EASTWICK LETTERS transcribes and illustrates 117 individual sheets written 1844–51 by Andrew McCalla Eastwick, his wife Lydia, their children, and business associates as the family set up works, and home in 19th century St. Petersburg, Russia. Eastwick was one of three partners in the Philadelphia firm of Harrison, Winans & Eastwick. The business had been awarded a $3 million/ five-year contract to build rolling stock, (locomotive engines and cars) for Czar Nicholas I for a railroad to connect St. Petersburg and Moscow. The enterprise required Eastwick and partners to take possession of a large Imperial industrial complex on the Neva River, known as Alexandroffsky Head Mechanical Works. Once in operation they were to use serf labor and Russian materials to fulfill the contract. Concurrently, Major George Washington Whistler (West Point civil engineer and father of the famous artist), was to oversee the construction of the 420 miles of railway track and railbed required. Presented chronologically and extensively illustrated, EASTWICK LETTERS opens a window into the private emotions of the writers, and illustrates a colorful story of Russian life and times at the dawn of the Industrial Revolution. More so than early photographs, the letters vividly reveal the inner thoughts of each writer, and what they observed in a foreign land. In 1851 the Eastwick family returned to Philadelphia where Andrew purchased Bartram’s Garden along the Schuylkill River and saved it from industrial development. Years later after Andrew’s passing, Lydia Eastwick bequeathed the property to the City of Philadelphia where today, Bartram’s Garden is a landmark. The conservatory is open to the public and carries on the legacy of John Bartram, first American botanist to the Colonies.
Sponsored by the National Council on Family Relations, the Sourcebook of Family Theory and Research is the reference work on theory and methods for family scholars and students around the world. This volume provides a diverse, eclectic, and paradoxically mature approach to theorizing and demonstrates how the development of theory is crucial to the future of family research. The Sourcebook reflects an interactive approach that focuses on the process of theory building and designing research, thereby engaging readers in "doing" theory rather than simply reading about it. An accompanying Web site, http://www.ncfr.org/sourcebook, offers additional participation and interaction in the process of doing theory and making science.
This study of US and Soviet aid efforts in India during the Cold War “makes a major contribution towards a necessary discussion of the politics of aid” (Times Higher Education). Debates over foreign aid are often strangely ahistorical. Economists argue about how to make aid work while critics bemoan money wasted on corruption, ignoring the fundamentally political character of aid. The Price of Aid turns the standard debate on its head. By exposing the geopolitical calculus underpinning development assistance, it also exposes its costs. India stood at the center of American and Soviet aid competition throughout the Cold War, as both superpowers saw developmental aid as a way of pursuing their geopolitical goals by economic means. Drawing on recently declassified files from seven countries, David Engerman shows how Indian leaders used Cold War competition to win battles at home, eroding the Indian state in the process. As China spends freely in Africa, the political stakes of foreign aid are rising once again. “A superb, field-changing book . . . A true classic.” —Sunil Amrith
What effect does religion have on physical and mental health? In answering this question, this book reviews and discusses research on the relationship between religion and a variety of mental and physical health outcomes, including depression and anxiety; heart disease, stroke, and cancer; and health related behaviors such as smoking and substance abuse. The authors examine the positive and negative effects of religion on health throughout the life span, from childhood to old age. Based on their findings, they build theoretical models illustrating the behavioral, psychological, social, and physiological pathways through which religion may influence health. The authors also review research on the impact of religious affiliation, belief, and practice on the use of health services and compliance with medical treatment. In conclusion, they discuss the clinical relevance of their findings and make recommendations for future research priorities. Offering the first comprehensive examination of its topic, this volume is an indispensable resource for research scientists, health professionals, public policy makers, and anyone interested in the relationship between religion and health.
Priest and Parish in Vienna, 1780 to 1880" details the social, cultural, and political transformation of the Austrian Catholic priesthood in nineteenth-century Vienna. It shows how priests, a very important and influential group in Austria, were changed from servants of the state into political activists working for the contentious Christian Social Party in fin-de-siecle Vienna.
