American healthcare is at risk as radical politics increasingly supplant proven methods for the admission and training of medical students. These changes in medical education and practice threaten to dramatically alter the relationship between doctors and patients. In the aftermath of the death of George Floyd in 2020, medical schools across the country raced to adopt increased diversity mandates and anti-racism training. Based on the false charge that the healthcare system is biased against minority groups, medical deans and trustees rushed to institute sweeping reforms that will dramatically reduce the quality of medical training and upend the traditional doctor-patient relationship. According to Dr. Stanley Goldfarb, a longtime medical researcher and educator with extensive clinical experience, these changes coincide with already lowered standards, such as grade inflation and demands for “socially relevant” curricula that have nothing to do with the care of actual patients. In this coruscating lament for the decline of American medicine, Goldfarb debunks the myth of a “racist” healthcare system and shows how elevating diversity above merit will produce substandard healthcare for all Americans—regardless of race.
American healthcare is at risk as radical politics increasingly supplant proven methods for the admission and training of medical students. These changes in medical education and practice threaten to dramatically alter the relationship between doctors and patients. In the aftermath of the death of George Floyd in 2020, medical schools across the country raced to adopt increased diversity mandates and anti-racism training. Based on the false charge that the healthcare system is biased against minority groups, medical deans and trustees rushed to institute sweeping reforms that will dramatically reduce the quality of medical training and upend the traditional doctor-patient relationship. According to Dr. Stanley Goldfarb, a longtime medical researcher and educator with extensive clinical experience, these changes coincide with already lowered standards, such as grade inflation and demands for “socially relevant” curricula that have nothing to do with the care of actual patients. In this coruscating lament for the decline of American medicine, Goldfarb debunks the myth of a “racist” healthcare system and shows how elevating diversity above merit will produce substandard healthcare for all Americans—regardless of race.
Dr. West takes a firm stand against the surgery except in cases where a woman has cancer. He argues that the surgery can do more harm than good and presents unnecessary risks, except in those situatiions involving a life-threatening illness.
Sharon A. Stanley analyzes cynicism from a political-theoretical perspective, arguing that cynicism isn't unique to our time. Instead, she posits that cynicism emerged in the works of French Enlightenment philosophers, such as Jean-Jacques Rousseau and Denis Diderot. She explains how eighteenth-century theories of epistemology, nature, sociability and commerce converged to form a recognizably modern form of cynicism, foreshadowing postmodernism. While recent scholarship and popular commentary have depicted cynicism as threatening to healthy democracies and political practices, Stanley argues instead that the French philosophes reveal the possibility of a democratically hospitable form of cynicism.
This book is the outcome of the First International Congress on Drugs and Alcohol to be held in Israel. Both the conference and this volume grew out of the need to overcome the specious man-made barriers which continue to separate intervention plans and efforts in the broad field of substance use and misuse. This need demands that all of us become aware not only of the differences which may separate our concerns, but also of the similarities in our goals and endeavors. We are obligated to draw together toward a common effort for the common good. The conference was designed to facilitate the exploration ot generic ~ssues. This volume is designed to document a variety of factors which are basic to the defining, selection, planning, implementation, and evaluation of substance use and misuse intervention. This book is not a traditional proceedings volume. Because the needs of a listening audience are quite different from those of the solitary reader, and the roles of a workshop or plenary session participant are also dissimilar from those of the reader, not all of the Congress presentations are included, and the articles that are included have undergone major revi sions. Current intervention needs and options demand a broad spectrum of clearly defined roles for all who are or should be involved. Hence these issues, among others, served as guidelines in the preparation of the revised articles.
Emphasizing causation as a functional relationship between variables, this book provides comprehensive coverage on the basics of SEM. It takes readers through the process of identifying, estimating, analyzing, and evaluating a range of models. The author discusses the history and philosophy of causality and its place in science and presents graph theory as a tool for the design and analysis of causal models. He explains how the algorithms in SEM are derived and how they work, covers various indices and tests for evaluating the fit of structural equation models to data, and explores recent research in graph theory, path tracing rules, and model evaluation.
