A world-renowned Lyme disease expert explains everything you need to know if you live, work, or play in areas with the ticks that carry disease. Once restricted to small forested areas in the northeast and north-central United States, Lyme disease is now a common infection in North America and Europe. The Centers for Disease Control and Prevention estimate that more than 300,000 new cases occur each year in the United States. Misunderstandings over symptoms and treatment increase the public's concerns about the disease—which, if not properly treated, can become chronic and debilitating. An expert on tick-borne diseases, Alan G. Barbour explains the course of illness that results from infection, diagnosis and treatment options, and steps that can be taken to avoid a tick bite in the first place. The ticks that transmit Lyme disease may also transmit other disease-causing pathogens, and these other infections are considered as well. Drawing on real case histories of individuals with Lyme disease—or illnesses that may be mistaken for Lyme disease—Barbour explains: The biology of the spirochete, Borrelia burgdorferi, that causes Lyme disease The role of animals such as mice that carry the infection The life cycle of the ticks that transmit the infection The importance of deer in perpetuating the cycle The basics of diagnostic laboratory tests and how test results are interpreted How antibiotics are used in treating Lyme disease Infected ticks are abundant in the woods, in walking trails, and in the shrubs and tall grass where suburban lawns meet wooded areas. Barbour stresses preventing disease through community-wide ecology projects and individual and household protection. While it may be difficult to escape infection, understanding the danger, the symptoms, and the treatment goes a long way toward preventing long-term health consequences. Featuring a list of reliable web sites and a glossary of terms, Lyme Disease is an invaluable resource for everyone who is at risk of the disease or is involved in preventing and treating it.
The last 20 years has seen a rapid increase in infectious diseases, particularly those that are termed "emerging diseases" such as SARS, "neglected diseases" such as malaria and those that are deemed biothreats such as anthrax. It is well-recognized that the most effective modality for preventing infectious diseases is vaccination. This book provides researchers with a better understanding of what is currently known about these diseases, including whether there is a vaccine available or under development. It also informs readers of the key issues in development of a vaccine for each disease. - Provides a comprehensive treatise of the agents that are responsible for emerging and neglected diseases and those that can be used as biothreats - Includes the processes such as the vaccine development pathway, vaccine manufacturing and regulatory issues that are critical to the generation of these vaccines to the marketplace - Each chapter will include a map of the world showing where that particular disease is naturally found
A comprehensive guidebook for dog owners that includes seventy-seven great hikes from the Adirondacks through the Catskills. Much more than a guidebook showing readers great places to hike with their canine companions in upstate New York, Doghiker is a dog owner’s operating manual and tool kit. A lifelong dog owner, Alan Via makes a strong case for responsible ownership and offers guidance on selecting a canine hiking companion, training, safety, appropriate gear, canine first aid, and keeping your dog fit and healthy. Covering the Adirondacks through the Catskills, and areas in between, this unique guidebook includes seventy-seven beautiful hikes that are great for dogs. Each hike has a custom topographic map showing parking areas, trails, viewpoints, water sources, and other points of interest. Included are a peak-finder map and chart showing every hike and a summary of rating categories, as well as information on total mileage, elevation gain, ratings for views, difficulty level, dog safety and hazards, hiker traffic, trail conditions, and whether a leash is suggested or required. Detailed driving directions for each outing, including GPS coordinates for key intersections and trailheads, are also provided. By presenting all of this information, drawn from Via’s forty-plus years of hike leadership, readers can easily evaluate which hike fits their needs and get outside and explore the great outdoors with their four-legged friends.