The only temple completed by Mormonism's founder, Joseph Smith Jr., the Kirtland Temple in Kirtland, Ohio, receives 30,000 Mormon pilgrims every year. Though the site is sacred to all Mormons, the temple’s religious significance and the space itself are contested by rival Mormon dominations: its owner, the relatively liberal Community of Christ, and the larger Church of Jesus Christ of Latter-day Saints. David J. Howlett sets the biography of Kirtland Temple against the backdrop of religious rivalry. The two sides have long contested the temple's ownership, purpose, and significance in both the courts and Mormon literature. Yet members of each denomination have occasionally cooperated to establish periods of co-worship, host joint tours, and create friendships. Howlett uses the temple to build a model for understanding what he calls parallel pilgrimage--the set of dynamics of disagreement and alliance by religious rivals at a shared sacred site. At the same time, he illuminates social and intellectual changes in the two main branches of Mormonism since the 1830s, providing a much-needed history of the lesser-known Community of Christ.
This book provides the student, researcher or practitioner with the tools to understand many of the most commonly used advanced statistical analysis tools in criminology and criminal justice, and also to apply them to research problems. The volume is structured around two main topics, giving the user flexibility to find what they need quickly. The first is “the general linear model” which is the main analytic approach used to understand what influences outcomes in crime and justice. It presents a series of approaches from OLS multivariate regression, through logistic regression and multi-nomial regression, hierarchical regression, to count regression. The volume also examines alternative methods for estimating unbiased outcomes that are becoming more common in criminology and criminal justice, including analyses of randomized experiments and propensity score matching. It also examines the problem of statistical power, and how it can be used to better design studies. Finally, it discusses meta analysis, which is used to summarize studies; and geographic statistical analysis, which allows us to take into account the ways in which geographies may influence our statistical conclusions.
Tracing Austrian intellectual life from Maria Theresa to Hitler's annexation of Austria and Czechoslovakia, this innovative book offers a precise and engaging account of Austrian intellectual history since the Enlightenment. Here, David S. Luft begins by locating his narrative in the region known as Cisleithanian Austria, the area to the west of the Leitha River that was the basis for the modern Austrian state after 1740. Chapter 2 provides a history of the German-speaking intellectual life of these central lands of the Habsburg Monarchy (Austria and Bohemia) from the Enlightenment to annexation by Nazi Germany. Chapters 3 to 5 identify the most important philosophers, writers, and social thinkers who contributed to Austrian intellectual life in the period between 1740 and 1938/1939 and address the intellectual significance of their work. Elegantly written and meticulously researched, Luft's book brings out the contributions of major figures such as Wittgenstein, Hofmannsthal, Musil, Kafka, Rilke, and Freud, but also draws attention to less well-known figures such as Bolzano, Brentano, Grillparzer, Stifter, Broch, and Hayek.
Doing Meta-Analysis with R: A Hands-On Guide serves as an accessible introduction on how meta-analyses can be conducted in R. Essential steps for meta-analysis are covered, including calculation and pooling of outcome measures, forest plots, heterogeneity diagnostics, subgroup analyses, meta-regression, methods to control for publication bias, risk of bias assessments and plotting tools. Advanced but highly relevant topics such as network meta-analysis, multi-three-level meta-analyses, Bayesian meta-analysis approaches and SEM meta-analysis are also covered. A companion R package, dmetar, is introduced at the beginning of the guide. It contains data sets and several helper functions for the meta and metafor package used in the guide. The programming and statistical background covered in the book are kept at a non-expert level, making the book widely accessible. Features • Contains two introductory chapters on how to set up an R environment and do basic imports/manipulations of meta-analysis data, including exercises • Describes statistical concepts clearly and concisely before applying them in R • Includes step-by-step guidance through the coding required to perform meta-analyses, and a companion R package for the book
With this brand new book, Foot and Ankle Sports Medicine, sports medicine practitioners will have one of the most comprehensive and practical resources for the treatment of foot and ankle sports injuries. In addition to tendon disorders, trauma, hindfoot, midfoot, forefoot, and lower leg, this book’s 32 chapters also cover pediatric sports injuries, sport specific injury prevention, rehabilitation, and even shoe selection. Over 40 specialists in orthopaedic surgery, podiatry, physiatry, physical therapy, and athletic training contributed to this book’s contents — including team physicians, physical therapists, and athletic trainers for major sports teams including the New York Giants, New York Mets, Philadelphia Flyers, Philadelphia Eagles, New York Knicks, Washington Nationals, Carolina Panthers, and the US Davis Cup Tennis team. It’s the combination of all these different disciplines that makes this book such an excellent resource for treatment of foot and ankle sports injuries.
