This is a highly pragmatic and down-to-earth guide to the “real world” of vascular surgery, written to help trainees pass the FRCS (Vasc) Examination the first time around, hopefully with flying colours! Through clear and concise chapters, a review of relevant vascular surgery papers, a solid grounding in up-to-date and relevant UK and European guidelines, and mock examination questions, this book should give candidates a fighting chance at exam success. Using his early experience, and insight gained from senior consultant vascular surgeons and mentors, author James Forsyth dispenses both facts and pearls of wisdom as he takes the prospective vascular surgeon through the core topics pertinent to a day one vascular consultant. This guide specifically covers: “Building a strong foundation” with a focus on patient counselling, presentation skills, clear documentation, professionalism, and a foundational grasp of the key evidence base for vascular surgery “Core vascular surgery topics” from chronic limb-threatening ischaemia to aorto-iliac aneurysms to symptomatic carotid artery disease to chronic venous disease Pragmatic guide to the “bread & butter” vascular surgery operations Fifty mock SBA assessment questions and answers, and numerous mock FRCS short and long cases that are blended into reality-based discussions to draw out key learning points This book is essential to any budding vascular surgeon intending to sit the FRCS (Vasc) examinations, and those who are about to start off as real day one consultant vascular surgeons. Indeed, the FRCS (Vasc) Examination is a bridge to becoming a true consultant vascular surgeon, and this book therefore is a “must-read” for anyone looking to cross that bridge.
This book provides simple and practical instructions on how to perform safe and easy venous cannulation, and how to insert midlines and PICC lines using ultrasound. It aidsunderstanding of the relevant anatomy, shows how to use the ultrasound machine, and how to insert such lines using ultrasound guidance. Readers will feel confident and well prepared to deal with patients requiring difficult venous access, giving them simple solutions that can be learned very quickly. These skills will also be globally beneficial for patients and healthcare institutions alike. Follows the trends of the NHS and riding the wave of the midline/PICC line revolution Compact and affordable highly relevant to daily practice Useful for specialists and generalists alike, truly multi-disciplinary
Providing real-world case examples and realistic mock examples of vascular surgery emergencies and clinical scenarios, this illustrated text supports trainees and residents in their daily clinical practice. However, the focus on senior decision-making and complex clinical management scenarios will also help trainees prepare for the FRCS (Vasc) and other specialist Vascular Surgery exams. Indeed, making efficient and appropriate clinical decisions is one of the most important and challenging parts of postgraduate vascular surgical training. These realistic cases will teach trainee vascular surgeons to develop their diagnostic and management skills, expand their experience, and ultimately should empower them to form more advanced clinical management plans that reflect higher level thinking. Key Features Teaches the surgical trainee how to navigate real-world clinical scenarios Reinforces the practical application of basic principles Encompasses challenging cases Provides question and answer options Case reflections indicate the rationale behind the decision-making A broad range of clinical conditions are covered to ensure that the trainee vascular surgeon can respond with confidence when presented with difficult new case scenarios.
Scotland has a parliament for the first time in almost 300 years, and this book is an account of how this came about. The authors trace the origins and history of the demand for home rule in Scotland, focusing particularly on developments following the failure of the first referendum on the issue in 1979, which culminated in a second referendum in September 1997. This major political event attracted national and international interest, and its decisive result was a milestone in Scottish history. This work presents an analysis of the referendum campaign at both national and local levels, including media coverage of the event and the outcome. The reactions of voters are explored on the basis of a large survey of the electorate, and lessons to be learnt about referendums in the UK and elsewhere are discussed.
This is a highly pragmatic and down-to-earth guide to the “real world” of vascular surgery, written to help trainees pass the FRCS (Vasc) Examination the first time around, hopefully with flying colours! Through clear and concise chapters, a review of relevant vascular surgery papers, a solid grounding in up-to-date and relevant UK and European guidelines, and mock examination questions, this book should give candidates a fighting chance at exam success. Using his early experience, and insight gained from senior consultant vascular surgeons and mentors, author James Forsyth dispenses both facts and pearls of wisdom as he takes the prospective vascular surgeon through the core topics pertinent to a day one vascular consultant. This guide specifically covers: “Building a strong foundation” with a focus on patient counselling, presentation skills, clear documentation, professionalism, and a foundational grasp of the key evidence base for vascular surgery “Core vascular surgery topics” from chronic limb-threatening ischaemia to aorto-iliac aneurysms to symptomatic carotid artery disease to chronic venous disease Pragmatic guide to the “bread & butter” vascular surgery operations Fifty mock SBA assessment questions and answers, and numerous mock FRCS short and long cases that are blended into reality-based discussions to draw out key learning points This book is essential to any budding vascular surgeon intending to sit the FRCS (Vasc) examinations, and those who are about to start off as real day one consultant vascular surgeons. Indeed, the FRCS (Vasc) Examination is a bridge to becoming a true consultant vascular surgeon, and this book therefore is a “must-read” for anyone looking to cross that bridge.
