An emerging U.S. grand strategy--the promotion of democracy and freedom abroad--will certainly involve the U.S. armed forces. Although they must change to meet changes in emphasis and demand, theycannot risk their historic strengths. Some areas of interest are the organization and employment of forces, planning for future conflicts, developing information resources, and fostering partnerships among the services and with allies.
This report is the last of a six-volume series in which RAND explores the elements of a national strategy for the conduct of U.S. foreign policy. It analyzes U.S. strengths and weaknesses, and suggests adaptations for this new era of turbulence and uncertainty. The report offers three alternative strategic concepts and evaluates their underlying assumptions, costs, risks, and constraints.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Substantially updated with more illustrations and brand-new chapters that reflect the growth and advances in the field, this latest edition of Acute Care Surgery features an editorial board drawn from the ranks of trauma surgery, emergency surgery, and critical care surgery. A comprehensive, updated, and timely overview of this fledgling specialty!
This comprehensive appraisal of the problems and economics of biodiversity conservation will be welcomed by researchers and practitioners as an explicit hands-on application of the contingent valuation method.
All too often the experience of users of family therapy is neglected in the theory and practice of family therapy as well as in the literature itself. In Introducing User-Friendly Family Therapy the authors describe in detail how the results of an action research project helped the professionals involved to modify their practice. They draw out the implications of the research for providing a genuinely user-friendly service and set the arguments for a more humanistic approach in the wider context of contemporary social policy. Thought-provoking and practical in emphasis, this book places the user at the centre of the stage and insists that family therapy can only flourish if it becomes genuinely empowering and user-friendly.
Covering all areas of trauma, critical care, and emergency surgery, The Trauma Manual: Trauma and Acute Care Surgery, 5th Edition, brings you fully up to date with recent changes in the field. This pocket manual is an indispensable resource for everyone on the trauma/acute care team, with practical, easy-to-read coverage of the wide range of patients seen daily with urgent presentation – whether from injury, emergency general surgical disease, or a major complication. This user-friendly manual is one that every trauma surgeon, surgical resident, surgical critical care specialist, emergency medicine physician, and emergency or trauma nurse will want to keep close at hand for daily use.
An urgent look at how America's national security machine went astray and how it fails to keep us safe—and what we can do to fix it. Again and again, American taxpayers are asked to open their wallets and pay for a national security machine that costs $1 trillion operate. Yet time and time again, the US government gets it wrong on critical issues. So what can be done? Enter bestselling author Thom Shanker and defense expert Andrew Hoehn. With decades of national security expertise between them and access to virtually every expert, they look at what’s going wrong in national security and how to make it go right. Age of Danger looks at the major challenges facing America—from superpowers like Russia and China to emerging threats like pandemics, cybersecurity, climate change, and drones—and reimagines the national security apparatus into something that can truly keep Americans safe. Weaving together expert analysis with exclusive interviews from a new generation of national security leaders, Shanker and Hoehn argue that the United States must create an industrial-grade, life-saving machine out of a system that, for too long, was focused only on deterring adversaries and carrying out global military operations. It is a timely and crucial call to action—a call that if heeded, could save Americans lives, money, and our very future on the global stage.
Costing billions of dollars annually, international trade in agricultural products is impactful and influenced by several factors, including climate change, food policy, and government legislation. The third edition of Agricultural Policy, Agribusiness, and Rent-Seeking Behaviour provides comprehensive economic analyses of the policies that affect agriculture and agribusiness in Canada and the United States. Looking at current agricultural policies, the third edition includes new chapters on food pyramids, climate change, and GMOs, while also highlighting the effect of international policies on Canadian trade, including the problematic US ethanol policy. The new edition addresses current issues, including how the COVID-19 pandemic has negatively affected agricultural value chains and played a hand in the ongoing growth in opioid use. Including a number of key findings, and discussing current debates on topics including foreign ownership of Canadian farmland, Agricultural Policy, Agribusiness, and Rent-Seeking Behaviour will appeal to students in agricultural economics and policy, as well as policymakers, agricultural firms, energy companies, and readers wishing to reduce their nation’s carbon footprint.