Nationalistic meccas, shrines to popular culture, and sacred traditions for the world's religions from Animism to Zoroastrianism are all examined in two accessible and comprehensive volumes. Pilgrimage is a comprehensive compendium of the basic facts on Pilgrimage from ancient times to the 21st century. Illustrated with maps and photographs that enrich the reader's journey, this authoritative volume explores sites, people, activities, rites, terminology, and other matters related to pilgrimage such as economics, tourism, and disease. Encompassing all major and minor world religions, from ancient cults to modern faiths, this work covers both religious and secular pilgrimage sites. Compiled by experts who have authored numerous books on pilgrimage and are pilgrims in their own right, the entries will appeal to students, scholars, and general readers.
This book brings together papers by voluntary sector scholars which were specially commissioned to celebrate the 15th Anniversary of the LSE's Centre for Voluntary Organisation. The papers address key issues currently facing UK voluntary sector managers including: What place do values have? How is accountability achieved? How can organisational change be handled? Are governing bodies needed? What kind of training is appropriate? Should volunteers be managed? And what does contracting do to voluntary agencies?
Fifty years ago medicine was straightforward. Doctors had limited therapeutic options and patients did as they were told. Today, an array of medial interventions is putting increasing pressure on limited resources, patients are questioning everything and doctors are uncertain of their role. Health economists hoped to offer important insights to aid decision making, but their technical frameworks bore little resemblance to the practical requirements of end users. Now, this book presents the concepts and insights that health economics has to offer in a way that is accessible to every healthcare decision maker. Getting Health Economics into Practice is for all those who are involved in the planning, commissioning and delivery of healthcare. It illuminates the practical value that the concepts and principles of health economics can offer decision makers at all levels. Comprehensive and extensive, it is the first such book to be edited by a clinician rather than a health economist, with contributions from an expert panel of specialists. This approach ensures it is accessible and useful in the everyday work of health professionals. It is relevant for all healthcare sectors, in particular for Primary Care Trusts, and is essential reading for managers, researchers, and especially practitioners.
Supporting People with Dementia at Home details a groundbreaking study of an intensive care management scheme designed for older people with dementia that are at risk of entry into residential care. The authors use a quasi-experimental approach to compare how the individuals on the mental health team in one community were matched to a similar community without the service. They analyze the evidence focusing on the eventual placement of the individual suffering, the quality of care they receive, and also the needs of their carers. This book offers valuable evidence about the factors which can maximize the independence and well being of older people with dementia, from the perspective of older people and their carers. For those who commission services, it is highly relevant to service models for the National Dementia Strategy in England.
The ESC Textbook of Thrombosis is the third iteration of Therapeutic Advances in Thrombosis. Now a new addition to the European Society of Cardiology (ESC) publications portfolio, it is informed by the work of the ESC's Working Group on Thrombosis. Written by internationally renowned experts in the field of thrombosis, the textbook presents an up-to-date and in-depth review of all aspects of thrombosis and antithrombotic therapies. Not only does it reflect contemporary European guidelines from the ESC but also it also summarizes the latest evidence from clinical trials. Covering the topic in great detail with thirty-one chapters, the textbook is split into four sections: Pathophysiology of thrombosis, Clinical pharmacology of antithrombotic drugs, Therapeutic strategies, and Special situations. Appealing to the large community of cardiovascular healthcare specialists in Europe and across the world, the textbook is a must read for cardiologists dealing with acute and chronic coronary syndromes, atrial fibrillation, artificial heart valves and pulmonary embolism. It will also appeal to cardiac surgeons, cardiovascular researchers, and general physicians alike.
