You might think that this would leave us with a bleak choice— either to devote more of our national budget to health care or to make do with less of it. But there’s another path. In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices. With humor and a tell-it-likeit- is style, he picks up insights and ideas from his days as an ambulance driver in New Orleans, an army medic, and an entrepreneur launching a birthing start-up in San Diego. In struggling to save that dying business, Bush’s team created a software program that eventually became athenahealth, a cloud-based services company that handles electronic medical records, billing, and patient communications for more than fifty thousand medical providers nationwide. Bush calls for disruption of the status quo through new business models, new payment models, and new technologies that give patients more control of their care and enhance the physicianpatient experience. He shows how this is already happening. From birthing centers in Florida to urgent care centers in West Virginia, upstarts are disrupting health care by focusing on efficiency, innovation, and customer service. Bush offers a vision and plan for change while bringing a breakthrough perspective to the debates surrounding Obamacare. You’ll learn how: • Well-intended government regulations prop up overpriced incumbents and slow the pace of innovation. • Focused, profit-driven disrupters are chipping away at the dominance of hospitals by offering routine procedures at lower cost. • Scrappy digital start-ups are equipping providers and patients with new apps and technologies to access medical data and take control of care. • Making informed choices about the care we receive and pay for will enable a more humane and satisfying health care system to emerge. Bush’s plan calls for Americans not only to demand more from providers but also to accept more responsibility for our health, to weigh risks and make hard choices—in short, to take back control of an industry that is central to our lives and our economy.

    Addressing timely issues with analytical bite, Drezner looks at how well-known theories from international relations might be applied to a war with zombies. Exploring the plots of popular zombie films, songs, and books, Theories of International Politics and Zombies predicts realistic scenarios for the political stage in the face of a zombie threat and considers how valid--or how rotten--such scenarios might be.Drezner boldly lurches into the breach and stress tests the ways that different approaches to world politics would explain policy responses to the living dead. He examines the most prominent international relations theories--including realism, liberalism, constructivism, neoconservatism, and bureaucratic politics--and decomposes their predictions. He digs into prominent zombie films and novels, such as Night of the Living Dead and World War Z, to see where essential theories hold up and where they would stumble and fall. Drezner argues that by thinking about outside-of-the-box threats we get a cognitive grip on what former U.S. Secretary of Defense Donald Rumsfeld famously referred to as the unknown unknowns in international security.Correcting the zombie gap in international relations thinking and addressing the genuine but publicly unacknowledged fear of the dead rising from the grave, Theories of International Politics and Zombies presents political tactics and strategies accessible enough for any zombie to digest.

    Its aim is to explain the management of disease, based on an understanding of scientific principles and including the latest developments in treatment. It is written for medical students and doctors preparing for specialist exams, and is an ideal general reference text for all practising doctors. The new edition is part of Elsevier's new STUDENT CONSULT electronic community. STUDENT CONSULT titles comes with full text online, a unique image library, case studies, questions and answers, online note-taking, and integration links to content in other disciplines - ideal for problem-based learning.

    His first play, it was written in 1958 and completed in just three weeks. The play explores themes of isolation, loneliness, miscommunication as anathematization, social disparity and dehumanization in a materialistic world.

    

    

    Each chapter focuses on individual groups of medication considered for treatment and gives a concise overview of them in easy to see bulleted points. The qualities that I find especially useful are that charts and algorithms are easily identifiable and tables are shaded light gray for quick reference . . . Although this handbook contains an enormous amount of information, it conveniently fits into a lab coat pocket. It is an extremely useful reference." -- "Doody's""Pharmacotherapy Handbook" delivers the essential information you need to quickly and confidently make drug therapy decisions for eighty-four diseases and disorders. Featuring a convenient alphabetized presentation, the book utilizes text, tables, figures, and treatment algorithms to make important drug data readily accessible and easily understandable.Features: Consistent chapter organization that includes: Disease state definition, Concise review of relevant pathophysiology, Clinical presentation, Diagnosis, Desired outcome, Treatment, Monitoring Six valuable appendices, including a new one on the management of pharmacotherapy in the elderlyNEW chapters on adrenal gland disorders and influenza The ideal companion to "Pharmacology: A Pathophysiologic Approach, 7e" by Joseph DiPiro et al.

    MacLeod’s young protagonist enters all the bright open avenues of peer-group play and the dark blind alleys of individual and collective terror, as she discovers within herself both the capacity for and the conflict between impulses of good and evil. In thinking back on the history of her own tight-knit group of friends, she begins to see how in the excitement of belonging to a ritualized, secret collective, the self is created by the increasing dehumanization of the other—of both the bully and the victim. The Shape of a Girl goes far beyond a simple dramatization of the seemingly inexplicable code of silence and tacit complicity which surrounded the sensationalized Reena Virk murder in 1997 on which the play is based. It speaks eloquently and compassionately to a world increasingly dominated by all forms of collectivised and ritualized tribalist hatred, and offers the embrace of trust as the only way out of this circle of violence.Jewel is also based on a real-life catastrophe—the sinking of the Ocean Ranger, an oil rig off the coast of Newfoundland, on Valentine’s Day, 1982. Three years later, a widow, Marjorie Clifford, at home in her trailer in Fort St. John, British Columbia, begins to take the first step in understanding that the humanity of love, in all of its tentative frailty, uncertainty and promise, can free a life paralyzed and dominated by loss.

    In bulleted lists, tables, and algorithms, Pocket Medicine provides key clinical information about common problems in cardiology, pulmonology, gastroenterology, nephrology, hematology-oncology, infectious diseases, endocrinology, rheumatology, and neurology.The six-ring binder resembles the familiar "pocket brain" notebook that most students and interns carry and allows users to add notes. This Third Edition is fully updated, has tabs to help readers locate organ systems, and has more cross-referencing in the index. It also has pockets in the front and the back of the book to accommodate the reader's own notes.

