Investigates the conditions that have led some of the nation2s top teaching hospitals to merge with each other. The three case studies in this book describe mergers among some of the nation's best known hospitals. In addition to citing published articles and books, the author also includes information obtained from numerous personal interviews with more than two hundred faculty members, administrators, trustees, and invested observers who shared their experiences with and knowledge of the mergers. Throughout the book, the author not only presents a picture of the events and conditions that have led to the recent drop in funding for teaching hospitals and why these mergers came about, but he also investigates how the organizations have fared since joining together. The mergers are analyzed and compared in order to identify various methods of merger formation as well as ways in which other newly formed hospitals might accomplish a variety of important goals.
Dr. John A. Kastor has studied two leading centers in specialty care, the Cleveland Clinic and the University Hospitals of Cleveland, to learn what these institutions are doing to survive in the current era. Using the findings of more than two hundred interviews with physicians, administrators, investigators, and trustees, the author describes in detail these rival organizations, their individual struggles against the economic pressures presented by managed care, and their sometimes bitter competition for patients.
Why would a university renowned for its school of medicine ever sell its teaching hospital? In his newest book, Dr. John A. Kastor presents an insider’s view of why university medical centers decide to sell teaching hospitals, why the decision might be a good one, and how such transitions are received by the faculty and administration. Kastor tells the story of two universities that, under financial duress for more than a decade, chose to sell their teaching hospitals. George Washington University sold to a national, for-profit corporation, Universal Health Services, Inc., and Georgetown University sold to a not-for-profit, local company, MedStar Health. Through interviews with key players involved in and affected by these decisions, Kastor examines the advantages and disadvantages of selling and describes the problems that can afflict medical schools that separate from their faculty practice plans. For the current leaders of medical schools facing similar financial challenges, Kastor analyzes how much it costs to teach clinical medicine and offers valuable advice on how to reduce expenses and increase surpluses.
What forces lead to changes in governance among medical schools and their associated teaching hospitals? To what extent do such changes affect how well those schools and hospitals do their work? In this book, John A. Kastor, M.D., focuses on the academic medical centers of the University of Pennsylvania and the Johns Hopkins University, two institutions that underwent dramatic change in governance during the late 1990s. Drawing on extensive interviews with more than three hundred administrators, physicians, and other medical professionals at Penn, Hopkins, and elsewhere, Kastor identifies the factors that influenced changes in governance at these two institutions. Chief among these, he finds, are structure, personality conflicts, and current events. This book will be of interest to administrators of teaching hospitals as well as professionals in health policy and management.
This book describes the premier organization for the performance and funding of biomedical research in the United States. By articulating events that occurred at the National Institutes of Health from 1991-2008, this volume also examines the leadership of directors Bernadine Healy, Harold Varmus and Elias Zerhouni. To conduct his research, Dr. Kastor interviewed more than 200 people currently working at the NIH, those who have left and those funded by the institute. In an engaging and dynamic prose style, Dr. Kastor presents his findings on the operations, problems, controversies, financies, politics and structure of the NIH. The book begins by examining topics such as the NIH's evaluation of grant funding, the argument between those who favor support of basic biomedical science versus clinical research, the inclusion of HIV/AIDS in the National Institute of Allergy and Infectious Diseases, and the unique features of the Clinical Center, the hospital of the NIH. The volume concludes with a review of the recent conflict of interest controversy, the NIH's response to recent budget constrictions and the role of the institute in the Obama administration.
Cardiac arrhythmias produce rapid, slow, or irregular heart beats and are extremely common and range in severity from benign to sudden, life-threatening emergencies. Some patients may be acutely conscious while others may be unaware. Whether you or a loved one suffers from heart rhythm disorders, You and Your Arrhythmia: A Guide to Heart Rhythm Problems for Patients and Their Families offers help. This book includes cases with simple explanations to provide patients and their families with a better understanding of heart rhythm disorders, diagnosis, treatment, and long-term care.
Da hans rige tvillingebror dør, griber Brotherton chancen for ændre sit forhutlede liv drastisk: Han begår identitetstyveri. Først går alting strålende, og ingen fatter mistanke. Men så bliver det vanskeligt: Hvordan skal han skrive de afhandlinger, man forventer af broren Atherton? Hvem er de mystiske kvinder, der sender breve? Og hvem forsøger at afpresse ham penge?
A two-volume history of the criticism of John Milton's epic Paradise Lost, tracing the major debates as they have unfolded over the past three centuries.