Completely up to date with the latest exam changes, Get Through First FRCR: Questions for the Anatomy Module offers a valuable insight into the new anatomy exam. 170 high quality practice cases, each containing 5 question stems, are presented according to syllabus topics, accurately reflecting the content, style and level of difficul
Many arborists learn tree work practices without fully understanding the biological and physiological principles behind them. However, outcomes for the health and longevity of trees are greatly improved when an arborist understands the science behind the care of tree root systems and crowns. In Applied Tree Biology, Drs. Hirons and Thomas draw upon their decades of experience in the laboratory, classroom, and the field – as well as the expertise of distinguished contributors to this volume – to provide those responsible for tree care with the scientific information that informs best practices for planting, pruning, soil decompaction, irrigation, and much more. Takes a multidisciplinary approach, integrating knowledge from plant biology, physiology, arboriculture, ecology, and more Provides a systematic presentation of fundamental tree biology and the scientific principles informing high quality tree care Presents accessible scientific information and best practices that help promote the health and longevity of trees Reflects the authors’ decades of experience as tree biology researchers and educators, as well as their years of professional experience across the globe Applied Tree Biology is an indispensable source of practical, succinct information on tree biology, physiology, and ecology for professionals and interested amateurs involved with the care of trees. Arborists, foresters, and horticulturists at all stages of their careers will find this text particularly useful.
Down the ages, war epidemics have decimated the fighting strength of armies, caused the suspension and cancellation of military operations, and have brought havoc to the civil populations of belligerent and non-belligerent states alike. This book examines the historical occurrence and geographical spread of infectious diseases in association with past wars. It addresses an intrinsically geographical question: how are the spatial dynamics of epidemics influenced by military operations and the directives of war? The term historical geography in the title indicates the authors' primary concern with qualitative analyses of archival source materials over a 150-year time period from 1850, and this is combined with quantitative analyses less frequently associated with historical studies. Written from the viewpoints of historical geography, epidemiology, and spatial analysis, this book examines in four parts the historical occurrence and geographical spread of infectious diseases in association with wars. Part I: War and Disease, surveys war-disease associations from early times to 1850. Part II: Temporal Trends studies time trends since 1850. Part III: A Regional Pattern of War Epidemics, examines grand themes in the war-disease complex. Part IV: Prospects, considers a series of war-related issues of epidemiological significance in the twenty-first century.
The second edition of the groundbreaking Agricultural Policy, Agribusiness, and Rent-Seeking Behaviour expands upon its original analysis of the economic policies that affect agriculture and agribusiness. Widening their lens to include information on the European Union, the authors continue to emphasize the role of farmers and agribusiness in the formation of policy, exploring the issues from both economic and historical perspectives. More theoretical than the first volume in its discussions of welfare economics and the theory of public choice, the second edition also addresses the broad significance of agricultural policies such as biofuels, nutrition, multifunctionality, genetically modified organisms, and multinational firms. The authors maintain and expand the empirical content to provide more practical examples suited to teaching and analyse specific problems including price and income stabilization, science policy, environmental policy, and food quality and safety.
Most medicines have never been adequately tested for safety and efficacy in pediatric populations and preterm, infants and children are particularly vulnerable to adverse drug reactions. Pediatric Drug Development: Concepts and Applications, Second Edition, addresses the unique challenges in conducting effective drug research and development in pediatric populations. This new edition covers the legal and ethical issues of consent and assent, the additional legal and safety protections for children, and the appropriate methods of surveillance and assessment for children of varying ages and maturity, particularly for patient reported outcomes. It includes new developments in biomarkers and surrogate endpoints, developmental pharmacology and other novel aspects of global pediatric drug development. It also encompasses the new regulatory initiatives across EU, US and ROW designed to encourage improved access to safe and effective medicines for children globally. From an international team of expert contributors Pediatric Drug Development: Concepts and Applications is the practical guide to all aspects of the research and development of safe and effective medicines for children.
Integrates knowledge on microfiltration and ultrification, membrane chemistry, and characterization methods with the engineering and economic aspects of device performance, device and module design, processes, and applications. The text provides a discussion of membrane fundamentals and an analytical framework for designing and developing new filtrations systems for a broad range of technologically important functions. It offers information on membrane liquid precursors, fractal and stochastic pore space analysis, novel and advanced module designs, and original process design calculations.
Apply cutting-edge expertise to manage your patients’ scarring issues! Scarring and fibrosis affect millions of people worldwide, and can be devastating both physically and psychologically, whether they result from major trauma such as burns or common conditions such as acne. Put today’s most advanced clinical approaches to work for your patients with The Scar Book: Formation, Mitigation, Rehabilitation, and Prevention! A multidisciplinary team of leading world experts presents the state of the art in scar pathophysiology and treatment, breaking down the barriers between medical disciplines to provide unprecedented holistic guidance.
