Inspired by witnessing and experiencing the changes in healthcare and its delivery over the past 50 years, Dr. Henry Buchwald observes and comments on the current state of healthcare in the United States. His narrative includes the history, the historical data, and personal experiences of a healthcare system that has moved away from caring, first and foremost, for patients. This expensive, impersonal system, he believes may not be in the best interest either of the nation or of the people it purports to heal. As the title suggests, it appears that healthcare has been turned upside down to serve the administrators of the system and away from its basic function of offering the best care for patients. With this basic principle in mind, the topics presented in this book provide and discuss healthcare statistics and alterations to the language of medicine. The chapters themselves examine the transformations to the medical school, the clinic and the office, the hospital, and the practice. Additional chapters discuss the role of the payers, public health research, as well as pandemics, including COVID-19, the advantages and disadvantages of socialized medicine, as well as the broken doctor/patient relationship. Finally, Dr. Buchwald offers thoughts on the areas in which future healthcare efforts can most fruitfully be expended. Analysing today’s pervading administrative domination of essentially every facet of healthcare, Healthcare Upside Down thoughtfully considers the variety of ways in which we can turn the current healthcare system right-side up to serve those who should be the ultimate beneficiaries – all of us as patients, now and in the future.
In 1960, fresh out of a stint in the Air Force, Henry Buchwald was recruited by Dr. Owen H. Wangensteen to join the Department of Surgery at the University of Minnesota’s medical school. For an American born in Austria, a child of the Holocaust, a position in a city then considered by some to be the “anti-Semitic capital of the United States” might seem an uneasy fit, but in the culture of innovation created by Wangensteen, Buchwald, who had chafed against the rigidity of East Coast medical practice, found everything an imaginative young surgeon could have asked for. Surgical Renaissance in the Heartland is the story of a golden era in American surgery, ushered in by Wangensteen’s creative approach to medical practice, told by one who lived it. Buchwald describes the roots, heritage, and traditions of this remarkable period at the University of Minnesota’s medical school, where the foundations of open-heart procedures, heart and pancreas transplantation, bariatric surgery, implantable infusion pump therapies, and other medical landmarks originated. Buchwald’s account of the Wangensteen era brings to life a medical culture that thrived on debate and the expression of ideas, a clinical practice bound only by the limits of a surgeon’s inspiration and imagination. As entertaining as it is informative, Surgical Renaissance in the Heartland effectively conjures the character—and characters—of a time that forever changed medicine and the lives of millions.
Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures, by leading authority Henry Buchwald, MD, PhD, is the first pictorial atlas that demonstrates today's full range of open and laparoscopic bariatric procedures, as well as concurrent surgeries such as hernia repair and tubal ligation. Hundreds of high-quality photographs and illustrations show you how to achieve the best outcomes and manage any complications that may arise. You'll find coverage of such hot new approaches as laparoscopic electrode placement, alternative open electrode placement, laparoscopic vagal pacing, and alternative open vagal pacing. At www.expertconsult.com you can reference the complete text and illustrations from any computer or mobile device. See how to perform today's full range of open and laparoscopic techniques, as well as concurrent surgeries such as hernia repair and tubal ligation, by viewing hundreds of step-by-step photographs and illustrations. Master hot new procedures such as laparoscopic electrode placement, alternative open electrode placement, laparoscopic vagal pacing, and alternative open vagal pacing. Obtain the best results and avoid complications with expert tips and recommendations from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the American College of Nutrition, the Central Surgical Association, the American Society for Bariatric Surgery, and other leading organizations. Reference the complete text and illustrations from any computer or mobile device at www.expertconsult.com.
Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.
In 1960, fresh out of a stint in the Air Force, Henry Buchwald was recruited by Dr. Owen H. Wangensteen to join the Department of Surgery at the University of Minnesota’s medical school. For an American born in Austria, a child of the Holocaust, a position in a city then considered by some to be the “anti-Semitic capital of the United States” might seem an uneasy fit, but in the culture of innovation created by Wangensteen, Buchwald, who had chafed against the rigidity of East Coast medical practice, found everything an imaginative young surgeon could have asked for. Surgical Renaissance in the Heartland is the story of a golden era in American surgery, ushered in by Wangensteen’s creative approach to medical practice, told by one who lived it. Buchwald describes the roots, heritage, and traditions of this remarkable period at the University of Minnesota’s medical school, where the foundations of open-heart procedures, heart and pancreas transplantation, bariatric surgery, implantable infusion pump therapies, and other medical landmarks originated. Buchwald’s account of the Wangensteen era brings to life a medical culture that thrived on debate and the expression of ideas, a clinical practice bound only by the limits of a surgeon’s inspiration and imagination. As entertaining as it is informative, Surgical Renaissance in the Heartland effectively conjures the character—and characters—of a time that forever changed medicine and the lives of millions.