Consistently lauded for its comprehensiveness and full-color color presentation, the latest edition of Rheumatology by Marc C. Hochberg, MD, MPH et al. continues the tradition of excellence of previous editions. Designed to meet the needs of the practicing clinician, it provides extensive, authoritative coverage of rheumatic disease from basic scientific principles to practical points of clinical management in a lucid, logical, user-friendly manner. Find the critical answers you need quickly and easily thanks to a consistent, highly user-friendly format covering all major disorders of the musculoskeletal system in complete, self-contained chapters. Get trusted perspectives and insights from chapters co-authored by internationally renowned leaders in the field, 25% of whom are new to this edition. Track disease progression and treat patients more effectively with the most current information, including 22 new chapters on genetic findings, imaging outcomes, and cell and biologic therapies as well as rheumatoid arthritis and SLE. Incorporate the latest findings about pathogenesis of disease; imaging outcomes for specific diseases like RA, osteoarthritis, and spondyloarthropathies; cell and biologic therapies; and other timely topics.
Staffordshire Murders brings together murderous tales that shocked not only the county but made headline news throughout the nation. They include the poisonous Dr Palmer, murder on the canal, a tale of infanticide, the body in the gasometer, the chauffeur’s revenge, murder on Cannock Chase and much more.Alan Hayhurst has spent many hours visiting the scenes detailed in this book, as well as researching original documents and talking to people who have memories of the individual crimes. His well-illustrated and enthralling text will appeal to all who are interested in the shady side of Staffordshire’s history.
Cliff recession and coastal landsliding of soft rock cliffs present significant threats to land use and development. Investigation and management of soft rock cliffs presents state-of-the-art guidance on how eroding cliffs can best be managed, stressing the need to consider both structural and non-structural solutions to cliff recession problems. This authoritative text outlines the investigation approaches, measurement and monitoring techniques, and prediction methods available for obtaining the necessary cliff recession information to support different stages of the decision-making process. Throughout the book, it stresses that every cliff is unique because of the controlling influence of the site geology and geomorphology on the recession process. There is, therefore, no single method to tackling cliff problems; investigation and management of each cliff can only be determined on the ground, drawing upon expert judgement, experience and thorough site investigation and data analysis. Investigation and management of soft rock cliffs will provide coastal engineers, geotechnical engineers, geomorphologists, planners and students with an invaluable resource when faced with a range of issues on cliffed coastlines.
Extensively revised and fully updated, this new edition of the Oxford Handbook of Rheumatology provides everything you need to understand the wide range of rheumatic conditions. Including the latest guidelines and the most up-to-date information, this is the indispensible guide for students, trainees, consultant rheumatologists, and everyone dealing with patients with musculoskeletal disease. Rheumatic conditions are common in both general and hospital practice; a primary feature of many multi-system illnesses, and in the context of injury, age-related change, and psychological distress. This handbook provides practical advice, guidance, and key clinical facts to help you provide the best care for your patients. Practically structured, the handbook focuses first on presenting symptoms, and then considers key diseases, emergencies, and rare diseases in more detail, finishing with a comprehensive account of assessment, guidelines, and treatment options including the latest advances in biological therapy. It provides practical guidelines on the management and diagnosis of patients with acute and chronic musculoskeletal disease. Colour plates and line drawings are present throughout along with tables of key information. Taking a clinical, evidence-based approach, written by experts, and presented in a clear, practical, bullet-point style for rapid reference, this handbook will be your constant companion and a joy to use.
Part of the "What Do I Do Now?" series, Peripheral Nerve and Muscle Disease uses a case-based approach to cover common and important topics in the diagnosis and treatment of neuromuscular disorders. Each chapter provides an overview of the approach to the problem in question followed by a discussion of the diagnosis, key points to remember, and selected references for further reading. In this edition, new cases include: Lambert-Eaton Syndrome, Botulism, Facioscapulohumeral Muscular Dystrophy, and Small Fiber Neuropathy Associated with Fibromyalgia. Peripheral Nerve and Muscle Disease is an engaging collection of thought-provoking cases which clinicians can utilize when they encounter difficult patients on the ward or in the clinic. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?
