This revised and updated second edition is a rhetorical analysis of written communication in the mental health community. As such, it contributes to the growing body of research being done in rhetoric and composition studies on the nature of writing and reading in highly specialized professional discourse communities. Many compelling questions answered in this volume include: * What "ideological biases" are reflected in the language the nurse/rhetorician uses to talk to and talk about the patient? * How does language figure into the process of constructing meaning in this context? * What social interactions -- with the patient, with other nurses, with physicians -- influence the nurse's attempt to construct meaning in this context? * How do the readers of assessment construct their own meanings of the assessment? Based on an ongoing collaboration between composition studies specialists and mental health practitioners, this book presents research of value not only to writing scholars and teachers, but also to professional clinicians, their teachers, and those who read mental health records in order to make critically important decisions. It can also be valuable as a model for other scholars to follow when conducting similar long-range studies of other writing-intensive professions.
The author describes with unusual candor the behind the scenes activity, the give and take, and the decisions of high-ranking university officials responsible for exercising authority at the University of Hawaii, including regents, administrators, deans and directors, and faculty. The actions of non-university officials who influence Hawaii's higher education policy and funding are also described; federal officials, state officials, and powerful legislators.
Dr. McIlwraith's Joint Disease in the Horse, 2nd Edition is the only book to give you a full account of equine joint disease, combining a thorough, up-to-date survey of scientific advances with a practical guide to both medical and surgical treatments. With contributions from nationally and internationally recognized pioneers in the field, this groundbreaking text offers an overview of joint structure and function and translates the latest information on basic joint pathobiology into practical application for the clinician. Step-by-step guidance on injection techniques and medications, along with a survey of practical arthroscopic surgery and developments, make it a truly indispensable reference for all equine veterinarians treating sports and racing horses. - UNIQUE! Unprecedented, state-of-the-art coverage of the pathology, pathogenesis, and clinical diagnosis of traumatic and degenerative joint disease, so you stay in the know. - Section on general principles of joint pathobiology provides the background to evaluate and interpret the diagnostic and surgical aspects of disease. - Explores treatments for traumatic arthritis and osteoarthritis and other joint entities, offering a broad range of options and up-to-date recommendations for problematic decisions. - Addresses recent advances and results in arthroscopic surgery for the acute injury and results including fragment removal, fragment fixation, and synovectomy. - Discussion of current research provides insight for difficult cases and calls out the directions in which future arthritis research is headed. - More than 325 photographs and line drawings help engage and guide you through procedures and treatments. - NEW! Full color throughout with new artwork and a range of new images including radiographs showing both the normal and the disease progression. - NEW! Practical step-by-step approach demonstrates the authors' preferred injections methods and shows underlying anatomic correlations. - NEW and UPDATED! Restructured and substantially revised to emphasize treatment options, making it a practical, concise, and accessible reference and text. - NEW! All-new chapters on drugs and new biological therapies, including stem cells, IRAP, and PRP and thoroughly updated coverage of HA and corticosteroids. - NEW! Covers advanced imaging, giving you the latest information available. - NEW! Expert advice from Dr. McIlwraith, three new co-editors, and new contributors — all distinguished specialists in the field of joint disease in the horse. - Lameness and surgical clinicians describe how to approach the various, specific disease conditions. - Equine specific radiologists provide their opinions on the best imaging techniques for defining the disease and making interpretations.
The most comprehensive and current full-color cardiac surgery resource – updated by leading surgeons A Doody’s Core Title for 2022! In Cardiac Surgery in the Adult, Fifth Edition, the world’s foremost cardiovascular surgeons deliver thorough, up-to-date coverage of operative strategy, decision making, technique, and pre- and post-operative management for treating the adult cardiac patient. Unmatched in both scope and clinical rigor, this classic text contains 63 chapters that highlight every important topic in cardiovascular surgery. Presented in full color, Cardiac Surgery in the Adult takes readers through the optimal treatment of congenital, acquired, infectious, and traumatic diseases of the heart and great vessels. The book opens with a history of cardiac surgery and basic cardiac science, then moves into all types of cardiac surgery, providing both practicing surgeons and residents with insight into the very latest surgical protocols. Cardiac Surgery in the Adult is logically divided into ten sections: Basics (includes history, anatomy, physiology, pharmacology, computed tomography, risk assessment, simulation, and the fully integrated cardiovascular center) Perioperative/Intraoperative Care Ischemic Heart Disease Aortic Valve Disease Mitral Valve Disease Surgery of the Great Vessels Rhythm Surgery Other Cardiac Operations (including congenital heart disease, pericardial disease, and cardiac neoplasms) Transplant and Mechanical Circulatory Support The Fifth Edition has been updated throughout, and includes the latest advances in minimally invasive surgery and simulation.