Over half a century ago, a leading commentator suggested that Scotland was very unusual in being a country which was, in some sense at least, a nation but in no sense a state. He asked whether something 'so anomalous' could continue to exist in the modern world. The Scottish Question considers how Scotland has retained its sense of self, and how the country has changed against a backdrop of fundamental changes in society, economy, and the role of the state over the course of the union. The Scottish Question has been a shifting mix of linked issues and concerns including national identity; Scotland's constitutional status and structures of government; Scotland's distinctive party politics; and everyday public policy. In this volume, James Mitchell explores how these issues have interacted against a backdrop of these changes. He concludes that while the independence referendum may prove an important event, there can be no definitive answer to the Scottish Question. The Scottish Question offers a fresh interpretation of what has made Scotland distinctive and how this changed over time, drawing on an array of primary and secondary sources. It challenges a number of myths, including how radical Scottish politics has been, and suggests that an oppositional political culture was one of the most distinguishing features of Scottish politics in the twentieth century. A Scottish lobby, consisting of public and private bodies, became adept in making the case for more resources from the Treasury without facing up to some of Scotland's most deep-rooted problems.
By any measure, the story of the Scottish National Party is an extraordinary one. Forced to endure decades of electoral irrelevance since its creation in the 1930s, during which it often found itself grappling with internal debate on strategy, and rebellion from within its own ranks, the SNP virtually swept the board in the 2015 general election, winning all but three of Scotland's fifty-nine seats in Westminster. What's more, under the current leadership of Nicola Sturgeon, the SNP has never been a more important force in the landscape of British politics. The leaders who have stood at its helm during this tumultuous eighty-year history - from Sir Alexander MacEwen to Nicola Sturgeon and Alex Salmond - have steered the SNP vessel with varying degrees of success, but there is no doubt that all have contributed to the shape, purpose and ultimate goal of the party of government we see today. The latest addition to the acclaimed British Political Leaders series, Scottish National Party Leaders examines each of these senior figures for the first time, and is essential reading for anyone curious about how this former fringe party evolved into a political phenomenon, changing not only the face of Scottish politics, but British politics as well.
This book has been seminal in bringing to the fore the injustices that have been inflicted on the Highlands in the name of government and landlord – injustices often lost in the name of dry statistics and academic balance. Written by a man who has gone on to become both an award-winning historian of the Highlands and a leading figure in the public life of the region, The Making of the Crofting Community has attracted praise, inspired debate, and provoked outrage and controversy over the years. This book remains necessary to challenge standard academic interpretations of the Highland past. Having long been one of the classics of Birlinn's John Donald list, this revised and updated new edition includes a substantial new preface and an extensive reworking of the existing text.
This book makes public, for the first time, a full account of the development of the privatization of prisons, centred on the only full-scale empirical study yet to have been undertaken in Britain. After providing an up-to-date overview of the development of private sector involvement in penal practice in the United Kingdom, North America, Europe and Australia, the authors go on to describe the first two years in the life of Wolds Remand Prison - the first private prison in Britain. They look at the daily life for remand prisoners, assess the duties and morale of staff and compare the workings of Wolds to a new local prison in the public sector. The authors conclude by discussing some of the practical and theoretical issues to have emerged from contracting out, ethical issues surrounding the whole privatization debate and implications for the future of the prison system and penal policy.
Demonstrates the profound impact of The Poems of Ossian on composers of the Romantic Era and later: Beethoven, Schubert, Mendelssohn, Brahms, Massenet, and many others. Beyond Fingal's Cave: Ossian in the Musical Imagination is the first study in English of musical compositions inspired by the poems published in the 1760s and attributed to a purported ancient Scottish bard named Ossian. From around 1780 onwards, the poems stimulated poets, artists, and composers in Europe as well as North America to break away from the formality of the Enlightenment. The admiration for Ossian's poems -shared by Napoleon, Goethe, and Thomas Jefferson - was an important stimulus in the development of Romanticism and the music that was a central part of it. More important still was the view of the German cultural philosopher Johann Gottfried Herder, who saw past the controversy over the poems' authenticity to the traditional elements in these heroic poems and their mood of lament. James Porter's long-awaited book traces the traditional sources used by James Macpherson for his epoch-making prose poems and examines crucial works by composers such as Beethoven, Schubert, Mendelssohn, Brahms, and Massenet. Many other relatively unknown composers were also moved to write operas, cantatas, songs, and instrumental pieces, some of which have proven to be powerfully evocative and well worth performing and recording.