How climate change can affect our health, from heat-related illnesses to extreme weather events. Climate change affects not just the planet but the people who live on it. In this book, physician Alan Lockwood describes how global warming will be bad for our health. Drawing on peer-reviewed scientific and medical research, Lockwood meticulously details the symptoms of climate change and their medical side effects. Our global ecosystems create webs of interdependence that support life on the planet. Lockwood shows how climate change is affecting these ecosystems and describes the resulting impact on health. For example, rising temperatures create long-duration heat waves during which people sicken and die. Climate change increases the risk for certain infectious diseases, including malaria, dengue fever, West Nile virus, Zika, and Lyme disease. Extreme weather and poor soil conditions cause agricultural shortfalls, leading to undernutrition and famine. There is even evidence that violence increases in warmer weather—including a study showing that pitchers throw “beanballs” (balls thrown with the intention of hitting the batter) significantly more often in hot weather. Climate change is real and it is happening now. We must use what we know to adapt to a warmer world and minimize adverse health effects: make city buildings cooler with air conditioning and “cool roofs,” for example, and mobilize resources for predicted outbreaks of disease. But, Lockwood points out, we also need prevention. The ultimate preventive medicine is reducing greenhouse gas emissions and replacing energy sources that depend on fossil fuels with those that do not.
Internationally lauded as the preeminent text in the field, Campbell-Walsh Urology continues to offer the most comprehensive coverage of every aspect of urology. Perfect for urologists, residents, and practicing physicians alike, this updated text highlights all of the essential concepts necessary for every stage of your career, from anatomy and physiology through the latest diagnostic approaches and medical and surgical treatments. The predominant reference used by The American Board of Urology for its examination questions. Algorithms, photographs, radiographs, and line drawings illustrate essential concepts, nuances of clinical presentations and techniques, and decision making. Key Points boxes and algorithms further expedite review. Features hundreds of well-respected global contributors at the top of their respective fields. A total of 22 new chapters, including Evaluation and Management of Men with Urinary Incontinence; Minimally-Invasive Urinary Diversion; Complications Related to the Use of Mesh and Their Repair; Focal Therapy for Prostate Cancer; Adolescent and Transitional Urology; Principles of Laparoscopic and Robotic Surgery in Children; Pediatric Urogenital Imaging; and Functional Disorders of the Lower Urinary Tract in Children. Previous edition chapters have been substantially revised and feature such highlights as new information on prostate cancer screening, management of non–muscle invasive bladder cancer, and urinary tract infections in children. Includes new guidelines on interstitial cystitis/bladder pain syndrome, uro-trauma, and medical management of kidney stone disease. Anatomy chapters have been expanded and reorganized for ease of access. Boasts an increased focus on robotic surgery, image-guided diagnostics and treatment, and guidelines-based medicine. Features 130 video clips that are easily accessible via Expert Consult. Periodic updates to the eBook version by key opinion leaders will reflect essential changes and controversies in the field. Expert Consult eBook version included with purchase. This enhanced eBook experience offers access to all of the text, figures, tables, diagrams, videos, and references from the book on a variety of devices.
Since 1954, Campbell-Walsh Urology has been internationally recognized as the pre-eminent text in its field. Edited by Alan J. Wein, MD, PhD(hon), Louis R. Kavoussi, MD, Alan W. Partin, MD, PhD, Craig A. Peters, MD, FACS, FAAP, and the late Andrew C. Novick, MD, it provides you with everything you need to know at every stage of your career, covering the entire breadth and depth of urology - from anatomy and physiology through the latest diagnostic approaches and medical and surgical treatments. Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, definitive text in the field! Required reading for all urology residents, Campbell-Walsh Urology is the predominant reference used by The American Board of Urology for its board examination questions. Visually grasp and better understand critical information with the aid of algorithms, photographs, radiographs, and line drawings to illustrate essential concepts, nuances of clinical presentation and technique, and decision making. Stay on the cutting edge with online updates. Get trusted perspectives and insights from hundreds of well-respected global contributors, all of whom are at the top and the cutting edge of their respective fields. Stay current with the latest knowledge and practices. Brand-new chapters and comprehensive updates throughout include new information on perioperative care in adults and children, premature ejaculation, retroperitoneal tumors, nocturia, and more! Meticulously revised chapters cover the most recent advancements in robotic and laparoscopic bladder surgery, open surgery of the kidney, management of metastic and invasive bladder cancer, and many other hot topics!Reference information quickly thanks to a new, streamlined print format and easily searchable online access to supplemental figures, tables, additional references, and expanded discussions as well as procedural videos and more at www.expertconsult.com. The new edition of Campbell-Walsh Urology is the must have reference for practitioners and residents!