This volume is the first comprehensive and single-authored book on the functions of the basal ganglia. The goal is to provide a new synthesis of diverse areas of research on the basal ganglia, from cellular mechanisms of synaptic transmission and plasticity to neural circuit mechanisms underlying behavior. A global theory of basal ganglia function incorporating research from the last 40 years is presented. I hope to explain for the first time how the basal ganglia generate behavior, how they contribute to learning and memory, and how impairments in basal ganglia function can lead to neurological and psychiatric disorders. Features The only single-authored book on the basal ganglia with coverage of the latest literature Spans multiple levels of analysis, from cellular physiology to behavior Includes coverage of clinical symptoms, encompassing neuropsychology, movement disorders, and psychiatric disorders Discusses the role of the basal ganglia in learning and memory
There have long been rumors of a lost cache of tapes containing private conversations between Orson Welles and his friend the director Henry Jaglom, recorded over regular lunches in the years before Welles died. The tapes, gathering dust in a garage, did indeed exist, and this book reveals for the first time what they contain. Here is Welles as he has never been seen before: talking intimately, disclosing personal secrets, reflecting on the highs and lows of his astonishing career, the people he knew--FDR, Winston Churchill, Charlie Chaplin, Marlene Dietrich, Laurence Olivier, David Selznick, Rita Hayworth, and more--and the many disappointments of his last years"--Dust jacket flap.
In 1969, Henry Catto was selling insurance in San Antonio, Texas. Just twenty years later, he presented his credentials as ambassador to the Court of St. James's to Her Majesty, Queen Elizabeth II, at Buckingham Palace. In this engaging memoir, he retraces his journey from Texas outsider to Washington insider, providing a fascinating look at the glamour, day-to-day work, and even occasional danger that come with being a high-level representative of the United States government. Catto's posts brought him into contact with the world's most powerful leaders and left him with a wealth of stories, which he recounts amusingly in these pages. He was the official host for Queen Elizabeth's visit to America during the Bicentennial year--and one of Jose Napoleon Duarte's protectors after his failed 1972 coup attempt in El Salvador. Catto accompanied Richard Nixon on his historic trip to Russia, sparred with Bill Moyers and the producers of 60 Minutes as Caspar Weinberger's spokesman at the Pentagon, and hosted George Bush's planning meeting with Margaret Thatcher at the beginning of the Persian Gulf War. In telling these and other stories, he offers behind-the-scenes glimpses into how political power really works in Washington, London, and other world capitals.
This book describes the collisions between the art world and the law, with a critical eye through a combination of primary source materials, excerpts from professional and art journals, and extensive textual notes. Topics analysed include + the fate of works of art in wartime, + the international trade in stolen and illegally exported cultural property, + artistic freedom, + censorship and state support for art and artists, + copyright, + droit moral and droit de suite, + the artist's professional life and death, + collectors in the art market, + income and estate taxation, + charitable donations and works of art, and + art museums and their collections. The authors are recognised experts in the field who have defined the canon in many aspects of art law.
Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures, by leading authority Henry Buchwald, MD, PhD, is the first pictorial atlas that demonstrates today's full range of open and laparoscopic bariatric procedures, as well as concurrent surgeries such as hernia repair and tubal ligation. Hundreds of high-quality photographs and illustrations show you how to achieve the best outcomes and manage any complications that may arise. You'll find coverage of such hot new approaches as laparoscopic electrode placement, alternative open electrode placement, laparoscopic vagal pacing, and alternative open vagal pacing. At www.expertconsult.com you can reference the complete text and illustrations from any computer or mobile device. See how to perform today's full range of open and laparoscopic techniques, as well as concurrent surgeries such as hernia repair and tubal ligation, by viewing hundreds of step-by-step photographs and illustrations. Master hot new procedures such as laparoscopic electrode placement, alternative open electrode placement, laparoscopic vagal pacing, and alternative open vagal pacing. Obtain the best results and avoid complications with expert tips and recommendations from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the American College of Nutrition, the Central Surgical Association, the American Society for Bariatric Surgery, and other leading organizations. Reference the complete text and illustrations from any computer or mobile device at www.expertconsult.com.
