High Risk Pregnancy examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis, fetal disease, and management of labor and delivery. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. This comprehensive reference features the fully searchable text online at www.expertconsult.com, as well as more than 100 videos of imaging and monitoring. giving you easy access to the resources you need to manage high risk pregnancies. Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors. Find and apply the information you need quickly and easily through a consistent organization and at-a-glance summary boxes that discuss evidence-based management options. Access the fully searchable text online at www.expertconsult.com, along with links to Medline. View over 140 videos of detailed fetal imaging and monitoring that aid in diagnoses. Tap into recent developments in treatment and management in four new chapters—Global Maternal & Perinatal Health Issues; Recurrent Pregnancy Loss; Surveillance of the Fetus and its Indications; and Training for Obstetric Emergencies. Apply new evidence-based management options to treat genetic and constitutional factors leading to a high-risk pregnancy (such as diabetes, obesity, hypertension, and cardiac disease) through new and expanded coverage of these increasingly common presentations. Reference pregnancy-relevant laboratory values with an updated and comprehensive appendix on "Normal Values in Pregnancy." Effectively manage patients newly diagnosed with hematologic and immunologic malignancies, and explore the available drug options. Confirm your diagnoses with greater confidence thanks to full-color images throughout the text.
This book examines the evidence relative to the idea that there is an age factor in first and second language acquisition, evidence that has sources ranging from studies of feral children to evaluations of language programmes in primary schools. It goes on to explore the various explanations that have been advanced to account for such evidence. Finally, it looks at the educational ramifications of the age question, with particular regard to formal second language teaching in the early school years and in ‘third age’ contexts.
Today, it's not uncommon to get the impression that our claims to know are either doomed before they begin or that they have a status that approaches certainty. The pendulum seems to swing from one end to the other, with our educational institutions too often perpetuating both depending on the person being asked. Yet the question of how and if our claims to know are really justified remains central. * Is knowledge a purely social construct without any objective basis, as many claim? * Or, if we do have some basis to believe some of our claims, are we justified in holding those claims with an attitude of certainty, as others in today's environment seem to imply? * And what role do our quick judgments play in those claims? From the tenor of our public debates, one could easily be left with the suspicion that either we can't know anything or that whatever the present state of knowledge is shouldn't be questioned. What Can We Really Know? The Strengths and Limits of Human Understanding aims to bring some balance to the topic, and argues that while we do have reason to believe that a great many of our claims are justified, it's also true that much of what passes for knowledge is a social product and therefore vulnerable to future revision. Exploring how knowledge can be understood, how far science can take us and what its limitations might be, and the status of some of the most recent arguments for God's existence, it will be suggested that a healthy dose of humility should be reincorporated in our public and private debates.
Landscapes are being degraded and simplified across the globe. This book explores how forest restoration might be carried out to increase landscape heterogeneity, improve ecological functioning and restore ecosystem services in such landscapes. It focuses on large, landscape-scale reforestation because that is the scale at which restoration is needed if many of the problems that have now developed are to be addressed. It also shows how large-scale forest restoration might improve human livelihoods as well as improve conservation outcomes. A number of governments have undertaken national reforestation programs in recent years; some have been more successful than others. The author reviews these to explore what type of reforestation should be used, where this should be carried out and how much should be done. For example, are the traditional industrial forms of reforestation necessarily the best to use in all situations? How can forest restoration be reconciled with the need for food security? And, are there spatial thresholds that must be exceeded to generate economic and environmental benefits? The book also examines the policy and institutional settings needed to encourage large-scale reforestation. This includes a discussion of the place for incentives to encourage landholders to undertake particular types of reforestation and to reforest particular locations. It also considers forms of governance that are likely to lead to an equitable sharing of the costs and benefits of forest restoration.
Praised by JAMA as "The most complete description of the development, structure, function, pathophysiology, and treatment of the retina and its diseases to be found anywhere," this monumental three-volume work puts all of today's scientific and clinical knowledge of the retina at readers' fingertips. The New Edition has been comprehensively updated and reorganized to reflect all of the very latest scientific and genetic discoveries, diagnostic imaging methods, drug therapies, treatment recommendations, and surgical techniques. The result is an indispensable reference and diagnostic tool for generalists and specialists alike. Delivers the editorial expertise of four highly respected authorities, as well as contributions from internationally recognized leaders in visual science, ophthalmology, and vitreoretinal studies. Presents more than 3,400 superb illustrations (2,200 in full color) that capture all forms of retinal disease from every perspective. Offers the very latest information on the genetic basis of retinal disease, diagnostic retinal imaging, photodynamic therapy, and age-related macular degeneration. Examines the most recent advances in diagnostic indocyanine green angiography � optical coherence tomography (OCT) and quantitative fluoroscein angiography � macular translocation with 360� peripheral retinectomy � surgery for diffuse macular edema due to multiple causes, including proliferative vitreoretinopathy � artificial vision � and much more. Features a completely restructured section on age-related macular degeneration that includes epidemiology and risk factors � prophylaxis and prevention knowledge gained from large clinical trials like AREDS � proven and experimental treatments for AMD � and pharmacotherapy. Incorporates a multitude of new full-color images, 2200 in all.