This book explains devolution today in terms of the evolution of past structures of government in the component parts of the United Kingdom. Available in paperback for the first time, it highlights the importance of the English dimension and the role that England’s territorial politics played in constitutional debates. Similarities and differences between how the components of the UK were governed are described. It argues that the UK should be understood now, even more than pre-devolution, as a state of distinct unions, each with its own deeply rooted past and trajectory. Using previously unpublished primary material, as well as a wealth of secondary work, the book offers a comprehensive account of the territorial constitution of the UK from the early twentieth century through to the operation of the new devolved system of government.
The Historical Dictionary of the British Monarchy provides a chronology starting with the year 495 and continuing to the present day, an introductory essay, an extensive bibliography, and over 600 cross-referenced dictionary entries on significant persons, places, events, institutions, and other aspects of British culture, society, economy, and politics. This book is a must for anyone interested in the British monarchy.
This book provides simple and practical instructions on how to perform safe and easy venous cannulation, and how to insert midlines and PICC lines using ultrasound. It aidsunderstanding of the relevant anatomy, shows how to use the ultrasound machine, and how to insert such lines using ultrasound guidance. Readers will feel confident and well prepared to deal with patients requiring difficult venous access, giving them simple solutions that can be learned very quickly. These skills will also be globally beneficial for patients and healthcare institutions alike. Follows the trends of the NHS and riding the wave of the midline/PICC line revolution Compact and affordable highly relevant to daily practice Useful for specialists and generalists alike, truly multi-disciplinary
Originally published in 1972, this book aimed to provide the student with a basic understanding of the main theories of social stratification and to acquaint them with current methods of research, with the results from modern research (with emphasis on British research), and with current issues in this field. The first two chapters are concerned with theory and are followed by chapters on slavery and the caste system. These are intended to illustrate concepts and theory and to offer the student a comparative perspective in which to view stratification in modern society – which is dealt with in a final lengthy chapter. The book has been written primarily for first-year university students, but also with sixth-formers and students in colleges of further education in mind.
This study examines the transformation of the United States Navy as a fighting organization that took place on the North Atlantic Station between 1874 and 1897. At the beginning of this period, the warships assigned to this station were collectively administered by a rear-admiral, but were operationally deployed as individual units, each of whose actions were directed by their captains. By 1897 the North Atlantic, or “Home” Squadron as it was known, was a group of warships constituting a protean battle fleet – that is, an organized body moving and fighting in close-order, which meant that the actions of the captains were directed by a commanding admiral. The process of the development of an American battle fleet resulted in the construction of a new organizational identity for the North Atlantic Squadron. This process was as critical as the eventual outcome. It was not linear, but one in which progress in critical areas was modulated by conflicting demands that caused distraction. From 1874-1888, exercises in fleet tactics under steam were carried out sporadically utilizing existing wooden cruising vessels. From 1889-1894, the last wooden cruisers were decommissioned and the Squadron consisted entirely of new steel warships. Ad-hoc concentrations of vessels for purposes besides exercise and training retarded the continued development of doctrine and tactics necessary for a multi-ship fighting capability during this time. However, much work was done to develop a concept of multi-ship operations. From 1895-1897, the identity of the North Atlantic Squadron as a combat unit solidified. Tactical exercises were held that had specific offensive and defensive wartime applications. These exercises were necessary to develop a combat capability. The results of this study demonstrate that the United States government had an interest in developing an offensive naval combat capability as early as the 1870’s. Based on the record of the North Atlantic Squadron, it is argued that imperial aspirations, in the sense of possessing a capability to restrict the actions of other great powers in the Caribbean region, existed prior to the War of 1898. However, the process of change often resulted in the appearance of capability without the rigorous exercise necessary to possess it.
Suitable for 2nd and 3rd year students taking courses on drug use/misuse principally in departments such as Sociology, Law, Cultural and Media Studies, and Psychology. Also particularly relevant for students taking courses leading to a profession, such as nurses and social workers. The use of illegal drugs is widespread in many societies. Within many western societies particular concern has been focused on the nature and extent of illegal drug use amongst young people. In much of the media coverage an impression is often conveyed that the use of illegal drugs other than cannabis is a one way street leading inevitably to addiction, destitution, family breakdown and death. This impression fails to grasp the fact that most drug users do not become addicts and most addicts do not die. The perception of addiction as a fixed end point characterised by personal and social dissolution fails to recognise that many dependent drug users, even after a period of prolonged dependent drug use, nevertheless still manage to overcome their dependence upon illegal drugs. This process of recovery, either with or without the assistance of helping agencies, has been variously described by researchers, drug counsellors, clinicians and others.
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