The 3 3*** Complete the text with words from
Exercise 1. You do not need all the words.
Let me tell you about the 1 valley we're going
to walk through today. You can see a lot of interesting
plants and 2
here, including lots of birds
and butterflies.
here is very beautiful - from the
top of the valley you can see the mountains, and there
are no roads or buildings here. Please try to keep it
beautiful. For example, keep your 4
and
throw it in a bin when you get home.
Over there, you can see a lot of trees. You can walk
through this 5
but please remember to
keep to the
You don't want to get lost!
You can also walk through the farm. But please,
always shut the 7
when you go through
a field, and remember to keep your dog on a
Don't frighten the farm animals.
Finally, at the bottom of the valley, you can sit on the
and enjoy a picnic there. It's a great way
to finish the day.
8
9

system evolves to be more integrated vertically through hospital and insurance company

integrated models and horizontally via accountable care organizations (ACOs). As quality

improvement (QI) teams address clinical problems, research teams study implementation,

and awareness for prompt assessment and actionable adaptations accrues, the methods for

pursuing rapid-cycle research are emerging. This document explores the breadth of

methodologies conventionally associated with QI in primary care settings, discusses the

appropriateness of such strategies across evaluation objectives, and provides practical

discussions about tools to accelerate the assessment-to-adoption cycle.

Purpose: This document is designed as a practical guide to the uses of and methods for

conducting rapid-cycle research. It was developed by the Agency for Healthcare Research

and Quality (AHRQ) Practice-Based Research Network (PBRN) Resource Center to:

 address a demand of researchers and implementers, including the primary care PBRN

community to describe the process of identifying opportunities to pursue rapid-cycle

research, and

 provide in-depth exploration of some methodologies of interest.

Audience: Research teams conducting health services research in primary care and other

health settings; quality improvement staff in health care settings, and physicians and other

providers involved in practice-based research networks.

Definition of Rapid-Cycle Research: The working definition of rapid-cycle research for this

document is a process by which practical problems are identified and addressed using

analysis methods that are incremental and contextually informed. Six phases by which to

conduct this rapid iterative process are outlined and described with the emphasis on the

preparation phases of designing a study

Almost everyone is society has a job to do. Having work is important as it gives certain social status, pays salary and maintains self-esteem. Job can be rather rewarding. However, many people nowadays are leading hectic lifestyles. They work too much and have little breaks. This inevitably leads to stress. We often hear the word “stress” in everyday life, although it is not clear what it really is. “Stress” means pressure and tension. It is a common problem in modern life. Unfortunately, too much stress results into physical, emotional and mental health problems. The reasons for stress are numerous. It’s not only overworking or having no time for rest. Stress factors also include dangerous situations, difficulties at home, divorce, loss of close friends, etc. Changes for the better can also cause stress. For example, getting married, having a baby, moving houses, entering a university. Of course, everything depends on the way a person reacts. Experts advise not to worry too much and stay calm in any situation. It is very important to try to avoid stress or at least to minimize it. When noticed on early stages, it can be fixed easier. One of the best ways to fight stress is to keep a sense of humor in difficult situations. Even doctors agree that laughter is the best medicine for all diseases. Other ways to cope with stress include regular leisure activities and interesting hobbies. If someone feels depressed, a good solution is taking up yoga classes or swimming, bicycling, knitting, gardening, painting, etc. Anything, that can help a person to relax and get a new lease on life, is considered to be helpful.