disease of the nervous system, affecting about 1 million people worldwide. Even though it has been known for over a hundred years, no cause or cure has yet been discovered-but now there is hope. New therapies have been shown to slow the disease progress in some patients, and the pace of discoveries about the cellular machinery of the brain and spinal cord has accelerated. This book presents a comprehensive overview of multiple sclerosis today, as researchers seek to understand its processes, develop therapies that will slow or halt the disease and perhaps repair damage, offer relief for specific symptoms, and improve the abilities of MS patients to function in their daily lives. The panel reviews existing knowledge and identifies key research questions, focusing on: Research strategies that have the greatest potential to understand the bio- logical mechanisms of recovery and to translate findings into specific strategies for therapy. How people adapt to MS and the research needed to improve the lives of people with MS. Management of disease symptoms (cognitive impairment, depression, spasticity, vision problems, and others). The committee also discusses ways to build and financially support the MS research enterprise, including a look at challenges inherent in designing clinical trials. This book will be important to MS researchers, research funders, health care advocates for MS research and treatment, and interested patients and their families.

Orthogeriatrics

Orthogeriatrics Pdf/ePub eBook Author: Paolo Falaschi,David R. Marsh
Editor: Springer
ISBN: 3319432494
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Orthogeriatrics by Paolo Falaschi,David R. Marsh Summary

This book focuses on orthogeriatrics, a topic that has received little attention in the literature to date. As active members of the Fragility Fracture Network (FFN), the editors and most of the authors of this book have gathered all essential expertise on hip fracture management in a single volume. The 14 chapters provide a complete overview of how to approach fractures in elderly patients, starting with the epidemiology of hip fractures and subsequently addressing osteoporosis, surgery, anesthesia, medical management of frailty, and peri-operative complications. Attention is also given to rehabilitation and nursing, as well as to the psychological evaluation of the patient and the caregivers, thus emphasizing the importance of a multidisciplinary approach. Thanks to its clinical and practice-oriented nature, the book will especially be of interest to residents and young geriatricians, as well as orthopaedic surgeons, anesthesiologists and nurses dealing with elderly fracture patients in all parts of the world.

The Kite Runner

The Kite Runner Pdf/ePub eBook Author: Khaled Hosseini
Editor: Anchor Canada
ISBN: 0307371557
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The Kite Runner by Khaled Hosseini Summary

The #1 New York Times bestselling debut novel that introduced Khaled Hosseini to millions of readers the world over. Amir and Hassan are childhood friends in the alleys and orchards of Kabul in the sunny days before the invasion of the Soviet army and Afghanistan’s decent into fanaticism. Both motherless, they grow up as close as brothers, but their fates, they know, are to be different. Amir’s father is a wealthy merchant; Hassan’ s father is his manservant. Amir belongs to the ruling caste of Pashtuns, Hassan to the despised Hazaras. This fragile idyll is broken by the mounting ethnic, religious, and political tensions that begin to tear Afghanistan apart. An unspeakable assault on Hassan by a gang of local boys tears the friends apart; Amir has witnessed his friend’s torment, but is too afraid to intercede. Plunged into self-loathing, Amir conspires to have Hassan and his father turned out of the household. When the Soviets invade Afghanistan, Amir and his father flee to San Francisco, leaving Hassan and his father to a pitiless fate. Only years later will Amir have an opportunity to redeem himself by returning to Afghanistan to begin to repay the debt long owed to the man who should have been his brother. Compelling, heartrending, and etched with details of a history never before told in fiction, The Kite Runner is a story of the ways in which we’re damned by our moral failures, and of the extravagant cost of redemption.

Sleep Disorders and Sleep Deprivation

Sleep Disorders and Sleep Deprivation Pdf/ePub eBook Author: Institute of Medicine,Board on Health Sciences Policy,Committee on Sleep Medicine and Research
Editor: National Academies Press
ISBN: 9780309133708
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Sleep Disorders and Sleep Deprivation by Institute of Medicine,Board on Health Sciences Policy,Committee on Sleep Medicine and Research Summary

Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.