Exploring the elements of a national strategy for U.S. foreign policy, the book examines critical global, regional, and other policy issues and decisions likely to confront the next president and senior U.S. officials in 2017 and beyond.
This is the story of two great sports. One is "America's game," while the other is "the world's game." Baseball and soccer are both beloved cultural institutions. What draws fans to one game is often a mystery to fans of the other. Despite superficial differences, however, the business and culture of these sports share more in common than meets the eye. This is the first in-depth, cross-cultural comparison of these two great pastimes and the megabusinesses that they have become. In National Pastime, Stefan Szymanski and Andrew Zimbalist illustrate how the different traditions of each sport have generated different possibilities for their commercial organization and exploitation. They pay special attention to the rich and complex evolution of baseball from its beginnings in America, and they trace modern soccer from its foundation in England through its subsequent expansion across the world. They illustrate how Victorian administrators laid the foundation for Major League Baseball (MLB) and soccer leagues such as the English Premier League, Italy's Serie A, and the European Champions League. The authors show how the organizers of baseball and soccer have learned from each other in the past and how they can continue to do so. Both sports are rich in tradition. In some cases, however, these traditions—often arbitrary rules established by long-defunct administrators—have obstructed the healthy development of the sport. By studying the experiences of other sports, it might be possible to develop new and better ways to operate. For example, soccer might benefit from greater cooperation among teams as in baseball. On the other hand, MLB could learn from soccer's relegation rules and more open system of ownership, thus avoiding some of the excesses (competitive imbalance, uneven team resources) associated with monopoly. National Pastime does not advocate the jettisoning of all tradition to adopt wholesale the approach of another sport, of course. In an era of globalization, where business interests are increasingly looking to transplant organizational ideas in order to maximize profits, the authors argue that fan-friendly reforms may be necessary in order to avoid something worse. Ultimately, they propose no simple solutions, instead suggesting specific reforms to the organization of baseball and soccer, drawing on each other's experiences. Lively and accessibly written, this book is essential reading for business analysts, journalists, policymakers, and managers of both sports. Most of all, however, it will appeal to baseball and soccer aficionados, whether they root for the New York Yankees, Manchester United, or Real Madrid.
In 1998, over 120 million prescriptions were written for antidepressants. That number is projected to rise by almost thirty million by the end of 2000. Despite this growing trend, many patients find that their doctors do not tell them all they need to know about the medications to make their treatments as successful as possible. The Antidepressant Sourcebook is the first place to turn for people taking antidepressants for the first time and for the millions who have already taken them. Here, in one concise reference, is all the reader needs to know, including what to talk about with the doctor, how to start and stop medications, and what to expect in the course of treatment. It is a written complement to what the doctor tells you. It answers every question a patient might have: How do I know if I'm on the right medication? Will my antidepressant interact with other medications I'm taking? Can I take it while pregnant? Will it change my personality? Do I need psychotherapy? If you or someone you love is taking antidepressants for depression, an anxiety disorder, or any other reason, your concerns will be addressed here. The Antidepressant Sourcebook is the most comprehensive primer you can own, offering hands-on advice and clear information. It's required reading for anyone who is taking or thinking about taking antidepressants.
Traditionally, the concept of quality of life has been viewed through objective indicators. Beyond Facts looks at quality of life through a new lens, namely, the perceptions of millions of Latin Americans. Using an enhanced version of the recently created Gallup World Poll that incorporates Latin America-specific questions, the Inter-American Development Bank surveyed people from throughout the region and found that perceptions of quality of life are often very different from the reality. These surprising findings have enormous significance for the political economy of the region and provide a wealth of information for policymakers and development practitioners to feast upon.
The US–Russian Highly Enriched Uranium (HEU) Purchase Agreement was one of the most remarkable initiatives of Clinton's presidency, yet one of the most obscure that still continues under George W. Bush. This book examines the story behind Clinton's decision and its repercussions on our understanding of arms control, foreign policy decision making and US-Russian relations.
