This practical guide presents a concise approach to exploring endocrine pathophysiology through the physical exam, emphasizing common clinical signs in endocrinology that can be elicited through inspection, palpation, percussion or auscultation. The established and proposed mechanisms underlying these physical signs are highlighted, allowing students, residents and trainees to better appreciate endocrine pathophysiology at the bedside. The text is organized sensibly to facilitate quick and efficient review by medical trainees. Major diseases in endocrinology are grouped by organ systems - pituitary, thyroid, adrenal, and so on. Specific physical examination findings in each primary endocrine disease are reviewed and grouped under the categories of clinical features and pathophysiology, followed by related clinical and pathophysiology pearls. A brief description of the clinical finding is followed by a summary of the pathophysiologic mechanisms underlying the stated clinical finding. Relevant normal physiology and pathophysiology are reviewed where applicable, to facilitate learning. There are numerous texts on the pathophysiologic basis of diagnostic and laboratory findings in endocrinology. There is, however, no dedicated text to address questions that might be asked by trainees. Endocrine Pathophysiology satisfies this need in the literature.
Merchant networks generated trade and the exchange of goods between the cities of early modern Europe. This collection of essays analyses these commercial networks, focusing on the roles of kinship, origin, religion and business in creating and maintaining urban economies.
What do Cesare Pavese, Beppe Fenoglio and Primo Levi have in common? Apart from their obvious Piedmontese origins, they and other writers coming from this Italian region share a certain tendency towards multilingualism, which is a characteristic that has not been comprehensively investigated over the years. This study presents a linguistic analysis of a group of modern and contemporary narratives written by Piedmontese authors. The novels and short stories here examined are notable for the intriguing way in which they move between a variety of idioms – Standard Italian, regional vernaculars, English and pastiches (with rare excursions into French). With the support of linguistic and philosophical theories on the relation between identity, alterity and language, the book demonstrates how the use of non-standard parlances is fundamental in both reinforcing the sense of belonging to specific social groups and highlighting the presence of dissimilar identities and ‘other’ cultures. A sociolinguistic study and an analysis of the political and historical context of the region are also provided in order to illustrate how the combination of different varieties in literature reflects the region’s peripheral position, as well as the political and social changes that have occurred in Piedmont since the nineteenth century. This book fills a notable gap, and casts new light on Piedmontese literature.
The date of the Eclogues is much debated.* A preliminary distinction is in order: that between the composition of the individual poems (which, at least in certain cases, were doubtless read immediately and circulated within a restricted group around the poet) and the publication of the final collection. There are only two obvious clues to the dating of the book: the land confiscations in the territory of Cremona and Mantua, which peaked in the aftermath of the battle of Philippi (though continuing during the early 30s BCE: cf. E. 1 and 9), and the consulship of Asinius Pollio, in 40 BCE (E. 4)"--
Since 1975, Dr. Kenneth Swaiman's classic text has been the reference of choice for authoritative guidance in pediatric neurology, and the 6th Edition continues this tradition of excellence with thorough revisions that bring you fully up to date with all that's new in the field. Five new sections, 62 new chapters, 4 new editors, and a reconfigured format make this a comprehensive and clearly-written resource for the experienced clinician as well as the physician-in-training. - Nearly 3,000 line drawings, photographs, tables, and boxes highlight the text, clarify key concepts, and make it easy to find information quickly.
Palaeography, orthography and morphology of the large and important 14th century saga manuscript Möðruvallabók are described in detail using absolute numbers. Where the language isn’t uniform, each of the 11 sagas is described separately.
The definitive guide to developing leadership skills in early years settings, this book will help you to develop a leadership style tailored to your early years setting. Designed to support existing, new and aspiring leaders, it spans all levels of leadership, from organisational and team leadership to practice. It presents key theories of leadership with relevant examples and strategies and is illustrated throughout with case studies, reflective exercises and recommended reading. Once you have read this book, you will be able to plan, implement, sustain, review and evaluate your own and your workplace's improvements to ensure effective leadership, continuous quality improvement and better outcomes for children and families.
This June 2010 version is the most up-to-date travel guide to Nicaragua available anywhere. With this guide you can: - Surf hidden breaks uncovered by local surfers - Summit active volcanoes, zipline over lush rainforest, sit and sip at one of the country's many organic coffee farms, or hang your hammock in a remote Caribbean village - Float through the pristine rain forest that lines the Rio San Juan, tracing the Costa Rican border from Lake Nicaragua to the Caribbean Sea. - Navigate the border crossings with Costa Rica and get around Nicaragua by bus, boat and puddle jumper airplane - Understand the Nicaraguan people and how you can help them live a better life by traveling responsibly - Stay a while volunteering or studying Spanish in Granada, Ometepe, San Juan del Sur or Leon Why settle for an outdated guidebook? The V!VA community of on-the-ground travel writers, local experts and travelers like you are continuously updating and improving this guide at vivatravelguides.com. Join them, and together we'll make the best guidebook to Nicaragua even better.
It also deals with numerous issues important for any semiotics of gesture, such as the question of the relationship between physical forms and meaning, the problem of how to present a description of the gestural repertoire of a community in a consistent manner, the importance of context for the interpretation of gesture, how gestures may be combined, and how they develop as metaphorical expressions."--Jacket.
Vincent Persichetti: Grazioso, Grit, and Gold is the first critical biography of the esteemed American composer, bringing together scholarly work and short contributed essays of prominent performers. Andrea Olmstead weaves a captivating narrative of the composer from his early life to his musical activities at Juilliard and death in 1987.
In The Enemy in Italian Renaissance Epic, Andrea Moudarres examines influential works from the literary canon of the Italian Renaissance, arguing that hostility consistently arises from within political or religious entities. In Dante’s Divina Commedia, Luigi Pulci’s Morgante, Ludovico Ariosto’s Orlando Furioso, and Torquato Tasso’s Gerusalemme Liberata, enmity is portrayed as internal, taking the form of tyranny, betrayal, and civil discord. Moudarres reads these works in the context of historical and political patterns, demonstrating that there was little distinction between public and private spheres in Renaissance Italy and, thus, little differentiation between personal and political enemies. Distributed for the University of Delaware Press
Andrea Zanzotto is one of the most important and acclaimed poets of postwar Italy. This collection of ninety-one pseudo-haiku in English and Italian—written over several months during 1984 and then revised slowly over the years—confirms his commitment to experimentation throughout his life. Haiku for a Season represents a multilevel experiment for Zanzotto: first, to compose poetry bilingually; and second, to write in a form foreign to Western poetry. The volume traces the life of a woman from youth to adulthood, using the seasons and the varying landscape as a mirror to reflect her growth and changing attitudes and perceptions. With a lifelong interest in the intersections of nature and culture, Zanzotto displays here his usual precise and surprising sense of the living world. These never-before-published original poems in English appear alongside their Italian versions—not strict translations but parallel texts that can be read separately or in conjunction with the originals. As a sequence of interlinked poems, Haiku for a Season reveals Zanzotto also as a master poet of minimalism. Zanzotto’s recent death is a blow to world poetry, and the publication of this book, the last that he approved in manuscript, will be an event in both the United States and in Italy.
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