Shortlisted for the Lionel Gelber Prize A Responsible Statecraft best foreign policy book of 2023 A deeply researched investigation that reveals how the United States is like a spider at the heart of an international web of surveillance and control, which it weaves in the form of globe-spanning networks such as fiber optic cables and obscure payment systems America’s security state first started to weaponize these channels after 9/11, when they seemed like necessities to combat terrorism—but now they’re a matter of course. Multinational companies like AT&T and Citicorp build hubs, which they use to make money, but which the government can also deploy as choke points. Today’s headlines about trade wars, sanctions, and technology disputes are merely tremors hinting at far greater seismic shifts beneath the surface. Slowly but surely, Washington has turned the most vital pathways of the world economy into tools of domination over foreign businesses and countries, whether they are rivals or allies, allowing the U.S. to maintain global supremacy. In the process, we have sleepwalked into a new struggle for empire. Using true stories, field-defining findings, and original reporting, Henry Farrell and Abraham Newman show how the most ordinary aspects of the post–Cold War economy have become realms of subterfuge and coercion, and what we must do to ensure that this new arms race doesn’t spiral out of control.
In this explosive exposé of our health care system, Paul Jesilow, Henry N. Pontell, and Gilbert Geis uncover the dark side of physician practice. Using interviews with doctors and federal, state, and private officials and extensive investigation of case files, they tell the stories of doctors who profit from abortions on women who aren't pregnant, of needless surgery, overcharging for services, and excessive testing. How can doctors, recipients of a sacred trust and sworn to the Hippocratic Oath, violate Medicaid so egregiously? The authors trace patterns of abuse to the program's inauguration in the mid 1960s, when government authorities, not individual patients, were entrusted with responsibility for payments. Determining fees and regulating treatment also became the job of government agencies, thus limiting the doctors' traditional role. Physicians continue to disagree with Medicare and Medicaid policies that infringe on their autonomy and judgment. The medical profession has not accepted the gravity or extent of some members' illegal behavior, and individual doctors continue to blame violations on subordinates and patients. In the meantime, program guidelines have grown more confusing, hamstringing efforts to detect, apprehend, and prosecute Medicaid defrauders. Failure to institute a coherent policy for fraud control in the medical benefit program has allowed self-serving and greedy practitioners to violate the law with impunity. Prescription for Profit is a shocking revelation of abuse within a once-hallowed profession. It is a book that every doctor, and every patient, needs to read this year.
The long-awaited new edition is here! Evaluation: A Systematic Approach, by Peter H. Rossi, Mark W. Lipsey, and Gary T. Henry, is the best-selling comprehensive introduction to the field of program evaluation, covering the range of evaluation research activities used in appraising the design, implementation, effectiveness, and efficiency of social programs. Evaluation domains are presented in a coherent framework that not only explores each, but recognizes their interrelationships, their role in improving social programs and the outcomes they are designed to affect, and their embeddedness in social and political context. Relied on as the “gold standard” by professors, students, and practitioners for 40 years, the new Eighth Edition includes a new practical chapter on planning an evaluation, entirely new examples throughout, and a major re-organization of the book’s content to better serve the needs of program evaluation courses
The celebrated survival guide for the working actor - now completely updated and expanded with a foreword by Tony award-winning actor Joe Mantegna! Renowned for more than two decades as the most comprehensive resource for actors, How to Be a Working Actor is a must-read for achieving success in The Business. Now this "Bible of the Biz" has been completely revised and greatly expanded to address new markets, ever-changing opportunities, and the many new ways today's actors find work. Talent manager, teacher, and career coach Mari Lyn Henry and actress, author, and spokeswoman Lynne Rogers combine their extensive skills and years of experience to cover all the essentials of how to market yourself, land roles, and manage a successful career. They also include expert advice from scores of other industry experts - well-known actors, agents, managers, casting directors, and teachers. How to Be a Working Actor is loaded with advice on how to: - put together a professional wardrobe - get a head shot that brings out the real you - create a resume that really works - find the training to develop your talents - communicate effectively with agents and managers - use the internet to promote your business and explore new opportunities - get the most value out of union membership - excel at auditions and screen tests - discover how to get work in regional markets - cope with success How to Be a Working Actor takes a no-nonsense approach to the whole business of being a working actor, with detailed information on how to live on a budget in New York and Los Angeles, what the acting jobs are and what they pay, even how to find a survival strategy that will augment your career. And an extensive section on script analysis shows you how to investigate the depth of a character to create a memorable audition for roles in theatre, film, and television.
