Despite the early prospects for bipartisan unity on terrorism initiatives, government gridlock continues on most major issues in the wake of the 2004 elections. In this fully revised edition, political scientists David W. Brady and Craig Volden demonstrate that gridlock is not a product of divided government, party politics, or any of the usual scapegoats. It is, instead, an instrumental part of American government, built into our institutions and sustained by leaders acting rationally not only to achieve set goals but to thwart foolish inadvertencies. Looking at key legislative issues from the divided government under Reagan, through Clinton's Democratic government to complete unified Republican control under George W. Bush, the authors clearly and carefully analyze important crux points in lawmaking: the swing votes, the veto, the filibuster, and the rise of tough budget politics. They show that when it comes to government gridlock, it doesn't matter who's in the White House or who's in control of Congress; it's as American as apple pie, and its results may ultimately be as sweet in ensuring stability and democracy.

This work addresses the development of congressional practices and institutions and ties the changes to key political and economic events. In connecting political and economic events with changes in Congress, the authors examine the political economy of the history of Congress. They draw upon history to offer insights about contemporary issues such as party polarization, filibuster reform, direct election of politicians, intercameral bargaining, and the role of committees in the political process. Through this approach the authors help us to understand how politics and economics interact to affect Congress.

In recent decades, political scientists have produced an enormous body of scholarship dealing with the U.S. Congress, and in particular congressional organization. However, most of this research has focused on Congress in the twentieth century--especially the post-New Deal era--and the long history of Congress has been largely neglected. The contributors to this book demonstrate that this inattention to congressional history has denied us many rich opportunities to more fully understand the evolution and functioning of the modern Congress.
In striking contrast to the modern era, which is marked by only modest partisan realignment and institutional change, the period preceding the New Deal was a time of rapid and substantial change in Congress. During the nation's first 150 years, parties emerged, developed, and realigned; the standing rules of the House and Senate expanded and underwent profound changes; the workload of Congress increased dramatically; and both houses grew considerably in size.
Studying history is valuable in large part because it allows scholars to observe greater variation in many of the parameters of their theories, and to test their core assumptions. A historical approach pushes scholars to recognize and confront the limits of their theories, resulting in theories that have increased validity and broader applicability. Thus, incorporating history into political science gives us a more dynamic view of Congress than the relatively static picture that emerges from a strict focus on recent periods.
Each contributor engages one of three general questions that have animatedthe literature on congressional politics in recent years: What is the role of party organizations in policy making? In what ways have congressional process and procedure changed over the years? How does congressional process and procedure affect congressional politics and policy?

For two decades, extending from the early 1970s to the early 1990s, elections to the U.S. House of Representatives were highly predictable. More than 90 percent of incumbents would seek reelection and more than 90 percent of those incumbents would win--by larger vote margins than in earlier decades. The once-dependable presidential coattail effect diminished, as one-quarter to one-third of all voters split their tickets, supporting presidential and House candidates of different parties. These trends helped the Democrats retain control of the House even while Republican presidential candidates won five of six elections beginning in 1968. An era of "incumbency and insulation" seemed firmly in place.
Then came the 1994 midterm elections. The Republicans gained 52 seats in the House, taking control for the first time in 40 years. Incumbency appeared to have lost its semi-magical status as three dozen incumbents fell. Insulation, too, appeared to have failed, with all the losing incumbents being Democrats, most of them from districts where President Clinton had run poorly in 1992. But did 1994 herald a new era, or was it an aberration?
In some ways, the 1996 elections, which reelected President Clinton, ratified the 1994 upheaval. Republicans retained control of the House, despite the decline of ticket-splitting as more voters aligned their presidential and House voting decisions. The 1998 election results added to the picture of a new era in congressional elections as the presidential party gained seats in a midterm election for the first time since 1934.
Most of the essays in this volume closely examine these recent elections, documenting the erosion of incumbency and insulation, but pointing out important continuities as well. Other essays address the electoral consequences of political change in the South, majority-minority redistricting, PAC contributions, and the changing image of Congress.