In ancient Greece, Sparta was unique in having a dual kingship two kings from different clans, the Agiads and the Eurypontids, reigning simultaneously. The institution was already well-developed by the 8th century BC, when Theopompos of the Eurypontid clan emerges as the first recorded Spartan king. At least fifty-seven men held office as Spartan king between Theopompos and the Agiad Kleomenes III who died in 222 BC. For almost all this period the Spartan kingship was primarily a military office, and thus the kings embody much of the military history of Sparta. Wherever Spartas main battles took place, there the kings were. Naturally, the character of the particular king would often determine the outcome of a battle or campaign. Leonidas I at Thermopylai was one example. At the other end of the scale the young and unwar-like Pleistoanax twice declined an encounter with the Athenians when sent against that city.John Carr offers a chronological account of the kings and their accomplishments (or lack thereof), from the founding Herakleidai clan to Kleomenes III and his successor, the dictator Nabis, and the Roman conquest in the middle of the 2nd century BC. The book is not intended to be a complete history of Sparta. It will be a human interest and war story, focusing attention on the kings personal qualities as well as their (or their generals) military accomplishments and, where applicable, their politics as well.
Most treatments of slavery, politics, and expansion in the early American republic focus narrowly on congressional debates and the inaction of elite "founding fathers" such as Thomas Jefferson and James Madison. In Slavery, Freedom, and Expansion in the Early American West, John Craig Hammond looks beyond elite leadership and examines how the demands of western settlers, the potential of western disunion, and local, popular politics determined the fate of slavery and freedom in the West between 1790 and 1820. By shifting focus away from high politics in Philadelphia and Washington, Hammond demonstrates that local political contests and geopolitical realities were more responsible for determining slavery’s fate in the West than were the clashing proslavery and antislavery proclivities of Founding Fathers and politicians in the East. When efforts to prohibit slavery revived in 1819 with the Missouri Controversy it was not because of a sudden awakening to the problem on the part of northern Republicans, but because the threat of western secession no longer seemed credible. Including detailed studies of popular political contests in Ohio, Indiana, Illinois, Mississippi, Louisiana, and Missouri that shed light on the western and popular character of conflicts over slavery, Hammond also provides a thorough analysis of the Missouri Controversy, revealing how the problem of slavery expansion shifted from a local and western problem to a sectional and national dilemma that would ultimately lead to disunion and civil war.
The latest book in the Core Concepts in Higher Education series brings to life issues of governance, organization, teaching and learning, student life, faculty, finances, college sports, public policy, fundraising and innovations in higher education today. Written by renowned author John R. Thelin, each chapter bridges research, theory and practice and discusses a range of institutions – including the often overlooked for-profits, community colleges and minority serving institutions. In the book’s second edition, Thelin analyzes growing trends in American higher education over the last five years, shedding light on the effects of the COVID-19 pandemic. He covers reconsideration of the rights of student-athletes, provides fresh analysis of the brick-and-mortar campus, and includes a new chapter exploring school admissions, recruitment and retention. Rich end-of-chapter "Additional Readings" and "Questions for Discussion" help engage students in critical thinking. A blend of stories and analysis, this book challenges present and future higher education practitioners to be informed and active participants, capable of improving their institutions.
Atrial fibrillation is a common and important arrythmia which affects nearly5% of peopple over 70. This synthesis of current knowledge which is based onmuch original work by the author brings togeher for the first time the many areas of advance in recent years and will help to make experts from the highly specialised fields within cardiology aware of the developments withinothers.
Peter the Great created a navy from nothing, but it challenged and soon surpassed Sweden as the Baltic naval power, while in the Black Sea it became an essential tool in driving back the Ottoman Turks from the heartland of Europe. In battle it was surprisingly successful, and at times in the eighteenth century was the third largest navy in the world - yet its history, and especially its ships, are virtually unrecorded in the West.??This major new reference work handsomely fills this gap, with a complete and comprehensive list of the fleet, with technical detail and career highlights for every ship, down to small craft. However, because the subject is so little recorded in English, the book also provides substantial background material on the organisation and administration of the navy, its weapons, personnel and shipbuilding facilities, as well as an outline of RussiaÛªs naval campaigns down to the clash with Britain and France known as the Crimean War.??Illustrated with plans, paintings and prints rarely seen outside Russia, it is authoritative, reliable and comprehensive, the culmination of a long collaboration between a Russian naval historian and an American ship enthusiast.??EDUARD SOZAEV is an established Russian naval historian with a number of books to his credit. JOHN TREDREA, his translator, editor and long-term collaborator, is an American ship enthusiast with a life-long interest in the Russian navy.
