Provides requirements for continued use and maintenance of plumbing, mechanical, electrical and fire protection systems in existing residential and nonresidential structures. -- Publisher's website.

Maneskootuk Island lies prominently in the eastern part of Maines ten-square-mile Rangeley Lake, in one of the state's most beautiful vacation regions, the western mountains. The pristine island has had a colorful, lively history that is lovingly-and candidly-recounted by the woman who holds the current deed, Carolyn Garrigues Scofield. The Island Maneskootuk includes accounts of the historic island's flora and fauna, its various boats, old and new structures, gardens, and countless resident and local characters. There are colorful accounts by the author and her family and visitors, as well as the descendants of early Maneskootuk residents, describing life on the island through many decades, llustrated throughout by fifty pages of historic and family photos. Setting the tone for The Island Maneskootuk is the author's heartfelt approach to the island treasure that has meant so much to her, her family and now her grandchildren. "The Dicksons built their big house and lived in splendor, the public rented accommodations on the island when Dr.Clough invited physicians, the Persians turned the island into a mini-principality, and then we, the Scofields stepped ashore. "We stepped foot on our Maneskootuk in late afternoon. The grass was at least a foot high, and the dandelions blazed at their peak. The sun was still hot and everything was still. We marveled at this place, this magical land, and began immediately to bask in the peace and serenity of our island home. "Our Maneskootuk adventure was about to begin."

The healthcare landscape in the United States is evolving rapidly but has largely ignored EMS, until recently. As the country focuses on cost containment and more appropriate methods to deliver services as a result of healthcare reform, EMS will need to undergo dramatic change to fill a new role in the healthcare system. The current traditional delivery method for EMS is financially unsustainable and will soon not be a viable option for care. EMS has a choice to make--adapt to the new environment or be left behind. A viable alternative to the current structure of EMS is Mobile Integrated Healthcare (MIH)--community-based health management that is fully integrated with the overall health system. Various programs like this have appeared across the United States, but a definitive resource that describes how to successfully implement such a program has not been available. Mobile Integrated Healthcare: Approach to Implementation fills this void by serving as a reference not only to the EMS community, but also to other medical professionals working toward implementation of a successful MIH program. Mobile Integrated Healthcare: Approach to Implementation provides a step-by-step approach for the identification of community needs, forming the appropriate partnerships, selection of staff, acquiring resources, patient identification, and overcoming hurdles to a successful program. Examples from successful programs across the country are included. The author team of Mobile Integrated Healthcare: Approach to Implementation has developed and implemented a functioning, successful program. Their experiences with community partners and other healthcare specialists provide a broad-based view of the future of EMS in the healthcare industry. Mobile Integrated Healthcare: Approach to Implementation is written by leaders in the field of EMS who are committed to guiding the successful evolution of EMS. Their approach to integration should be considered by EMS management, hospital-based social workers, and community partners such as county health authorities, homeless coalitions, and psychiatric services. The type of care EMS providers give needs to evolve with the changing landscape of healthcare. This text describes how healthcare professionals and community partners can work together to facilitate that change and define a successful MIH program.