The contemporary management of patients with cancers of the head and neck is under careful scrutiny and major changes are being introduced in order to improve the potenti al not only for long-term control but also for less in the way of disfiguring and distres sing complications associated with the treatment programs. In 1988, the American Cancer Society estimates that there will be 42400 new cases of malignant tumors of the head and neck diagnosed with 12 850 deaths. In general, the prognosis for patients with malignant tumors of the head and neck re gion depends upon the site of origin, the local and regional extent of the tumor, the Kar nofsky status of the patient as well as the patient's general medical condition. The poten tial for cure for early stage tumors is extremely high particularly for those lesions involving the vocal cord, oral cavity, and the anterior two-thirds of the tongue. Major advances have been made in the management of head and neck cancer by the innovative utilization of surgery with radiation therapy. Small tumors can be cured by ei ther surgery or radiation therapy with equally good results. However, far advanced tu mors are more complicated and more difficult to cure requiring combined, integrated, multimodal programs of management. Therefore, the previously general poor prognosis for advanced tumors is becoming better with more aggressive treatment regimens."

The series "Medical Radiology - Diagnostic Imaging and Radiation Oncology" is the successor to the well known "Encyclopedia of Medical RadiologyjHandbuch der medizinischen Radiologie." This international handbook with its unique compila tion of data in more than fifty volumes lags behind the fast developing knowledge in radiology today. "Medical Radiology" brings the state of the art on special topics in a timely fashion. The first volume of the series was "Lung cancer," edited by Scarantino. This volume "Innovation in Radiation Oncology," edited by H.R. Withers and L.J. Peters, presents data on the development of new therapeutic strategies in different oncologic diseases. 57 authors wrote 32 chapters covering a broad range of topics. The innovations are at various levels of development, but were all chosen with the practicing radiation oncologist in mind. Perhaps not all of the innovations will survive the test of time, others have now become well established standard procedure in some centers. Also discussed is the assessment of the effectiveness of standard treat ment and how it effects the quality of a patient's survival. The contributions have been grouped into 9 broad sections as outlined in the table of contents. We think the second volume, as the whole series, will provide valuable reading for the general community of radiation oncologists."

"Decision Making in Radiation Oncology" is a reference book designed to enable radiation oncologists, including those in training, to make diagnostic and treatment decisions effectively and efficiently. The design is based on the belief that a picture is worth a thousand words. Knowledge is conveyed through an illustrative approach using algorithms, schemas, graphics, and tables. Detailed guidelines are provided for multidisciplinary cancer management and radiation therapy techniques. In addition to the attention-riveting algorithms for diagnosis and treatment, strategies for the management of disease at individual stages are detailed for all the commonly diagnosed malignancies. Clinical trials that have yielded gold standard treatment and their results are documented in the schemas. Moreover, radiation techniques, including treatment planning and delivery, are presented in an illustrative way. This groundbreaking publication is an essential tool for physicians in their daily clinical practice."

As early as 1831, Alexis de Tocqueville found the House of Representatives 'remarkable for its vulgarity and its poverty of talent'. In 1925, House Speaker Nicholas Longworth said, 'we the House] were unpopular when Lincoln was a Congressman. We were unpopular even when John Quincy Adams was a Congressman. We were unpopular even when Henry Clay was a Congressman. We have always been unpopular'. One of the major causes of the House's unpopularity throughout the years has been its inability to legislate broad public policies. Yet for all the criticism directed at the House, we know that at certain critical points it has legislated major, long-lasting public policy changes. This book examines the House during three such periods of policy innovations: the Civil War, the 1890's, and the New Deal. How and under what conditions does the House - noted for obstructionism - create majorities capable of governing? The author asserts that critical elections create conditions in the House that enable the majority party to legislate significant policy changes. House elections are normally determined by local factors, but certain elections are dominated by national, cross-cutting issues.

This volume discusses the background and various clinical applications of radiation therapy in the treatment of non-malignant diseases. It documents the radiobiological and physical principles of treatment and the rationale underlying the use of radiotherapy for various disorders of the CNS, head and neck, eye, skin and soft tissues, bone and joints, and vascular system. In so doing, it draws attention to and elucidates the scope for application of radiotherapy beyond the treatment of malignancies. Both the risks and the benefits of such treatment are fully considered, the former ranging from minor clinical problems to life-threatening diseases.

