66 books match the query 'Challenges' and 6 start with m

cover of Making Local Food Work: The Challenges and Opportunities of Today's Small Farmers

Making Local Food Work

The Challenges and Opportunities of Today's Small Farmers

Brandi Janssen

University of Iowa Press, 2017

When it comes to local food, it takes more than “knowing your farmer.” Brandi Janssen takes on some of the myths about how the local food system works and what it needs to thrive. Advocates claim that small biodiverse farms will fundamentally change farming, rural communities, and the American diet. For many, simply by knowing our farmers we become champions of a new way of eating that revolutionizes our economy and society. But that argument ignores the fact that if local food is to succeed, it requires many of the trappings of conventional food production, including processors, middle men, inspectors, and regulators.

By listening to and working alongside people trying to build a local food system in Iowa, Janssen uncovers the complex realities of making it work. Although the state is better known for its vast fields of conventionally grown corn and soybeans, it has long boasted a robust network of small, diverse farms, community supported agriculture enterprises, and farmers’ markets. As she picks tomatoes, processes wheatgrass, and joins a parents’ committee trying to buy local lettuce for a school lunch, Janssen asks how small farmers and CSA owners deal with farmers’ market regulations, neighbors who spray pesticides on crops or lawns, and sanitary regulations on meat processing and milk production. How can they meet the needs of large buyers like school districts? Who does the hard work of planting, weeding, harvesting, and processing? Is local food production benefitting rural communities as much as advocates claim?

In answering these questions, Janssen displays the pragmatism and level-headedness one would expect of the heartland, much like the farmers and processors profiled here. It’s doable, she states, but we’re going to have to do more than shop at our local farmers’ market to make it happen. This book is an ideal introduction to what local food means today and what it might be tomorrow.
 
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cover of Measuring Entrepreneurial Businesses: Current Knowledge and Challenges

Measuring Entrepreneurial Businesses

Current Knowledge and Challenges

Edited by John Haltiwanger, Erik Hurst, Javier Miranda, and Antoinette Schoar

University of Chicago Press, 2017

Start-ups and other entrepreneurial ventures make a significant contribution to the US economy, particularly in the tech sector, where they comprise some of the largest and most influential companies. Yet for every high-profile, high-growth company like Apple, Facebook, Microsoft, and Google, many more fail. This enormous heterogeneity poses conceptual and measurement challenges for economists concerned with understanding their precise impact on economic growth.
           
Measuring Entrepreneurial Businesses brings together economists and data analysts to discuss the most recent research covering three broad themes. The first chapters isolate high- and low-performing entrepreneurial ventures and analyze their roles in creating jobs and driving innovation and productivity. The next chapters turn the focus on specific challenges entrepreneurs face and how they have varied over time, including over business cycles. The final chapters explore core measurement issues, with a focus on new data projects under development that may improve our understanding of this dynamic part of the economy.
 
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cover of Medicine’s Labyrinth: The Challenges of Our Treatment-Saturated Lives

Medicine’s Labyrinth

The Challenges of Our Treatment-Saturated Lives

Robert Aronowitz

University of Chicago Press, 2027

A physician diagnoses why doctors and patients face so many uncertainties as they navigate a dizzying array of medical treatments and technologies—and lays out a treatment plan for better health care.

Americans now depend on ever more potent drugs, devices, and procedures. While many of these interventions can improve our health and extend our lives, their widespread availability has created a medical landscape where patients make increasingly complex choices about their care. 

In Medicine’s Labyrinth, physician historian Robert Aronowitz examines the challenging decisions posed by the widespread use of so many medical interventions. Drawing on medical literature, patient accounts, and historical case studies, he shows how medical progress can erode certainty, transform the illness experience, and deepen dependence on technology. To understand how these challenges have played out over the past century, Aronowitz explores medicine’s attempts to safely resuscitate premature infants, treat prostate cancer, and deal with too many disease diagnoses. He concludes with a call for physicians to pay renewed attention to patients’ lived experiences and to offer clinical judgments grounded in observations rather than algorithms.

Medicine’s Labyrinth is a clear-eyed exploration of how the very successes of modern medicine have made care harder, and why the fragile trust that sustains its institutions, policies, and practices must be rebuilt.

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cover of Mental Health Services for Deaf People: Treatment Advances, Opportunities, and Challenges

Mental Health Services for Deaf People

Treatment Advances, Opportunities, and Challenges

Benito Estrada Aranda

Gallaudet University Press, 2015

The World Congress on Mental Health and Deafness first met at Gallaudet University in October 1998, and it has convened five more times in the succeeding years. This volume collects the very best research presented at the Fifth World Congress, which took place in Monterrey, Mexico, in 2012. The eighteen international contributors represent the pioneers of mental health and deafness services in their respective countries.

       Volume editors Benito Estrada Aranda and Ines Sleeboom-van Raaij have divided the book into three parts—Mental Health Issues and Treatment, Deaf Populations, and Deaf Children and Their Families. In the first part, the contributors provide in-depth analysis of specific challenges and treatment modalities ranging from the provision of mental healthcare as a basic human right to psychopharmacological treatment, the challenges in developing mental health services for deaf and hard of hearing people in countries where none exist, and new treatment therapies.

       Part two looks at issues of self-esteem and cultural identity among deaf and hard of hearing adults in Greece and Cyprus, the services for deaf people at a public health clinic in Austria, and the quality of life among Latino Deaf bilinguals in the United States. In the last part, the contributors focus on mental health issues found in deaf children and adolescents and on the relationships between deaf teenagers and their hearing mothers. The volume concludes with a case study of a prelingually deaf child diagnosed as autistic. Taken all together, these cutting-edge articles explore the important issues within the specialized area of mental health and deafness.
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cover of Mexicans in California: Transformations and Challenges

Mexicans in California

Transformations and Challenges

Edited by Ramon A. Gutierrez and Patricia Zavella

University of Illinois Press, 2008

Numbering over a third of California's population and thirteen percent of the U.S. population, people of Mexican ancestry represent a hugely complex group with a long history in the country. Contributors explore a broad range of issues regarding California's ethnic Mexican population, including their concentration among the working poor and as day laborers; their participation in various sectors of the educational system; social problems such as domestic violence; their contributions to the arts, especially music; media stereotyping; and political alliances and alignments. Contributors are Brenda D. Arellano, Leo R. Chavez, Yvette G. Flores, Ramón A. Gutiérrez, Aída Hurtado, Olga Nájera-Ramírez, Chon A. Noriega, Manuel Pastor Jr., Armida Ornelas, Russell W. Rumberger, Daniel Solórzano, Enriqueta Valdez Curiel, and Abel Valenzuela Jr.
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cover of Michigan's economic future: challenges and opportunities

Michigan's economic future

challenges and opportunities

Charles L. Ballard

Michigan State University Press, 2006

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