Award-winning physician Philip C. Hébert creates a brave and intimate portrait of the complex ethical imperatives at the heart of good medicine: doctors do not have all the answers; patients must be heard; and their needs, desires, fears, and experiences must be reflected in how practitioners look after them. Medical science continues to advance to previously unimagined heights in its diagnostic and treatment capabilities. With these advances, however, come unexpected ethical dilemmas for practitioners, patients, and families. In Good Medicine, Dr. Hébert approaches these questions of pressing and fundamental importance from the dual point of view of acclaimed physician and long-time patient. With remarkable balance and sensitivity, he explores a range of politically, constitutionally, and ethically contentious matters, including assisted suicide, treatment refusal and suspension, and the overall allocation of medical resources. Hébert pairs his artful analysis with the real-life, often deeply moving stories of those who have lived these challenges. Hébert offers piercing and compassionate insight into the relationship between patients and medical professionals, and guides readers towards the open and empathetic communication needed to ensure good medicine for everyone.
Overcome the toughest clinical challenges in nephrology with Brenner & Rector’s The Kidney -- the most well-known nephrology resource in the world. A diverse team of more than 200 international contributors brings you the latest knowledge and best practices on every front in nephrology worldwide. From basic science and pathophysiology to clinical best practices, Brenner & Rector’s The Kidney is your go-to resource for any stage of your career. Review of the basic science that underpins clinical nephrology, comprehensive selection of the most important bibliographical sources in nephrology, and Board Review-style questions help you prepare for certification or recertification. Coverage of kidney health and disease from pre-conception through fetal and infant health, childhood, adulthood, and into old age. Expanded sections and chapter on global perspective and ethical considerations. Uniform terminology and nomenclature in line with emerging consensus in world kidney community. More than 700 full-color high-quality photographs as well as carefully chosen figures, algorithms, and tables to illustrate essential concepts, nuances of clinical presentation and technique, and decision making provide a visual grasp and better understanding of critical information. Internationally diverse, trusted guidance and perspectives from a team of well-respected global contributors . An editorial team headed by Dr. Skorecki and handpicked by Dr. Brenner ensures the ongoing adherence to previous standards of excellence. All chapters have been extensively updated or entirely rewritten by authorities in their respective fields. The latest clinical information including recent clinical trials, genetic causes of kidney disease, cardiovascular and renal risk prediction in chronic kidney disease, new paradigms in fluid and electrolyte management, and pediatric kidney disease, keep you current with the rapid development of care and research worldwide.
Christian Socialism arose in England in the mid-nineteenth century as a response to the philosophy of 'political economy' - now commonly called neoliberalism. Seeking not institutional change or nationalisation, but a reform of the moral underpinnings of society, it refuted the assumption that people are essentially selfish, competitive individuals seeking nothing but personal happiness. Although they did not deny the presence of selfishness, its proponents believed that the social nature of humankind lies deeper than such egotism and conflict, and pursued a society built on this belief. Less prominent now than at the time of its inception, Christian Socialism nevertheless continues into the twenty-first century, its goal nothing less than a new society built upon the virtues of equality, fellowship, cooperation, service and justice. Philip Turner's careful exposition traces the history of this strand of Anglican political thought and restores confidence in its message for the future.
The Fourth Edition of Genetics of Populations is the most current, comprehensive, and accessible introduction to the field for advanced undergraduate and graduate students, and researchers in genetics, evolution, conservation, and related fields. In the past several years, interest in the application of population genetics principles to new molecular data has increased greatly, and Dr. Hedrick's new edition exemplifies his commitment to keeping pace with this dynamic area of study. Reorganized to allow students to focus more sharply on key material, the Fourth Edition integrates coverage of theoretical issues with a clear presentation of experimental population genetics and empirical data. Drawing examples from both recent and classic studies, and using a variety of organisms to illustrate the vast developments of population genetics, this text provides students and researchers with the most comprehensive resource in the field.
Based on interviews with US Congress members and their staff, this study explains why Congress has taken an expanded role in the formulation of US national defence policies. The author describes how these changes came about and their consequences for American interests.
Introduction : beginning to rethink twins / Philip M. Peek -- Twins and double beings among the Bamana and Maninka of Mali / Pascal James Imperato and Gavin H. Imperato -- Twins and intertwinement : reflections on ambiguity and ambivalence in northwestern Namibia / Steven Van Wolputte -- Sustaining the oneness in their twoness : poetics of twin figures (ère ìbejì) among the Yoruba / Babatunde Lawal -- "Son dos los jimagüas" ("the twins are two") : worship of the sacred twins in Lucumí religious culture / Ysamur Flores-Pena -- Twins, couples, and doubles and the negotiation of spirit-human identities among the Win / Susan Cooksey -- Double portraits : images of twinness in West African studio photography / C. Angelo Micheli -- Forever liminal : twins among the Kapsiki/Higi of north Cameroon and northeastern Nigeria / Walter E.A. Van Beek -- Snake, bush, and metaphor : twinship among Ubangians / Jan-Lodewijk Grootaers -- Fiction and forbidden sexual fantasy in the culture of Temne twins / Frederick John Lamp -- Embodied dilemma : Tabwa twinship in thought and performance / Allen F. Roberts -- Children of the moon : twins in Luba art and ontology / Mary Nooter Roberts -- Two equals three : twins and the trickster in Haitian vodou / Marilyn Houlberg -- Divine children : the ibejis and the erês in Brazilian candomblé / Stefania Capone -- The ambiguous ordinariness of Yoruba twins / Elisha P. Renne -- Twins, albinos, and vanishing prisoners : a Mozambican theory of political power / Paulo Granjo.