In its fully revised and updated second edition, Musculoskeletal Imaging covers every aspect of musculoskeletal radiology. This medical reference book incorporates the latest diagnostic modalities and interventional techniques, as well as must-read topics such as hip, groin and cartilage imaging; newly described impingements; and new concepts in the hip including teres ligament pathology. Accessibility in print, online and across portable devices makes Musculoskeletal Imaging a fully searchable and dependable source for both reading and reference. This publication is a key title in the popular Expert Radiology Series, which delivers evidence-based expert guidance from around the globe. "This is an excellent benchbook and accompanying electronic resource which will be of value to trainee radiologists and established consultants." Reviewed by: Dr Steve Amerasekara, Consultant Radiologist on behalf of journal RAD Magazine Date: July 2015 "This outstanding text is now an acclaimed primary resource and therefore belongs in the libraries and at the work stations of all general and orthopedic hospital departments of radiology and, indeed, at any and all imaging facilities involved in musculoskeletal imaging." Foreword by: Lee F. Rogers, June 2015 Fully understand each topic with a format that delivers essential background information. Streamline the decision-making process with integrated protocols, classic signs, and ACR guidelines, as well as a design that structures every chapter consistently to include pathophysiology, imaging techniques, imaging findings, differential diagnosis, and treatment options. Write the most comprehensive reports possible with help from boxes highlighting what the referring physician needs to know, as well as suggestions for treatment and future imaging studies. Access in-depth case studies, valuable appendices, and additional chapters covering all of the most important musculoskeletal procedures performed today. Quickly locate important information with a full-color design that includes color-coded tables and bulleted lists highlighting key concepts, as well as color artwork that lets you easily find critical anatomic views of diseases and injuries. Engage with more than 40 brand-new videos, including arthroscopic videos. Easily comprehend complicated material with over 5,000 images and new animations. Explore integrated clinical perspectives on the newest modalities such as PET-CT in cancer, diffusion MR, as well as ultrasonography, fusion imaging, multi-slice CT and nuclear medicine. Learn from team of international experts provides a variety of evidence-based guidance, including the pros and cons of each modality, to help you overcome difficult challenges. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
Focusing on cancer in dogs and cats, this extensively updated 4th edition provides comprehensive coverage of the latest advances in clinical oncology, including chemotherapy, surgical oncology, and diagnostic techniques. Ideal for students, practitioners, and those involved in academic research, this book's full-color images and user-friendly format provide quick and easy access to today's most important information on cancer in the small animal patient. Full-color format throughout and full-color illustrations make information more accessible and provide accurate representations of clinical appearance. Chapters are clustered into four major sections: The Biology and Pathogenesis of Cancer, Diagnostic Procedures for the Cancer Patient, Therapeutic Modalities for the Cancer Patient, and Specific Malignancies in the Small Animal Patient. The consistent format includes incidence and risk factors, pathology, natural behavior of tumors, history and clinical signs, diagnostic techniques and workup, treatment options, and prognosis for specific malignancies in the small animal cancer patient. Features cutting edge information on the complications of cancer, pain management, and the latest treatment modalities. The latest information on the etiology of cancer, including genetic, chemical, physical, and hormonal factors, as well as cancer-causing viruses. Coverage of molecular-targeted therapy of cancer, plus new and emerging therapeutic techniques. New information on molecular diagnostic procedures for the cancer patient. The latest diagnostic imaging techniques in clinical oncology. Discussions of compassion and supportive care, from chronic pain management and nutrition to end-of-life issues and grief support.
Written by the leading names in pediatric oncology and hematology, Nathan and Oski's Hematology and Oncology of Infancy and Childhood offers you the essential tools you need to overcome the unique challenges and complexities of childhood cancers and hematologic disorders. Meticulously updated, this exciting full-color set brings together the pathophysiology of disease with detailed clinical guidance to provide you with the most comprehensive, authoritative, up-to-date information for diagnosing and treating children. - Form a definitive diagnosis and create the best treatment plans possible with comprehensive coverage of all pediatric cancers, including less-common tumors, as well as all hematologic disorders, including newly recognized ones. - Develop a thorough, understanding of the underlying science of diseases through summaries of relevant pathophysiology balanced with clear, practical clinical guidance. Nathan and Oski's is the only comprehensive product on the market that relates pathophysiology in such depth to hematologic and oncologic diseases affecting children. - Quickly and effortlessly access the key information you need with the help of a consistent organization from chapter to chapter and from volume to volume. - Stay at the forefront of your field thanks to new and revised chapters covering topics such as paroxysmal nocturnal hemoglobinuria, lysosomal storage diseases, childhood genetic predisposition to cancer, and oncology informatics. - Learn about the latest breakthroughs in diagnosis and management, making this the most complete guide in pediatric hematology and oncology. - Discover the latest in focused molecularly targeted therapies derived from the exponential growth of knowledge about basic biology and genetics underlying the field. - Rely on it anytime, anywhere! Access the full text, images, and more at Expert Consult.
