This book is written for human resource, organization development, and training professionals who need real-world best practices that show who actual workplace learning approaches work and how they can be applied. Co-published with the acclaimed Center for Creative Leadership, this important book offers a compendium of best practices, tools, techniques, processes, and other resource resources to harness the developmental power of work experiences for leadership development. In addition the book includes illustrative case studies of leadership approached that have worked in such forward thinking organizations as Boeing, Microsoft, and Heineken.
This issue of Clinics in Geriatric Medicine, guest edited by Drs. Cynthia Boyd, James T. Pacala, and Michael W. Rich, is devoted to Chronic Conditions in Older Adults with Cardiovascular Disease. Articles in this issue include: Epidemiology of multimorbidity in older adults with cardiovascular disease; Impact of multimorbidity on clinical outcomes in older adults with cardiovascular disease; Assessment of goals of care in patients with multiple chronic conditions; Challenges in decision-making: balancing trade-offs; Multimorbidity in older adults with heart failure; Multimorbidity in older adults with acute coronary syndromes; Multimorbidity in older adults with aortic stenosis; Multimorbidity in older adults with atrial fibrillation;Anticoagulation in older adults with multimorbidity; Approach to evaluating the multimorbid patient with cardiovascular disease undergoing non-cardiac surgery; Integrating care across disciplines; Assessing risks and benefits of invasive cardiac procedures in patients with advanced multimorbidity; Multimorbidity and end of life care in patients with cardiovascular disease; and Future research directions for cardiovascular disease.
The updated fourth edition of this comprehensive, highly respected reference covers all you need to know about obstetric anesthesia-from basic science to various anesthesia techniques to complications. The editorial team of leading authorities in the field now features Drs. Linda S. Polley, Lawrence C. Tsen, and Cynthia A. Wong and presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. This edition features two new chapters and rewritten versions of key chapters such as Epidural and Spinal Analgesia and Anesthesia. Emphasizes the treatment of the fetus and the mother as separate patients with distinct needs to ensure the application of modern principles of care. Delivers contributions from many leaders in the fields of obstetric anesthesia and maternal-fetal medicine from all over the world. Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios. Presents key point summaries in each chapter for quick, convenient reference. Features new chapters on Patient Safety and Maternal Mortality to address the latest developments in the field and keep you current. Presents completely rewritten chapters on Epidural and Spinal Analgesia and Anesthesia, Anesthesia for Cesarean Section, and Hypertension Disorders, updated by new members of the editorial team-Drs. Linda S. Polley, Lawrence C. Tsen, and Cynthia A. Wong, for state-of-the-art coverage of key topics and new insights. Covers all the latest guidelines and protocols for safe and effective practice so you can offer your patients the very best.
The Earth's climate is constantly changing. Some of the changes are progressive, while others fluctuate at various time scales. The El Niño-la Niña cycle is one such fluctuation that recurs every few years and has far-reaching impacts. It generally appears at least once per decade, but this may vary with our changing climate. The exact frequency, sequence, duration and intensity of El Niño's manifestations, as well as its effects and geographic distributions, are highly variable. The El Niño-la Niña cycle is particularly challenging to study due to its many interlinked phenomena that occur in various locations around the globe. These worldwide teleconnections are precisely what makes studying El Niño-la Niña so important. Cynthia Rosenzweig and Daniel Hillel describe the current efforts to develop and apply a global-to-regional approach to climate-risk management. They explain how atmospheric and social scientists are cooperating with agricultural practitioners in various regions around the world to determine how farmers may benefit most from new climate predictions. Specifically, the emerging ability to predict the El Niño-Southern Oscillation (ENSO) cycle offers the potential to transform agricultural planning worldwide. Biophysical scientists are only now beginning to recognize the large-scale, globally distributed impacts of ENSO on the probabilities of seasonal precipitation and temperature regimes. Meanwhile, social scientists have been researching how to disseminate forecasts more effectively within rural communities. Consequently, as the quality of climatic predictions have improved, the dissemination and presentation of forecasts have become more effective as well. This book explores the growing understanding of the interconnectedness of climate predictions and productive agriculture for sustainable development, as well as methods and models used to study this relationship.
