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The Economics of Health and Health Care is the market-leading health economics textbook, providing comprehensive coverage of all the key topics, and balancing economic theory, empirical evidence, and public policy. The ninth edition offers updated material throughout, including two new chapters: Disparities in Health and Health Care (Chapter 7) examines issues of race, ethnicity, income, gender, and geography with respect to health care access, health inputs, and health outcomes; Pandemic Economics (Chapter 9) introduces a new and simplified economic treatment of epidemics and pandemics within the context of COVID-19. We also include applications from the growing literature on digital medici...
Abstract: Background Ejection time (ET), acceleration time (AT) and time between left ventricular and aortic systolic pressure peaks (T-LVAo) might be of diagnostic and prognostic use in patients with aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI). Aim We aimed to assess the diagnostic value and prognostic impact of invasively measured ET, AT, and T-LVAo in patients undergoing TAVI. Methods A total of 1274 patients received invasive measurement of ET, AT and T-LVAo prior to TAVI. Anatomic AS severity was assessed by CT-derived aortic valve calcification density (AVCd). Impact on all-cause mortality was retrospectively analyzed. Results In multivariable linear regression, T-LVAo showed the strongest correlation with AVCd. No prognostic impact of T-LVAo was found according to uni- and multivariable analyses. In contrast, using an individual C-statistic derived cutoff (CD), patients with ET or AT ≥ CD showed lower mortality rates compared to patients with ET or AT CD (1-year mortality: ET ≥ vs. CD: 15.01vs. 33.1%, AT ≥ vs CD 16.3 vs. 26.5%, p
Captures the magic and beauty of the Olympic Games.
In 1953 young surgeon Robert H. Ruby began work as the chief medical officer at the hospital on the Pine Ridge Indian Reservation in South Dakota. He began writing almost daily to his sister, describing the Oglala Lakota people he served, his Bureau of Indian Affairs colleagues, and day-to-day life on the reservation. Ruby and his wife were active in the social life of the non-white community, which allowed Ruby, also a self-trained ethnographer, to write in detail about the Oglala Lakota people and their culture, covering topics such as religion, art, traditions, and values. His frank and personal depiction of conditions he encountered on the reservation examines poverty, alcoholism, the educational system, and employment conditions and opportunities. Ruby also wrote critically of the Bureau of Indian Affairs, describing the bureaucracy that made it difficult for him to do his job and kept his hospital permanently understaffed and undersupplied. These engaging letters provide a compelling memoir of life at Pine Ridge in the mid-1950s.
Governments fail to provide the public goods needed for development when its leaders knowingly and deliberately ignore sound technical advice or are unable to follow it, despite the best of intentions, because of political constraints. This report focuses on two forces—citizen engagement and transparency—that hold the key to solving government failures by shaping how political markets function. Citizens are not only queueing at voting booths, but are also taking to the streets and using diverse media to pressure, sanction and select the leaders who wield power within government, including by entering as contenders for leadership. This political engagement can function in highly nuanced w...