Improving the Quality of Long-Term Care

Improving the Quality of Long-Term Care Pdf/ePub eBook Author: Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care
Editor: National Academies Press
ISBN: 9780309132749
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Improving the Quality of Long-Term Care by Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care Summary

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Megacity Seoul

Megacity Seoul Pdf/ePub eBook Author: Yu-Min Joo
Editor: Routledge
ISBN: 1315277999
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Megacity Seoul by Yu-Min Joo Summary

In Asia, there are a growing number of gigantic megacities, accompanied by a series of speculative and extravagant megaprojects. Amid the fast-paced urban and development challenges, many Asian governments have been searching for replicable and inspirational cases in Asia. South Korea and its capital city, Seoul, are among frequently referenced models. However, South Korea’s "economic miracle" in the late twentieth century has been mostly studied through an economic policy lens. This book revisits the development of South Korea by looking at its urban dimension and exploring the city of Seoul as a developmental megaproject. Offering an alternative to the focus on economic policies when it comes to explaining South Korea’s development successes, Joo looks at the urbanization that took place under the guidance of the strong developmental state. She provides empirical evidence of the "property state" at work, both complementing and supporting the developmental state. She also analyzes why and how Seoul was able to emerge as an important Asian global city and a global front-runner in terms of ambitious and pioneering urban investments, despite its relatively recent history marked by massive slums and urban poverty. This book provides an analytical framework for studying South Korea’s modern development under capitalism as a precursor to East Asian urbanism and development. It paints a comprehensive story of how cities have been politically and economically important to Korea’s development experience and are increasingly becoming a new mode of development.

The Rise Of The Rustbelt

The Rise Of The Rustbelt Pdf/ePub eBook Author: Philip Cooke
Editor: Routledge
ISBN: 1135365695
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The Rise Of The Rustbelt by Philip Cooke Summary

The Rise of the Rustbelt demonstrates the value of interchange and comparison of ideas and policies for industrial regeneration between three major regions: the Great Lakes of North America, the Ruhrgebiet of North-Rhine-Westphalia, and the industrial belt of South Wales. The top priority of these areas is to conserve and retain their status as industrial powerhouses by attracting investment to compensate for their dramatic structural decline over the past twenty years and more. They have much to learn from one another. Encompassing environmental and sociocultural issues, as well as those of industrial economics and human resource development, The Rise of the Rustbelt will interest students, researchers and professionals in geography, planning, public policy, and industrial and business studies. It offers a wide-ranging and fully detailed analysis of some of the key issues arising in the wake of unprecedented industrial restructuring in three world-leading regions.

Fragility Fracture Nursing

Fragility Fracture Nursing Pdf/ePub eBook Author: Karen Hertz,Julie Santy-Tomlinson
Editor: Springer
ISBN: 3319766813
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Fragility Fracture Nursing by Karen Hertz,Julie Santy-Tomlinson Summary

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

The Front-Runner of the Catholic Reformation

The Front-Runner of the Catholic Reformation Pdf/ePub eBook Author: Franz Posset
Editor: Routledge
ISBN: 1351889303
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The Front-Runner of the Catholic Reformation by Franz Posset Summary

Johann von Staupitz is generally acknowledged as one of the most important influences on Martin Luther, convincing him of the sin-remitting grace of God. It was this revelation that was to spur Luther to formulate his theology of salvation by faith alone which was to lead to his break with the Catholic church. When Luther was brought to task by the church authorities for his heretical views it was Staupitz who was deputed to remonstrate with him, and it was Staupitz who sent a copy of his theses on indulgences to the Pope. Despite Luther's defection from Rome, he was to remain on good terms with the orthodox Staupitz who was consistently at the forefront of reformation within the Catholic Church. This book sheds light on the spiritual and theological beliefs of Staupitz, placing him in the midst of the late medieval reform efforts in the Augustianian order. It argues that as reformer, sermonizer, and friend of humanists Staupitz was a major player in the world of early sixteenth century theology who had a profound influence on the course of the Reformation.

The Front-Loading Problem in Presidential Nominations

The Front-Loading Problem in Presidential Nominations Pdf/ePub eBook Author: William G. Mayer,Andrew E. Busch
Editor: Brookings Institution Press
ISBN: 0815796218
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The Front-Loading Problem in Presidential Nominations by William G. Mayer,Andrew E. Busch Summary

The race for the White House may seem like a marathon, but the nomination process is becoming a sprint, with the starting gun fired earlier each time. Where state primaries and caucuses were once spread out over a period of three or four months, most are now crammed into a four– or five–week interval at the very beginning of the delegate selection calendar. The compression and hastening of the nomination season are changing the nature of the presidential selection process, the most visible pillar of American democracy. Despite the importance of this issue in American politics, however, too little systematic analysis has been done on the topic. This is the first book to offer a comprehensive examination of the front-loading problem in all its facets. William Mayer and Andrew Busch define the parameters of the front-loading question as well as its impact. They trace the history that shaped the current system and explain why it is such a critical element of presidential elections. Most important, the authors present a detailed analysis of all the major proposals for coping with front-loading and of the political and constitutional obstacles for reform. While they conclude that there is no easy solution to this complex issue, they identify a general direction for reform efforts. They also feel that the political parties should be the prime movers in formulating and implementing changes.