Thoroughly revised and updated, this Fourth Edition is the most comprehensive, current reference on lung cancer, with contributions from the world's foremost surgeons, radiation oncologists, medical oncologists, pulmonologists, and basic scientists. Coverage includes complete information on combined modality treatments for small cell and non-small cell lung cancer and on complications of treatment and management of metastases. Emphasis is also given to early detection, screening, prevention, and new imaging techniques. This edition has expanded thoracic oncology chapters including thymus, mesothelioma, and mediastinal tumors, more detailed discussion of targeted agents, and state-of-the-art information on newer techniques in radiotherapy. Other highlights include more international contributors and greater discussion of changes in lung cancer management in each region of the world. A new editor, Giorgio Scagliotti, MD from the University of Turin, has coordinated the accounts of European activities. A companion website includes the full text online and an image bank.
The seventeenth century saw a dramatic increase in self-writing-from the private jotting down of personal thoughts in an irregular and spontaneous way, to the carefully considered composition of extended autobiographical narrative and deliberate self-fashioning for public consumption. Recent anthologies of women's writing, drawing to some extent on this rich but relatively little-known archive, have demonstrated the importance of studying such material to gain insight into female lives in that era. Personal Disclosures is innovative in that it stimulates and facilitates comparative analysis of female and male representations of the self, and of gendered constructions of identity and experience, by presenting a broad range of extracts from both women's and men's autobiographical writings. The majority of the extracts have been freshly edited from original seventeenth-century manuscripts and books. Exploiting all kinds of text-diaries, journals, logs, testimonies, memoirs, letters, autobiographies-the anthology also encourages consideration of topics central to current scholarly interest: religious experience, the body, communities, the family, encounters with new lands and peoples, and the conceptualization and writing of the self. A General Introduction discusses early modern autobiographical writing, and there are substantial introductions to each of the six sections, together with detailed suggestions for further reading.
Every day, the human awakes to a new world, a new dawn and a new cascade of nonverbal communication. It may be the pleasant scent of a rose, the soft touch of a loved one, the sight of sun rays on a bedroom floor or the excited chatter of a child. Whatever form it takes, your environment and all who inhabit it send nonverbal signals all day long – even while they sleep. The Routledge Dictionary of Nonverbal Communication celebrates this communication, examining a very wide selection of nonverbal behaviors, actions and signals to provide the reader with an informed insight on the world around them and its messages. Compiled in the form of a dictionary, the book is presented as a series of chapters with alphabetical entries, ranging from attractiveness to zeitgeist. The book aims to provide the reader with a clear understanding of some of the relevant discourse on particular topics while also making it practical and easy to read. It draws on a wide selection of discourse from fields such as neuroscience, psychology, anthropology and psychiatry. The dictionary will be an essential companion for anyone wishing to understand nonverbal communication. It will also be especially useful for those working in the field of nonverbal communication.