This book addresses the nuts and bolts of planning and preserving natural assets at a variety of scales--from dense urban environments to scenic rural landscapes. A practical guide to creating effective and well-crafted plans and then implementing them, the book presents a six-step process developed and field-tested by the Green Infrastructure Center in Charlottesville, Virginia. Well-organized chapters explain how each step, from setting goals to implementing opportunities, can be applied to a variety of scenarios, customizable to the reader's target geographical location.
Completely reorganized to be more clinically focused on diagnosis and treatment, Principles and Practice of Gynecologic Oncology, Eighth Edition, provides the up-to-date information practitioners, researchers, and students need in an easily accessible manner. Drs. Dennis S. Chi, Dineo Khabele, Don S. Dizon, and Catheryn Yashar oversee an expert team of international, multidisciplinary authors who offer practical coverage of the entire field, including new management and treatment strategies for gynecologic cancers. Each disease site now has a dedicated section with individual chapters on epidemiology, pathogenesis, prevention, diagnostic imaging, radiation, chemotherapy, targeted therapy, and more—all designed for quick clinical reference and efficient study.
The current technology and its applications in flow cytometry are presented in this comprehensive reference work. Described in explicit detail are the instrumentation and its components, and applications of the technology in cell biology, immunology, pharmacology, genetics, hematology and clinical medicine. Methods for data analysis, including both hardware and software, and explicit experimental techniques for making specific measurements are presented. Material is divided by topic into two volumes: Volume I covers instrumentation, genetics, and cell structure; Volume II contains material on cell function studies by flow cytometry. This reference is essential for both the novice and the experienced investigator using flow cytometry in research, and for students of cell biology, biomedical engineering, and medical technology.
Twort's Water Supply, Seventh Edition, has been expanded to provide the latest tools and techniques to meet engineering challenges over dwindling natural resources. Approximately 1.1 billion people in rural and peri-urban communities of developing countries do not have access to safe drinking water. The mortality from diarrhea-related diseases amounts to 2.2 million people each year from the consumption of unsafe water. This update reflects the latest WHO, European, UK, and US standards, including the European Water Framework Directive. The book also includes an expansion of waste and sludge disposal, including energy and sustainability, and new chapters on intakes, chemical storage, handling, and sampling. Written for both professionals and students, this book is essential reading for anyone working in water engineering. - Features expanded coverage of waste and sludge disposal to include energy use and sustainability - Includes a new chapter on intakes - Includes a new chapter on chemical storage and handling
Effective nursing care requires knowledge, skills, and an understanding of the individual who is receiving care. Through the use of this new resource care providers will become better informed about the key elements of care and empowered to deliver that care effectively and with compassion. · Essential guide to the importance and provision of person-centred care · Covers a range of fundamental skills central to daily practice · Supports communication with the patient, promoting the physical and psychological wellbeing of the patient at all times · Enables rapid reference and reflective revision before and after shifts Contents 1: Introduction What is nursing care? - Person-centred care - Fundamentals of care - Person-centred evidence-based practice - The nursing process - Professional regulation - The 6Cs 2: Compassion 3: Care Emotional and psychological care - Caring for an older person - Caring for a person with mental health needs - Caring for a person with a learning disability 4: Communication Person-centred communication - Documentation - Consent and mental capacity - Confidentiality - Discharge planning - The Patient’s Voice - Public health and health promotion 5: Competence Hand hygiene - Comfort and hygiene - Nutrition and assisting with eating - Hydration and assisting with drinking - Assisting with elimination - Assisting with stoma care - Assisting with wound care 6: Courage Safeguarding - Raising concerns/whistleblowing 7: Commitment Reflection - Caring for ourselves
Whether you're a first-time backpacker, an occasional weekend warrior, or a seasoned long-distance trekker, this guide is a must for any backpacking, hiking, or camping trip. Supreme long-distance hiker Andrew Skurka—accomplished adventure athlete, speaker, guide, and writer—shares his knowledge in this essential guide to backpacking gear and skills. Skurka recounts what he's learned from more than 30,000 miles of long-distance hikes, including the Appalachian, Pacific Crest, and Continental Divide Trails, and the 4,700-mile Alaska-Yukon Expedition. A show-and-tell guide to clothing, footwear, backpacks, shelter and sleep systems, camp stoves, and more, as well as tips on foot care, campsite selection, and hiking efficiency, this single book contains all the knowledge you'll need to hit the trail. This second edition features 16 new pages (including food on the trail and other essentials), and updates all gear recommendations.