The eastern Celtic tribes, known to the Greeks as Galatians, exploited the waning of Macedonian power after Alexander the Great’s death to launch increasingly ambitious raids and expeditions into the Balkans. In 279 BC they launched a major invasion, defeating and beheading the Macedonian king, Ptolemy Keraunos, before sacking the Greeks' most sacred oracle at Delphi. Eventually forced to withdraw northwards, they were defeated by Antigonus Gonatus at Lysimachia in 277 BC but remained a threat. A large Galatian contingent was invited to cross to Asia to intervene in a war in Bithynia but they went on to seize much of central Anatolia for themselves, founding the state of Galatia. Antiochos I curbed their power in ‘the Elephant Victory in 273 BC’ but they remained a force in the region and their fierce warriors served as mercenaries in many armies throughout the eastern Mediterranean. John Grainger narrates and analyses the fortunes of these eastern Celts down to their eventual subjugation by the Romans, Galatia becoming a Roman province in 30 BC.
After World War II, the University of Pennsylvania became one of the world's most celebrated research universities. John L. Puckett and Mark Frazier Lloyd trace Penn's rise to eminence amid the postwar social, institutional, moral, and civic contexts that shaped American research universities.
In the present volume, Elliott addresses the most extensive sources of Evil Eye belief in antiquity--the cultures of Greece and Rome. In this period, features of the belief found in Mesopotamian and Egyptian sources are expanded to the point where an "Evil Eye belief complex" becomes apparent. This complex of features associated with the Evil Eye--human eye as key organ of information, eye as active not passive, eye as channel of emotion and dispositions, especially envy, arising in the heart, possessors, victims, defensive strategies, and amulets--is essential to an understanding of the literary references to the Evil Eye. This volume, along with chapter 2 of volume 1, sets and illuminates the context for examining Evil Eye belief and practice in the Bible and the biblical communities (the focus of volume 3).
The Texas 26th Cavalry Regiment was formed in March, 1862, using the 7th Texas Cavalry Battalion as its nucleus. Its companies were from Huntsville, Houston, Lockhart, Galveston, Centerville, and Hempstead, and Leon and Walker counties. Consi-dered to be one of the best disciplined regiments in Confederate service, it was assigned to H. Bee's and Debray's Brigade in the Trans-Mississippi Depart-ment. The unit served along the Rio Grande and in January, 1864, contained 29 officers and 571 men. It was involved in the operations against Banks' Red River Campaign, then returned to Texas where it was stationed at Houston and later Navasota. Here the 26th disbanded in May, 1865.
Abandoning the Black Hero is the first book to examine the postwar African American white-life novel—novels with white protagonists written by African Americans. These fascinating works have been understudied despite having been written by such defining figures in the tradition as Richard Wright, Zora Neale Hurston, James Baldwin, Ann Petry, and Chester Himes, as well as lesser known but formerly best-selling authors Willard Motley and Frank Yerby. John C. Charles argues that these fictions have been overlooked because they deviate from two critical suppositions: that black literature is always about black life and that when it represents whiteness, it must attack white supremacy. The authors are, however, quite sympathetic in the treatment of their white protagonists, which Charles contends should be read not as a failure of racial pride but instead as a strategy for claiming creative freedom, expansive moral authority, and critical agency. In an era when “Negro writers” were expected to protest, their sympathetic treatment of white suffering grants these authors a degree of racial privacy previously unavailable to them. White writers, after all, have the privilege of racial privacy because they are never pressured to write only about white life. Charles reveals that the freedom to abandon the “Negro problem” encouraged these authors to explore a range of new genres and themes, generating a strikingly diverse body of novels that significantly revise our understanding of mid-twentieth-century black writing.
Many new states entered the United States around 200 years ago, but only Missouri almost killed the nation it was trying to join. When the House of Representatives passed the Tallmadge Amendment banning slavery from the prospective new state in February 1819, it set off a two-year political crisis in which growing northern antislavery sentiment confronted the aggressive westward expansion of the peculiar institution by southerners. The Missouri Crisis divided the U.S. into slave and free states for the first time and crystallized many of the arguments and conflicts that would later be settled violently during the Civil War. The episode was, as Thomas Jefferson put it, “a fire bell in the night” that terrified him as the possible “knell of the Union.” Drawn from the of participants in two landmark conferences held at the University of Missouri and the City University of New York, those who contributed original essays to this second of two volumes—a group that includes young scholars and foremost authorities in the field—answer the Missouri “Question,” in bold fashion, challenging assumptions both old and new in the long historiography by approaching the event on its own terms, rather than as the inevitable sequel of the flawed founding of the republic or a prequel to its near destruction. This second volume of A Fire Bell in the Past features a foreword by Daive Dunkley. Contributors include Dianne Mutti Burke, Christopher Childers, Edward P. Green, Zachary Dowdle, David J. Gary, Peter Kastor, Miriam Liebman, Matthew Mason, Kate Masur, Mike McManus, Richard Newman, and Nicholas Wood.
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