Pain and Its Relief Without Addiction will help people in pain understand why their pain is not always adequately relieved, as well as help reverse the failure of current medical practice to routinely alleviate pain. As noted by a 1992 publication of the United States Department of Health Services, this devastating trend contributes to unnecessary discomfort, longer recovery periods, and compromised patient outcomes. By reading this book, frustrated physicians and, perhaps more importantly, persons in pain can acquire a better understanding of the nature of pain, its connection to the emotions and psychological state of patients, and the impact particular drugs have on the body; this will facilitate relief from pain among a higher percentage of the population.Opioid analgesics comprise many of the chapters in Pain and Its Relief Without Addiction. Author Barry Stimmel, MD, describes the principles to be followed in prescribing opioid analgesics to relieve pain while maintaining one’s daily activities without any limitation in function. The available opioids are described, and the differences between them are reviewed to allow you--as a physician, health care provider, or even a patient--to gain a better insight into the one(s) to use for both acute and chronic pain states. The point that is emphasized is that dependency on an analgesic to relieve pain is no different than dependency on medications to lower blood pressure, prevent heart attacks, treat diabetes, etc. What should be avoided is “addiction,” a condition where function is impaired rather than enhanced.Pain and Its Relief Without Addiction is a guidebook designed to assist physicians and other health professionals in developing a practical approach to pain management and to give patients a fuller understanding of their pain. You’ll gain specific information about: management of acute and chronic pain pain in children pain and cancer pain and AIDS psychological support of persons in pain theories of pain perception the anatomy of painIn Pain and Its Relief Without Addiction, you’ll learn the basic concepts of drug dependence, tolerance, and withdrawal, the pharmacological actions and side effects of drugs used to provide analgesia, and the fundamental steps to be taken in proper pharmacological treatment of pain. The book produces more effective and more informed communication among physicians, other health professionals, and patients so that together they can achieve better pain relief. As Pain and Its Relief Without Addiction illustrates, it is crucial that both patients and physicians understand clearly the terms describing drug use and the behavioral, biochemical, and cellular concepts underlying dependence, tolerance, and withdrawal. Finally, you will acquire a knowledge of all the potential causes of pain and the appropriate steps for intervention.Medical students, new practitioners, and those wishing to reconsider their approaches to pain management will benefit from the book’s coverage of general principles for pain control, the use of drug combinations to provide the most effective relief, methods for treating pain in different populations (such as the elderly and persons with chronic medical conditions), and alternative options for failed treatment. The scope of Pain and Its Relief Without Addiction reaches from nonprescription medications, such as aspirin, to NSAIDS, like ibuprofen, to narcotic analgesics to stimulants such as amphetamines and caffeine. It is the most comprehensive book available on various drugs, their desired effects and side effects, and their use to alleviate pain.
This book analyzes the common narrative residing in American History textbooks published in the first half of the 19th century. That story, what the author identifies as the American “creation” or “origins” narrative, is simultaneously examined as both historic and “mythic” in composition. It offers a fresh, multidisciplinary perspective on an enduring aspect of these works. The book begins with a provocative thesis that proposes the importance of the relationship between myth and history in the creation of America’s textbook narrative. It ends with a passionate call for a truly inclusive story of who Americans are and what Americans aspire to become. The book is organized into three related sections. The first section provides the context for the emergence of American History textbooks. It analyzes the structure and utility of these school histories within the context of antebellum American society and educational practices. The second section is the heart of the book. It recounts and scrutinizes the textbook narrative as it tells the story of America’s emergence from “prehistory” through the American Revolution—the origins story of America. This section identifies the recurring themes and images that together constitute what early educators conceived as a unified cultural narrative. Section three examines the sectional bifurcation and eventual re-unification of the American History textbook narrative from the 1850s into the early 20th century. The book concludes by revisiting the relationship between textbooks, the American story, and mythic narratives in light of current debates and controversies over textbooks, American history curriculum and a common American narrative.