Drugs and the Future presents 13 reviews collected to present the new advances in all areas of addiction research, including knowledge gained from mapping the human genome, the improved understanding of brain pathways and functions that are stimulated by addictive drugs, experimental and clinical psychology approaches to addiction and treatment, as well as both ethical considerations and social policy. The book also includes chapters on the history of addictive substances and some personal narratives of addiction. Introduced by Sir David King, Science Advisory to the UK Government and head of the Office of Science and Technology, and Nora Volkow, director of the National Institute on Drug Abuse in the USA, the book uniquely covers the full range of disciplines which can provide insight into the future of addiction, from genetics to the humanities. Written for a scientific audience, it is also applicable to non-specialists as well. - Provides an unique overview of what we know about addiction, and how scientific knowledge can and should be applied in the societal, ethical, and political context - Applies the state-of-the-art research in fields such as Genomics, Neuroscience, Pharmacology, Social Policy and Ethics to addiction research - Includes a preface by Sir David King, Science Advisory to the UK Government and head of the Office of Science and Technology, and in introduction by Nora Volkow, director of the National Institute on Drug Abuse in the USA
With a unique focus on the most effective interventional techniques, Withrow & MacEwen's Small Animal Clinical Oncology, 5th Edition tells the full story of cancer in dogs and cats - what it is, how to diagnose it, and how to treat many of the most common cancers encountered in clinical practice. Nearly 500 color photographs, diagrams, x-rays, and gross views depict the clinical manifestations of various cancers. This edition covers the latest advances in clinical oncology, including chemotherapy, surgical oncology, and diagnostic techniques. With contributions from 65 veterinary oncology experts, this authoritative reference is a must-have for current, evidence-based therapeutic strategies on canine and feline oncology. "I really love this book. If you are interested in veterinary oncology, have a flick through this book online or at a conference when you get the chance. I hope that you agree with me that this is the definitive oncology reference source for the early 21st century and that you feel compelled to buy it. Your patients will thank you for it." Reviewed by: Gerry Polton MA VetMB MSc(Clin Onc) DipECVIM-CA(Onc) MRCVS, UK Date: July 2014 Cutting-edge information on the complications of cancer, pain management, and the latest treatment modalities prepares you to diagnose and treat pets with cancer rather than refer cases to a specialist. A consistent format for chapters on body system tumors includes coverage of incidence and risk factors, pathology, natural behavior of tumors, history and clinical signs, diagnostic techniques and workup, treatment options, and prognosis for specific malignancies. A systems approach to the diagnosis and management of cancer facilitates access to information about the many malignancies affecting small animal patients. Nearly 500 color images provide accurate depictions of specific diseases and procedures. Helpful drug formularies provide quick access to information on indications, toxicities, and recommended dosages for chemotherapeutic and analgesic drugs used in cancer treatment. Expert contributors provide in-depth coverage of the most current information in his or her respective specialty in veterinary oncology. Chemotherapy protocols are included when case studies prove clinical efficacy. Discussion of compassion and supportive care for the management of pain, nutritional needs, and grief includes methods for handling the pet's pain and nutritional complications as well as the pet owner's grief when treatment is not successful. Thoroughly UPDATED chapters cover the most recent changes in the clinical management of melanoma, mast cell tumors, tumors of the skeletal system, tumors of the endocrine system, tumors of the mammary gland, urinary cancers, nervous system cancers, lymphoma, and histiocytic diseases. NEW Clinical Trials and Developmental Therapeutics chapter discusses the various phases of clinical trials as well as current challenges and opportunities in oncology drug development. NEW! A focus on the best recommended treatment options highlights therapeutic strategies that have been vetted by veterinary oncology experts. NEW co-author Dr. Rodney L. Page adds his valuable perspective, expertise, and research experience.
This textbook on communication is directly relevant to a multiplicity of research areas and professions. This revised edition has been expanded to include further research as well as a new chapter on negotiating.
Grasslands, in particular managed pastures and rangelands, are widespread, covering approximately 40% (52 million km2) of the Earth's land surface. They are dominated by members of the Poaceae - the fourth largest plant family with over 7,500 species, and also the most widespread. Grasslands constitute a major biome on all continents except Antarctica and also represent the most important food crop on Earth with corn, wheat, maize, rice and millet accounting for the majority of our agricultural output. Grasses and Grassland Ecology provides an ecologically orientated introduction to this influential group of plants, summarizing the most recent scientific research in ecology and agriculture in the context of the older, classic literature. Ten chapters cover the morphology, anatomy, physiology and systematics of grasses, their population, community and ecosystem ecology, their global distribution, and the effects of disturbance and grassland management. This comprehensive and accessible textbook is suitable for graduate level students as well as professional researchers in the fields of plant ecology, rangeland science, crop science, and agriculture.
Edited and written by true leaders in the field, Psychopathology provides comprehensive coverage of adult psychopathology, including an overview of the topic in the context of the DSM. Individual chapters cover the history, theory, and assessment of Axis I and Axis II adult disorders such as panic disorder, social anxiety, bipolar disorders, schizophrenia, and borderline personality disorder.
This comprehensive atlas and textbook on strabismus surgery and its complications provides complete instruction for the surgical management of the strabismus patient. The text is lavishly illustrated with artwork and photographs, and supported by sample references.
This ebook illustrates the day to day work of providing social services to adolescents: it describes the context of that task, its complexities, it's limitations, some of its successes and failings. More specifically it focuses on the role of assessment as part of the social work process, comparing specialist assessments with those undertaken routinely by district-based social workers.
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