The healthcare delivery system in the United States is inundated with medical malpractice and liability issues, and there is no consensus about causes or solutions. Both physicians and an alliance of lawyers and consumer groups agree that there is a crisis, but physicians claim that the current medical malpractice system inheres in too many lawsuits while the lawyers argue that the current level of litigation is insufficient. Multivariate statistical methods are used in this much needed effort to investigate the effects of medical malpractice on various aspects of health care. After introducing the various tort reforms that have been proposed and implemented by some states, the author analyzes the impact of these reforms on medical malpractice payment rates, claim payments, malpractice insurance, and in dental malpractice. The impact of malpractice liability on costs, licensure, disciplinary action, the supply of physicians, and the practice of defensive medicine are also covered. This is an essential guide for students in law, medicine, and health administration, as well as anyone who wants to research these issues for public policy.
Time is money'. But the opposite is also true, i.e., 'money is time'. Money, if used wisely, gives us the free time to do what makes us happy. It is crucial to understand the concept that money creates time because time is a non-renewable resource. And becoming financially independent is akin to finding a hidden treasure of time. It's similar to discovering a gold mine, because it gives us the ability to live life on our own terms. The key is not to think of financial independence as a goal but as a marathon, which we need to enjoy. This book is an easy, entertaining and actionable guide to becoming financially independent and avoiding any pitfalls on the journey.
Too many leaders, men and women alike, have bought into the notion of leadership that exclusively emphasizes traditionally 'masculine' qualities: hierarchical, militaristic, win-at-all-costs. The result has been corruption, environmental degradation, social breakdown, stress, depression and a host of other serious problems.But there is another way, one that restores a balance to this lopsided way of leading. Reaching into ancient spiritual and mythical teachings, Nilima Bhat and Raj Sisodia revive a feminine archetype of leadership: generative, cooperative, creative, empathetic. While these qualities are often thought of as 'feminine', we all have them. However, for people in leadership positions, they tend to be undervalued and underdeveloped. In the Indian yogic tradition, this feminine principle is recognized as supremely intelligent and responsive. It is personified as the Great Mother or Goddess Shakti and is the source that powers the cycle of life.
The book covers all the radiation safety aspects while working with unsealed radionuclides. Radiation safety plays a significant role in routine nuclear medicine practices and is necessary to protect occupational workers, patients, members of the general public and the environment. A fair knowledge of radiation safety is expected from all nuclear medicine professionals. Chapters include basics of radiation physics, biological bases of radiation protection, planning and design of nuclear medicine facilities, cyclotron and high dose therapy facilities, radiation safety considerations in nuclear medicine, cyclotron while preparing radiopharmaceuticals. It also includes the working mechanism of radiation detectors, quality assurance of positron emission tomography (PET) and gamma camera, including single photon emission computed tomography (SPECT), emergency preparedness plan, nuclear medicine and CT dosimetry, transport regulations, the role of national regulatory authorities and radioactive waste management. The last chapter provides probable model questions asked in the radiological safety officer certification examination and includes 250 multiple-choice questions (MCQs), 100 true or false, 60 fill in the blanks, and 40 match the following questions. The book is written in a simple language for a better understanding of the occupational workers of any grade. It serves as reference material for nuclear medicine professionals on radiation safety, related to planning, quality assurance, dosimetry and various regulations pertaining to nuclear medicine. It is a ready reckoner for the students pursuing a degree/diploma in nuclear medicine and preparing for certification courses in radiation safety to understand the subject matter along with options to attempt practice questions.
The apicomplexan parasite Cryptosporidium parvum is a significant cause of human and animal diarrheal disease worldwide. This parasite is currently recognized as the causative agent of numerous outbreaks of waterborne diarrheal disease. C. parvum infection in immunocompetent individuals is asymptomatic or associated with self-limiting diarrheal illness. However in immunocompromised hosts, such as patients with acquired immunodeficiency syndrome (AIDS), Cryptosporidium may cause severe, protracted and possibly fatal diarrheal disease. C. parvum isolates can be divided into two genetically distinct groups, one designated genotype I, exclusively associated with human infections, and the other genotype II, associated with both human and animal infections. The majority of infections associated with waterborne outbreaks are of genotype I. Published genotypic information of C. parvum from waterborne outbreaks particularly in the USA suggests that up to 80 per cent of infected humans excrete genotype I oocysts. However, most studies related to water borne transmission use genotype II oocysts. C. parvum oocysts can survive for many months in water and are resistant to several disinfectant treatments.The prolonged survival of oocysts as well as the resistance to disinfectants is attributed to the presence of a thick wall that is believed to serve a protective function by isolating the parasite from the external environment. Ultrastructurally, the oocyst wall consists of two electron dense layers, an outer irregular 10 nm layer separated by an electron-lucent space from an inner thicker electron dense layer. A distinctive feature of the oocyst wall is the presence of a suture spanning part of the circumference of the inner wall, which undergoes dissolution during excystation. Oocyst wall formation in Cryptosporidium is initiated in wall forming bodies present in macrogametes. Although the ultrastructural features of the oocyst wall and suture have been described in some detail, very little is known about the biochemical composition and structural physiology of these important structures. In addition, very little is known about the effect of various water treatment processes or disinfectants on individual components of the oocyst wall. The integrity of the oocyst wall is responsible for prolonged survival of C. parvum in drinking water sources as well as its resistance to various disinfectants.The biochemical composition of specific components, which contribute to the structural integrity of the Cryptosporidium oocyst wall, and the effect of water treatment and purification processes on them are largely unknown. Knowledge of these components is therefore crucial in designing strategies directed at detecting and eliminating C. parvum from drinking water supplies.
The present volume is focused on documenting the novel processing, fabrication, characterization, and testing approaches that are unique to aerospace materials/structures/systems"--Preface.
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