This synthesis will be of interest to state DOT construction, materials, statistical, specification, and inspection engineers; DOT research staff; pavement construction material suppliers; highway construction contractors; and civil engineering consulting firms, including field and laboratory materials testing personnel. The synthesis describes the state of the practice for defining and measuring variability in highway pavement construction. Data obtained from a review of the literature, a survey of state departments of transportation (DOTs), and discussions with selected state DOT personnel and private materials producers are presented. This report of the Transportation Research Board defines several measures of variability but concentrates on the use of standard deviation as the usual measure of variability. The synthesis updates reported typical variabilities found in materials and construction specifications. Also included are discussions of current research activities as related to variability, how variability can be used in the development of specification limits, the use of incentives and disincentives in specifications, and the need for additional information on the variability of several materials and construction processes.
National health statistics indicate that pediatric ear, nose, and throat disorders remain among the primary reasons children visit a physician, with ear infections ranking as the number one reason. From earaches to choking hazards, from nosebleeds to speech irregularities, children can present with a variety of problems that cause concern to parents and caregivers, who want prompt diagnosis and treatment. The presentation of topics in this issue is clinically ppropriate for Otolaryngologists, Pediatricians, Allergy specialists, and Family Physicians. Topics in this issue of Otolaryngologic Clinics include: Hearing screening and hearing loss; Acute otitis media; Chronic adenotonsilitis; Pediatric dysphagia; Lymphadenopathy; Rhinosinusitis; Facial trauma; Sialadenitis; Behavior and otolaryngology; Stridor; Otolaryngologic management of severe neurodevelopmental delay; Pediatric craniofacial problems.
The book comprehensively covers all aspects of hepatocellular carcinoma (cancer) as it occurs in sub-Saharan black Africans and how the cancer differs from that in other parts of the world, in most of which it occurs infrequently. The first chapter is introduced with a discussion of the difficulty in recording all cases of this cancer in sub Saharan Africa and then covers its epidemiology, emphasising the very high incidence of liver cancer in sub Saharan black Africans. The relatively young age at which the tumor occurs in comparison with the older age of the patients in resource-rich regions is stressed. The sex distribution of the cancer is also discussed. The second chapter describes the ways in which hepatocellular cancer presents in black Africans, its symptoms and signs, and how its presentation differs from that in other parts of the world. The third chapter summarises the grave outlook for patients with the tumor, the very short survival times of the patients, and the reasons for their deaths. The fourth chapter discusses the diagnosis of the cancer and why this is far more difficult than it is in resource-rich countries. The fifth chapter deals with the pathology of the tumorits similarities and differences from that in other parts of the world. The sixth chapter is the longest in the book, and it deals comprehensively with the causes of liver cancer in sub-Saharan Africa. The major cause is chronic infection with the hepatitis B virus, an infection acquired in early childhood, and the possible mechanisms by which this may cause the cancer. Other less common but still important causes in the subcontinentsuch as exposure to the fungal carcinogen, aflatoxin, chronic hepatitis C virus infection, dietary iron overload among Africans, and membranous obstruction of the inferior vena cavaare also discussed. The seventh chapter discusses the difficulty in treating hepatocellular cancer and the poor results obtained in sub-Saharan Africa in comparison with the results of treatment in industrialized countries. The penultimate chapter presents possible ways to prevent the cancer or, at least, to detect it at a far earlier time than is currently the case and when it may be more amenable to treatment. The current status of vaccination in preventing hepatitis B virus infection, and hence liver cancer, is discussed in detail. The final chapter asks the question, How can we improve the diagnosis and treatment of this dreadful malignant disease?
If you’re looking to deepen your understanding of kidney disease, look no further than Heptinstall’s Pathology of the Kidney, 7th Edition. Authored by the world’s most accomplished renal pathologists, this image-rich text conveys the intricacies and comprehensiveness of renal disease, offering powerful diagnostic and treatment recommendations from decades of clinical research. Stay up to date on the cutting edge of kidney research and treatment and offer your patients the best therapeutic options and preventative measures available today.
Since his early days at the University of California, Berkeley, when he was fired for refusing to sign a loyalty oath during the Red Scare, Charles Muscatine has been a dedicated teacher and higher education reformer. Upon his reinstatement at Berkeley, he founded "Strawberry Creek College," a six-year experiment using full professors and small classes to teach lower-division students. Drawing on this belief in undergraduate teaching, Muscatine’s new book now offers a radical new design for American college education. Muscatine begins with the observation that the mediocre undergraduate curriculum offered by most colleges and universities today is based on outdated ideas of what should be taught and what constitutes good teaching. Although Muscatine is himself a well-established research scholar, he contends that the publish-or-perish "research religion" of college and university faculties has seriously damaged undergraduate education. He offers a clear distinction between publishable research and the scholarship necessary for good teaching. Furthermore, he recommends major changes in the education of professors, including reconsidering both the requirement of the book-length dissertation and the current organization of graduate departments. Fixing College Education predicts new roles for students and faculty, redefines educational breadth and depth, and calls for deeper assessment of learning and teaching. Muscatine highlights the outstanding colleges and universities, including Harvard, Boston University’s University Professor’s Program, Evergreen State College, and Fairhaven College at Western Washington University, that have already remade their curricula successfully or adopted features like the ones he proposes. Muscatine argues that the new curriculum is better able than the old to produce good scholars and good citizens for the twenty-first century.
Masterful essays honoring the great pianist and critic Charles Rosen, on masterpieces from Bach and Beethoven to Chopin, Verdi, and Stockhausen. Charles Rosen, the pianist and man of letters, is perhaps the single most influential writer on music of the past half-century. While Rosen's vast range as a writer and performer is encyclopedic, it has focused particularly on theliving "canonical" repertory extending from Bach to Boulez. Inspired in its liveliness and variety of critical approaches by Charles Rosen's challenging work, Variations on the Canon offers original essays by some of the world's most eminent musical scholars. Contributors address such issues as style and compositional technique, genre, influence and modeling, and reception history; develop insights afforded by close examination of compositional sketches; and consider what language and metaphors might most meaningfully convey insights into music. However diverse the modes of inquiry, each essay sheds new light on the works of those composers posterity has deemed central to the modern Western musical tradition. Contributors: Pierre Boulez, Scott Burnham, Elliott Carter, Robert Curry, Walter Frisch, David Gable, Philip Gossett, Jeffrey Kallberg, Joseph Kerman, Richard Kramer, William Kinderman, Lewis Lockwood, Sir Charles Mackerras, Robert L. Marshall, Robert P. Morgan, Charles Rosen, Julian Rushton, David Schulenberg, László Somfai, Leo Treitler, James Webster, and Robert Winter. Robert Curry is principalof the Conservatorium High School and honorary senior lecturer in the Centre for Medieval Studies, University of Sydney; David Gable is Assistant Professor of Music at Clark-Atlanta University; Robert L. Marshall is Louis, Frances, and Jeffrey Sachar Professor Emeritus of Music at Brandeis University.
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