Tunnelling provides a robust solution to a variety of engineering challenges. It is a complex process, which requires a firm understanding of the ground conditions as well as structural issues. This book covers the whole range of areas that you need to know in order to embark upon a career in tunnelling. It also includes a number of case studies of real tunnel projects, to demonstrate how the theory applies in practice. The coverage includes: Both hard-rock and soft-ground conditions Site investigation, parameter selection, and design considerations Methods of improving the stability of the ground and lining techniques Descriptions of the various tunnelling techniques Health and safety considerations Monitoring of tunnels during construction Clear, concise, and heavily illustrated, this is a vital text for final-year undergraduate and MSc students and an invaluable starting point for young professionals.
Venomous" Bites from "Non-Venomous" Snakes, Second Edition thoroughly examines the potential hazards associated with bites by non-front-fanged snakes (popularly, but inaccurately, called "rear-fanged snakes"). This diverse group contains approximately 80% of living snake species (approximately 2,900 species). A large proportion of these snakes were previously assigned to the family Colubridae but, as a consequence of expanding systematics investigations, have been split into multiple families and subfamilies. Many of these snakes produce venoms or oral secretions that contain toxins and other biologically active substances. A large variety of non–front-fanged snakes figure in the pet industry, yet little documented information or formal study of their potential medical importance has been published. Therefore, although the possible medical importance of many of these species has been subjected to speculation since the mid-19th century, there is a limited amount of useful descriptive information regarding the real hazard (or lack thereof) of this wide variety of snakes. The first edition of this book provided "one-stop shopping" by offering information regarding their possible toxicity and clinical relevance as well as recommendations for medical management of their bites. The second edition expands and updates the content with detailed information about the effects and medical management of bites by a broad representation of non–front-fanged species. The hypothetical venomous nature of some lizards considered as non-venomous such as the Komodo monitor or dragon and their allies, as well as the medical effects of their bites, is also examined. The dynamic taxonomy of advanced snakes is updated, and the bases for some of these fluid changes are discussed. Likewise, terminology is also updated in order to reflect the ongoing debates regarding the definition of "venom" and the balanced reinforcement of nonmedical criteria used to define the biological basis of the term "venomous." - Fills a gap in toxicological, medical, and herpetological literature by providing a comprehensive review of this entire assemblage of non–front-fanged snakes, with particular attention given to their capacity to cause harm to humans - Offers a patient-centered, evidence-based approach which is applied to analyzing documented case reports of bites inflicted by a broad representation of species - Provides expanded and updated detailed information on the clinical management of medically significant bites from non–front-fanged snakes, which is also methodically reviewed, and specific recommendations are provided - Includes updates of the fluid taxonomy of advanced snakes and also of terminology with particular regard to the definition of "venom" and the nonmedical criteria used to define the biological basis of the "venomous condition" in snakes and lizards
A new, comprehensively updated edition of the acclaimed textbook by F.H. Attix (Introduction to Radiological Physics and Radiation Dosimetry) taking into account the substantial developments in dosimetry since its first edition. This monograph covers charged and uncharged particle interactions at a level consistent with the advanced use of the Monte Carlo method in dosimetry; radiation quantities, macroscopic behaviour and the characterization of radiation fields and beams are covered in detail. A number of chapters include addenda presenting derivations and discussions that offer new insight into established dosimetric principles and concepts. The theoretical aspects of dosimetry are given in the comprehensive chapter on cavity theory, followed by the description of primary measurement standards, ionization chambers, chemical dosimeters and solid state detectors. Chapters on applications include reference dosimetry for standard and small fields in radiotherapy, diagnostic radiology and interventional procedures, dosimetry of unsealed and sealed radionuclide sources, and neutron beam dosimetry. The topics are presented in a logical, easy-to-follow sequence and the text is supplemented by numerous illustrative diagrams, tables and appendices. For senior undergraduate- or graduate-level students and professionals.
What is restorative justice ... and does it work? These are just two of the many questions posed by David J Cornwell in this incisive work. Based on a lifetime of research and experience it deals with the concerns about crime and punishment of that most vivid of judicial creations, The Man or Woman on the Clapham Omnibus. As the author explains, this human reference point for reason and good sense is likely to be far more receptive to sound explanation and argument than the media (and tabloid press in particular) might give credit. And after all, it is his or her taxes which are being routinely wasted on outmoded or discredited methods. Crime will not disappear through the application of heavy-handed sanctions. Indeed, they make matters worse. With prisons overflowing in many western countries, restorative justice offers a better and ultimately more intuitive solution. Cornwell dismantles the traditional arguments for locking people away and undermines the idea that it is necessary to be tough on crime. The book credits people with a higher level of intelligence. It provides them with proper answers and explanations based on sound data, copious research and an in-depth analysis of existing trends. It is a work for people who value credibility rather than politically-driven excuses with their increasingly damaging effects.
