Written specifically for residents and interns, this guide contains updated resources and information on Internet learning; the resident's role as teacher; ways of avoiding physical, violent, and sexual-boundary violations with patients; ethical guidelines; and planning a career.
Accounting for more than 40% of all heart failure problems, diastolic heart failure is a complex and often difficult diagnosis with rapidly evolving diagnostic management protocols. Diastology: Clinical Approach to Heart Failure with Preserved Ejection Fraction, 2nd Edition, brings you up to date and equips you to successfully diagnose and manage even the most challenging incidences of diastolic heart failure and their comorbidities. It incorporates the latest guidelines for the diagnostic evaluation of the patient with suspected or known diastolic dysfunction, provides a comprehensive review of clinical conditions associated with heart failure with preserved ejection fraction, and describes the complementary role of imaging modalities and novel therapeutic approaches. Keeps you current with recent extensive changes in the understanding of the mechanisms of diastolic heart failure with preserved ejection fraction (HFpEF) that have resulted in dramatic changes in treatment guidelines. Covers the latest molecular, genetic, and cellular mechanisms behind diastolic heart failure as a basis for the latest clinical approaches, diagnosis, and treatment of common and uncommon pathological conditions such as hypertensive heart disease, cardiomyopathies, arterial and valvular diseases, pericardial diseases, congenital heart disease, diabetes mellitus, and metabolic syndrome. Features 50 video cases, new key summary points, new multiple-choice review questions, and six new chapters: Evaluation of Diastolic Function by Radionuclide Techniques; Diastology Stress Test; ASE/EACVI Diastolic Guidelines; Valve Disease; Perioperative Assessment of Diastolic Dysfunction; and Pulmonary Hypertension. Reviews new techniques and indices for assessing diastolic function, such as 3D echo, strain rate imaging, late gadolinium enhancement and T1-mapping by CMR, and novel nuclear scintigraphic methods – as well as the traditional indices of LV filling, LA function, and tissue Doppler indices. Covers emerging topics such as the role of neurohormones, global and regional systolic function of the left ventricle, chronotopic incompetence and pacing, aging, perioperative assessment, and more. Presents information in a quick-retrieval format, covering Epidemiology, Pathophysiology, Diagnostic Evaluation, Differential Diagnosis, Treatment, and Future Directions. Helps you learn efficiently and prepare for self-assessment with key summaries and multiple-choice questions and answers for each chapter.
In the late nineteenth century a new form of capitalism emerged in Great Britain and the United States. Before the revolutions in communication and transportation, the owners of firms managed the processes of production, distribution, transportation and communication personally. By the end of the century, however, technological innovation and mass markets fostered the development of large-scale corporate structures, leading to a separation between owners and operators. In this new form of capitalist enterprise managers were increasingly the principal decision makers. This economic transformation spawned social and political tensions which compelled the public and policy makers to decide upon an appropriate response to big business. A primary focus of public discourse was antitrust. This book explores the development of big business and the antitrust response in a comparative context.
Whether through education, sport or festivity, events form the basis on which we attribute cultural meaning, significance and value to our lives. In this light, community events have the potential to create positive and negative social, cultural, economic and environmental impacts within the community across a wide variety of genres and platforms. This book offers a deeper and more critical insight into the relationships, dynamics and planning processes of festivals and events and the impact this has upon authenticity, cultural consumption and the local communities they serve. It does so by looking at a range of key debates in power theory, event planning and design, event construction, experience and meaning, authenticity, sustainability, social inclusion, accessibility and sponsorship engagement. International case studies are embedded within the chapters, examining the role of stakeholders, local communities, organisers, local governments and infrastructure. This critical event studies text is interdisciplinary and will make valuable reading for students and researchers who are interested in the relationships and dynamics involved in the construction and planning of festivals and events, their immediate impact and their significance for the future.
This volume of leading scholarly articles addresses the international dynamics of emergency policy and practice. In a world of increasing technological, economic and political interdependency, it is no longer feasible for states to ignore the pervasive influence of globalisation. The crises wrought by industrial disasters, catastrophic weather events, pandemics, financial implosion and cyber intrusion now transcend and challenge national interests with increasing frequency. The case-studies collected here explore these global dimensions of crisis and the state through the lenses of planning and prevention, acute responses, recovery and reconstruction, and learning about crisis. This collection is essential reading for academics, policy officials and practitioners with an interest in emergency management, risk management and issues of national/global security. In original introductory and concluding chapters to the volume, Legrand and McConnell provide a critical perspective on the challenges that globalisation presents to policymakers under crisis conditions and signposts some of the emerging challenges to the state and international community.