Written by leading food animal researchers, practitioners, and educators, this comprehensive guide provides quick access to the latest medical and surgical interventions for cattle, sheep, and goats. The concise, quick-reference format and logical body systems organization make it ideal for use in both the clinical setting and the field. You'll easily locate key information on preventing, treating, and managing disease in food animals, as well as expert insights on improving outcomes for individual animals and herd populations. - Authoritative, cutting-edge coverage offers clinically relevant strategies for diagnosing and managing a wide range of diseases and disorders in food animals, with a focus on cattle, sheep, and goats. - Logically organized content is easy-to-follow and provides a practical approach to determining appropriate medical and surgical interventions. - Concise, easy-to-read format helps you find essential information quickly and easily. - Expert editors, consultants, and writers ensure the accuracy, relevance, and timeliness of each topic to keep you on the cutting edge of food animal therapy. - New editors and a new team of section editors bring a fresh perspective and authoritative guidance on caring for food animals. - Completely revised and updated content includes new sections on topics such as: - Genital surgery - Pharmacology and therapeutics - Restraint, anesthesia, and pain management - Cow-calf/small ruminant production medicine - Feedlot production medicine - Coverage of hot topics in the field includes biosecurity in feedlots, therapy in organic livestock medicine, and ethical responsibilities in selecting drugs for use in food animals. - Expanded treatment options incorporate surgical interventions where appropriate, including laparoscopic procedures.
Using the minimal facts every scholar accepts about Jesus, this book uniquely blends current New Testament thinking and research from the fields of psychology, neurology, and social sciences to argue that Jesus' physical resurrection from the dead is the most probable explanation for the appearance claims of the disciples and St. Paul. The book shows that the disciples and St. Paul were in no position to invent the appearances, especially as Jesus was executed as a criminal and Messianic pretender. With the resurrection the last thing they expected, and with no evidence of any evolutionary development, only the sudden appearances of Jesus explains their explosive transition from faithless to fearless.
Part of the bestselling What Your Doctor May Not Tell You series, an informative, detailed guide to breast cancer, including treatment and prevention. Each year, over 40,000 women in the U.S. die from breast cancer. With statistics rising, conventional methods of treatment are simply not working, and in some cases may even be harmful. Now, Drs. Lee and Zava explain the potentially life-saving facts, such as: likely sources for the increase in breast cancer, including environment, excessive estrogen, progesterone imbalance, diet, and the dangers associated with traditional hormone replacement methods. Readers will learn strategies for lowering their risk and preventing this devastating disease through a revolutionary hormone balance program.
Louis R. Pondy was a leading management and organizational studies scholar whose work on open systems helped launch and define the future of the field. This book offers an assessment of Pondy’s contribution, through critical reflection on what happened to the relationship between conflict theory and “beyond open systems.” Exploring the ways in which Louis R. Pondy theorizes conflict and systems, and how he challenged the status quo paradigms, this book offers a historical analysis on Pondy’s work and the relation to contemporary management theory. The author develops a Triple Loop framework, building on Pondy’s theories as well as the work of Gregory Batesom, to demonstrate a beyond-open-systems approach and existing single- or double-loop systems. Demonstrating the value and legacy of Louis R. Pondy, this book will have international appeal to researchers, academics and students across management disciplines and organizational studies, including systems thinking and conflict resolution.
Is Christian worship best conceived as a creative, Spirit-fueled experience that any formalized structure necessarily inhibits, or are there any biblical prescriptions around for worship that Christians were meant to follow? In light of recent research from various disciplines-including history, psychology, and New Testament studies - In Defense of Christian Ritual: The Case for a Biblical Pattern of Worship argues the latter. Specifically, this book will demonstrate three things. First, in contrast to the anti-ritualism so prevalent in modern churches, ritual's indispensable role in providing biblically-centered context and content is detailed.Second, contrary to modern opinion, a definite pattern of worship is shown to be present both in our earliest New Testament documents and the early church.Finally, new research will reveal that the assumptions about creativity lying at the heart of modern contemporary worship are fundamentally flawed. Readers will discover that the apostolic teaching embodied in the church's early ritual, as expressed in its liturgy, was never intended to be outdated or rendered irrelevant in light of current fads. It was never meant to be a relic of the ancient past, but a structured way of bringing the "memoirs of the apostles" -that Jesus died for sinners- to God's people in the here and now.