This clear and accessible text helps public health students and officials gain a solid understanding of geographic information systems technology. Using examples drawn from public health practice, the author shows how to best harness the opportunities of this exciting technological development.
This is a valuable and scholarly contribution to modern monetary theory. It keeps alive the ideas of monetary disequilibrium proposed by such writers as Clower, Leijonhufvud, Yeager and Laidler. While so much of monetary theory has focused on aggregate issues of how national income and the rate of inflation are determined, making use of large scale general equilibrium models, this work aims at the more fundamental question of how monetary factors facilitate the realization of gains from trade at the micro level, how they affect adjustment processes that work in individual markets, and how the interaction between these individual adjustment processes determines the performance of the overall economic system. The book is definitely worth the attention of any serious student of money. Peter Howitt, Brown University, US Alan Rabin argues that new Keynesian and new classical macroeconomics, which have dominated the literature and textbooks, have crowded the monetary-disequilibrium hypothesis, or orthodox monetarism, off the intellectual stage. Trying to remedy this imbalance, the author concentrates on what he judges to be the essentials of monetary theory. Emphasizing money s fundamental role in lubricating exchanges and promoting economic coordination, Alan Rabin argues that when the lubricant goes awry, so do the processes being lubricated. Monetary disequilibrium can have repercussions that last months and even years. The book presents the author s interpretation of Yeager s enormous contributions to monetary theory, especially his development of monetary-disequilibrium theory, while also building on the contributions of Patinkin, Clower, Leijonhufvud, Barro and Grossman, and Laidler. A unique hybrid of treatise and graduate text, Monetary Theory fills a tremendous void in the current literature and will be of interest to scholars and students of monetary theory and economic thought.
Antibiotic Basics for Clinicians, South Asian Edition, simplifies the antibiotic selection process for the clinicians with up-to-date information on the latest and most clinically relevant antibacterial medications. This time-saving resource helps medical students master the rationale behind antibiotic selection for common
This volume contains information on over 500 inspected and selected camping and caravanning parks in Britain and Ireland. It lists facilities available for fishing, golf, riding and boat launching, and listing of parks open all year.
Annotation Armed with first-hand information, Alan Kane describes over 170 scrambles in a clear, concise format. This includes equipment needed, when to go, how to get there, where to park and what to expect as you work your way to the summit. Photos showing the ascent line complement descriptions that include historical trivia, origins of placenames and summit views. Routes range from off-trail hiking suitable for strong hikers to challenging routes at the low end of technical climbing where use of specific handholds is required on steep, airy terrain.
This unique social history examines 200 years of controversy surrounding British Railways—from the dawn of industrialization to contemporary light rail. During the Industrial Revolution, the power of landowning aristocrats was challenged by the emergent wealth and influence of the urban middle class. There was no greater symbol of this seismic shift in society than the British Railways Companies. Railways, with their powers of compulsory purchase, intruded brutally into the previously sacrosanct estates and pleasure grounds of Britain's traditional ruling elite. Aesthetes like Ruskin and poets like Wordsworth ranted against railways; Sabbatarians attacked them for providing employment on the Lord's Day; antiquarians accused them of vandalism by destroying ancient buildings; others claimed their noise would make cows abort and chickens cease laying. And while the complaints have certainly changed, railways have continued to provoke debate ever since. Arguments have raged over railway nationalization and privatization, about the Beeching Plan to increase efficiency, and around urban light rail systems. Examining railways from their beginnings to the present, this book provides insights into social, economic and political attitudes and emphasizes both change and continuity over 200 years.
