Improvements in the design process as applied to ocean structures have received intense interest in recent years. Part of this interest stems from the growing realization that design on a purely deterministic basis is inadequate for structures sub ject to random loads, which are best described by statistical (or probability) methods. This book is an attempt to bridge the gap between present design practices and available analytical techni ques (which may be exploited to improve present procedures). The book itself is an outgrowth of a set of notes prepared for an intensive short course presented over the past three years by the Engineering Extension Division of the University of California at Los Angeles, California. The ensuing presentation is composed of four parts. The material begins with a review of the physical environment (winds, surface gravity water waves and currents) for which engineering type formulations are presented. Hindcasting and forecasting techniques using spectral concepts are included. Special problem areas are enumerated.
Joan Martin was born in the country town of Morawa, Western Australia, in 1941. She was a proud Widi woman whose traditional territory extended from Geraldton eastwards into the salt-lake area. Joan led an exciting and adventurous life, from life in the bush to school in Perth, and back again. But it was a life with great challenges, including efforts to avoid Native Welfare, so as not to be shipped off to a mission, and her later very public battle with Homeswest for the right to live in peace in her own home. Her legacy includes her work on native title, and her art.
With more than 400 projections, Merrill's Atlas of Radiographic Positioning & Procedures, 14th Edition makes it easier to for you to learn anatomy, properly position the patient, set exposures, and take high-quality radiographs. This definitive text has been reorganized to align with the ASRT curriculum — helping you develop the skills to produce clear radiographic images. It separates anatomy and positioning information by bone groups or organ systems — using full-color illustrations to show anatomical anatomy, and CT scans and MRI images to help in learning cross-section anatomy. Merrill's Atlas is not just the gold standard in radiographic positioning texts, and the most widely used, but also an excellent review in preparing for ARRT and certification exams! - Comprehensive, full-color coverage of anatomy and positioning makes Merrill's Atlas the most in-depth text and reference available for radiography students and practitioners. - Frequently performed essential projections identified with a special icon to help you focus on what you need to know as an entry-level radiographer. - Summary of Pathology table now includes common male reproductive system pathologies. - Coverage of common and unique positioning procedures includes special chapters on trauma, surgical radiography, geriatrics/pediatrics, and bone densitometry, to help prepare you for the full scope of situations you will encounter. - Collimation sizes and other key information are provided for each relevant projection. - Numerous CT and MRI images enhance comprehension of cross-sectional anatomy and help in preparing for the Registry examination. - UPDATED! Positioning photos show current digital imaging equipment and technology. - Summary tables provide quick access to projection overviews, guides to anatomy, pathology tables for bone groups and body systems, and exposure technique charts - Bulleted lists provide clear instructions on how to correctly position the patient and body part when performing procedures. - NEW! Updated content in text reflects continuing evolution of digital image technology - NEW! Updated positioning photos illustrate the current digital imaging equipment and technology (lower limb, scoliosis, pain management, swallowing dysfunction). - NEW! Added digital radiographs provide greater contrast resolution for improved visualization of pertinent anatomy. - NEW! Revised positioning techniques reflect the latest ASRT standards.
This book is a learning aid and reference tool that provides all the important information pertaining to radioactive tracers within a single, easy-to-read volume. It introduces a new learning methodology that will help the reader to recall key facts on each tracer, including production, physical and chemical characteristics, study protocols, mechanism of action, distribution, and clearance. In addition, normal and abnormal tracer distributions are graphically reproduced on an outline of the human body using multiple colors. The book will be of value for all radiologists and medical students seeking a reliable source of essential information on radioactive tracers that can be readily consulted during everyday practice and used in preparation for examinations.