Overcome the toughest clinical challenges in nephrology with the new 9th edition of Brenner/Rector’s The Kidney! A brand-new editorial team of Drs. Maarten W. Taal, Glenn M. Chertow, Philip A. Marsden, Karl Skorecki, Alan S. L. Yu, and Barry M. Brenner,, together with a diverse list of international contributors bring you the latest knowledge and best practices on every front in nephrology worldwide. Brand-new sections on Global Considerations in Nephrology and Pediatric Nephrology, as well as new chapters on recent clinical trials, cardiovascular and renal risk prediction in chronic kidney disease, identification of genetic causes of kidney disease, and many others, keep you at the forefront of this rapidly growing, ever-changing specialty. Brenner/Rector remains the go-to resource for practicing and training nephrologists and internists who wish to master basic science, pathophysiology, and clinical best practices. Broaden your knowledge base with expert, dependable, comprehensive answers for every stage of your career from the most comprehensive, definitive clinical reference in the field! Prepare for certification or recertification with a review of the basic science that underpins clinical nephrology as well as a comprehensive selection of the most important bibliographical sources in nephrology. Visually grasp and better understand critical information with the aid of over 700 full-color high-quality photographs as well as carefully chosen figures, algorithms, and tables to illustrate essential concepts, nuances of clinical presentation and technique, and decision making. Get internationally diverse, trusted guidance and perspectives from a team of well-respected global contributors, all of whom are at the top and the cutting edge of your field. A new editorial team headed by Dr. Taal and hand-picked by Dr. Brenner ensures the ongoing adherence to previous standards of excellence. Access information quickly thanks to a new, reorganized format and supplemental figures, tables, additional references, and expanded discussions. Keep current with the rapid development of care and research worldwide. A new section, "Global Considerations", focuses on regions outside Europe and North America. Leading experts from Latin America, Africa, Near and Middle East, Indian Subcontinent, Far East, Oceania and Australia present their expert insights into specific conditions, as well as progress and challenges in the development of the specialty. Improve therapy and outcomes for children with renal disease. New to this edition, "Pediatric Nephrology" addresses renal pathologies that usually present in childhood and covers topics such as Maturation of Kidney Structure and Function; Fluid; Electrolyte and Acid-Base Disorders in Children; Diseases of the Kidney and Urinary Tract in Children; Dialysis in Children; and Kidney Transplantation in Children. Stay up to date with all the latest clinical information including recent clinical trials, genetic causes of kidney disease, and cardiovascular and renal risk prediction in chronic kidney disease.
While terrorism has been used throughout the ages as a weapon in political struggles, there is an essential difference between groups who use these tactics for more or less rational political goals and those seeking more apocalyptic ends. Cooper argues that today's terrorists have a spiritual perversity that causes them to place greater significance on killing than on exploiting political grievances. He supports his assertion with an analysis of two groups that share the characteristics of a pneumopathological consciousness - Anum Shinrikyo, the terrorist organization that poisoned thousands of Tokyo subway riders in 1995, and Al-Qaeda, the group behind the infamous 9/11 killings.
The third edition of Psychiatric Care of the Medical Patient brings a classic reference text into the twenty-first century. It combines critical scholarship with the voice of expert clinicians who work at the interface of psychiatry with medical specialties. It is meant to be read for pleasure as well as consulted as a reference. The editors have worked with the authors to bring a consistent perspective to the book - one that sees the medical psychiatrist as an agent for bringing a more comprehensive perspective to medical care. Even seasoned and knowledgeable practitioners will find much that is new to them in this book. The volume covers topics in depth that other books in the field may not cover at all, such as the use of herbal and nutritional therapies for medical-psychiatric symptoms and syndromes, and the choice of questionnaires to supplement history-taking. It looks at old topics in a new way: The chapter on the physical examination applies psychometric considerations to the Babinski sign, describes the method and application of quantitative bedside olfactory testing, and discusses smartphone apps to improve the sensitivity of the examination. Psychiatric Care of the Medical Patient, 3rd Edition provides concepts and information to facilitate the dialogue between psychiatrists and general medical specialists - minimizing psychiatric jargon and speaking in the common language of caring and curious physicians.
Gunboat Frontier presents a different interpretation of Indian-white relations in nineteenth-century British Columbia, focusing on the interaction of West Coast Indians with British law and authority. This authority was exercised by officers, seamen, marines, and ships of the Royal Navy on behalf of the colonial governments of Vancouver Island and British Columbia and, after 1871, of Canada.
