practical sciences, experience; nor are they anything but general observations, concerning whathas been universally found to please in all coun­tries and in all ages.

rigid adherence to rules does not guarantee favorable response and that deviating from rules often produces wonderful results

“This has all been an economic move,” she says. “People sort of forget that, I think. It was discovered by some of the HMOs on the West Coast, and it was really not the HMOs, it was the medical groups that were taking risks—economic risks for their group of patients—that figured out if they sent … primary-care people to the hospital and they assigned them on a rotation of a week at a time, that they can bring down the LOS in the hospital. “That meant more money in their own pockets because the medical group was taking the risk.” Once hospitalists set up practice in a hospital, C-suite administrators quickly saw them gaining patient share and began realizing that they could be partners. “They woke up one day, and just like that, they pay attention to how many cases the orthopedist does,” she says. “[They said], ‘Oh, Dr. Smith did 10 cases last week, he did 10 cases this week, then he did no cases or he did two cases. … They started to come to the hospitalists and say, ‘Look, you’re controlling X% of my patients a day. We’re having a length of stay problem; we’re having an early-discharge problem.’ Whatever it was, they were looking for partners to try to solve these issues.” And when hospitalists grew in number again as the model continued to take hold and blossom as an effective care-delivery method, hospitalists again were turned to as partners. “Once you get to that point, that you’re seeing enough patients and you’re enough of a movement,” Dr. Gorman says, “you get asked to be on the pharmacy committee and this committee, and chairman of the medical staff, and all those sort of things, and those evolve over time.”

2003 amid the push for quality and safety. And while the specialty’s early adoption of those initiatives clearly was a major reason for the exponential growth of hospitalists, Dr. Gorman doesn’t want people to forget that the cost of care was what motivated community facilities.

Learning in higher education is governed by rules though, however arbitrary and make-believe those rules may be.

mean- ing is relative to context

We certainly don't follow the Latin-based, old-fashioned advice that forbids splittingan infinitive verb 'to boldly go' or, ending a sentence with a preposition (‘I have nobodyto go with’). These rules were based on the fact that allLatin infinitives are expressed as one word. Also, that Latin prepositions are always placedbefore the noun, so can never appear at the end of a Latin sentenc

There are lots of other rules such as not starting a sentence with ‘and’, or ‘but’,or ‘because’ that you might remember from school, but these are what some grammarianscall ‘bogus’ or ‘zombie’ rules.

clear

noting that rigid adherence to rules does not guarantee favorable re-sponse and that deviating from rules often produces wonderful results.

Thus,any of these occurrences can ramify acrosseach other, affecting and being affected inways that exceed whatever infrastructure isavailable

Mutilation of library materials by marking, underlining, removal of pages

Sec. 15-7. - Injuring or defacing library property. Whoever willfully injures or defaces any book, newspaper, magazine, pamphlet, manuscript, or other property belonging to the city library by writing, marking, tearing, breaking, or otherwise mutilating shall be fined as provided in section 1-8. (Code 1964, amended, § 19.19(A)) Cross reference— Damage to public property, § 17-26. State Law reference— Criminal mischief, V.A.P.C. § 28.03; reckless damage of property, § 28.04.

Defacing Library Property Is A Crime

BY speakers, as well as writers, there are certain rules to be observed. Language is based on reason, antiquity, authority, custom. It is analogy, and sometimes etymology, that affords the chief support to reason. A certain majesty, and, if I may so express myself, religion, graces the antique.

Quintilian does not give rules from which there is no departure;