Neurological signs or symptoms are present in approximately 20% of all chil dren admitted to the hospital. These may be the reason for admission or may be part of preexisting and often unrelated problems. In ambulatory practice, acute neurological disease is not seen as frequently, but issues relating to normal and abnormal development are constantly being faced. For these reasons, familiarity with the progress of normal development and factors interfering with it, as well as knowledge of the major acute and chronic disorders of the nervous and neu romuscular systems, is important for any practitioner, specialist, or generalist who cares for children. The pathophysiology of neurological disorders in childhood is based on the same principles of the organization, structure, and function of the nervous sys tem as apply to adults. Two pitfalls are present for the student, however. First, the abnormalities are superimposed on a changing, developing brain, not a rather static, mature organ. The manifestations of the disease may vary, there fore, in seemingly unpredictable fashion depending on the rate of progression of the disorder and the rate and adequacy of the ongoing developmental changes in the nervous system. The second problem is the large number of unfa miliar conditions, many of which have no counterpart in adult neurology or medicine. These include developmental malformations, disorders specific to the neonatal period, and many hereditary and metabolic diseases.
In ships and planes, they crossed the English Channel. On the other side Hitler’s army waited. And the longest day was about to begin.... In the spring of 1944, 120,000 Allied soldiers crossed the English Channel in the most ambitious invasion force ever assembled. Rangers, paratroopers, infantry, and armored personnel, these soldiers--some who had just cut their teeth in Africa and Sicily and some who were brand-new to war--joined a force aimed at the heart of Europe and Hitler’s defenses. On the morning of June 6, D-Day began. And in the hours that followed, thousands lost their lives, while those who survived would be changed forever No other chronicle of D-Day can match Gerald Astor's extraordinary work--a vivid first-person account told with stunning immediacy by the men who were there. From soldiers who waded through the bullet-riddled water to those who dropped behind enemy lines, from moments of terror and confusion to acts of incredible camaraderie and heroism, June 6, 1944 plunges us into history in the making--and the most pivotal battle ever waged.
Told by soldiers, sailors, airmen, and marines, this series is an oral history of World War II from those who were there. This second volume examines the storming of Omaha Beach on D-Day, and the advance of allied forces across Europe to the liberation of Paris. THE GREATEST WAR is an oral history of World War II told in the words of the soldiers, sailors, airmen, and marines-the men dubbed the "greatest generation," who fought and ultimately emerged victorious from battle. In this second volume, Gerald Astor, one of the nation's most acclaimed military historians, takes readers from the storming of Omaha Beach on D-Day to the advance of Allied forces across Europe to the liberation of Paris. It is a gripping narrative of unparalleled courage, honor, and glory that is sure to become a military classic.
This collection is in honour of E.G. Stanley. They apply Stanley's approach of 'wise scepticism' to provide new and exciting readings of difficult and rewarding fields, including Old English metre and verse and Beowulf.
A complete guide to every aspect of interventional nephrology—an essential text for students, residents, fellows, and clinicians This timely resource examines all relevant aspects of interventional nephrology, from the history of nephrology to the principles governing the latest vascular access techniques. Heavily illustrated with full-color procedural drawings and featuring an easy-to-follow design, the book includes contributions from many leading authorities in the field whose insights combine to form an unprecedented, clinically rigorous survey of interventional nephrology. Interventional Nephrology opens with an instructive look at the origins of hemodialysis access; an overview of the history of interventional nephrology in the U.S. and abroad; and clinically relevant coverage of vascular access outcomes. The high-yield coverage continues with a probing assessment of ethics, public policy, and practice guidelines, illuminating such pivotal topics as industry partnerships and conflicts of interest. The principles that support interventional nephrology techniques are also extensively reviewed, encompassing everything from vascular mapping to peritoneal dialysis catheter removal, while the following section delves into the key surgical aspects of vascular access. Finally, the book provides useful perspectives on how political and policy affairs impact current practice. FEATURES Illustrated with precise full-color drawings and radiographs that highlight both normal and vascular anatomy and clarify the management of vascular access problems Streamlined design and helpful pedagogy, including chapter-opening learning objectives, numerous tables, and concept-clarifying figures Complete overview of the core principles underlying interventional nephrology practice and techniques, covering vascular mapping, monitoring and surveillance of arteriovenous access, venous angioplasty, tunneled catheters, renal ultrasonography, and much more Discussion of vascular access in special populations and the role of pharmacologic agents in preserving vascular access provides evidence-based insights that are pertinent to the everyday practice of interventional nephrology In-depth emphasis on the surgical aspects of vascular access reviews sites, types, and creation of arteriovenous fistulae; secondary arteriovenous fistula; and surgical options for vascular anomalies Forward-thinking coverage of basic and translational science considers future directions in vascular access science; flow dynamics, maturity, and access failure; neointimal hyperplasia; pharmacologic prevention of access dysfunction; and device innovation
Learning disabilities is a subject that is usually associated with school-aged children where the research and intervention strategies are well known. Much less research has been done for assessing and diagnosing older adolescents and adults in this area. This work is an effort to provide a comprehensive review of what we know about certain of these disorders, specifically: language-based learning disorders; nonverbal learning disorders; high-functioning autism; attention-deficit/hyperactivity disorder; and mathematics disorders and how they manifest themselves in the later years of development and maturity. A chapter addresses each one of these disorders of learning. Included in each chapter is a discussion of historical perspectives, definitions and diagnostic criteria, incidence and prevalence data, comorbidity studies, pertinent research from all relevant fields of study, reasonable accommodations in academia as well as the workplace, and outcome data. This much-needed review will be of interest to clinicians in neuropsychology, educational psychology, and psychopharmacology.
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