Experts address the role of neuromodulators and opiate receptors in alcohol and drug dependence. They present innovative research techniques, new discoveries, and possible clinical correlates that allow for a much greater understanding of the clinical phenomena surrounding alcohol and narcotic use. Included in this thought-provoking volume are a comprehensive review of the current knowledge of the endogenous opiates, their interactions with the opiate receptors, and the potential relationship that these substances might have in promoting the development of dependence, tolerance, and withdrawal; the translation of the basic physiologic findings occuring during withdrawal to treatment of withdrawal symptoms in the clinical setting; and a physiological explanation for the rationale of using clonidine and naltrexone to accelaerate the detoxification process without undue discomfort.
This timely and well-researched study describes for the first tim ethe astonishing acquiecence of executive agency officials, members of Congress, and federal judges to Ronald Regan's assertion of extraordinary new presidential power over the federal regulatory process—the controversial Executive Order 12291.From Harry Truman through Jimy Carter, chief executives complained that federal bureaucrats disregarded their policy preferences. presidential influence over regulatory rule making was limited: congressional committees and interest groups commanded more attention. Then in February 1981 Ronal regan abruptly departed from tradition by ordering that regulatory agencies must submit proposed guidelines for Office of Management and Budget approval.Barry D. friedman describes how the executive agencies and Congress responded warily and with skepticism, yet allowed the changes to remain; the judiciary was also willing to retreat from time-honored precedents that had preserved agency prerogative and now accorded due respect to the revolutionary Regan reform initiatives. Institutions that competed for leverage in the system continued to exercise restraint in their mutual relations because they recognized taht all benefitted from the others' viability.This book shows that conventional political science theories and models are now obsolete because of the eruption of presidential control into bureaucratic affairs. new review procedures have restructured relations between the president and the agencies and among the government's three branches. because of Regan's radical initiative, President Bill Clinton and his successors will sit at the bargaining table when regulation policy is developed in Washington, and political theorists will have to work from a new conception of presidential prerogative.
The Science and Technology of Flexible Packaging: Multilayer Films from Resin and Process to End Use, Second Edition provides a comprehensive guide on plastic films in flexible packaging, covering scientific principles, materials properties, processes and end use considerations. Sections discuss the science of multilayer films in a concise and impactful way, presenting the fundamental understanding required to improve product design, material selection and processes. In addition, the book includes information on why one material is favored over another and how film or coating affects material properties. Descriptions and analysis of key properties of packaging films are provided from engineering and scientific perspectives. With essential scientific insights, best practice techniques, environmental sustainability information and key principles of structure design, this book provides information aids in material selection and processing, how to shorten development times and deliver stronger products, and ways to enable engineers and scientists to deliver superior products with reduced development time and cost. - Provides essential information on all aspects of multilayer films in flexible packaging, including processing, properties, materials and end use - Bridges the gap between scientific principles and practical challenges - Includes explanations to assist practitioners in overcoming challenges - Enables the reader to address new challenges, such as design for sustainability and eCommerce
THE NUMBER 1 INTERNATIONAL BESTSELLER 'Holds the key to easing the mental torture of those who have endured a lifelong struggle with the symptoms of acute and chronic anxiety. A unique book by a unique doctor' IRISH TIMES A practical guide to understanding, managing and overcoming anxiety and panic attacks by bestselling author and GP Harry Barry. Do you or does someone you love suffer from general anxiety, social anxiety, panic attacks, a phobia, obsessive-compulsive disorder or post-traumatic stress disorder? Or are you a health-care worker treating people with these disorders? Then this book is for you. Dr Harry Barry combines a deep knowledge of the inner workings of the mind and brain with a wealth of experience treating patients as a GP to offer a way out of the fear, worry and shame of anxiety. In this wise, supportive book, Dr Barry explains clearly and simply what it is about our minds and brains that generates the symptoms of anxiety. Through a series of case studies based on his real-life experiences treating patients, he explains and demonstrates how to use lifestyle changes, mindfulness, exercise and CBT techniques to cope with these symptoms and ultimately feel better. Previously published as Flagging Anxiety: How to Reshape Your Anxious Mind and Brain, this edition has been fully revised and updated.