**Textbook and Academic Authors Association (TAA) McGuffey Longevity Award Winner, 2024** **Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Radiologic Technology** Perfect your positioning skills with the leading radiography text and clinical reference! Merrill's Atlas of Radiographic Positioning & Procedures, 15th Edition helps you learn to position patients properly, set exposures, and produce the clear radiographs needed to make accurate diagnoses. Guidelines to both common and uncommon projections prepare you for every kind of patient encounter. Anatomy and positioning information is organized by bone group or organ system, and coverage of special imaging modalities includes CT, MRI, sonography, radiation therapy, and more. Written by noted educators Jeannean Hall Rollins, Bruce Long, and Tammy Curtis, Merrill's Atlas is not just the gold standard in imaging — it also prepares you for the ARRT exam! - Comprehensive, full-color coverage of anatomy and positioning makes Merrill's Atlas the most in-depth text and reference available for radiography students and practitioners. - Guidelines to each projection include a photograph of a properly positioned patient and information on patient position, part position, central ray angulation, collimation, KVp values, and evaluation criteria. - Diagnostic-quality radiograph for each projection demonstrates the result the radiographer is trying to achieve. - Coverage of common and unique positioning procedures includes chapters on trauma, surgical radiography, geriatrics/pediatrics, and bone densitometry, to help prepare you for the full scope of situations you will encounter. - Numerous CT and MRI images enhance comprehension of cross-sectional anatomy and help in preparing for the Registry examination. - Frequently requested projections are identified with a special icon to help you focus on what you need to know as an entry-level radiographer. - Image receptor and collimation sizes plus other key information are provided for each relevant projection. - Bulleted lists provide clear instructions on how to correctly position the patient and body part when performing procedures. - Summary tables provide quick access to projection overviews, guides to anatomy, pathology tables for bone groups and body systems, and exposure technique charts. - NEW! Updated content reflects the advances and continuing evolution of digital imaging technology. - NEW! Revised positioning techniques reflect the latest American Society of Radiologic Technologists (ASRT) standards, and include photos of current digital imaging for the lower limb, scoliosis, pain management, and the swallowing dysfunction. - NEW! Added digital radiographs provide greater contrast resolution for improved visualization of pertinent anatomy.
A profound and heart-wrenching work of spiritual storytelling from the internationally acclaimed author of Dead Stars Celebrated for his “up-to-the-nanosecond insider’s knowledge of the L.A. scene” (The Washington Post), Bruce Wagner takes his storytelling in a radically new direction with two linked novellas. In First Guru, a gay Buddhist living in Big Sur achieves enlightenment in the horrific aftermath of his child’s suicide. In Second Guru, Queenie, an aging wild child, returns to India to complete the spiritual journey of her youth. Told in ravaged, sensuous detail to a fictional Wagner by two strangers on opposite sides of the country, years apart from each other, these stories illuminate the random, chaotic nature of human suffering and the miraculous strength of the human spirit.
HOWEVER little the reader may be conversant with ancient histories, in all probability he will know, or have heard this much in general, that the attempt to reach the Source of the Nile, the principal subject of this publication, from very early ages interested all scientific nations: Nor was this great object feebly prosecuted, as men, the first for wisdom, for learning, and spirit (a most necessary qualification in this undertaking) very earnestly interested themselves about the discovery of the sources of this famous river, till disappointment followed disappointment so fast, and consequences produced other consequences so fatal, that the design was entirely given over, as having, upon the fairest trials, appeared impracticable. Even conquerors at the head of immense armies, who had first discovered and then subdued great part of the world, were forced to lower their tone here, and dared scarcely to extend their advances toward this discovery, beyond the limits of bare wishes. At length, if it was not forgot, it was however totally abandoned from the causes above mentioned, and with it all further topographical inquiries in that quarter. Upon the revival of learning and of the arts, the curiosity of mankind had returned with unabated vigour towards this object, but all attempts had met with the same difficulties as before, till, in the beginning of his Majesty’s reign, the unconquerable spirit raised in this nation by a long and glorious war, did very naturally resolve itself into a spirit of adventure and inquiry at the return of peace, one of the first-fruits of which was the discovery of these coy fountains1, till now concealed from the world in general. The great danger and difficulties of this journey were well known, but it was likewise known that it had been completely performed without disappointment or misfortune, that it had been attended with an apparatus of books and instruments, which seldom accompanies the travels of an individual; yet sixteen years had elapsed without any account appearing, which seemed to mark an unusual self-denial, or an absolute indifference towards the wishes of the public. Men, according to their different genius and dispositions, attempted by different ways to penetrate the cause of this silence. The candid, the learned, that species of men, in fine, for whom only it is worth while to travel or to write, supposing (perhaps with some degree of truth) that an undeserved and unexpected neglect and want of patronage had been at least part of the cause, adopted a manner, which, being the most liberal, they thought likely to succeed: They endeavoured to entice me by holding out a prospect of a more generous disposition in the minds of future ministers, when I should shew the claim I had upon them by having promoted the glory of the nation. Others, whom I mention only for the sake of comparison, below all notice on any other ground, attempted to succeed in this by anonymous letters and paragraphs in the newspapers; and thereby absurdly endeavoured to oblige me to publish an account of those travels, which they affected at the same time to believe I had never performed.