This book provides the reader with a complete and concise introduction to rheumatic illness. While rheumatic disease often manifests itself in conditions affecting the musculoskeletal system, the authors stress that a comprehensive multidisciplinary approach is needed for diagnosis, to aid understanding of rheumatic disease with multisystem involvement. Rheumatology, A Color Handbook covers epidemiology, pathogenesis, diagnosis and management of each condition. Common forms of arthritis (including rheumatoid arthritis, osteoarthritis, gout and others) are covered in addition to allied conditions including vasculitis, osteoporosis, lupus and other allied health conditions. The book is useful for recently qualified physicians/residents, general practitioners, medical students, and other healthcare professionals involved in the care of patients with rheumatic disease.
This volume is the third in a series of succinct, analytical reviews of advances in the psychiatric care of medically ill patients. Like the previous volumes, Medical-Psychiatric Practice, Volume 3 is designed to continually update the busy clinician on research and practical developments in medical psychiatry. Under the guidance of an eminent editorial advisory board, this volume addresses several specific clinical problems that require an integrated medical-psychiatric approach to their diagnosis and treatment. It includes an in-depth discussion of psychopharmacokinetics as well as an update on psychopharmacology in medically ill patients.
A Geo-Big Year: Pandemic Retirement is for the Birds. This book recounts a year-long birding quest across Pennsylvania in 2021. The quest was to see at least 67 bird species in each of the state's 67 counties. During the quest year, the author (now Professor of Geography Emeritus from Penn State University) coped with the process of retiring after 42 years in academia and the challenges that the Covid-19 pandemic posed for safe travel. The book chronicles the birding experiences and birds seen as well as the travel and retirement challenges. The story, told chronologically, is focused on the search for birds. It includes an account of what birds were seen (or not seen) in specific counties and specific sites within those counties. It also recounts the quest itself as it unfolded. Written by a Geographer, places visited are also highlighted. The narrative conveys the adventure of experiencing the mix of both popular and seldom visited places. These places were mostly rural and included state and county parks, game lands, wildlife refuges, trails, and forests across the state together with less attractive places (for humans) that still attract birds (such as cemeteries, retention ponds, and county dumps). The book includes 471 black and white figures, most of which are photo composites of birds seen and/or of the places visited. In total, the 471 figures consist of more than 600 photos of birds plus more than 300 other images (that include landscape scenes, signage, non-bird creatures seen, maps, and graphs). The book is intended for a wide audience. Aspects of the account should resonate with readers who: are or want to be birders; are retired or contemplating retirement; like to travel, particularly on back roads and to natural places that are off the beaten track; are academics thinking about work life balance; have tried (or thought about trying) camping after not doing any for a long time; have a bucket list to pursue; have experienced life changes or expect to have some soon; or have ever contemplated pursuing a birding big year or any other kind of year-long quest.
Most textbooks on infectious diseases take a disease-specific and/or organ-specific approach. In this book a patient-centred approach is taken. The starting point is the patient’s presenting problem and its evolution. The focus is on clinical diagnosis and principles of management. The book comprises six parts. Part I, ‘General approach to infectious diseases’, establishes the patient-centred approach. Part II outlines presenting problems and syndromes, and Part III, infections of organ systems. These two sections highlight day-to-day problems faced by clinicians, differential diagnoses and management. Part IV covers specific infections, chosen for their importance or unique nature, and Part V deals with infectious problems in specific hosts and settings. Part VI outlines the principles of antimicrobial therapy and disease prevention through immunisation. The book concludes with a set of ‘golden rules of infectious diseases’. This is not a comprehensive infectious diseases textbook; it contains what the editors consider to be core knowledge and skills for the practising clinician. Infectious diseases in adults are the primary focus; paediatric infectious diseases are not covered in any detail. In this third edition All the original chapters have been thoroughly reviewed and updated. Three new chapters have been added: chapter 25, ‘Herpesvirus infections’, chapter 41, ‘Viral and rickettsial infections of particular relevance to Australia’, and chapter 43, ‘Infectious diseases in the South-East Asia region’. An Australasian character is evident, with the inclusion of five new authors from New Zealand and (where relevant and possible) the inclusion of data from New Zealand. The companion CD that was included in the second edition has not been retained. Senior medical students, graduates, and more experienced clinicians interested in the clinical skills of infectious diseases, will find this book refreshingly straightforward, easy to read, and rich with clinical pearls.