Examining three decades of legislative history, the authors contend that gridlock is not a product of divided government and party politics - rather it is an instrumental part of American government Despite the early prospects of bipartisan unity on terrorism initiatives, gridlock within the American government continues on most major issues in the wake of the 2004 elections. In this fully revised edition, political scientists David W Brady and Craig Volden demonstrate that gridlock is not a product of divided government, party politics or any of the usual scapegoats. Rather, it is an instrumental part of American government, built into American institutions and sustained by leaders acting rationally not only to achieve set goals but to thwart foolish inadvertencies. Looking at key legislative issues from the divided government under Ronald Reagan, through Clinton's Democratic government, to complete unified Republican control under George W Bush, the authors clearly and carefully analyze important crux points in lawmaking: the swing votes, the veto, the filibuster and the rise of tough budget politics. in the White House or who's in control of Congress. Political gridlock is as American as apple pie, and its results may ultimately be as sweet in ensuring stability and democracy.

This book, written by leading international experts, describes alternate fractionation strategies in which technology-driven precise targeting and dosing allow for improved conformance and decreased volumes, with concordant lessening of toxicity, reduction in treatment time, and lower overall health care expense. The aim is to provide the advanced clinician with an up-to-date evidence-based reference that will assist in the delivery of enhanced patient care in daily practice. Traditional multi-week fractionation schedules were established at a time when the inclusion of relatively large amounts of normal tissue was unavoidable owing to the lack of accurate target localization during treatment. Such schedules are time and resource consuming, difficult for patients, and expensive. Nevertheless, acceptance of alternate fractionation strategies has been slow in some countries. The paradigm is, however, changing as evidence accumulates to demonstrate improved local control, equivalence of tolerance, or both. In documenting these alternate strategies, this book will be of value for radiation oncologists, medical physicists, and oncologists worldwide.

This scenario-based text provides answers to urgent and emergent questions in acute, emergency, and critical care situations focusing on the electrocardiogram in patient care management. The text is arranged in traditional topics areas such as ACS, dysrhythmia, etc yet each chapter is essentially a question with several cases illustrating the clinical dilemma - the chapter itself is a specific answer to the question.

This is a unique format among textbooks with an ECG focus. The clinical scenarios cover the issues involved in detecting and managing major cardiovascular conditions. Focused, structured discussion then solves these problems in a clinically relevant, rapid, and easy to read fashion.

This novel approach to ECG instruction is ideal for practicing critical care and emergency physicians, specialist nurses, cardiologists, as well as students and trainees with a special interest in the ECG.

This volume discusses the background and various clinical applications of radiation therapy in the treatment of non-malignant diseases. It documents the radiobiological and physical principles of treatment and the rationale underlying the use of radiotherapy for various disorders of the CNS, head and neck, eye, skin and soft tissues, bone and joints, and vascular system. In so doing, it draws attention to and elucidates the scope for application of radiotherapy beyond the treatment of malignancies. Both the risks and the benefits of such treatment are fully considered, the former ranging from minor clinical problems to life-threatening diseases.

This work addresses the development of congressional practices and institutions and ties the changes to key political and economic events. In connecting political and economic events with changes in Congress, the authors examine the political economy of the history of Congress. They draw upon history to offer insights about contemporary issues such as party polarization, filibuster reform, direct election of politicians, intercameral bargaining, and the role of committees in the political process. Through this approach the authors help us to understand how politics and economics interact to affect Congress.