This groundbreaking book weaves together three important themes. It describes major developments in the diagnosis and treatment of heart disease in the twentieth century, explains how the Mayo Clinic evolved from a family practice in Minnesota into one of the world's leading medical centers, and reveals how the invention of new technologies and procedures promoted specialization among physicians and surgeons. Caring for the Heart is written for general readers as well as health care professionals, historians, and policy analysts. Unlike traditional institutional or disease-focused histories, this book places individuals and events in national and international contexts that emphasize the interplay of medical, scientific, technological, social, political, and economic forces that have resulted in contemporary heart care. Patient stories and media perspectives are included throughout to help general readers understand the medical and technological developments that are described. The book is a synthetic study, but it is written so that readers may pick and choose the chapters of most interest to them. Another feature of the book is that readers may follow the stories without looking at the notes. Those who are interested in delving deeper into the main topics will find a wealth of carefully chosen references that offer greater detail and additional perspectives. The descriptions and interpretations that fill the book benefit from the fact that the author has been a practicing cardiologist and medical historian for almost four decades. This is mainly a twentieth-century story, but it begins earlier--before there were physicians who were identified as cardiologists and at a time when medical specialization was just emerging in America. The final chapter, which addresses present-day concerns about health care costs, counterbalances earlier ones that might be read as celebrations of new technologies.
The author is a native of the West Coast in the United States, getting a start in life in the San Francisco Bay Area. His early years included a multitude of outdoor activities including fishing, mountaineering, rock climbing, and years of work with the National Park Service as a backcountry ranger. Ever since receiving a master’s degree in biology in the 1970s, the author has been heavily involved with the commercial fishing industry, primarily in Alaska. Along the way, however,his career in fisheries has allowed him to accept long-term overseas work assignments in the Soviet Union, the Sultanate of Oman,and in India. In 1979, the author again packed his well-used rucksack and headed off to Nepal and India where, in part, he completed a trek through the Himalayan highlands in the same areas largely described in this book. It was there in those oxygen-deprived mountain valleys that the author first laid plans to write a book whose main character would ultimately be Rishi as described in the present book. The author found himself continuously asking the question, “What would happen if a new age Messiah would visit the earth today?” And more interestingly, the author queried himself, “What would happen if that modern-day Messiah was neither white nor Christian?” This book, Rishi - the Misunderstood Messiah, attempts to provide one potential answer as to what could take place under the above scenario.
Many books have been written about the Bible, but few explain its origins. This volume provides a fascinating overview of how the Bible was first inspired, canonized, read as sacred literature, copied in ancient Hebrew and Greek manuscripts, and eventually translated into the languages of the world. No other one-volume work can match this wealth of information about the historical development of the Bible.
Now more than ever, the value of Investment-Grade Wines (IGWs) and opportunities to invest in wine as an asset class are soaring. With a little research and a little risk, wine enthusiasts on every level will find it possible to gain big rewards in wine investment -- and there's never been a better time to try. IGWs have dependably outperformed blue chip stocks over the past 150 years, and the upscale wine market is still an area in which independent investors can profit handsomely. A third-generation wine merchant, and CEO of one of the largest rare-wine companies in the world, David Sokolin knows how to turn fine wine into cold cash. And he knows how you can, too. In simple, practical terms, Investing in Liquid Assets provides all the information you need to understand the economic principles that govern the world of fine wine and take advantage of the resources currently available. Using his insider's expertise, Sokolin defines Investment-Grade Wine and identifies the most financially important wine regions and styles. Defining the key players in the field, Sokolin shows you how to navigate the world of wine critics and understand the impact of their scores, and he explains why it's perfectly fine that your own personal tastes really don't matter. He offers tips on where to find reputable sources for fine wine, how to manage storage and resale, as well as all-important buying and selling strategies. In the second half of the book, he gives overviews of the world's greatest wine regions and offers his predictions about which regions and which wines are likely to represent the greatest investment opportunities in the near future. Providing information and tactics previously known only to successful professionals, Investing in Liquid Assets turns your passion for fine wine into a valuable resource that will pay for itself.