    Many of these students are extremely intelligent and hardworking, but even the best will, at some point, struggle with the demands of making the transition to advanced mathematics. Some have difficulty adjusting to independent study and to learning from lectures. Other struggles, however, are more fundamental: the mathematics shifts in focus from calculation to proof, so students are expected to interact with it in different ways. These changes need not be mysterious - mathematics education research has revealed many insights into the adjustments that are necessary - but they are not obvious and they do need explaining.This no-nonsense book translates these research-based insights into practical advice for a student audience. It covers every aspect of studying for a mathematics degree, from the most abstract intellectual challenges to the everyday business of interacting with lecturers and making good use of study time. Part 1 provides an in-depth discussion of advanced mathematical thinking, and explains how a student will need to adapt and extend their existing skills in order to develop a good understanding of undergraduate mathematics. Part 2 covers study skills as these relate to the demands of a mathematics degree. It suggests practical approaches to learning from lectures and to studying for examinations while also allowing time for a fulfilling all-round university experience.The first subject-specific guide for students, this friendly, practical text will be essential reading for anyone studying mathematics at university.

    Through the dramatic characterization of the famous physicist, Brecht examines the issues of scientific morality and the difficult relationship between the intellectual and authority. This version of the play is the famous one that was brought to completion by Brecht himself, working with Charles Laughton, who played Galileo in the first two American productions (Hollywood and New York, 1947). Since then the play has become a classic in the world repertoire. "The play which most strongly stamped on my mind a sense of Brecht's great stature as an artist of the modern theatre was Galileo." - Harold Clurman; "Thoughtful and profoundly sensitive." - Newsweek.

    Extracted from opium, the sap of the poppy, this popular drug was welcomed into the homes of rich and poor alike, in the guise of medicinal uses in the form of laudanum and opium elixirs, and as pure, undisguised morphine.Laudanum contained opium, saffron, cinnamon and alcohol. In the spirit of 19th century progress, other opium concoctions were created and a whole industry in quackery erupted. In both Britain and North America, opium was mixed with everything imaginable: mercury, hashish, cayenne pepper, ether, chloroform, belladonna and whisky, sherry, wine and brandy.In the Arms of Morpheus examines how the drinking of laudanum for medical reasons developed and how it became an everyday safeguard against pain, poverty, and boredom. Opium eating was catapulted into fame by the confessions of Thomas De Quincy and insinuated itself into the lives and works of writers such as Louisa May Alcott, Lord Byron, Shelley, Elizabeth Barrett Browning, John Keats, the Brontes, Samuel Taylor Coleridge and many others.Thoroughly researched and copiously illustrated with photographs, engravings, advertisements, movie stills, pulp magazine and dime novel covers and paraphernalia, In the Arms of Morpheus continues the history of opium's emergence as an omnipresent and sometimes devastating influence.

    Major structural changes mark the revision. The authors have added a new concluding chapter on methods that, along with its companion chapter on moral theory, emphasizes convergence across theories, coherence in moral justification, and the common morality. They have simplified the opening chapter on moral norms which introduces the framework of prima facie moral principles and ways to specify and balance them. Together with the shift of advanced material on theory to the back of the book, this heavily revised introductory chapter will make it easier for the wide range of students entering bioethics courses to use this text. Another important change is the increased emphasis on character and moral agency, drawing the distinction between agents and actions. The sections on truth telling, disclosure of bad news, privacy, conflicts of interest, and research on human subjects have also been thoroughly reworked. The four core chapters on principles (respect for autonomy, nonmaleficence, beneficence, and justice) and the chapter on professional-patient relationships retain their familiar structure, but the authors have completely updated their content to reflect developments in philosophical analysis as well as in research, medicine, and health care. Throughout, they have used a number of actual cases to illuminate and to test their theory, method, and framework of principles.

    But between her drug addict patients, sleepless nights on call, and battling wits with the sadistic yet charming Sexy Surgeon, Jane can’t imagine an afterlife much worse than her first month of medical internship at County Hospital.And then there’s the devil herself: Jane’s senior resident Dr. Alyssa Morgan. When Alyssa becomes absolutely hell-bent on making her new interns pay tenfold for the deadly sin of incompetence, Jane starts to worry that she may not make it through the year with her soul or her sanity still intact.

    Its job is to protect us from cancer. This gene--known simply as p53--constantly scans our cells to ensure that when they grow and divide as part of the routine maintenance of our bodies, they do so without mishap. If a cell makes a mistake in copying its DNA during the process of division, p53 stops it in its tracks, sending in the repair team before allowing the cell to carry on dividing. If the mistake is irreparable and the rogue cell threatens to grow out of control (as happens in cancer), p53 commands the cell to commit suicide. Cancer cannot develop unless p53 itself is damaged or handicapped by some other fault in the system. Not surprisingly, p53 is the most studied single gene in history. p53: The Gene that Cracked the Cancer Code tells the story of the discovery of the gene and of medical science's mission to unravel its mysteries and get to the heart of what happens in our cells when they turn cancerous. Through the personal accounts of key researchers, the book reveals the excitement of the hunt for new cures--the hype, the enthusiasm, the lost opportunities, the blind alleys and the thrilling breakthroughs. As the long-anticipated revolution in cancer treatment tailored to each individual patient's symptoms starts to take off at last, p53 is at the cutting edge. This is a timely tale of scientific discovery and advances in our understanding of a disease that still affects more than one in three of us at some point in our lives.