Developed through a partnership with the National Physical Activity Plan Alliance and the National Coalition for Promoting Physical Activity (NCPPA), Implementing Physical Activity Strategies profiles 42 physical activity programs that are helping people adopt more active and healthy lifestyles based on the U.S. National Physical Activity Plan (NPAP). This resource combines the expertise of editors Russell Pate and David Buchner as well as a host of respected researchers and practitioners well known for their long-term advocacy for a more physically active society. Implementing Physical Activity Strategies highlights innovative and proven physical activity programs under way in eight sectors: education; mass media; health care; parks, recreation, fitness, and sports; business and industry; public health; transportation, land use, and community design; and volunteer and nonprofit organizations. For each, readers will find an explanation of how the physical activity program was executed, how it aligns with the NPAP, the target population of the program, cross-sector collaborations and their benefits, and assessments of program effectiveness. A consistent presentation of information on each program makes this comprehensive reference easy to use. The text maintains a focus on topics such as cross-sector collaboration, tactics and troubleshooting tips, and how each program aligns with the NPAP. This ensures readers will find tools and information to bring success to their own initiatives. Many of the program profiles include sample press releases, ads, screen shots, photos, surveys, follow-up forms, and other hands-on materials to help readers more readily translate the ideas and materials of these programs into new physical activity initiatives. By sharing examples and case studies of proven programs, Implementing Physical Activity Strategies supports those seeking ways to bring the benefits of increased physical activity to their constituents: • Officials and managers in public health and health care • Volunteer and nonprofit organizations • Recreation, fitness, and sport leaders • Physical education teachers • Worksite health promotion advocates • Transportation, urban policy, and design workers Implementing Physical Activity Strategies offers a detailed look into exemplary programs that have brought about an increase in regular physical activity for individuals where they live, work, and play. Stimulate new ideas, inspire creativity and innovation, and set in motion new results-oriented physical activity initiatives with Implementing Physical Activity Strategies.
Breast Cancer, Second Editionis intended to provide a comprehensive description of current and evolving aspects of breast cancer including the biologic basis of disease, epidemiology, risk assessment, diagnostic evaluation, treatment strategies, and surveillance measures. The second edition expands considerably on the first edition, containing greater emphasis on issues relevant to medical oncology and the broader oncology community. New to this edition are chapters on the male breast, breast cancer in the augmented breast and breast cancer in multiethnic/multiracial populations. Part of the American Cancer Society’s acclaimedAtlas of Clinical Oncology series, this volume offers an expert overview of breast cancer. Topics range from epidemiology and genetics to diagnosis, management and reconstruction. Post-treatment care, as well as male breast cancer, is also discussed.
This book constitutes a holistic study of how and why late starters surpass early starters in comparable instructional settings. Combining advanced quantitative methods with individual-level qualitative data, it examines the role of age of onset in the context of the Swiss multilingual educational system and focuses on performance at the beginning and end of secondary school, thereby offering a long-term view of the teenage experience of foreign language learning. The study scrutinised factors that seem to prevent young starters from profiting from their extended learning period and investigated the mechanisms that enable late beginners to catch up with early beginners relatively quickly. Taking account of contextual factors, individual socio-affective factors and instructional factors within a single longitudinal study, the book makes a convincing case that age of onset is not only of minimal relevance for many aspects of instructed language acquisition, but that in this context, for a number of reasons, a later onset can be beneficial.
Language fundamentally defines and distinguishes us as humans, as members of society, and as individuals. As we go through life, our relationship with language and with learning shifts and changes, but it remains significant. This book is an up-to-date resource for graduate students and researchers in second language (L2) acquisition who are interested in language learning across the lifespan. The main goal is to survey and evaluate what is known about the linguistic-cognition-affect associations that occur in L2 learning from birth through senescence (passing through the stages of childhood, adolescence, adulthood, and third age), the extent to which L2 acquisition may be seen as contributing to healthy and active aging, the impact of the development of personalized, technology-enhanced communicative L2 environments, and how these phenomena are to be approached scientifically and methodologically. The effects of certain specific variables, such as gender, socio-economic background, and bilingualism are also analyzed, as we argue that chronological age does not determine the positioning of L2 learners across the lifespan: age is part of a complex web of social distinctions such as psychological and individual factors that intersect in the construction of a learner’s relative status and opportunities.
