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Flatlined lifts the veil of secrecy on twenty-first century health care and delves into the realities of good people caught in a bad medical system. Dr. Guy L. Clifton, a practitioner as well as a policy advocate, reveals first-hand accounts of needless tragedy, such as the young man who died after a car wreck for lack of a bed in a qualified hospital and the surgeon who was dejected by the scarcity of resources needed to enable him to perform heart surgery on an uninsured man. Arguing that a lack of coordinated care and quality medical practice benchmarks result in high levels of redundancy and ineffectiveness, Clifton proposes that the key to reducing health care costs, improving quality, ...
In July 1944, the 9,000-man Japanese garrison on the island of Tinian listened warily as the thunder of the United States Navy and Marine Corps, Army and Air Corps, descended on their neighboring island, Saipan, just three miles away. There were 20,000 Japanese troops on Saipan, but the US obliterated the opposition after a horrific all-arms campaign. The sudden silence only indicated it was now TinianÕs turn. By the time the US 2nd and 4th Marine Divisions switched their sights to Tinian, the island had already been bombarded for a month; meantime both sides had learned their lessons from the previous island-hopping invasions. The Americans had learned the arts of recon, deception, plus pr...
This book provides reviews of the epidemiology, evaluation, and patient management of central nervous system (CNS) injuries. Internationally recognized clinicians and basic scientists discuss recent research that has significantly advanced the understanding of the pathophysiology of neuronal death and facilitated development of new therapeutic approaches. Novel therapeutic agents evaluated in animal models and currently in clinical trials include: calcium antagonists glutamate receptor antagonists inhibitors of glutamate release endothelial adhesion and nerve growth factors opioids antioxidants, gangliosides thrombolytic agents All of these options, as well as hypothermia as a potentially therapeutic approach, are discussed in this comprehensive volume. It will be invaluable to neurologists, neurosurgeons, intensivists, and emergency medicine physicians who care for CNS injured patients.
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A major surgical reference work modelled loosely after Apuzzo: BRAIN SURGERY. The book is organized first by procedures, then by problem or disease. The focus is on surgical technique, emphasizing how to deal with particularly complex problems and how to avoid complications.
A consolidated index to biographical sketches in current and retrospective biographical dictionaries.