A critical, quantitative look at the future supply and demand of surgical specialists that may foretell rationing of surgical services. The Coming Shortage of Surgeons: Why They Are Disappearing and What That Means for Our Health is the only quantitative analysis of the workforce in orthopedic and thoracic surgery, otolaryngology, obstetrics and gynecology, general surgery, neurosurgery, and urology. It analyzes the demand and supply for these surgeons and gives the causes and remedies for these shortages. The Coming Shortage of Surgeons quantifies the demand for the surgical workforce, then examines the constraints to supply, which include soaring tuition and medical students' debts, the demand for a controllable or scheduled lifestyle, malpractice premium expenses, early retirement, and perhaps the most difficult hurdle to overcome: the provision in the Balanced Budget Act of 1997 that caps all medical and surgical residencies at 1996 levels.
One of America’s pre-eminent economists offers a provocative critique of the failures of liberalism In The Vision of the Anointed, Thomas Sowell presents a devastating critique of the mind-set behind the failed social policies of the past thirty years. Sowell sees what has happened during that time not as a series of isolated mistakes but as a logical consequence of a tainted vision whose defects have led to crises in education, crime, and family dynamics, and to other social pathologies. In this book, he describes how elites—the anointed—have replaced facts and rational thinking with rhetorical assertions, thereby altering the course of our social policy.
The preparation of "History of Western Maryland", one of the most voluminous works on the history of that party of the United States, imposed a vast responsibility and an immense amount of labor. In the compilation of this history no authority of importance has been overlooked. The author has carefully examined every source of information open to him, and has availed himself of every fact that could throw new light upon, or impart additional interest to, the subject under consideration. Besides consulting the most reliable records and authorities, over fifteen thousand communications were addressed to persons supposed to be in possession of facts or information calculated to add value to the work. Recourse has not only been had to the valuable libraries of Baltimore, Annapolis, Frederick, and Hagerstown, but the author and his agents have visited personally the entire territory embraced in the six counties of Western Maryland, spending much time in each district, examining ancient newspapers, musty manuscripts, family, church, and society records, conversing with the aged inhabitants, and collecting from them orally many interesting facts never before published, and which otherwise, in all probability, would soon have been lost altogether. In addition to the material partly used in the preparation of his " Chronicles" and " History of Baltimore City and County" and " History of Maryland," the author has consulted an immense number of pamphlets, consisting of county and town documents, reports of societies, associations, corporations, and historical discourses, and, in short, everything of a fugitive character that might in any way illustrate the history of Western Maryland. Sketches of the rise, progress, and present condition of the various religious denominations, professions, political parties, and charitable and benevolent institutions, societies, and orders form a conspicuous feature of the work. Manufacturing, commercial, and agricultural interests have also a prominent place. An account of the county school system is also given, and a history of the various institutions of learning of which Western Maryland has every reason to be proud. Many of the facts recorded, both statistical and historical, may seem trivial or tediously minute to the general reader, and yet such facts have a local interest and sometimes a real importance. Considerable space has also been given to biographies of leading and representative men, living and dead, who have borne an active part in the various enterprises of life, and who have become closely identified with the history of Frederick, Washington, Montgomery, Allegany, Carroll, and Garrett Counties. The achievements of the living must not be forgotten, nor must the memories of those who have passed away be allowed to perish. It is the imperative duty of the historian to chronicle their public and private efforts to advance the great interests of society. Their deeds are to be recorded for the benefit of those who follow them; they, in fact, form part of the history of their communities, and their successful lives add to the glory of the Commonwealth. A distinguishing feature of the work is its statistics of the various districts into which the six counties of Western Maryland are divided. In them the reader is brought into close relation with every part of Western Maryland. This is volume three out of six, covering Frederick County (contd.), D.C., and Montgomery County.
With a new preface by the author, this reissue of Thomas Sowell's classic study of decision making updates his seminal work in the context of The Vision of the Annointed, Sowell, one of America's most celebrated public intellectuals, describes in concrete detail how knowledge is shared and disseminated throughout modern society. He warns that society suffers from an ever-widening gap between firsthand knowledge and decision making—a gap that threatens not only our economic and political efficiency, but our very freedom because actual knowledge gets replaced by assumptions based on an abstract and elitist social vision f what ought to be.Knowledge and Decisions, a winner of the 1980 Law and Economics Center Prize, was heralded as a ”landmark work” and selected for this prize ”because of its cogent contribution to our understanding of the differences between the market process and the process of government.” In announcing the award, the center acclaimed Sowell, whose ”contribution to our understanding of the process of regulation alone would make the book important, but in reemphasizing the diversity and efficiency that the market makes possible, [his] work goes deeper and becomes even more significant.”
