With coverage of all major aspects of obstetric care, Manual of Obstetrics, 9th Edition, is a practical point-of-care reference and review for medical students, ob/gyn residents, fellows, obstetricians, family medicine physicians, and advanced practice nurses. Fully updated from cover to cover, this bestselling manual covers prenatal care, labor and delivery, obstetric complications, medical complications of pregnancy, fetal assessment, fetal diagnosis and therapy, and neonatal care.
A 1925 report by Bradbury and Eggleston first described patients with extreme orthostatic hypotension and a low, steady heart rate. Evidence accumulated over the next two decades that patients with orthostatic hypotension include those with pure autonomic failure (PAF), characterized by isolated peripheral autonomic dysfunction and decreased norepinephrine synthesis; multiple system atrophy (MSA) with symptoms of a central Parkinson-like syndrome and normal resting plasma norepinephrine; and Parkinson’s disease (PD), with lesions in postganglionic noradrenergic neurons and signs of autonomic dysfunction. All three disorders are classified as α-synucleinopathies. Insoluble deposits of α-synuclein are found in glia in MSA, whereas they take the form of neuronal cytoplasmic inclusions called Lewy bodies in PAF and PD. The exact relationship between α-synuclein deposits and the pathology remains undetermined. PAF occurs sporadically, and progresses slowly with a relatively good prognosis. However, it has been proposed that some cases of PAF may develop a central neurodegenerative disorder. Differentiation between PAF, MSA, and PD with autonomic failure can be facilitated by a number of biochemical and functional tests and by imaging studies. Cardiac sympathetic innervation is generally intact in MSA but decreased or absent in Parkinson’s disease with autonomic failure and PAF. Treatment of PAF is directed at relieving symptoms with nonpharmacological interventions and with medications producing volume expansion and vasoconstriction. Future studies should focus on determining the factors that lead to central rather than solely peripheral neurodegeneration.
The United States faces a complex and rapidly shifting international security landscape. Forces of ethnic and religious extremism, diffusion of information technologies, proliferation of mass destruction weapons, and newly empowered non-state actors are just some of the trends whose complex interplay will produce unanticipated threats. Yet, while the future is more uncertain today than during the Cold War, we currently have a window of opportunity for shaping a more favorable future. The challenge for the United States, and for all states, is not just to manage uncertainty but also to prevail in spite of it. To help address that challenge, this book examines strategic choices in uncertain times and analyzes how different strategies position states to compete, manage risk, and prevail despite uncertainty. It investigates how past and current political and military leaders have responded to uncertain strategic and technological environments, and assesses the consequences of those strategies for their state's power and influence.
What does it mean to love your neighbor in today's fraught, divided world? Join Dr. Emily Smith, global health expert and creator of the popular Facebook page Friendly Neighbor Epidemiologist, as she dives into what loving your neighbor--as illustrated in the biblical parable of the Good Samaritan--truly means. Combining Dr. Smith's expertise as a scientist with her deep Christian faith while drawing from her journey from small-town Texas to a prestigious university, The Science of the Good Samaritan shares fascinating stories from Dr. Smith's life and the lives of other inspiring people around the world to show us how to: Find shared values with people from different backgrounds, faiths, and cultures than our own Reach outside our immediate circles to bring in those on the margins Redefine our concept of "neighbor" and love our neighbors in more practical and global ways Bridge the gaps of society's disparities and inequities You can help reimagine and create a better world--and it all starts with authentically loving your neighbor.
How the idea of the author was born in the battleground of gender When Sappho sang her songs, the only word that existed to describe a poet was a male one—aoidos, or “singer-man.” The most famous woman poet of ancient Greece, whose craft was one of words, had no words with which to talk about who she was and what she did. In How Women Became Poets, Emily Hauser rewrites the story of Greek literature as one of gender, arguing that the ways the Greeks talked about their identity as poets constructed, played with, and broke down gender expectations that literature was for men alone. Bringing together recent studies in ancient authorship, gender, and performativity, Hauser offers a new history of classical literature that redefines the canon as a constant struggle to be heard through, and sometimes despite, gender. Women, as Virginia Woolf recognized, need rooms of their own in order to write. So, too, have women writers through history needed a name to describe what it is they do. Hauser traces the invention of that name in ancient Greece, exploring the archaeology of the gendering of the poet. She follows ancient Greek poets, philosophers, and historians as they developed and debated the vocabulary for authorship on the battleground of gender—building up and reinforcing the word for male poet, then in response creating a language with which to describe women who write. Crucially, Hauser reinserts women into the traditionally all-male canon of Greek literature, arguing for the centrality of their role in shaping ideas around authorship and literary production.
Conservation Skills for the 21st Century provides a much-needed update to the original Conservation Skills volume, presenting an overview of current issues facing conservators of historic and artistic works. Beginning with the basics – why the past is important, as well as an overview of the nature and history of conservation – the book allows the reader to develop a holistic appreciation of the subject. As with the first edition, this volume assists with the development of judgement in conservation students and young professionals. A selection of new case studies representing issues conservators are likely to face in the 21st century illustrates the crucial considerations that must be made when proposing and executing a conservation treatment. Incorporating recent developments and use of new technologies in conservation processes, the book also covers topics such as conservation ethics; recording and documentation; investigating and cleaning objects; stabilisation and restoration; values, decision-making, and responsibilities; preventive conservation; approaches to the treatment of working and socially active objects; sustainability in conservation; and the conservator’s role as advocate. With detailed case studies and written in a clear, accessible style, Conservation Skills for the 21st Century remains essential reading for student conservators and conservation professionals around the globe working across a wide range of conservation disciplines.
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