With the 13th edition, Wintrobe’s Clinical Hematology once again bridges the gap between the clinical practice of hematology and the basic foundations of science. Broken down into eight parts, this book provides readers with a comprehensive overview of: Laboratory Hematology, The Normal Hematologic System, Transfusion Medicine, Disorders of Red Cells, Hemostasis and Coagulation; Benign Disorders of Leukocytes, The Spleen and/or Immunoglobulins; Hematologic Malignancies, and Transplantation. Within these sections, there is a heavy focus on the morphological exam of the peripheral blood smear, bone marrow, lymph nodes, and other tissues. With the knowledge about gene therapy and immunotherapy expanding, new, up-to-date information about the process and application of these therapies is included. Likewise, the editors have completely revised material on stem cell transplantation in regards to both malignant and benign disorders, graft versus host disease, and the importance of long-term follow-up of transplantation survivors.
When it was ratified in 1791, the First Amendment to the Constitution of the United States sought to protect against two distinct types of government actions that interfere with religious liberty: the establishment of a national religion and interference with individual rights to practice religion. Since that time, no question has so bedeviled the U.S. Supreme Court as finding the best way to interpret and apply the Establishment Clause and the Free Exercise Clause of the First Amendment. In this unique and timely book, Jay Sekulow examines not only the key cases and their historical context that have shaped the law concerning church-state relations, but also, for the first time, the impact of the religious faith and practices of Supreme Court Justices who have ruled in each case. Covering cases from the teaching of religion in public schools and the use of federal funds for parochial schools to today's debates about the Pledge of Allegiance and public displays of the Ten Commandments, Witnessing Their Faith is essential reading for anyone interested in the history and future of religious freedom in America.
Written by and for scholars, planners, and policymakers, Natural Resource Management: The Human Dimension focuses on issues such as the publics role in the decision-making processes of ecosystem management that affect how we use (or abuse) resources. It exposes the reader to a wide variety of applications of Human Dimensions Research, as well as to significant issues involved. One of the greatest needs in natural resource management is for a deeper understanding of the intricate relationship between humans and the natural environment. Human Dimensions Research, an interdisciplinary field involving a broad variety of social science approaches, seeks to fill this need by providing multidimensional assessments of peoples’ behavior, attitudes, and expectations toward natural resources and their uses. Written by and for scholars, planners, and policymakers, Natural Resource Management: The Human Dimension focuses on issues such as the publics role in the decision-making processes of ecosystem management that affect how we use (or abuse) resources. It exposes the reader to a wide variety of applications of Human Dimensions Research, as well as to significant issues involved. At a time when we are either loving our forests and parks to death or paving them over, a better understanding of the problems is critical if we are to create workable policies that will preserve and protect our natural resources
This excellent book provides a fresh approach to multiple sclerosis, detailing the newest developments in a lively style. Particular emphasis is placed on areas of controversy and uncertainty The information conveyed is accessible to all practitioners in the field of multiple sclerosis.
Born the child of an agricultural labourer in Dorset's Blackmore Vale, by self-education William Barnes (1801-1886) rose to be a lawyer's clerk, a schoolmaster, a much-loved clergyman, and a scholar who could read over seventy languages. He also became the finest example of an English poet writing in a rural dialect. In this book, Alan Chedzoy shows how, uniquely, he presented the lives of pre-industrial rural people in their own language. He also recounts how Barnes's linguistic studies enabled him to defend the controversial notion that the dialect of the labouring people of Wessex was the purest form of English. Serving both as an anthology and an account of how the poems came to be written, this biography is essential reading for anyone who wants to discover more about the man who, in an obituary, Thomas Hardy described as 'probably the most interesting link between present and past life that England possessed'.
This will help us customize your experience to showcase the most relevant content to your age group
Please select from below
Login
Not registered?
Sign up
Already registered?
Success – Your message will goes here
We'd love to hear from you!
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.