The Fourth Edition of Genetics of Populations is the most current, comprehensive, and accessible introduction to the field for advanced undergraduate and graduate students, and researchers in genetics, evolution, conservation, and related fields. In the past several years, interest in the application of population genetics principles to new molecular data has increased greatly, and Dr. Hedrick's new edition exemplifies his commitment to keeping pace with this dynamic area of study. Reorganized to allow students to focus more sharply on key material, the Fourth Edition integrates coverage of theoretical issues with a clear presentation of experimental population genetics and empirical data. Drawing examples from both recent and classic studies, and using a variety of organisms to illustrate the vast developments of population genetics, this text provides students and researchers with the most comprehensive resource in the field.
How do political appointees chosen to head government agencies deal with the powerful political forces that surround them? In a fascinating and instructive book Philip B. Heymann draws on his own experience and on the successes and failures of such prominent officials as Casper Weinberger, Anne Burford Gorsuch, Les Aspin, Edwin Meese, and Joseph Califano in order to explore the political context of high-level government management. Not only has Heymann written a superb manual for would-be presidential appointees, he has written an insightful political history of the past decade and a half.-Issues in Science and Technology Great help to incumbents as well as newcomers, and one classic-to-be in its field.-The Bureaucrat In my opinion, Heymann has written the most interesting book on the politics of management since Chester Barnard.-Theodore R. Marmor, Yale University A marvelous combination of analytics commentary and case illustrations, The Politics of Public Management is filled with insights that are both powerful and original.-Richard E. Neustadt, Harvard University
Contains eleven contributions which address specific examples of the way in which animal experimentation leads to data applicable to human disease. Includes coverage of the ethics of animal use and advantages of animal models over alternate systems, including computer simulation, tissue culture, and in vitro biochemistry. Annotation copyrighted by Book News, Inc., Portland, OR
A myth from the colonial period was that Americans could defend themselves by keeping a rifle in the closet and when needed, grab it, and march off to battle in times of crisis. Unfortunately, providing national defense is more complicated that that; indeed it was more complicated even during the Revolutionary war. General George Washington’s struggles to form a standing army supported by workable logistics and supply processes and to get funding for both from the Revolutionary Congress are well documented. Financing national defense requires planning and resourcing in advance. Reacting at the instant of crisis is too late. Building an educated, highly trained and capable Armed Forces and the acquisition of defense weapons and weapons systems has long lead times and involves making decisions the consequences of which are likely to last for decades. These decisions include how to recruit and retain military and civilian personnel as well as designing, buying and fielding a vast array of ground weapons, ships, aircraft and other weaponry. A decision to buy a major defense weapons system for example sets in motion a chain of other decisions that will affect the U.S., its allies and enemies around the world. Implementation of such decisions is financed through the U.S. federal government and Department of Defense budget processes in a planned yet highly and pluralistic and disaggregated system for determining how to advocate, acquire and allocate scarce resources in a manner that culminates in congressional and presidential approval. In this book we examine the concepts and practices of defense financing, provide a detailed description and analysis of resource policy decision making, financial management and budget execution processes, and analyze the most significant features of the national defense and U.S. federal government resource decision and management system. The book assesses the numerous factors, including those that characterize the complex budget review and appropriation decision making dynamics of Congress, that make U.S. defense finance and budgeting different from any other system in the world. In addition, in a concluding chapter the book compares U.S. defense policy and budgeting to other nations in different regions of the globe, drawing conclusions about the effects of U.S. defense policy and defense financing abroad in regions including Europe, Russia, the Middle-East and Asia.
The winter of 1862-1863 found the Union Army of the Potomac in sad shape, after bloody battles, multiple defeats, lack of adequate provisions and high desertion rates. When Major General Joseph Hooker took command, he set about revamping conditions. Instructed by President Lincoln to make the destruction of General Lee's Army of Northern Virginia the Union's top priority, Hooker mounted the Chancellorsville Campaign. Lee's aggressive battlefield manner coupled with Hooker's failure to initiate an assault led to a sound defeat by Confederate forces and left Hooker--who ultimately had only himself and his lack of initiative to blame--looking for a scapegoat. Among those Hooker attempted to hold responsible was the courageous Sixth Army Corps, Major General John Sedgwick commanding, the unit responsible for the sole Union victory of the entire campaign. This history of the battlefield engagements of the Sixth Army Corps on May 3 and 4, 1863, is compiled from contemporary accounts and a variety of postwar histories.