Throughout the times of the land we call Round Top, one thought has constantly prevailed. This is a land of opportunity. The land was formed over the centuries into flat land and hills by rivers beyond and by creeks and springs, while waiting for animals and mankind to arrive. This land is located in the northeastern margin of today's Fayette County, and lies on a high hill that looks down toward the south into the bottom lands of a crossing. The struggle on this small piece of land began with the movement of animals that needed a convenient place for water that was crossable during the seasons. This perfect crossing flows through the south eastern side of the present town of Round Top located between two high hills. This crossing was the home of native American Indians, American settlers and German immigrants.
Comprehensive, user-friendly, and up to date, Chestnut's Obstetric Anesthesia: Principles and Practice, 6th Edition, provides the authoritative clinical information you need to provide optimal care to your patients. This substantially revised edition keeps you current on everything from basic science to anesthesia techniques to complications, including coverage of new research that is paving the way for improved patient outcomes. An expert editorial team ensures that this edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students. - Presents the latest information on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy, emphasizing the treatment of the fetus and the mother as separate patients with distinct needs. - Contains new chapters on shared decision-making in obstetric anesthesia and chronic pain during and after pregnancy. - Features extensive revisions from cover to cover, including consolidated information on maternal infection and postoperative analgesia. - Covers key topics such as neonatal assessment and resuscitation, pharmacology during pregnancy and lactation, use of nitrous oxide for labor analgesia, programmed intermittent epidural bolus (PIEB) technique, epidural analgesia-associated fever, the role of gastric ultrasonography to assess the risk of aspiration, sugammadex in obstetric anesthesia, the role of video laryngoscopy and new supraglottic airway devices, spinal dysraphism, and cardiac arrest in obstetric patients. - Incorporates the latest guidelines on congenital heart disease and the management of sepsis, as well as difficult airway guidelines that are specific to obstetric anesthesia practice. - Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
The fourth edition of the essential, accessible source for understanding how drugs work and their effects on body and behavior. A bestseller in its three previous editions, Buzzed is now revised and updated with the most recent discoveries about drugs. It includes new information about biological and behavioral changes in addiction, the prescription-drug abuse epidemic, distinctive drug effects on the adolescent brain, and trends from synthetic cannabinoids to e-cigarettes. “Lively, highly informative, unbiased, [and] thorough” (Addiction Research & Theory), this no-nonsense handbook surveys the most used and abused drugs from caffeine to heroin to methamphetamine. In both quick-reference summaries and in-depth analysis, it reports on how these drugs enter the body, how they manipulate the brain, their short-term and long-term effects, the different “highs” they produce, and the circumstances in which they can be deadly. Neither a “just say no” treatise nor a “how-to” manual, Buzzed is based on the conviction that people make better decisions with accurate information in hand.
Diminutive marvels of artistry and fine craftsmanship, portrait miniatures reveal a wealth of information within their small frames. They can tell tales of cultural history and biography, of people and their passions, of evolving tastes in jewelry, fashion, hairstyles, and the decorative arts. Unlike many other genres, miniatures have a tradition in which amateurs and professionals have operated in parallel and women artists have flourished as professionals. This richly illustrated book presents approximately 180 portrait miniatures selected from the holdings of the Cincinnati Art Museum, the largest and most diverse collection of its kind in North America. The book stresses the continuity of stylistic tradition across Europe and America as well as the vitality of the portrait miniature format through more than four centuries. A detailed catalogue entry, as well as a concise artist biography, appears for each object. Essays examine various aspects of miniature painting, of the depiction of costume in miniatures, and of the allied art of hair work.
