Offering unparalleled coverage of this key area, Surgery of the Salivary Glands provides an in-depth, authoritative review of salivary gland disease and treatment. International experts from otolaryngology-head and neck surgery, oral and maxillofacial surgery, and many other disciplines discuss all aspects of surgery and medicine, including anatomy, physiology, histology, pathology, imaging, sialendoscopy, and tumor surgery. Both in print and on video, this innovative, superbly illustrated reference is an ideal resource for physicians in residency or fellowship training, in clinical practice or in academic medicine. Provides comprehensive coverage of salivary gland surgery, including recent developments such as IgG4-related diseases, robotics, tissue engineering, refinements in sialendoscopy, lithotripsy, minimally invasive surgery for neoplasms, new classification systems, and more. Features state-of-the-art discussions of sialendoscopy for stones and stricture, extracapsular dissection, robotic approaches, and conventional salivary gland surgery. Offers access to nearly 60 videos covering salivary gland imaging; the full spectrum of sialendoscopy, including complications; laser fragmentation of salivary stones; minimally invasive approaches; and many more. Includes contributions from global leaders in the fields of otolaryngology-head and neck surgery and oral and maxillofacial surgery, led by Dr. Robert Witt, who brings unsurpassed depth of scientific understanding to this topic.
This Otolaryngologic Clinics' publication's intent is to provide standard and state of the art clinician performed thyroid ultrasound and ultrasound guided FNA technique. The subject area is evolving rapidly with new technologies being incorporated. This title integrates thyroid cytology, FNA and Ultrasound Guided FNA with inclusion of diagnostic molecular testing. Clinical Thyroid Molecular Testing has ushered in a new era to the diagnosis, management and prognostication of thyroid nodules. The discussion of this highly clinically applicable subject is described in terms of diagnostic process. This is a thyroid neoplasm clinical "game changer” for the General Otolaryngologist, Head and Neck Surgeon, General Surgeon, Endocrinologist, Pathologist, and Radiologist. This testing maximizes the number of patients who have cancer to receive the correct therapeutic surgery appropriately and minimizes the number of patients who do not need surgery (and avoid the potential complications and surgery) because they do not have cancer. Surgical management and prognostication have far reaching implications with fine needle aspiration driven molecular markers. Some topics include: Clinical evaluation of the thyroid nodule; Thyroid cytology; Clinician performed thyroid ultrasound; Clinician performed thyroid ultrasound guided FNA; Thyroid cancer molecular laterations - what the surgeon should know; Thyroid cancer multi-gene expression - what the surgeon needs to know; Incorporating molecular testing into your thyroid practice - five experts discuss; and others.
Designed to serve as a basic text for an introductory course in Public Administration, this innovative work provides students with an understanding of the basic management functions that are covered in all standard textbooks with two important differences. First, it is written to address the needs of both the experienced practitioner and the entry-level public servant. Case examples bridge the content-rich environment of practitioners with the basic principles of public administration sought by pre-service students. Second, the discussion of basic management practices is grounded in the political and ethical tensions inherent in the American constitutional form of governance. This reflects the authors' belief that public administration operates as an integral part of the country's political traditions, and thereby helps define the political culture. The book provides a framework for understanding American political traditions and how they inform public administration as a political practice. Key Changes in the Second Edition include: A new introductory chapter that explains what the authors mean by a constitutional approach and why that is important. An expanded discussion of the role of civil society in promoting the common good. A new section in chapter 5 on New Public Governance. Updated exhibits that incorporate up-to-date census data and revenue figures (chapter 10). A new section in chapter 14 that recognises the importance of maintaining accountability in contract and networked systems of governance. Significantly rewritten chapters to add emphasis on the relevance of the chapter material to nonprofit organisations. A significantly revised bibliography which incorporates new bodies of research that have appeared since the first edition.
