Explore the past, present, and future of PA practice. The authors, noted educators, researchers, and practitioners, draw on extensive research to trace the evolution of the PA’s roles and responsibilities in the delivery of health care services. Their presentation of historical content balanced with discussions of the ethical, educational, legislative, and economic forces that are shaping that the profession makes this a contemporary classroom tool for PA’s learning their field and their roles.
What damage is being done by failing welfare states? What lessons can be learned from the best welfare states? And—is it too late to stop welfare states from permanently diminishing the lives and liberties of people around the world? Traveling around the globe, James Bartholomew examines welfare models, searching for the best education, health care, and support services in 11 vastly different countries; illuminating the advantages and disadvantages of other nations' welfare states; and delving into crucial issues such as literacy, poverty, and inequality. This is a hard-hitting and provocative contribution to understanding how welfare states, as the defining form of government today, are changing the very nature of modern civilization.
On July 1, 2003, work-hour reforms were enacted nationally for the roughly 129,000 resident physicians in the United States. The reforms limit weekly work hours (a maximum of eighty per week) and in-hospital call (no more than once every three nights), mandate days free of clinical and educational obligations (one day in seven), and regulate other aspects of resident work life. Why Surgeons Struggle with Work-Hour Reforms focuses on general surgeons, a historically long-hour specialty, who fiercely opposed the reforms and are among the least compliant. Why do surgeons struggle with the reforms? Why do they continue to work long hours and view the act of doing so as reasonable if not quintessentially professional? Although the analysis is situated in the growing scientific literature on the consequences of fatigue, the authors do not adjudicate between the claims of surgeons and reform advocates about the effects of long work hours on patient or provider safety. Rather, the aim is to explore and explain how aspects of the occupational culture of surgeons and the social organization of surgical training and practice interlock to impede the reforms.
First published in 1886, ‘The History of Hereford cattle’ is an antique treatise on the famous breed of Beef Cattle. This well-illustrated and comprehensive work is regarded as a highly significant book of its kind, and provides detailed insights into the practice and origins of keeping and selling Hereford cattle in the late 19th century. Contents include: Preface to First Edition - Preface to Revised Edition - Origin of the Breed - Pioneers and Their Work - Benjamin tomkins, The Younger - The Hewer and Jeffries Families - A Group of Famous Breeders - Progress of the Breed - Later Improvement, and Prominent Breeders - Some Notable Herds in England - The Breed’s Extension at Home and Abroad - Characteristics of the Breed - Systems of Management - The Breed in the Show-Yard - Retrospect and forecast - Existing Herds in the United Kingdom. We are republishing this rare and special text in a high quality and affordable edition, featuring the original text and artwork and a new introduction.
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