In recent decades, political scientists have produced an enormous body of scholarship dealing with the U.S. Congress, and in particular congressional organization. However, most of this research has focused on Congress in the twentieth century--especially the post-New Deal era--and the long history of Congress has been largely neglected. The contributors to this book demonstrate that this inattention to congressional history has denied us many rich opportunities to more fully understand the evolution and functioning of the modern Congress.
In striking contrast to the modern era, which is marked by only modest partisan realignment and institutional change, the period preceding the New Deal was a time of rapid and substantial change in Congress. During the nation's first 150 years, parties emerged, developed, and realigned; the standing rules of the House and Senate expanded and underwent profound changes; the workload of Congress increased dramatically; and both houses grew considerably in size.
Studying history is valuable in large part because it allows scholars to observe greater variation in many of the parameters of their theories, and to test their core assumptions. A historical approach pushes scholars to recognize and confront the limits of their theories, resulting in theories that have increased validity and broader applicability. Thus, incorporating history into political science gives us a more dynamic view of Congress than the relatively static picture that emerges from a strict focus on recent periods.
Each contributor engages one of three general questions that have animatedthe literature on congressional politics in recent years: What is the role of party organizations in policy making? In what ways have congressional process and procedure changed over the years? How does congressional process and procedure affect congressional politics and policy?

For two decades, extending from the early 1970s to the early 1990s, elections to the U.S. House of Representatives were highly predictable. More than 90 percent of incumbents would seek reelection and more than 90 percent of those incumbents would win--by larger vote margins than in earlier decades. The once-dependable presidential coattail effect diminished, as one-quarter to one-third of all voters split their tickets, supporting presidential and House candidates of different parties. These trends helped the Democrats retain control of the House even while Republican presidential candidates won five of six elections beginning in 1968. An era of "incumbency and insulation" seemed firmly in place.
Then came the 1994 midterm elections. The Republicans gained 52 seats in the House, taking control for the first time in 40 years. Incumbency appeared to have lost its semi-magical status as three dozen incumbents fell. Insulation, too, appeared to have failed, with all the losing incumbents being Democrats, most of them from districts where President Clinton had run poorly in 1992. But did 1994 herald a new era, or was it an aberration?
In some ways, the 1996 elections, which reelected President Clinton, ratified the 1994 upheaval. Republicans retained control of the House, despite the decline of ticket-splitting as more voters aligned their presidential and House voting decisions. The 1998 election results added to the picture of a new era in congressional elections as the presidential party gained seats in a midterm election for the first time since 1934.
Most of the essays in this volume closely examine these recent elections, documenting the erosion of incumbency and insulation, but pointing out important continuities as well. Other essays address the electoral consequences of political change in the South, majority-minority redistricting, PAC contributions, and the changing image of Congress.

As early as 1831, Alexis de Tocqueville found the House of Representatives 'remarkable for its vulgarity and its poverty of talent'. In 1925, House Speaker Nicholas Longworth said, 'we the House] were unpopular when Lincoln was a Congressman. We were unpopular even when John Quincy Adams was a Congressman. We were unpopular even when Henry Clay was a Congressman. We have always been unpopular'. One of the major causes of the House's unpopularity throughout the years has been its inability to legislate broad public policies. Yet for all the criticism directed at the House, we know that at certain critical points it has legislated major, long-lasting public policy changes. This book examines the House during three such periods of policy innovations: the Civil War, the 1890's, and the New Deal. How and under what conditions does the House - noted for obstructionism - create majorities capable of governing? The author asserts that critical elections create conditions in the House that enable the majority party to legislate significant policy changes. House elections are normally determined by local factors, but certain elections are dominated by national, cross-cutting issues.

This book, written by leading international experts, describes alternate fractionation strategies in which technology-driven precise targeting and dosing allow for improved conformance and decreased volumes, with concordant lessening of toxicity, reduction in treatment time, and lower overall health care expense. The aim is to provide the advanced clinician with an up-to-date evidence-based reference that will assist in the delivery of enhanced patient care in daily practice. Traditional multi-week fractionation schedules were established at a time when the inclusion of relatively large amounts of normal tissue was unavoidable owing to the lack of accurate target localization during treatment. Such schedules are time and resource consuming, difficult for patients, and expensive. Nevertheless, acceptance of alternate fractionation strategies has been slow in some countries. The paradigm is, however, changing as evidence accumulates to demonstrate improved local control, equivalence of tolerance, or both. In documenting these alternate strategies, this book will be of value for radiation oncologists, medical physicists, and oncologists worldwide.