As the 1950s dawned, General Motors focused its industrial might on producing revolutionary rather than evolutionary cars with the ultimate goal to become the clear market leader in the automotive industry. To accomplish this goal, the company designed, developed, and consistently released innovative automotive technology. During the decade, Chevrolet introduced the small-block V-8, automatic transmission, air-conditioning, power steering, and many other innovations that made the cars faster, more comfortable, and safer. All of the pieces had fallen into place. General Motors had astute leadership, a brilliant engineering team, forward-thinking stylists, a massive manufacturing infrastructure, and the capability to produce cutting-edge technology. With unbridled optimism and exuberance to meet the demands of the booming U.S. economy of the 1950s, the company designed, developed, and delivered an unprecedented number of breakthrough technologies, and established the blueprint for the modern automobile. Automotive historian and veteran author David Temple goes behind the scenes to reveal how these technologies were designed, manufactured, and installed on Chevrolet’s fine portfolio of cars: the Corvette, 1955-1957 Bel Air, Nomad, Impala, and many more. Inside General Motors, many dedicated and talented leaders who were determined to make Chevrolet cars the best on the market. Vice President of Styling Harley Earl and his team designed the 1952 Corvette concept car for the Motorama show. After receiving numerous accolades, it was rushed into production. Design chief Bill Mitchell used his design acumen and creative vision as he led his team to style the 1955-1957 Bel-Air. Zora Arkus-Duntov worked tirelessly and transformed the Corvette from a touring car into a genuine sports car. Ed Cole and his engineers overcame many challenges to develop the compact, efficient, and powerful Chevy small-block V-8, which continued in production for decades. Chevrolets of the 1950s retraces the design, development, and production of these cars, but it also covers innovative vital components that were installed in them. If you have been looking for the inside story on GM’s arguably greatest decade, the models, and the technology it produced, you have found it.
Restorative justice theory has largely failed to keep pace with the rapid expansion of restorative practices worldwide – indeed, it is remarkable how much support RJ has when so few advocates can even define what it is. As such, this insightful and comprehensive new contribution from two of the top scholars on the frontlines of restorative justice research is hugely welcome." Professor Shadd Maruna, Centre for Criminology and Criminal Justice, University of Manchester "Reimagining Restorative Justice is a reflective and balanced reconsideration of restorative justice. It deftly sweeps across the large literature on the subject, putting it in perspective, seeing anew through its wide-angle lens. Empowerment and accountability provide a fertile framework for this richly reimagined justice." Professor John Braithwaite, Australian National University "David O'Mahony and Jonathan Doak have made a significant contribution to the confusing and over-complicated field of restorative justice theory. They do so through their use of empowerment theory to bring conceptual and operational clarity to the concepts of agency and accountability in restorative processes and outcomes. As a result they develop a convincing argument for face to face dialogue between victim and perpetrator within the core of the criminal justice system. Their emphasis upon ethical and skilful practice is a welcome riposte to the rapid spread of 'restorative justice lite' driven by managerialism and the need to cut costs." Tim Chapman, Lecturer at the University of Ulster. "O'Mahony and Doak convincingly argue that rapid developments in the practice of restorative interventions have outstripped restorative justice theory. They provide both an outstandingly helpful review of the literature and a fresh theoretical approach based on empowerment theory. Everyone seriously interested in restorative justice will want to reflect carefully on the authors' conclusions." Anthony Bottoms, Emeritus Wolfson Professor of Criminology at the University of Cambridge. In recent years, restorative-based interventions have expanded rapidly and are increasingly viewed as a legitimate, and even superior means of delivering justice. The result of this swift but piecemeal development has been that restorative justice practice has outpaced the development of restorative justice theory. This book takes up this challenge by 'reimagining' a new framework for the operation of restorative justice within criminal justice. In essence, it is contended that the core empowering values of 'agency' and 'accountability' provide a lens for reimagining how restorative justice works and the normative goals it ought to encompass.
The most up-to-date, comprehensives single-volume guide to adult, congenital, and general cardiothoracic surgery -- from many of the foremost experts in the field Developed by authorities from leading-edge cardiothoracic surgical training programs, this much-needed reference succinctly reviews a wide-range of important topics in cardiothoracic surgery. The Johns Hopkins Manual of Cardiothoracic Surgery is especially timely given the recent development of many new scientific findings and emerging technologies. You'll find it filled with precise information on surgical techniques and pre-and postoperative strategies for managing cardiothoracic disease. In this time-saving sourcebook, you'll get an in-depth look at the full spectrum of disorders and their surgical (and medical) management options, including congenital, acquired, and neoplastic diseases. Supporting this detailed coverage is an easy-to-navigate format featuring focused tables and outline-formatted bullets, along with step-by-step explanations of the most complex operations. Features: Thorough coverage of all major areas of cardiothoracic surgery-perfect for cardiothoracic surgery fellows getting ready for Board review exams (oral and written), and cardiothoracic surgeons preparing for Board certification or recertification Skill-building perspectives on open, minimally invasive, and endovascular surgical procedures-complete with relevant surgical anatomy Indications and techniques for heart and lung transplantation Balanced, detailed presentation of both pediatric and adult patient care issues Innovative chapters on surgical ventricular remodeling, endovascular repair of thoracic aortic pathologies, correction of complex congenital defects, and thoracic oncology that reflect the most promising new surgical technologies “Key Concepts” boxes throughout focus on important “take-home” messages of chapter topics Expert authorship, with most chapters written by current or past faculty and trainees from The John Hopkins Hospital
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