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\"At the age of 27, Sarah Valentine discovered that she was not, in fact, the white girl she had always believed herself to be. She learned the truth of her paternity: that her father was a black man. And she learned the truth about her own identity: mixed race. And so Sarah began the difficult and absorbing journey of changing her identity from white to black. In this memoir, Sarah details the story of the discovery of her identity, how she overcame depression to come to terms with this identity, and ... asks: why?\"-- Provided by publisher.

Linguists have sporadically noted peculiarities of pronunciation, lexis and morphosyntax in the speech of European Americans in the Pittsburgh area, and Pittsburgh speech, locally known as \"Pittsburghese\", has been a topic of discussion in the Pittsburgh area for decades. This variety has never before been systematically documented, however. The first and only scholarly book to describe Pittsburgh-area varieties of English, Pittsburgh Speech and Pittsburghese is an essential reference tool for anyone studying the dialect of the Pittsburgh area and the only textbook choice for anyone teaching about it.

\"This book traces how health care helped to build the postindustrial city into the \"medical metropolis,\" a city where health care plays a dominant role in its economy and identity\"-- Provided by publisher.

Pittsburghese , Robert Gibb's latest book of poems, is a work of poignant remembrance, filled with revelations found in the everyday \"debris of paradise.\" The collection is anchored by personal and public histories, the city's \"consensus things\" and \"standard archaeologies,\" as well as by music-jazz, blues, R&B and gospel-\"sweet rebuttal\" to the world's \"cold hymns.\" Throughout, motifs function like the thorns on the jaggers-Pittsburghese for brambles-whose points engage the reader \"one by one.\" Other poems elegize the great buildings and working stiffs of the city's industrial past, celebrating its artifacts and artworks, the \"necessary mystery\" of its trees and wild creatures. Particulars of a world in which dialect is the alembic, the means of expression and the shapes it takes on as well-habitation and name.

A biracial black man passing for white is forced to confront his past and his present when his best friend, just released from prison, involves him in a hate crime.

National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.

Psychologist and Pittsburgh Police Department consultant Daniel Rinaldi has a new patient. Lisa Harland, a local girl, once made a splash in Playboy and the dubious side of Hollywood before bottoming out. Back home, down and out again, she married one of the city's richest and most ruthless tycoons. Lisa's challenge to Danny is that she intends to commit suicide by 7:00 PM. His therapist skills may buy some time--but, exiting, she's kidnapped right outside his office.Summoned to the Harland estate, Danny is forced, through a bizarre sequence of events, to be the bag man on the ransom delivery. This draws him into a deadly cat-and-mouse game with a brilliant, lethal adversary. Complicating things is the unhappy Harland family, whose members have dark secrets of their own along with suspect loyalties, as well as one of Danny's other patients, a volatile vet whose life may, like Lisa's, be at risk.

A high school honors student with no police record encounters the police outside his home. He emerges from the confrontation bruised and beaten. The police charge him with serious crimes; he swears he did nothing wrong. When the story becomes public, an American city faces protests, deep division and a long quest for justice. \"A City Divided\" tells the story of the case involving 18-year-old Jordan Miles and three Pittsburgh Police officers. The book takes an in-depth look at the opposing stories, and at race and the fear it incites, to find answers. What happened between the police and the teen, and what went wrong? Can the courts respond in a way that finds a just solution? And how can we prevent these tragedies in the future? David Harris, a resident of Pittsburgh and the Sally Ann Semenko Chair at the University of Pittsburgh School of Law, describes what happened, explaining how a case that began with a young black man walking around the block in his own neighborhood turned Pittsburgh inside out, resulted in two investigations of the police officers and two federal trials. Harris, who has written, published and conducted research at the intersection of race, criminal justice and the law for almost thirty years, explains not just what happened but why, what the stakes are and, most importantly, what we must do differently to avoid these public safety catastrophes.

\"In the near-future around the tenth anniversary of a devastating, apocalyptic attack on Pittsburgh, one survivor - an archivist working in a perfect, immersive digital reproduction of the city - stumbles upon a dark and violent cover-up that unravels what is left of the life he knew\"-- Provided by publisher.

This report concludes that, although evidence is mixed and effects difficult to measure, consolidating the City of Pittsburgh and Allegheny County could enhance economic development by unifying leadership, improving policy direction and coordination, and sharpening economic-development initiatives. Increased collaboration with the private sector also is important, and combining only two governments still leaves the region highly fragmented.