Consolidates the many different chemistries being employed to provide environmentally acceptable products through the upstream oil and gas industry This book discusses the development and application of green chemistry in the oil and gas exploration and production industry over the last 25 years — bringing together the various chemistries that are utilised for creating suitable environmental products. Written by a highly respected consultant to the oil and gas industry — it introduces readers to the principles and development of green chemistry in general, and the regulatory framework specific to the oil and gas sector in the North Sea area and elsewhere in the world. It also explores economic drivers pertaining to the application of green chemistry in the sector. Topics covered in Oilfield Chemistry and its Environmental Impact include polymer chemistry, surfactants and amphiphiles, phosphorus chemistry, inorganic salts, low molecular weight organics, silicon chemistry and green solvents. It also looks at sustainability in an extractive industry, examining the approaches used and the other methodologies that could be applied in the development of better chemistries, along with discussions about where the application of green chemistry is leading in this industry sector. Provides the reader with a ready source of reference when considering what chemistries are appropriate for application to oilfield problems and looking for green chemistry solutions Brings together the pertinent regulations which workers in the field will find useful, alongside the chemistries which meet the regulatory requirements Written by a well-known specialist with a combined knowledge of chemistry, manufacturing procedures and environmental issues Oilfield Chemistry and its Environmental Impact is an excellent book for oil and gas industry professionals as well as scientists, academic researchers, students and policy makers.
This manual helps clinicians easily to find the best available evidence to facilitate sound medical decisions. It is the first published compilation of highly relevant InfoPOEMs that the editors believe has the potential to change a clinician's practice. The editors have selected over 300 of the most influential, compelling POEMs, and organized them by topic for easy reference. Each POEM contains: Clinical Question: Poses a question that the study seeks to answer. Bottom line: Summarizes the findings of the research and places these findings into the context with the known information on the topic. The bottom line also is designed to help readers understand how to apply the results. LOE: Each review is given a Level of Evidence indicator. This allows the reader to discern an overall sense of how well the new information is supported. Reference: Displays the citation of the article being reviewed. Study Design: Identifies the procedures of the study (i.e., Meta-Analysis, randomized controlled trial). Setting: Identifies the environment in which the study took place (i.e., outpatient, inpatient). Synopsis: Provides a brief overview of the study design and results, but is not an abstract. The editors have pulled out only the most important information – the materials that readers need to judge the validity of the research and to understand the results. The manual opens with two complementary, original chapters: 1) Introduction to Information Mastery which covers the skills physicians need to practice the best medicine. 2) An Introduction to Evidence Based Medicine that reviews the key concepts and principles behind this practice model.
Henry Fairlie was one of the most colorful and trenchant journalists of the twentieth century. The British-born writer made his name on Fleet Street, where he coined the term “The Establishment,” sparred in print with the likes of Kenneth Tynan, and caroused with Kingsley Amis, among many others. In America his writing found a home in the pages of the New Yorker and other top magazines and newspapers. When he died, he was remembered as “quite simply the best political journalist, writing in English, in the last fifty years.” Remarkable for their prescience and relevance, Fairlie’s essays celebrate Winston Churchill, old-fashioned bathtubs, and American empire; they ridicule Republicans who think they are conservatives and yuppies who want to live forever. Fairlie is caustic, controversial, and unwavering—especially when attacking his employers. With an introduction by Jeremy McCarter, Bite the Hand That Feeds You restores a compelling voice that, among its many virtues, helps Americans appreciate their country anew.
Historians of science, teachers and students of the history and philosophy of science and mathematics will be astounded at the difference a few decades of research has made in the assessment of Newton's work. Most heartily recommended to all who seek authoritative and readable glimpses of Newton at work".Choice, 2001
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