How Trump has used the federal government to promote conservative policies The presidency of Donald Trump has been unique in many respects—most obviously his flamboyant personal style and disregard for conventional niceties and factual information. But one area hasn't received as much attention as it deserves: Trump's use of the “administrative presidency,” including executive orders and regulatory changes, to reverse the policies of his predecessor and advance positions that lack widespread support in Congress. This book analyzes the dynamics and unique qualities of Trump's administrative presidency in the important policy areas of health care, education, and climate change. In each of these spheres, the arrival of the Trump administration represented a hostile takeover in which White House policy goals departed sharply from the more “liberal” ideologies and objectives of key agencies, which had been embraced by the Obama administration. Three expert authors show how Trump has continued, and even expanded, the rise of executive branch power since the Reagan years. The authors intertwine this focus with an in-depth examination of how the Trump administration's hostile takeover has drastically changed key federal policies—and reshaped who gets what from government—in the areas of health care, education, and climate change. Readers interested in the institutions of American democracy and the nation's progress (or lack thereof) in dealing with pressing policy problems will find deep insights in this book. Of particular interest is the book's examination of how the Trump administration's actions have long-term implications for American democracy.
This IMA Volume in Mathematics and its Applications MULTIPARTICLE QUANTUM SCATTERING WITH APPLICATIONS TO NUCLEAR, ATOMIC AND MOLECULAR PHYSICS is based on the proceedings of a workshop with the same title, which was an integral part of the 1994-1995 IMA program on "Waves and Scattering." We would like to thank Donald G. Truhlar and Barry Simon for their exƯ cellent work as organizers of this meeting and as editors of the proceedings. We also take this opportunity to thank the National Science Foundation (NSF), the Army Research Office (ARO), and the Office of Naval Research (ONR), whose financial support made the workshop possible. A vner Friedman Robert Gulliver v PREFACE The workshop on Multiparticle Quantum Scattering with Applications to Nuclear, Atomic, and Molecular Physics was held June 12-16, 1995 at the Institute for Mathematics and Its Applications in the University of MinƯ nesota Twin Cities campus as part of the 1994-95 Program on Waves and Scattering. There were about seventy participants including the plenary lecturers whose contributions are included in this volume. The workshop was preceded by a two-day tutorial featuring lectures by Donald J. Kouri and Gian Michele Graf, and we are pleased that both Professors Graf and Kouri were able to write up their tutorials as opening chapters of this volume
Ceramic Materials: Science and Engineering is an up-to-date treatment of ceramic science, engineering, and applications in a single, integrated text. Building on a foundation of crystal structures, phase equilibria, defects and the mechanical properties of ceramic materials, students are shown how these materials are processed for a broad diversity of applications in today's society. Concepts such as how and why ions move, how ceramics interact with light and magnetic fields, and how they respond to temperature changes are discussed in the context of their applications. References to the art and history of ceramics are included throughout the text. The text concludes with discussions of ceramics in biology and medicine, ceramics as gemstones and the role of ceramics in the interplay between industry and the environment. Extensively illustrated, the text also includes questions for the student and recommendations for additional reading. KEY FEATURES: Combines the treatment of bioceramics, furnaces, glass, optics, pores, gemstones, and point defects in a single text Provides abundant examples and illustrations relating theory to practical applications Suitable for advanced undergraduate and graduate teaching and as a reference for researchers in materials science Written by established and successful teachers and authors with experience in both research and industry
Stuttering: An Integrated Approach to Its Nature presents the most comprehensive textbook on the topic today, providing an overview of the etiology and development of stuttering and details, appropriate approaches to accurate assessment and treatment. Exploring a variety of practice settings, this core introductory book grounds all topics in a firm basis of the disorder’s origin and nature. This edition has been thoroughly updated to address all current methodologies.
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. This substantially updated edition is clear and concise, packed with precisely written summaries of developmental and behavioral issues for all pediatric clinicians and other healthcare professionals. In a succinct, heavily bulleted style, the authors offer practical guidance on addressing important questions many parents ask about their children’s development and behavior. Ideal for the busy clinician to quickly and efficiently access helpful clinical information on the fly.