Essential Neurosurgery provides a comprehensive introductionto neurosurgery for junior surgical trainees and medical students.The book concentrates on the principles of neurosurgical diagnosisand management of the more common central nervous system problems,including an understanding of neurology and the pathological basisof neurological disease. There is also coverage of neurosurgicaltechniques and postoperative patient management. This new edition brings the text fully up to date and includesmany of the biological and technological advances made in the fieldof neurosurgery that have improved surgical possibilities andpatient outcomes. Review quotations from the previous edition ‘flowing and well highlighted text keeps the readerinterested in the subject’ British Journal of Neurosurgery ‘an excellent text…well organised and clearly setout’ Journal of Neurology, Neurosurgery and Psychiatry
The Anthropocene is a major new concept in the Earth sciences and this book examines the effects on geomorphology within this period. Drawing examples from many different global environments, this comprehensive volume demonstrates that human impact on landforms and land-forming processes is profound, due to various driving forces, including: use of fire; extinction of fauna; development of agriculture, urbanisation, and globalisation; and new methods of harnessing energy. The book explores the ways in which future climate change due to anthropogenic causes may further magnify effects on geomorphology, with respect to future hazards such as floods and landslides, the state of the cryosphere, and sea level. The book concludes with a consideration of the ways in which landforms are now being managed and protected. Covering all major aspects of geomorphology, this book is ideal for undergraduate and graduate students studying geomorphology, environmental science and physical geography, and for all researchers of geomorphology.
For more than 30 years, Current Surgical Therapy has been the go-to resource for both residents and practitioners for expert advice on today’s best treatment and management options for general surgery. The 12th Edition, by Drs. John L. Cameron and Andrew M. Cameron, remains the ideal reference for written, oral, and recertifying board study, as well as for everyday clinical practice. Twelve brand-new chapters and many new contributing authors keep you up to date with recent changes in this fast-moving field, helping you achieve better outcomes and ensure faster recovery times for your patients. Presents practical, hands-on advice on selecting and implementing the latest surgical approaches from today’s preeminent general surgeons. Approaches each topic using the same easy-to-follow format: disease presentation, pathophysiology, and diagnostics, followed by surgical therapy. Discusses which approach to take, how to avoid or minimize complications, and what outcomes to expect. Helps you visualize how to proceed with full color images throughout. Trusted by generations of general surgeons as the definitive source on the most current surgical approaches, providing a quick, efficient review prior to surgery and when preparing for surgical boards and ABSITEs. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Features nearly 300 succinct, well-illustrated chapters that summarize today’s best treatment and management advice for a wide variety of diseases and associated surgeries. Includes twelve brand-new chapters covering islet allotransplantation; lower extremity amputations; prehospital management of the trauma patient; ERAS: colon surgery; minimally invasive pancreatic surgery; five new chapters on the breast, and more.
Now in a fully updated 9th Edition, Kendig's Disorders of the Respiratory Tract in Children, by Drs. Robert Wilmott, Andrew Bush, Robin Deterding, and Felix Ratjen, continues to provide authoritative, evidence-based information to residents, fellows, and practitioners in this wide-ranging specialty. Bringing key knowledge from global experts together in one easy-to-understand volume, it covers everything from the latest basic science and its relevance to today's clinical issues, to improving patient outcomes for the common and rare respiratory problems found in newborns and children worldwide. - Uses succinct, straightforward text, numerous tables and figures, summaries at the end of each chapter, and more than 500 full-color images to convey key information in an easy-to-digest manner. - Contains new chapters reflecting expanding knowledge on the respiratory complications of Down syndrome and other genetic disorders, modern molecular therapies for cystic fibrosis and asthma, and pulmonary embolism and thromboembolic disease. - Includes access to a new video library with demonstrations of key procedures. - Features a new templated format with more descriptive headings and bulleted text for quick reference and navigation. - Covers today's key issues, including the genetic basis of respiratory disease, new and emerging respiratory infections, interstitial lung diseases in infants and young children, technology and diagnostic techniques for pulmonary function tests, emerging lung infections, and new therapies for cystic fibrosis and asthma. - Provides up-to-date instruction on important procedures, such as bronchoscopy and pulmonary function testing. - Highlights the knowledge and expertise of three new editors, as well as more than 100 world authorities in the fields of pediatrics, pulmonology, neurology, microbiology, cardiology, physiology, diagnostic imaging, critical care, otolaryngology, allergy, and surgery. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
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