As the healthcare environment changes, the need for outcomes-based tre atment planning becomes even more critical. This book guides the reade r through current outcomes-based research as it pertains to surgery. F irst, it gives a complete overview of the practice of evidence-based s urgery (EBS), with topics such as treatment planning, policy issues, a nd ethical issues. Then it gives practical, step-by-step advice on the methodology of EBS, with chapters on study design, outcomes measures, adjustments for complications and comorbidities, cost, and data sourc es. Last, it publishes the results of numerous respected EBS studies.
John Wheeler had done more than his fair share time fighting Muslim extremist and terrorist as a member of the Army Rangers. He had not been there when his parents and grandfather died. It had nearly cost him the love of his life, his loving wife. All he wants now is to live a quiet life as a farmer on land that his family has owned since 1800. Fate had other ideas as a land developer sees his land as the best place to build a gated community with a private golf course and lake. Now, John finds himself in an armed standoff with state police who are using eminent domain to give his family land to the developers. He also finds himself trying to come to grips with a country that seems to be changing faster than he can understand and a conscience that can't live with another good man's death on his soul. The balance-between the duty he feels to his family's history and country-pulls on his soul and feelings of standing up for what he knows and believes. He is starting to accept the changes that the future will always bring.
In this work Toby L. Murray RMT connects human anatomy and physiology to the Inverse Square Law and the Biological Tides Theory in support of the hypothesis that the Moons gravity generates a `Monthly Cranial Respiration Cycle` in cerebral spinal fluid which induces the secretion of neuro-endocrine hormones thus regulating bodily functions such as menstruation. This hypothesis further proposes that as the Moon steadily moves further away from Earth in a process known as the Lunar-recession the Monthly Cranial Respiration Cycle diminishes leading to conditions such as menopause, disease, and aging in-general. The author combines the ideas of the late astronomers Drs. Thomas Van Flandern and Robert Harrington with Newtonian Mechanics and General Relativity to demonstrate that Mercury is the moon to the planet Venus which separated from Venus in a process similar to the Moons recession from Earth. The resulting new models of the solar and planetary systems are that of atoms of eight `life essential` elements with properties belonging to the group of non-metals on the Periodic Table of Elements.
This book offers the first comparative monograph on the management of elections. The book defines electoral management as a new, inter-disciplinary area and advances a realist sociological approach to study it. A series of new, original frameworks are introduced, including the PROSeS framework, which can be used by academics and practitioners around the world to evaluate electoral management quality. A networked governance approach is also introduced to understand the full range of collaborative actors involved in delivering elections, including civil society and the international community. Finally, the book evaluates some of the policy instruments used to improve the integrity of elections, including voter registration reform, training and the funding of elections. Extensive mixed methods are used throughout including thematic analysis of interviews, (auto-)ethnography, comparative historical analysis and, cross-national and national surveys of electoral officials. This text will be of key interest to scholars, students and practitioners interested and involved in electoral integrity and elections, and more broadly to comparative politics, public administration, international relations and democracy studies. Chapters 1 and 4 of this book are freely available as downloadable Open Access PDFs at http://www.taylorfrancis.com under a Creative Commons Attribution-Non Commercial-No Derivatives (CC-BY-NC-ND) 4.0 license.
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