Selected as a Doody's Core Title for 2022! For more than 30 years, Perez and Brady's Principles and Practice of Radiation Oncology has been the must-have standard reference for radiation oncologists and radiation oncology residents who need a comprehensive text covering both the biological and physical science aspects of this complex field as well as disease site-specific information on the integrated, multidisciplinary management of patients with cancer. The book has established itself as the discipline's "text-of-record," belonging on the shelf of all of those working in the field. The Seventh Edition continues this tradition of excellence with extensive updates throughout, many new chapters, and more than 1,400 full-color illustrations that highlight key concepts in tumor pathogenesis, diagnosis, and targeted radiation therapy. Comprehensive coverage of the current state of knowledge of cancer biology; medical radiation physics; clinical radiation oncology; and radiation oncology economics, ethics, and public policy. Regular, twice-yearly content updates available with the digital version of the text. Ideal for radiation oncologists, radiation oncology residents, radiation biologists, medical radiation physicists, oncologists, physicists-in-training, radiation dosimetrists, and nurses and physician assistants working in radiation oncology departments. New chapters include: Proton and Carbon Ion Beam Dosimetry and Treatment Planning; Stereotactic Radiation Therapy; Re-Irradiation; Error Avoidance; Undergraduate, Graduate, and Continuing Medical Education in Radiation Oncology; and a completely rewritten chapter on the economics of radiation oncology. Designed to provide a better understanding of the natural history of cancer, the physical and technological methods of radiation application, the effects of irradiation on normal tissues, and the most judicious ways in which radiation therapy can be employed in the treatment of patients with cancer, either as a single modality or as part of a multi-modality treatment program. All references printed in the book are now streamlined for quick access to further information. Site-specific chapters include relevant background information on each tumor-including epidemiology, pathology, diagnostic work-up, prognostic factors, treatment techniques, applications of surgery, chemotherapy, immunotherapy and biological therapy, end results, and more. Increased focus on new approaches and technologies with new and updated chapters. Greater emphasis on palliative and supportive care reflects the role of radiation treatment in non-curative roles. An international group of expert chapter authors keeps you well-informed. A completely revised first chapter is designed to provide an overview of the discipline of radiation oncology. This will be particularly useful for residents beginning training and medical students beginning a radiation oncology clinical clerkship. The chapter is supplemented with multiple sidebars to augment the reader's understanding of the field. Enhance Your eBook Reading Experience: Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

The emphasis on cancer management in the past was based primarily on control rates from multidisciplinary input in management. There has always been a recognition that one would like to achieve the best result with the least complication, but never has there been any major emphasis on evidence-based outcome studies, nor on functional preservation and quality of life. The authors of this book have dealt very effectively with the various tumor types in head and neck cancer with the experts in the ? eld of management. The contents range from epidemiology and treatment outcome, treatment techniques with the potential impact on the quality of life such as dysphagia, to the various options relative to high technology radiation therapy programs for mana- ment. The potential for improving form and function through surgical care as an integrated part of the program is dealt with very effectively as well as the potentials for chemotherapy and the use of targeted agents have on quality of life issues. The volume also addresses toxicity, quality of life, and techniques for prevention of adverse effects, as well as the potentials for rehabilitation and supportive care. The authors have clearly done an extraordinarily good job in addressing the mul- plicity of problems that impact upon the functional preservation and quality of life in head and neck radiation therapy. Philadelphia Luther W.

Decision Making in Radiation Oncology is a reference book designed to enable radiation oncologists, including those in training, to make diagnostic and treatment decisions effectively and efficiently. The design is based on the belief that "a picture is worth a thousand words." Knowledge is conveyed through an illustrative approach using algorithms, schemas, graphics, and tables. Detailed guidelines are provided for multidisciplinary cancer management and radiation therapy techniques. In addition to the attention-riveting algorithms for diagnosis and treatment, strategies for the management of disease at individual stages are detailed for all the commonly diagnosed malignancies. Clinical trials that have yielded "gold standard" treatment and their results are documented in the schemas. Moreover, radiation techniques, including treatment planning and delivery, are presented in an illustrative way. This groundbreaking publication is an essential tool for physicians in their daily clinical practice.