Kagero Nikki, translated here as The Gossamer Years, belongs to the same period as the celebrated Tale of Genji by Murasaki Shikuibu. This remarkably frank autobiographical diary and personal confession attempts to describe a difficult relationship as it reveals two tempestuous decades of the author's unhappy marriage and her growing indignation at rival wives and mistresses. Too impetuous to be satisfied as a subsidiary wife, this beautiful (and unnamed) noblewoman of the Heian dynasty protests the marriage system of her time in one of Japanese literature's earliest attempts to portray difficult elements of the predominant social hierarchy. A classic work of early Japanese prose, The Gossamer Years is an important example of the development of Heian literature, which, at its best, represents an extraordinary flowering of realistic expression, an attempt, unique for its age, to treat the human condition with frankness and honesty. A timeless and intimate glimpse into the culture of ancient Japan, this translation by Edward Seidensticker paints a revealing picture of married life in the Heian period.
Ever feel embarrassed because you don't know proper medical terms? This handy reference will help you find the words and abbreviations you need. Each meaning in this dictionary is listed alphabetically by layman's terms and followed by the proper medical term, from "abdominal cavity distension" (celiectasia) to "yellow skinned" (xanthochromia, xanthrochroous).
More than 400 projections make it easier to learn anatomy, properly position the patient, set exposures, and take high-quality radiographs! With Merrill's Atlas of Radiographic Positioning & Procedures, 13th Edition, you will develop the skills to produce clear radiographic images to help physicians make accurate diagnoses. It separates anatomy and positioning information by bone groups or organ systems - using full-color illustrations to show anatomical anatomy, and CT scans and MRI images to help you learn cross-section anatomy. Written by radiologic imaging experts Bruce Long, Jeannean Hall Rollins, and Barbara Smith, Merrill's Atlas is not just the gold standard in radiographic positioning references, and the most widely used, but also an excellent review in preparing for ARRT and certification exams! UNIQUE! Collimation sizes and other key information are provided for each relevant projection. Comprehensive, full-color coverage of anatomy and positioning makes Merrill's Atlas the most in-depth text and reference available for radiography students and practitioners. Coverage of common and unique positioning procedures includes special chapters on trauma, surgical radiography, geriatrics/pediatrics, and bone densitometry, to help prepare you for the full scope of situations you will encounter. Numerous CT and MRI images enhance your comprehension of cross-sectional anatomy and help you prepare for the Registry examination. Bulleted lists provide clear instructions on how to correctly position the patient and body part when performing procedures. Summary tables provide quick access to projection overviews, guides to anatomy, pathology tables for bone groups and body systems, and exposure technique charts. Frequently performed projections are identified with a special icon to help you focus on what you need to know as an entry-level radiographer. NEW! Coverage of the latest advances in digital imaging also includes more digital radiographs with greater contrast resolution of pertinent anatomy. NEW positioning photos show current digital imaging equipment and technology. UPDATED coverage addresses contrast arthrography procedures, trauma radiography practices, plus current patient preparation, contrast media used, and the influence of digital technologies. UPDATED Pediatric Imaging chapter addresses care for the patient with autism, strategies for visit preparation, appropriate communication, and environmental considerations. UPDATED Mammography chapter reflects the evolution to digital mammography, as well as innovations in breast biopsy procedures. UPDATED Geriatric Radiography chapter describes how to care for the patient with Alzheimer's Disease and other related conditions.
