This collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention. We aren’t suggesting a return to a ‘better’ time. We don’t object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users.. We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.
Although uncommon, the occurrence of cataracts in very young patients can result in significant impairment—and can lead to blindness. This practical guide delivers need-to-know information to help clinicians treat pediatric patients with cataracts with a range of therapies and essential guidance on the management of complications. Explore the only reference devoted exclusively to pediatric cataract management! • 13 new chapters highlight the latest advances in bilateral cataract surgery, intraocular heparin treatment, treatment of traumatic cataracts, pre- and postoperative management, and techniques appropriate for patients in developing nations. • 4 hours of online procedural video accompany the text—giving readers a clinician’s view of essential procedures. A great way to refine technique, improve outcomes, avoid pitfalls, and manage potential complications. • Quick-reference format helps readers locate vital information at a glance.
This is an ambitious study of gender and politics in India, and will be of interest to scholars of women's studies, globalization, postcolonialism, geography, media studies, and cultural studies, as well as India more generally.
In Semiotics of Rape, Rupal Oza follows the social life of rape in rural northwest India to reveal how rape is not only a violation of the body but a language through which a range of issues—including caste and gender hierarchies, control over land and labor, and the shape of justice—are contested. Rather than focus on the laws governing rape, Oza closely examines rape charges to show how the victims and survivors of rape reclaim their autonomy by refusing to see themselves as defined entirely by the act of violation. Oza also shows how rape cases become arenas where bureaucrats, village council members, caste communities, and the police debate women’s sexual subjectivities and how those varied understandings impact the status and reputations of individuals and groups. In this way, rape gains meaning beyond the level of the survivor and victim to create a social category. By tracing the shifting meanings of sexual violence and justice, Oza offers insights into the social significance of rape in India and beyond.
Nearly two-thirds of countries that pursued nuclear weapons have abandoned their programs. Delaying Doomsday examines how the United States has successfully persuaded states to give up their nuclear weapons programs in the past, and how the international community can continue this success in the future. The book draws on interviews with current and former policymakers, as well as in-depth case studies of India, Iran, and North Korea to provide policy recommendations on how best to manage nuclear proliferation challenges from rogue states. It also outlines the proliferation horizon, or the set of state and non-state actors that are likely to have interest in acquiring nuclear technology for civilian, military, or unknown purposes. The book concludes with implications and recommendations for U.S. and global nuclear counterproliferation policy.
This collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention. We aren’t suggesting a return to a ‘better’ time. We don’t object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users.. We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.
This will help us customize your experience to showcase the most relevant content to your age group
Please select from below
Login
Not registered?
Sign up
Already registered?
Success – Your message will goes here
We'd love to hear from you!
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.