From the latest vaccination evidence, recommendations, and protocols . . . to new vaccine development and the use of vaccines in reducing disease, Plotkin's Vaccines, 8th Edition, covers every aspect of vaccination. Now completely revised and updated from cover to cover, this award-winning text continues to provide reliable information from global authorities, offering a complete understanding of each disease, as well as the latest knowledge of both existing vaccines and those currently in research and development. Described by Bill Gates as "an indispensable guide to the enhancement of the well-being of our world," Plotkin's Vaccines is a must-have reference for current, authoritative information in this fast-moving field. - Contains all-new chapters on COVID-19, vaccine hesitancy, and non-specific effects of vaccines, as well as significantly revised content on new vaccine technologies such as mRNA vaccines, emerging vaccines, and technologies to improve immunization. - Presents exciting new data on evolution of adjuvants across the centuries, dengue vaccines, human papillomavirus vaccines, respiratory syncytial virus vaccines, tuberculosis vaccines, and zoster vaccines. - Provides up-to-date, authoritative information on vaccine production, available preparations, efficacy and safety, and recommendations for vaccine use, with rationales and data on the impact of vaccination programs on morbidity and mortality. - Provides complete coverage of each disease, including clinical characteristics, microbiology, pathogenesis, diagnosis, and treatment, as well as epidemiology and public health and regulatory issues. - Keeps you up to date with information on each vaccine, including its stability, immunogenicity, efficacy, duration of immunity, adverse events, indications, contraindications, precautions, administration with other vaccines, and disease-control strategies. - Covers vaccine-preventable diseases, vaccine science, and licensed vaccine products, as well as product technologies and global regulatory and public health issues. - Analyzes the cost-benefit and cost-effectiveness of different vaccine options. - Helps you clearly visualize concepts and objective data through an abundance of tables and figures. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
This textbook was designed for a first course in differential and integral calculus, and is directed toward students in engineering, the sciences, mathematics, and computer science. Its major goal is to bring students to a level of technical competence and intuitive understanding of calculus that is adequate for applying the subject to real world problems. The text contains major sections on: (1) linear functions and derivatives; (2) computing derivatives; (3) applications of derivatives; (4) integrals; and (5) infinite series. The activities contained within these chapters are designed so that students can first study the exercise set and the solutions. Next, the students are asked to make modifications to the original problem, solve it, and move on to the variations. The appendices include math tables, additional reading and exercises, solutions, and hints to the exercises. (TW)
The best edition yet of the cornerstone text on abdominal operations—enhanced by thousands of full-color photographs and illustrations and thoroughly updated content A Doody’s Core Title for 2021! Edition after edition, Maingot’s Abdominal Operations has been hailed as the most complete, current, and trusted resource among general, colorectal, and gastrointestinal surgeons. Presented in full color, this classic textbook carefully details common and important abdominal procedures, offering a concise, yet complete, survey of the diagnosis and management of benign and malignant digestive disorders. Bolstered by more than 650 photographs and 1,250 full color illustrations, Maingot’s 78 chapters deliver everything you need to understand congenital, acquired, and neoplastic disorders – and optimize surgical outcomes for any type of abdominal disorder. FEATURES: Contemporary focus on operative procedures, and new concepts in the diagnosis and management of abdominal disease Convenient organ/procedure presentation provides a seamless review of surgical protocols, as well as pre- and postoperative strategies and techniques Added chapters on quality metrics, ERAS, and robotic surgery; and an increased number of “Perspective” commentaries by experts in the field Disease-focused and organ/procedure presentation provides a seamless review of surgical protocols, as well as pre- and postoperative strategies and techniques More than 650 photographs and 1,250 full color illustrations, many new to this edition
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