The Human Microbiota offers a comprehensive review of all human-associated microbial niches in a single volume, focusing on what modern tools in molecular microbiology are revealing about human microbiota, and how specific microbial communities can be associated with either beneficial effects or diseases. An excellent resource for microbiologists, physicians, infectious disease specialists, and others in the field, the book describes the latest research findings and evaluates the most innovative research approaches and technologies. Perspectives from pioneers in human microbial ecology are provided throughout.
Over the past 40 years, ERCP has become an effective therapeutic modality with diagnostic purposes that are continually improved.. The 3rd Edition of this practical reference helps you make the most of today's endoscopic retrograde cholangiopancreatography in your practice. You'll find authoritative, highly illustrated guidance on every aspect of ERCP, including coverage of the latest techniques. - Clearly depicts each step of ERCP procedures in dozens of step-by-step videos, including Needle Knife Sphincterotomy, Biliary Sphincterotomy, Cannulation, and Fistulotomy. - Provides clear guidelines on when and when not to perform ERCP. - Features superb, full-color images, and a wealth of illustrative diagrams. - Includes new chapters that cover duodenoscope reprocessing; endomicrocopy; EUS-guided endotherapy related to pancreatobiliary disorders; and CT and MRCP related to pancreatobiliary disorders. - Contains updated information on radiofrequency ablation for cancer, percutaneous vs. endoscopic drainage, scope cleaning practices, and pancreatic necrosis. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Long considered an icon of the wild, wolves capture our imagination and spark controversy. Humans are the adult wolf’s only true natural predator; its return to the old-growth forests and wild coastlines of the Pacific Northwest renews age-old questions about the value of wildlands and wildlife. As the vivid stories unfold in this riveting and timely book, wolves emerge as smart, complex players uniquely adapted to the vast interdependent ecosystem of this stunning region. Observing them at close range, David Moskowitz explores how they live, hunt, and communicate, tracing their biology and ecology through firsthand encounters in the wildlands of the Northwest. In the process he challenges assumptions about their role and the impact of even well-meaning human interventions.
Electromagnetic Boundary Problems introduces the formulation and solution of Maxwell’s equations describing electromagnetism. Based on a one-semester graduate-level course taught by the authors, the text covers material parameters, equivalence principles, field and source (stream) potentials, and uniqueness, as well as: Provides analytical solutions of waves in regions with planar, cylindrical, spherical, and wedge boundaries Explores the formulation of integral equations and their analytical solutions in some simple cases Discusses approximation techniques for problems without exact analytical solutions Presents a general proof that no classical electromagnetic field can travel faster than the speed of light Features end-of-chapter problems that increase comprehension of key concepts and fuel additional research Electromagnetic Boundary Problems uses generalized functions consistently to treat problems that would otherwise be more difficult, such as jump conditions, motion of wavefronts, and reflection from a moving conductor. The book offers valuable insight into how and why various formulation and solution methods do and do not work.
Deep-sea manganese nodules, once an obscure scientific curios ity, have, in the brief span of two decades, become a potential mineral resource of major importance. Nodules that cover the sea floor of the tropical North Pacific may represent a vast ore de posit of manganese, nickel, cobalt, and copper. Modern technology has apparently surmounted the incredible problem of recovering nodules in water depths of 5000 meters and the extraction of metals from the complex chemical nodule matrix is a reality. Both the recovery and the extraction appear to be economically feasible. Exploitation of this resource is, however, hindered more by the lack of an international legal structure allowing for recognition of mining sites and exploitation rights, than by any other factor. Often, when a mineral deposit becomes identified as an ex ploitable resource, scientific study burgeons. Interest in the nature and genesis of the deposit increases and much is learned from large scale exploration. The case is self evident for petrol eum and ore deposits on land. The study of manganese nodules is just now entering this phase. What was the esoteric field of a few scientists has become the subject of active exploration and research by most of the industrialized nations. Unfortunately for our general understanding of manganese nodules, exploration results remain largely proprietary. However, scientific study has greatly increased and the results are becoming widely available.