Has the United States become more pluribus than unum? In terms of the nation's political beliefs, Robert Booth Fowler answers both yes and no. While his study affirms significant diversity among an elite cadre of public intellectuals, it vigorously denies it in a general public that collectively adheres to the same set of liberal core values. Enduring Liberalism pursues two objectives. One, it explores the political thought of public intellectuals and the general public since the 1960s. Two, it assesses contemporary and classic interpretations of American political thought in light of the study's findings. Fowler interprets the writings of public intellectuals like Robert Bellah, Jean Bethke Elshtain, Michael Walzer, William Bennett, Seymour Martin Lipset, William Galston, and others, as well as survey data of American political attitudes, to spotlight this oft-ignored divide between citizens and high-profile commentators, whose contentious debates are mistakenly assumed to reflect countrywide rifts. Fowler's argument is straightforward, but the interpretation is controversial. He recounts how the consensus liberal view in post-World War II American political thought collapsed among public intellectuals during the tumult of the 1960s and remains so to this day. His book examines the resultant diversity among contemporary public intellectuals, focusing on three predominant themes: concern for community, worry about the environment, and interest in civil society. In marked contrast to these disputatious commentators, Fowler finds the realm of popular opinion to be characterized by much greater consensus. Indeed, there seems to be a trend toward an even more general embrace of the liberal values that characterize our attitudes toward the individual, individual liberty, political equality, economic opportunity, and consent of the governed. Liberal values-above all the celebration of the individual and individual rights-have revolutionized the so-called private realms of life like family and religious communities to an extent unimagined in the 1950s. From these conclusions, Fowler demonstrates that most interpretations of American political thinking have exaggerated the extent of conflict and diversity in our nation's often raucous policy disputes. But he also cautions us not to overstate the public's widely shared liberal values and, by doing so, miss opportunities to facilitate problem solving or to recognize the ways in which our reform efforts may be constrained.
The relationship between a town and its local institutions of higher education is often fraught with turmoil. The complicated tensions between the identity of a city and the character of a university can challenge both communities. Lexington, Kentucky, displays these characteristic conflicts, with two historic educational institutions within its city limits: Transylvania University, the first college west of the Allegheny Mountains, and the University of Kentucky, formerly “State College.” An investigative cultural history of the town that called itself “The Athens of the West,” Taking the Town: Collegiate and Community Culture in Lexington, Kentucky, 1880–1917 depicts the origins and development of this relationship at the turn of the twentieth century. Lexington’s location in the upper South makes it a rich region for examination. Despite a history of turmoil and violence, Lexington’s universities serve as catalysts for change. Until the publication of this book, Lexington was still characterized by academic interpretations that largely consider Southern intellectual life an oxymoron. Kolan Thomas Morelock illuminates how intellectual life flourished in Lexington from the period following Reconstruction to the nation’s entry into the First World War. Drawing from local newspapers and other primary sources from around the region, Morelock offers a comprehensive look at early town-gown dynamics in a city of contradictions. He illuminates Lexington’s identity by investigating the lives of some influential personalities from the era, including Margaret Preston and Joseph Tanner. Focusing on literary societies and dramatic clubs, the author inspects the impact of social and educational university organizations on the town’s popular culture from the Gilded Age to the Progressive Era. Morelock’s work is an enlightening analysis of the intersection between student and citizen intellectual life in the Bluegrass city during an era of profound change and progress. Taking the Town explores an overlooked aspect of Lexington’s history during a time in which the city was establishing its cultural and intellectual identity.
Approximately 29 million Americans are diagnosed with Type 2 diabetes annually. Of that number, only about 36 percent (10.44 million diabetes sufferers) achieve satisfactory medical outcomes and would need additional help—rarely available—to reliably control their glucose levels. Contrary to popular belief, although anti-diabetic medications can lower sugar levels, nevertheless they have a poor performance track record because inflammation in the blood vessels persists. This book details recent scientific findings that cardiovascular, kidney, vision, peripheral nervous system, and other body damage caused by chronic high levels of blood sugar (hyperglycemia) in Type 2 diabetes is actually due to excessive generation of unopposed free radicals and reactive oxygen species (ROS). These, in turn, cause chronic systemic inflammation and dysfunction of the endothelial lining of the arterial blood vessels, jeopardizing the formation of the protective molecule nitric oxide (NO), thus severely impairing the blood supply to every organ and tissue in the body. This book also catalogues the evidence that chronic hyperglycemia causes profound and often irreversible damage—even long before Type 2 diabetes has been diagnosed. In addition, because conventional prescription treatments are, unfortunately, often inadequate, the book details evidence-based complementary means of blood sugar control.
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