Celebrated historian Barry Gough brings a defining era of Pacific Northwest history into focus in this biography of Richard Blanshard, the first governor of Vancouver Island—illuminating with intriguing detail the genesis and early days of Canada's westernmost province. Early one wintry day in March 1850, after seven weary weeks out of sight of land, a well-dressed Londoner, a bachelor aged thirty-two, stood at the ship’s rail taking in the immensity of the unfolding scene. From Her Britannic Majesty’s paddlewheel sloop-of-war Driver, steadily thumping forth on Imperial purpose, all that Richard Blanshard could make out to port, in reflected purple light upon the northern side, was a forested, rock-clad island rising to considerable height. Vancouver’s Island they called it in those far-off days. This was his destination. Richard Blanshard was only governor of the young colony for three short, unhappy years—only one and a half of which were spent in the colony itself. From the very beginning he was at odds with the vastly influential Hudson’s Bay Company, run by its Chief Factor James Douglas, who succeeded Blanshard as governor of the colony of Vancouver Island and later became the first governor of the colony of British Columbia. While James Douglas is remembered, for better or worse, as a founding father of British Columbia, Richard Blanshard’s name is now largely forgotten, despite his vitally important role in warning London of American cross-border aggressions, including a planned takeover of Haida Gwaii. However, his failures highlight the fascinating struggles of the time—the supreme influence of commerce, the disparity between expectations and reality, and the bewildering collision of European and Pacific Northwest culture.
Superconductivity is the ability of certain materials to conduct electrical current with no resistance and extremely low losses. High temperature superconductors, such as La2-xSrxCuOx (Tc=40K) and YBa2Cu3O7-x (Tc=90K), were discovered in 1987 and have been actively studied since. In spite of an intense, world-wide, research effort during this time, a complete understanding of the copper oxide (cuprate) materials is still lacking. Many fundamental questions are unanswered, particularly the mechanism by which high-Tc superconductivity occurs. More broadly, the cuprates are in a class of solids with strong electron-electron interactions. An understanding of such "strongly correlated" solids is perhaps the major unsolved problem of condensed matter physics with over ten thousand researchers working on this topic.
Seidel's Guide to Physical Examination is a comprehensive textbook of physical examination, history-taking, and health assessment with a unique emphasis on differential diagnosis and variations across the lifespan. The book conveys a uniquely compassionate, patient-centered approach to physical examination with a strong evidence-based foundation. Evidence-Based Practice in Physical Examination boxes supply you with current data on the most effective techniques for delivering quality patient care. Clinical Pearls lend insights and clinical expertise to help you develop clinical judgment skills. Functional Assessment boxes present a more holistic approach to patient care that extends beyond the physical exam to patients’ functional ability. Staying Well boxes focus you on patient wellness and health promotion. Risk Factor boxes provide opportunities for patient teaching or genetic testing for a variety of conditions. Differential diagnosis content offers you an understanding of how disease presentations vary and specific information for how to make diagnoses from similar abnormal findings. Abnormal Findings tables equip you with a quick, illustrated reference that allows for comparisons of various abnormalities along with key symptoms and underlying pathophysiology. Sample Documentation boxes clarify appropriate professional language for the process of recording patient assessment data. NEW! Advance Practice Skills highlighted throughout text makes identification and reference easier for students. NEW! Updated content throughout provides you with cutting-edge research and a strong evidence-based approach to care. NEW! Vital Signs and Pain Assessment Chapter groups important, foundational tasks together for easy reference in one location. NEW! Improve readability ensures content remains clear, straightforward, and easy to understand. NEW! Updated illustrations and photographs enhances visual appeal and clarifies anatomic concepts and exam techniques.
These expository lectures contain an advanced technical account of a branch of mathematical analysis. In his own lucid and readable style the author begins with a comprehensive review of the methods of bounded operators in a Hilbert space. He then goes on to discuss a wide variety of applications including Fredholm theory and more specifically his own specialty of mathematical quantum theory. included also are an extensive and up-to-date list of references enabling the reader to delve more deeply into this topical subject.
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