Now you can study for the USMLE Step 3 on the run any time and anywhere with this audio version of USMLE Step 3 Recall. With rapid-fire questions and answers in downloadable MP3 files, you can have this review tool available wherever you go to help you memorize the most crucial facts. Files can be used on any digital audio playback device. Over 35 MD contributors and a team of 13 MD editors developed the content, pulling together questions based on key points stressed in over 2,000 review questions and interviews with high scoring residents.
This issue of Medical Clinics devoted to prediabetes and diabetes prevention belongs in the hands of every practicing internist, PCP, hospitalist, nurse practitioner, endocrinologist, and any healthcare provider who is concerned about the diabetes epidemic. The importance of this resides in our ability to prevent diabetes by early identification of individuals with a precursor condition termed prediabetes that affect 54 million adult Americans. This entity has grown globally over the recent decades paralleling the obesity epidemic. No country or region of the world is immune. Overweight and obesity affect approximately 60% of our population and children as well as adolescents are not spared. Approximately 13% of adolescents have prediabetes which has doubled since the year 2000. Both type 2 diabetes and prediabetes are preventable and reversible with lifestyle changes involving weight loss and exercise. This issue gives a historical perspective on diabetes prevention, examines its public health implications, and explores diabetes prevention initiatives. Essential topics covered include prediabetes definition, epidemiology, mechanisms of complications, pathophysiology, diagnosis, and treatment recommendations. Diabetes prevention trials and the economics of prevention are also covered.
The fate of the USS Flier is one of the most astonishing stories of the Second World War. On August 13, 1944, the submarine struck a mine and sank to the bottom of the Sulu Sea in less than one minute, leaving only fourteen of its crew of eighty-six hands alive. After enduring eighteen hours in the water, eight remaining survivors swam to a remote island controlled by the Japanese. Deep behind enemy lines and without food or drinking water, the crewmen realized that their struggle for survival had just begun. On its first war patrol, the unlucky Flier made it from Pearl Harbor to Midway where it ran aground on a reef. After extensive repairs and a formal military inquiry, the Flier set out once again, this time completing a distinguished patrol from Pearl Harbor to Fremantle, Western Australia. Though the Flier's next mission would be its final one, that mission is important for several reasons: the story of the Flier's sinking illuminates the nature of World War II underwater warfare and naval protocol and demonstrates the high degree of cooperation that existed among submariners, coast watchers, and guerrillas in the Philippines. The eight sailors who survived the disaster became the first Americans of the Pacific war to escape from a sunken submarine and return safely to the United States. Their story of persistence and survival has all the elements of a classic World War II tale: sudden disaster, physical deprivation, a ruthless enemy, and a dramatic escape from behind enemy lines. In The USS Flier: Death and Survival on a World War II Submarine, noted historian Michael Sturma vividly recounts a harrowing story of brave men who lived to return to the service of their country.
World War II submariners rarely experienced anything as exhilarating or horrifying as the surface gun attack. Between the ocean floor and the rolling whitecaps above, submarines patrolled a dark abyss in a fusion of silence, shadows, and steel, firing around eleven thousand torpedoes, sinking Japanese men-of-war and more than one thousand merchant ships. But the anonymity and simplicity of the stealthy torpedo attack hid the savagery of warfare -- a stark difference from the brutality of the surface gun maneuver. As the submarine shot through the surface of the water, confined sailors scrambled through the hatches armed with large-caliber guns and met the enemy face-to-face. Surface and Destroy: The Submarine Gun War in the Pacific reveals the nature of submarine warfare in the Pacific Ocean during World War II and investigates the challenges of facing the enemy on the surface. The surface battle amplified the realities of war, bringing submariners into close contact with survivors and potential prisoners of war. As Japan's larger ships disappeared from the Pacific theater, American submarines turned their attention to smaller craft such as patrol boats, schooners, sampans, and junks. Some officers refused to attack enemy vessels of questionable value, while others attacked reluctantly and tried to minimize casualties. Michael Sturma focuses on the submariners' reactions and attitudes toward their victims, exploring the sailors' personal standards of morality and their ability to wage total war. Surface and Destroy is a thorough analysis of the submariner experience and the effects of surface attacks on the war in the Pacific, offering a compelling study of the battles that became "intolerably personal.
From unpromising beginnings in March 1942, the Allied submarine base at Fremantle on the west coast of Australia became a vital part of the Allied offensive against Japan. Pushed back from the Philippines and the Netherlands’ East Indies, American submariners, accompanied by a small group of Dutch forces, retreated to Fremantle as a last resort. The location was chosen for its good harbor and the fact that it was outside the range of land-based Japanese aircraft. Unfortunately the base was also far from their patrol areas and supply lines, and it was difficult to reinforce should the enemy attack. Thanks largely to a welcoming civilian population, morale quickly improved. The hospitality and sense of belonging fostered by Western Australians became legendary among Allied submariners and remains central to their wartime memories. Perhaps as a result of such a positive experience, the Allied forces became much more successful in combat. Intertwining social and military history, Fremantle’s Submarines relates how courage, cooperation, and community made Fremantle arguably the most successful military outpost of World War II from the standpoint of troop morale.
In the wake of Citizens United v. Federal Election Commission (2010), the case that allowed corporate and union spending in elections, many Americans despaired over the corrosive influence that private and often anonymous money can have on political platforms, campaigns, and outcomes at the federal and state level. In McComish v. Bennett (2011), the Supreme Court declared unconstitutional the matching funds feature of so-called "Clean Elections" public financing laws, but there has been no strong challenge to the constitutionality of public funding as such. In Subsidizing Democracy, Michael G. Miller considers the impact of state-level public election financing on political campaigns through the eyes of candidates. Miller’s insights are drawn from survey data obtained from more than 1,000 candidates, elite interview testimony, and twenty years of election data. This book is therefore not only an effort to judge the effects of existing public election funding but also a study of elite behavior, campaign effects, and the structural factors that influence campaigns and voters. The presence of publicly funded candidates in elections, Miller reports, results in broad changes to the electoral system, including more interaction between candidates and the voting public and significantly higher voter participation. He presents evidence that by providing neophytes with resources that would have been unobtainable otherwise, subsidies effectively manufacture quality challengers. Miller describes how matching-funds provisions of Clean Elections laws were pervasively manipulated by candidates and parties and were ultimately struck down by the Supreme Court. A revealing book that will change the way we think about campaign funding, Subsidizing Democracy concludes with an evaluation of existing proposals for future election policy in light of Miller’s findings.
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