Turn to the field's definitive text for a thoroughunderstanding of the clinical and scientific aspects of pulmonary medicine Since 1980, Fishman's Pulmonary Diseases and Disorders has delivered unparalleled coverage of pulmonary medicine and the underlying basic and applied science upon which clinical practice is based. The Fifth Edition, with 270 contributing authors, includes over 2,000 illustrations, 60 videos, and 18,000 references. The book opens with a comprehensive overview of the scientific basis of lung function in health and disease. It then provides detailed coverage of the broad array of diseases and disorders affecting the respiratory system, including obstructive and restrictive diseases, pulmonary vascular disorders, sleep-disordered breathing, lung neoplasms,respiratory infections, and respiratory failure, among others. The Fifth Edition has been completely updated to reflect the many advancements that have been made in pulmonary medicine over the past few years, including: Molecular development of the lung Stem cells and respiratory disease Genetics of pulmonary disease and the growth of personalized medicine Technical advances in lung transplantation Growth in immunology and immunosuppressive management Diagnosis and treatment of pulmonary hypertension Circadian rhythms and sleep biology Rapid evolution in lung imaging techniques, including functional imaging Contemporary interventional bronchoscopic techniques You will also find state-of-the-art coverage of thelatest topics in critical care medicine, including: Early diagnosis and management of sepsis Multiple organ dysfunction syndrome (MODS) Acute respiratory distress syndrome (ARDS) Management of agitation and delirium in the ICU The newly defined entity of "chronic critical illness
This reference thoroughly equips you to successfully diagnose and manage even the most complex incidences of diastolic heart failure and their comorbidities. It examines the basic mechanisms of this condition through discussions of both cellular and anatomic causes; guides you through non-invasive techniques for diagnosis, including echocardiography, cardiac CT, and MRI; and provides expert advice on pharmacologic management. Covers the basic mechanisms of diastolic heart problems from both cellular and anatomic perspectives. Chapters covering modalities helpful in assessment of diastolic function such as: echocardiography, cardiac MRI, radionuclide ventriculography, and invasive hemodynamic measurements. Features in-depth assessments of all diagnostic methods for diastolic heart failure, including rationales for their use. Examines contributing conditions that play a role in diastolic heart failure and offers guidance on their management. Offers pharmacologic strategies for multiple problem management.
The interplay of roles of the Marquess of Argyll, as clan chief, Scottish magnate and influential British statesman, make him a worthy counterpoint to Cromwell. This book reviews Argyll's formative influence in shaping British frontier policy during the period 1607–38 and his radical, financially creative and highly partial leadership of the Covenanting Movement in Scotland, 1638–45, when Covenanters rather than Royalists or Parliamentarians directed the political agenda in Britain. It examines his role as reluctant but calculated revolutionary in pursuing confessional confederation throughout the British Isles, and in restoring Scotland's international relations particularly with France. His ambivalent role as a military leader is contrasted with that of his genius as a political operator, 1646–51. Reappraising his trial and execution as a scapegoat for reputedly collaborating with Oliver Cromwell and the regicides who executed Charles I in the 1650s, it rehabilitates Argyll's reputation as a tarnished Covenanting hero rather than an unalloyed Royalist villain. The book is firmly grounded in public and private archival sources in the UK, the USA and Scandinavia, and draws especially on privileged access to archives in Inveraray Castle, Argyllshire. It should appeal to those interested in clanship, civil war and British state formation.
A hugely important text for advanced undergraduates as well as graduates with an interest in stream and river ecology, this second, updated edition is designed to serve as a textbook as well as a working reference for specialists in stream ecology and related fields. The book presents vital new findings on human impacts, and new work in pollution control, flow management, restoration and conservation planning that point to practical solutions. All told, the book is expanded in length by some twenty-five percent, and includes hundreds of figures, most of them new.
Some of the world's leading research scientists in the field have contributed to this new book on malaria vaccine development. The book examines various strategies being pursued against the different stages of the parasite (the sporozoite, asexual erythrocytic stages, and sexual stages). It describes vaccines that combat the parasite directly, vaccines aimed at preventing disease, vaccines based on attenuated parasites, and vaccines based on small, carefully defined synthetic peptides. The book provides a compendium of current approaches, lists of preferred antigens, and the results of vaccine trials to date. Molecular immunology involved with both the natural immune response to parasites and with the constraints on inducing immunity are emphasized throughout the book. Views on how vaccines may be tested and then integrated into malaria control programs are also discussed. Molecular Immunological Considerations in Malaria Vaccine Development will be useful for researchers and students in immunology, parasitology, biotechnology, vaccine design, and tropical and public health.
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