Peruvian Foreign Policy in the Modern Era is a chronological treatment of Peruvian foreign policy from 1990 to the present. It focuses on the impact of domestic politics, economic interests, security concerns, and alliance diplomacy on contemporary Peruvian foreign policy. In common with other Latin American states, sovereignty, territorial integrity, regionalism, continental solidarity, and economic independence were core goals of Peruvian foreign policy after independence. In modern times, successive Peruvian governments have continued to address these and related issues in a foreign policy grounded in pragmatism and notable for its emphasis on a rational combination of continuity and change. The Fujimori administration (1990–2000) set the stage for this shift in the direction, tone, and content of the nation’s foreign policy with successor administrations refining and building upon the initiatives launched by Fujimori.
With more than 400 projections presented, Merrill's Atlas of Radiographic Positioning and Procedures remains the gold standard of radiographic positioning texts. Authors Eugene Frank, Bruce Long, and Barbara Smith have designed this comprehensive resource to be both an excellent textbook and also a superb clinical reference for practicing radiographers and physicians. You'll learn how to properly position the patient so that the resulting radiograph provides the information needed to reach an accurate diagnosis. Complete information is included for the most common projections, as well as for those less commonly requested. Comprehensive coverage of anatomy and positioning makes Merrill's Atlas the most in-depth text and reference available for radiography students and practitioners. Essential projections that are frequently performed are identified with a special icon to help you focus on what you need to know as an entry-level radiographer. Full-color presentation helps visually clarify key concepts. Summaries of pathology are grouped in tables in positioning chapters for quick access to the likely pathologies for each bone group or body system. Special chapters, including trauma, surgical radiography, geriatrics/pediatrics, and bone densitometry help prepare you for the full scope of situations you will encounter. Exposure technique charts outline technique factors to use for the various projections in the positioning chapters. Projection summary tables at the beginning of each procedural chapter offer general chapter overviews and serve as handy study guides. Bulleted lists provide clear instructions on how to correctly position the patient and body part. Anatomy summary tables at the beginning of each positioning chapter describe and identify the anatomy you need to know in order to properly position the patient, set exposures, and take high-quality radiographs. Anatomy and positioning information is presented in separate chapters for each bone group or organ system, all heavily illustrated in full-color and augmented with CT scans and MRI images, to help you learn both traditional and cross-sectional anatomy. Includes a unique new section on working with and positioning obese patients. Offers coverage of one new compensating filter. Provides collimation sizes and other key information for each relevant projection. Features more CT and MRI images to enhance your understanding of cross-sectional anatomy and prepare you for the Registry exam. Offers additional digital images in each chapter, including "stitching" for long-length images of the spine and lower limb. Standardized image receptor sizes use English measurements with metric in parentheses. Depicts the newest equipment with updated photographs and images.
Clinical trials are an important part of medicine and healthcare today, deciding which treatments we use to treat patients. Anyone involved in healthcare today must know the basics of running and interpreting clinical trial data. Written in an easy-to-understand style by authors who have considerable expertise and experience in both academia and industry, Principles and Practice of Clinical Trial Medicine covers all of the basics of clinical trials, from legal and ethical issues to statistics, to patient recruitment and reporting results. - Jargon-free writing style enables those with less experience to run their own clinical trials and interpret data - Book contains an ideal mix of theory and practice so researchers will understand both the rationale and logistics to clinical trial medicine - Expert authorship whose experience includes running clinical trials in an academic as well as industry settings - Numerous illustrations reinforce and elucidate key concepts and add to the book's overall pedagogy
A CONCISE YET THOROUGH OVERVIEW OF THE MEDICATIONS AND APPROACHES USED IN CANCER CARE--BACKED BY THE AUTHORITY OF HARRISON'S Harrison's Manual of Oncology is a carry-anywhere guide to the care of patients with cancer. Enhanced by the latest published results, this valuable clinical companion features numerous tables and succinct, outline-style text that puts important information at your fingertips. You will find content that goes beyond the treatment of primary or metastatic disease to encompass the treatment of all therapeutic complications. The opening sections of Harrison's Manual of Oncology are devoted to the classes of agents used to treat cancer and reviews their pharmacology and mechanisms of action. This section is followed by a detailed discussion of the diagnosis, staging, and treatment of all major types of cancer. There is a strong focus on symptom management and complications of treatment, including pain, nausea and vomiting, anemia, febrile neutropenia, metabolic emergencies, thrombosis, psychological issues, and end-of-life care.
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