Principles and Practice of Sleep Medicine, 5th Edition, by Meir H. Kryger, MD, FRCPC, Thomas Roth, PhD, and William C. Dement, MD, PhD, delivers the comprehensive, dependable guidance you need to effectively diagnose and manage even the most challenging sleep disorders. Updates to genetics and circadian rhythms, occupational health, sleep in older people, memory and sleep, physical examination of the patient, comorbid insomnias, and much more keep you current on the newest areas of the field. A greater emphasis on evidence-based approaches helps you make the most well-informed clinical decisions. And, a new more user-friendly, full-color format, both in print and online, lets you find the answers you need more quickly and easily. Whether you are preparing for the new sleep medicine fellowship examination, or simply want to offer your patients today's best care, this is the one resource to use! Make optimal use of the newest scientific discoveries and clinical approaches that are advancing the diagnosis and management of sleep disorders.
Murray and Nadel’s Textbook of Respiratory Medicine has long been the definitive and comprehensive pulmonary disease reference. Robert J. Mason, MD now presents the fifth edition in full color with new images and highlighted clinical elements. The fully searchable text is also online at www.expertconsult.com, along with regular updates, video clips, additional images, and self-assessment questions. This new edition has been completely updated and remains the essential tool you need to care for patients with pulmonary disease. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Master the scientific principles of respiratory medicine and its clinical applications. Work through differential diagnosis using detailed explanations of each disease entity. Learn new subjects in Pulmonary Medicine including Genetics, Ultrasound, and other key topics. Grasp the Key Points in each chapter. Search the full text online at expertconsult.com, along with downloadable images, regular updates, more than 50 videos, case studies, and self-assessment questions. Consult new chapters covering Ultrasound, Innate Immunity, Adaptive Immunity, Deposition and Clearance, Ventilator-Associated Pneumonia. Find critical information easily using the new full-color design that enhances teaching points and highlights challenging concepts. Apply the expertise and fresh ideas of three new editors—Drs. Thomas R. Martin, Talmadge E. King, Jr., and Dean E. Schraufnagel. Review the latest developments in genetics with advice on how the data will affect patient care.
Written by the leading names in pediatric oncology and hematology, Nathan and Oski's Hematology and Oncology of Infancy and Childhood offers you the essential tools you need to overcome the unique challenges and complexities of childhood cancers and hematologic disorders. Meticulously updated, this exciting full-color set brings together the pathophysiology of disease with detailed clinical guidance to provide you with the most comprehensive, authoritative, up-to-date information for diagnosing and treating children. - Form a definitive diagnosis and create the best treatment plans possible with comprehensive coverage of all pediatric cancers, including less-common tumors, as well as all hematologic disorders, including newly recognized ones. - Develop a thorough, understanding of the underlying science of diseases through summaries of relevant pathophysiology balanced with clear, practical clinical guidance. Nathan and Oski's is the only comprehensive product on the market that relates pathophysiology in such depth to hematologic and oncologic diseases affecting children. - Quickly and effortlessly access the key information you need with the help of a consistent organization from chapter to chapter and from volume to volume. - Stay at the forefront of your field thanks to new and revised chapters covering topics such as paroxysmal nocturnal hemoglobinuria, lysosomal storage diseases, childhood genetic predisposition to cancer, and oncology informatics. - Learn about the latest breakthroughs in diagnosis and management, making this the most complete guide in pediatric hematology and oncology. - Discover the latest in focused molecularly targeted therapies derived from the exponential growth of knowledge about basic biology and genetics underlying the field. - Rely on it anytime, anywhere! Access the full text, images, and more at Expert Consult.
The most comprehensive, multi-disciplinary text in the field, Cummings Otolaryngology: Head and Neck Surgery, 7th Edition, provides detailed, practical answers and easily accessible clinical content on the complex issues that arise for otolaryngologists at all levels, across all subspecialties. This award-winning text is a one-stop reference for all stages of your career—from residency and board certification through the challenges faced in daily clinical practice. Updated content, new otology editor Dr. Howard W. Francis, and new chapters and videos ensure that this 7th Edition remains the definitive reference in today's otolaryngology. - Brings you up to date with the latest minimally invasive procedures, recent changes in rhinology, and new techniques and technologies that are shaping patient outcomes. - Contains 12 new chapters, including Chronic Rhinosinusitis, Facial Pain, Geriatric Otology, Middle Ear Endoscopic Surgery, Pediatric Speech Disorders, Pediatric Cochlear Implantation, Tongue-Ties and Lip Ties, Laryngotracheal Clefts, and more. - Covers recent advances and new approaches such as the Draf III procedure for CRS affecting the frontal recess, endoscopic vidian and posterior nasal neurectomy for non-allergic rhinitis, and endoscopic approaches for sinonasal and orbital tumors, both extra- and intraconal. - Provides access to 70 key indicator (Accreditation Council for Graduate Medical Education Key Indicator Procedures), and surgical videos – an increase of 43% over the previous edition. - Offers outstanding visual support with 4,000 high-quality images and hundreds of quick-reference tables and boxes. - 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.