This book focuses on analysing how legal systems set the terms for interactions between human beings and plants. The story that the book recounts is one of experimental lawmaking in Ecuador, a country where over the past decade, governmental officials and civil society advocates have attempted to reconfigure how human individuals and institutions relate to nature, by following an "eco-centric" approach to lawmaking. In doing so, Ecuadorian legislators, administrators, and judges have taken seriously the ontologies of non-human entities, including plants, through a process that has required the continuous navigation of tensions with certain "logics" that pervade conventional legal regimes. The book endeavours to disrupt these conventional assumptions and approaches to lawmaking by taking seriously alternative strategies to reconstitute interactions between people and plants. In doing so, the book argues in favour of an "ecological turn" in laws that govern vegetal life. The analysis is based on a close examination of the experiences that lawmakers in Ecuador have had when experimenting with innovative approaches to re-form relationships between human and non-human beings. Concretely, these experiments have yielded constitutional, legislative, and regulatory changes that inform the inquiry of how intellectual property and plant genetic resources laws – both in Ecuador and worldwide – could become more "ecological" in nature. The argument that the book develops is based on extensive ethnographic fieldwork and empirical research in Ecuador, complemented by archival and doctrinal legal analysis. The contents of the book will be of interest to an academic audience of legal scholars and postgraduate students in law, in addition to scholars and students in the fields of anthropology, sociology, socio-legal studies, and science and technology studies.
Salmonids have widespread economic and environmental importance. Correct identification and understanding of their diseases are therefore vital if valuable stocks are to be maintained. This volume provides a practical guide and an aid to disease recognition. This is an updated and extended version of the first publication in 1996 and contains around 400 high quality colour photomicrographs.
Biochemistry: The Chemical Reactions of Living Cells is a well-integrated, up-to-date reference for basic biochemistry, associated chemistry, and underlying biological phenomena. Biochemistry is a comprehensive account of the chemical basis of life, describing the amazingly complex structures of the compounds that make up cells, the forces that hold them together, and the chemical reactions that allow for recognition, signaling, and movement. This book contains information on the human body, its genome, and the action of muscles, eyes, and the brain. * Thousands of literature references provide introduction to current research as well as historical background * Contains twice the number of chapters of the first edition * Each chapter contains boxes of information on topics of general interest
This book presents a selection of subjects which the authors deem to be important for information systems engineers. The book is intended for introductory teaching. We have tried to write the book in such a way that students with only fragmented knowledge of computers are able to read the book without too many difficulties. Students who have had only an intro ductory course in computer programming should be able to read most of the book. We have tried to achieve simplicity without compromising on depth in our discussions of the various aspects of information systems engineering. So it is our hope that also those who have deeper knowledge in computing may find pleasure in reading parts of the book. The writing of a textbook is a major undertaking for its authors. One is quite often forced to reexamine truisms in the subject area, and must be prepared to reevaluate one's opinions and priorities as one learns more. In particular this is so in new fields, where formalisms have been scarcely used, and where consensus has not yet emerged either on what constitutes the subject area or on how practical problems within the field shall be approached. Contemporary practice in computer applications is confronted with an increasingly complex world, both in a technical sense and in the complexity of problems that are solved by computer.
Surfing Economics is a collection of essays by one of Europe's leading young economists. These essays are written to bring to life in a non-technical manner some of the fundamental ideas and concepts in contemporary economics, including new Keynesian economics, the natural rate, bounded rationality, social learning and the meaning of economics. Whilst primarily written for the undergraduate student, these essays will entertain and enlighten economists of all ages. Above all, the essays convey the enthusiasm and excitement of Huw Dixon for economics along with his valuable insights into the subject. Just the thing to brighten up your reading lists.
The book explains the underlying pathophysiology of the disease and covers in detail all its main forms and complications. Separate chapters consider the range of treatment options, together with summaries of key clinical trials. Coverage also includes epidemiology and classification, as well as diagnosis, screening, limiting risk, and other aspect
How do voters in Britain decide which party to vote for in elections? Have age and education replaced class as the social basis for voting? Are elections now ‘presidentialised’, with voters simply choosing between party leaders? What role do the media, new and old, play in all of this? The authors examine these and other questions in the fourth edition of this popular text. The core of the text is devoted to examining and explaining theories of party choice, including the debate about whether voters are driven more by issues and ideology or simply by which party and leader looks least likely to make a mess of things in office. The authors also devote separate chapters to turnout trends and patterns, the media, electoral systems, the geography of party support, and – new to this edition – referendums. Fully revised and with detailed analysis of the 2019 election and the electoral fallout of Brexit, the text incorporates the latest research on elections and voting behaviour, and includes analysis of recent trends and developments – such as the effect of digital media on electoral politics and where recent misfires leave the opinion polls.
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