Reveals a detailed portrait of a fascinating Texan, William Duncan-- businessman, county sheriff, cattleman, and Confederate officer-- capturing his wartime emotions and his postwar struggles to reinvent the lifestyle he knew before the war. Also explores the everyday life of the Anglo-Texans who settled the Mexican land grants in the early nineteenth century and subsequently became citizens of the proudly independent Texas Republic.
Philip Keith's Fire Base Illingworth is an epic, never-before-told true story of a North Vietnamese Army attack and how the men of this nearly overrun Fire Base survived. In the early morning hours of April 1, 1970, more than four hundred North Vietnamese soldiers charged out into the open and tried to over-run FSB Illingworth. The battle went on, mostly in the dark, for hours. Exposed ammunition canisters were hit and blew up, causing a thunderous explosion inside the FSB that left dust so thick it jammed the hand-held weapons of the GIs. Much of the combat was hand-to-hand. In all, twenty-four Americans lost their lives and another fifty-four were wounded. Nearly one hundred enemy bodies were recovered. It was one of the most vicious small unit firefights in the history of U.S. forces in Vietnam. As in his acclaimed book Blackhorse Riders, a finalist for the prestigious Colby Award, Phil Keith uncovers a harrowing true story of bravery and sacrifice by the men who fought valiantly to hold FSB Illingworth—a tale never-before-told and one that will not be soon forgotten.
Apocalypse Observed is about religious violence. By analyzing five of the most notorious cults of recent years, the authors present a fascinating and revealing account of religious sects and conflict. Cults covered include: * the apocalypse at Jonestown * the Branch Davidians at Waco * the violent path of Aum Shinrikyo * the mystical apocalypse of the Solar Temple * the mass suicide of Heaven's Gate. Through comparative case studies and in-depth analysis, the authors show how religious violence can erupt not simply from the beliefs of the cult followers or the personalities of their leaders, but also from the way in which society responds to the cults in its midst.
Baseball is the only major team sport that doesn't feature a clock, and there's a familiar saying among fans that as long as outs remain, the game can, theoretically, go on forever. Every now and again, it nearly does, as author Phil Lowry demonstrates. The product of more than four decades of research, this book catalogs baseball games from around the world and throughout history that lasted 20 or more innings, stretched five or more hours, or ended after 1:00 am. Lowry also examines probability models to predict how often games of unusual length will occur.
Overcome the toughest clinical challenges in nephrology with the new 9th edition of Brenner/Rector’s The Kidney! A brand-new editorial team of Drs. Maarten W. Taal, Glenn M. Chertow, Philip A. Marsden, Karl Skorecki, Alan S. L. Yu, and Barry M. Brenner,, together with a diverse list of international contributors bring you the latest knowledge and best practices on every front in nephrology worldwide. Brand-new sections on Global Considerations in Nephrology and Pediatric Nephrology, as well as new chapters on recent clinical trials, cardiovascular and renal risk prediction in chronic kidney disease, identification of genetic causes of kidney disease, and many others, keep you at the forefront of this rapidly growing, ever-changing specialty. Brenner/Rector remains the go-to resource for practicing and training nephrologists and internists who wish to master basic science, pathophysiology, and clinical best practices. Broaden your knowledge base with expert, dependable, comprehensive answers for every stage of your career from the most comprehensive, definitive clinical reference in the field! Prepare for certification or recertification with a review of the basic science that underpins clinical nephrology as well as a comprehensive selection of the most important bibliographical sources in nephrology. Visually grasp and better understand critical information with the aid of over 700 full-color high-quality photographs as well as carefully chosen figures, algorithms, and tables to illustrate essential concepts, nuances of clinical presentation and technique, and decision making. Get internationally diverse, trusted guidance and perspectives from a team of well-respected global contributors, all of whom are at the top and the cutting edge of your field. A new editorial team headed by Dr. Taal and hand-picked by Dr. Brenner ensures the ongoing adherence to previous standards of excellence. Access information quickly thanks to a new, reorganized format and supplemental figures, tables, additional references, and expanded discussions. Keep current with the rapid development of care and research worldwide. A new section, "Global Considerations", focuses on regions outside Europe and North America. Leading experts from Latin America, Africa, Near and Middle East, Indian Subcontinent, Far East, Oceania and Australia present their expert insights into specific conditions, as well as progress and challenges in the development of the specialty. Improve therapy and outcomes for children with renal disease. New to this edition, "Pediatric Nephrology" addresses renal pathologies that usually present in childhood and covers topics such as Maturation of Kidney Structure and Function; Fluid; Electrolyte and Acid-Base Disorders in Children; Diseases of the Kidney and Urinary Tract in Children; Dialysis in Children; and Kidney Transplantation in Children. Stay up to date with all the latest clinical information including recent clinical trials, genetic causes of kidney disease, and cardiovascular and renal risk prediction in chronic kidney disease.
A guide for family researchers of Italian descent points the way to resources in the United States as well as information available in the town halls, archives, churches, and libraries of Italy.
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