The Thomas Ward is like a small stream in the mountains, that emerges from a tiny spring and trickles on down the hillside to join the creek on its way to the river. No attempt has been made to get all the information, about all the people who live, or have lived, within its boundaries. Neither is the material collected, considered to be the most important or free from errors. This book is just "a cup of water" dipped from the little stream, as it journeys on its way, no attempt is made to dip up all the water or stop its flow. It is hoped, that like the cup of cool water from the tiny stream, this book will refresh the reader, and the stream of time flows on. To those pioneers, both young and old who had the courage to combine all the natural resources which the creator so wisely stored in these mountains, rivers and valleys along with the brawn and brain that He gave man. The Miracle of the Desert came to be.
The development of the American nation has typically been interpreted in terms of its expansion through space, specifically its growth westward. In this innovative study, Thomas Allen posits time, not space, as the most significant territory of the young nation. He argues that beginning in the nineteenth century, the actual geography of the nation became less important, as Americans imagined the future as their true national territory. Allen explores how transformations in the perception of time shaped American conceptions of democratic society and modern nationhood. He focuses on three ways of imagining time: the romantic historical time that prevailed at the outset of the nineteenth century, the geological "deep time" that arose as widely read scientific works displaced biblical chronology with a new scale of millions of years of natural history, and the technology-driven "clock time" that became central to American culture by century's end. Allen analyzes cultural artifacts ranging from clocks and scientific treatises to paintings and literary narratives to show how Americans made use of these diverse ideas about time to create competing visions of American nationhood.
Even before Pancho Villa’s 1916 raid on Columbus, New Mexico, and the following punitive expedition under General John J. Pershing, the U.S. Army was strengthening its presence on the southwestern border in response to the Mexican Revolution of 1910. Manning forty-one small outposts along a three-hundred mile stretch of the Rio Grande region, the army remained for a decade, rotating eighteen different regiments, primarily cavalry, until the return of relative calm. The remote, rugged, and desolate terrain of the Big Bend defied even the technological advances of World War I, and it remained very much a cavalry and pack mule operation until the outposts were finally withdrawn in 1921. With The Old Army in the Big Bend of Texas: The Last Cavalry Frontier, 1911–1921, Thomas T. “Ty” Smith, one of Texas’s leading military historians, has delved deep into the records of the U.S. Army to provide an authoritative portrait, richly complemented by many photos published here for the first time, of the final era of soldiers on horseback in the American West.
Conscious of possible deficiencies, the editor presents this result of his labors to all readers interested in the history of this beautiful town. Although the work is largely a compilation of facts and figures touching the history of Georgia's metropolis from its founding to the first years of the 20th century and no special merit of originality is claimed for it, the reader will find much in these pages as is not elsewhere easily accessible in printed form — matter authentic and valuable for reference. Particularly is this true of the war history recorded with great fidelity and no little detail in the first volume. The facts therein contained were gathered from original sources — Federal and Confederate — mostly direct from field orders, reports and correspondence. The task involved a vast deal of research and reading, but the editor feels compensated by the belief that a fuller or more reliable narrative of the famous "Atlanta Campaign," from Dalton to Jonesboro, was never written. The second volume, which deals with post-bellum and modern Atlanta, will be found to be brought down to date in preserving a record of the city's upbuilding and remarkable progress. The last decade of the 19th century has completely metamorphosed Atlanta physically. Her rehabilitation after the ruthless legions of Sherman passed through her ashes to the sea was not more magical, if we may use the word, than has been her rapid transformation in this latter conquest of peace. It is surprising, at first blush, but nearly all of the better buildings of Atlanta, business and residential, have been constructed within less than these past ten years, and this means the practical rebuilding of the city and its wide expansion in that short space of time. This is volume two out of two.
Recent progress in the chemistry of sulphur-containing indoles. Electrophile-induced 5-Endo cyclizations. Three-membered ring systems. Four-membered ring systems. Five-membered ring systems. Six-membered ring systems. Eight membered and larger rings.
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