Meeting a vital need, this book helps clinicians rapidly identify risks for suicidal behavior and manage an at-risk teen's ongoing care. It provides clear guidelines for conducting suicide risk screenings and comprehensive risk assessments and implementing immediate safety-focused interventions, as well as longer-term treatment plans. Designed for day-to-day use in private practice, schools, or other settings, the volume is grounded in a strong evidence base. It features quick-reference clinical pointers, sample dialogues with teens and parents, and reproducible assessment and documentation tools. Purchasers get access to a companion Web page featuring most of the reproducible materials, ready to download and print in a convenient 8 1/2" x 11" size.
From basic science to various anesthesia techniques to complications, the meticulously updated, fifth edition of Chestnut’s Obstetric Anesthesia: Principles and Practice, covers all you need to know about obstetric anesthesia. An editorial team of leading authorities presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. New chapters and rewritten versions of key chapters cover topics such as psychiatric disorders in the pregnant patient, neurologic disorders, and critical care of obstetric patients. It is an invaluable, comprehensive reference textbook for specialists in obstetric anesthesiology and obstetricians, as well as anesthesiology and obstetric residents. This book also serves as a clear, user-friendly guide for both anesthesiologists and obstetricians who are in clinical practice. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Get all the accuracy, expertise, and dependability you could ask for from the most important names in the fields of obstetric anesthesia and maternal-fetal medicine. Master the current best practices you need to know for treating the fetus and the mother as separate patients—each with distinct needs. Search and retain difficult concepts easily with the help of key point summaries in each chapter. Stay current on the latest advancements and developments with sweeping updates and new chapters on topics such as patient safety and team approach, transthoracic echocardiography and noninvasive measurement of cardiac output in obstetric patients, psychiatric disorders during pregnancy, neurologic injuries, and more. Prevent and plan for potential complications associated with the advancing age of pregnant women. An extensive, state-of-the art discussion of "critical care of obstetric patients" equips you to address any special considerations for this increasing segment. Know exactly how to proceed. An abundance of tables and boxes illustrate the step-by-step management of a full range of clinical scenarios. Choose the best drugs available while adhering to the most recent guidelines for obstetric anesthesia.
How do bats catch insects in the dark? How do bees learn which flowers to visit? How do food-storing birds remember where their hoards are? Questions like these are addressed by neuroethology, the branch of behavioral neuroscience concerned with analyzing the neural bases of naturally occurring behaviors. This book brings together thirteen chapters presenting findings on perceptual and cognitive processes in some of the most active areas of neuroethological research, including auditory localization by bats and owls, song perception and learning in birds, pitch processing by frogs and toads, imprinting in birds, spatial memory in birds, learning in bees and in Aplysia, and electroreception in fish. A variety of approaches are represented, such as field studies, psychophysical tests, electrophysiological experiments, lesion studies, comparative neuroanatomy, and studies of development. Each chapter gives an up-to-date overview of a particular author’s research and places it within the broader context of issues about animal perception and cognition. The book as a whole exemplifies how studying species and their particular specializations can inform general issues in psychology, ethology, and neuro-science.
This book presents the findings of a three-year study on urban heat in Doha, Qatar, and discusses guidelines and strategies for planning agencies to consider in the context of moderating temperatures to provide pedestrians with greater access to outdoor spaces and greater choice in modes of transport. If modifying urban form can reduce extreme temperatures in one of the hottest places on the planet, then perhaps other communities can learn how to create livable cities during a time of rapid changes to the climate. In fact, despite the periods of extreme heat, strategic planning and management of urban areas can improve residents’ and visitors’ ability to live, work, and move throughout the city comfortably. Doha, Qatar, a city with one of the most extreme climates on earth, has undergone rapid development over the past 40 years. Although cities in the Middle East are expanding at three times the international average (UN Report, 2012), the rapid population and physical growth remain largely unexamined, particularly in terms of the unique conditions, qualities, and characteristics that give rise to these emerging centres. Speed, quality, and extent of urbanization impact neighbourhood-scale environmental conditions, and this book provides evidence that urban forms and materials can help to mediate temporal variation in microclimates and that landscape modifications can potentially reduce temperatures and increase accessibility to outdoor environments. By applying the lessons in this book, communities around the world can better adapt to the increasing frequency, duration and intensity of extreme heat.
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