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A sample of 92 UK patients volunteered to take part in focus groups to discuss what elements of local primary care provision were important to them. Issues raised were prioritised by the patients and then fashioned into 18 quality indicators which nine local practices were invited to assess themselves against. At the assessment meeting three months later over 40 changes in service provision were noted in the nine participating practices. A patient questionnaire carried out in each practice, however, indicated a tendency for practices to overestimate the services they felt they provided. Patients rated the experience of generating standards as very worthwhile and enjoyed being asked. Further research needs to be carried out to assess the effectiveness of this methodology in different settings.

Man has been seeking an ideal existence for a very long time. In this existence, justice, love, and peace are no longer words, but actual experiences. How ever, with the American preemptive invasion and occupation of Afghanistan and Iraq and the subsequent prisoner abuse, such an existence seems to be farther and farther away from reality. The purpose of this work is to stop this dangerous trend by promoting justice, love, and peace through a change of the paradigm that is inconsistent with justice, love, and peace. The strong paradigm that created the strong nation like the U.S. and the strong man like George W. Bush have been the culprit, rather than the contributor, of the above three universal ideals. Thus, rather than justice, love, and peace, the strong paradigm resulted in in justice, hatred, and violence. In order to remove these three and related evils, what the world needs in the beginning of the third millenium is the weak paradigm. Through the acceptance of the latter paradigm, the golden mean or middle paradigm can be formulated, which is a synergy of the weak and the strong paradigm. In order to understand properly the meaning of these paradigms, however, some digression appears necessary.

Gives an in depth view of the strategies pursued by the world’s leading chief executive officers in an attempt to provide guidance to new chief executives of today. Considers the marketing strategies employed, together with the organizational structures used and looks at the universal concepts that can be applied to any product. Uses anecdotal evidence to formulate a number of theories which can be used to compare your company with the best in the world. Presents initial survival strategies and then looks at ways companies can broaden their boundaries through manipulation and choice. Covers a huge variety of case studies and examples together with a substantial question and answer section.

La valorisation touristique du patrimoine bâti peut revêtir des formes très diverses, allant des pré‐occupations quotidiennes aux créations de grands mouvements intellectuels ou artistiques. Dans le même ordre d'idée, une telle valorisation peut concerner des entités géographiques et humaines de toute taille et nature, allant du hameau à la province à la nation.

This article summarizes first findings of a study of labour productivity in tourism undertaken by the author for British Tourist Authority / English Tourist Board Research Services in late 1986.

Man has been seeking an ideal existence for a very long time. In this existence, justice, love, and peace are no longer words, but actual experiences. How ever, with the American preemptive invasion and occupation of Afghanistan and Iraq and the subsequent prisoner abuse, such an existence seems to be farther and farther away from reality. The purpose of this work is to stop this dangerous trend by promoting justice, love, and peace through a change of the paradigm that is inconsistent with justice, love, and peace. The strong paradigm that created the strong nation like the U.S. and the strong man like George W. Bush have been the culprit, rather than the contributor, of the above three universal ideals. Thus, rather than justice, love, and peace, the strong paradigm resulted in in justice, hatred, and violence. In order to remove these three and related evils, what the world needs in the beginning of the third millenium is the weak paradigm. Through the acceptance of the latter paradigm, the golden mean or middle paradigm can be formulated, which is a synergy of the weak and the strong paradigm. In order to understand properly the meaning of these paradigms, however, some digression appears necessary.

The purpose of this paper is twofold. First, it wants to elaborate on the relationship between tourist generating areas and destinations per se, the principal objective being to make us better grasp the consequences for a tourist destination inherent in its relative positioning within the geographic confines of the travel hierarchy at large. Second, having identified the various types of destinations (through this spatial hierarchal schema), we will look at a case study — the tourist frontier of New Quebec — a wilderness destination environment with the purpose of arriving at a more accurate account of how such a destination has developed, how its present tourist services function, and how they link up with the region. More particularly, we want to look into the very much debated relationship commercial tourist operations — regional resource utilization — economic linkages between a few isolated, small settlements in an otherwise practically uninhabited and fairly inhospitable tourist region.

General considerations according to varying criteria, one can easily distinguish several types of excursionism‐research.

The Government have decided that the Scientific Civil Service is to be reorganized. They are deeply conscious of the contribution made by science towards the winning of the war, a contribution which may have altered the whole course of the war and has certainly shortened its duration. They are equally conscious of the contribution which science can make during peace to the efficiency of production, to higher standards of living, to improved health, and to the means of defence. They are resolved that the conditions of service for scientists working for the Government shall be such as to attract into the Civil Service scientifically qualified men and women of high calibre, and to enable them after entry to make the best use of their abilities, in order that scientists in the Government Service may play their full part in the development of the nation's resources and the promotion of the nation's well‐being.

Wireless communication, comprising telecommunication industry products and services which move voice, video, data, and graphics at the speed of the electron, is the back bone of the Internet. We have today a wireless world which two Chief ‘Ntrepreneur Officers (CNOs)‐American Sam Ginn (AirTouch) and Britisher Chris Gent (Vodafone)‐created by their Memory Management during the 16 years between Olympics in Los Angeles (1984) and Olympics in Sydney (2000).