Medication costs and common drug-related problems, such as misapplication of therapy, medication misuse, and adverse effects, can often be avoided or reduced. Geriatric Drug Therapy Interventions will help you get better outcomes with your patients as it points out pitfalls to avoid and provides you with logical principles for administering drug therapy. Offering guidelines, advice, and gentle reminders, this book shows you the importance of properly documenting patient problems and of considering the entire medical history of your patients. It also helps you perform fall and psychoactive drug risk assessments and address under-recognized and undertreated problems such as malnutrition, depression, sensory deficits, anemia, osteoporosis, and pressure ulcers. As Geriatric Drug Therapy Interventions clarifies, increased consultant pharmacist involvement in comprehensive pharmaceutical services results in the reduction of drug-related problems and medication-associated costs with long-term care patients. Using this book's helpful and substantive interventions, you can improve clinical, economic, and humanistic outcomes in your practice. For this purpose, Geriatric Drug Therapy Interventions discusses: a study designed to teach pharmacy students to identify, document, solve, and prevent medication-related problems providing patient-focused care and assuming responsibility for patient outcomes reimbursing pharmacists for performing cognitive service and cost-savings activities how the prevalence of drug-related problems that influence the need for hospital and nursing home admissions increases with age reasons for patient noncompliance NSAID-associated gastritis, gastrointestinal bleeding, drug-induced delirium, incontinence, and constipation why the advent of managed care does not bode well for the overall health outcomes of the elderly Pharmacists, physicians, and other health care providers can't control all aspects of drug use, but there are many practical steps you can take to help your patients use their prescriptions appropriately. Geriatric Drug Therapy Interventions will help you monitor the efficacy of drug therapy, guide patients who are exasperated with being poked, prodded, and barraged with medications, and work together to develop therapy patterns and schedules that are effective and comfortable.
This eight-volume, reset edition in two parts collects rare primary sources on Victorian science, literature and culture. The sources cover both scientific writing that has an aesthetic component – what might be called 'the literature of science' – and more overtly literary texts that deal with scientific matters.
Chief among its contents we find abstracts of land grants, court records, conveyances, births, deaths, marriages, wills, petitions, military records (including a list of North Carolina Officers and Soldiers of the Continental Line, 1775-1782), licenses, and oaths. The abstracts derive from records now located in the state archives and from the public records of the following present-day counties of the Old Albemarle region: Beaufort, Bertie, Camden, Chowan, Currituck, Dare, Gates, Halifax, Hyde, Martin, Northampton, Pasquotank, Perquimans, Tyrrell, and Washington, and the Virginia counties of Surry and Isle of Wight.
Some rather remarkable changes took place in North American business schools between 1945 and 1970, altering the character of these institutions, the possibilities for their future, and the terms of discourse about them. This period represents a minor revolution, during which business school are reported to have become more academic, more analytic, and more quantitative. The Roots, Rituals, and Rhetorics of Change considers these changes and explores their roots. It traces the origins of this quiet revolution and shows how it shaped discussions about management education, leading to a shift in that weakened the place of business cases and experiential knowledge and strengthened support for a concept of professionalism that applied to management. The text considers how the rhetoric of change was organized around three core questions: Should business schools concern themselves primarily with experiential knowledge or with academic knowledge? What vision of managers and management should be reflected by business schools? How should managerial education connect its teaching to some version of reality?
This second edition of James D. McCawley's classic textbook offers in one volume a complete course in the syntactic structure of English. New to this edition are sections on appositive constructions, parasitic gaps, contrastive negation, and comparative conditional sentences, as well as expanded coverage of cleft sentences and free relatives. The presentation is coherent, comprehensive, and systematically organized, beginning with an overview of McCawley's approach to syntactic analysis and progressing through the major constructions and processes of English grammar. No prior special knowledge of syntax is presupposed, and the number and variety of exercises after each chapter have been increased. And now available from the author! Answers to Selected Exercises. Instructors using James D. McCawley's The Syntactic Phenomena of English, Second Edition may request a complimentary copy of Answers to Selected Exercises in The Syntactic Phenomena of English by writing on their department's letterhead to the author, James D. McCawley, Department of Linguistics, 1010 E. 59th Street, Chicago, IL 60637. [Note: This material is available only from the author and is not available from the University of Chicago Press.]
A properly structured financial model can provide decision makers with a powerful planning tool that helps them identify the consequences of their decisions before they are put into practice. Introduction to Financial Models for Management and Planning, Second Edition enables professionals and students to learn how to develop and use computer-based models for financial planning. This volume provides critical tools for the financial toolbox, then shows how to use them tools to build successful models.
James and Stumpf first met in Prague in 1882. James soon started corresponding with a “colleague with whose persons and whose ideas alike I feel so warm a sympathy.” With this, a lifelong epistolary friendship began. For 28 years until James’s death in 1910, Stumpf became James’s most important European correspondent. Besides psychological themes of great importance, such as the perception of space and of sound, the letters include commentary upon Stumpf’s (Tonpsychologie) and James’s main books (The Principles of Psychology, The Varieties of Religious Experience), and many other works. The two friends also exchange views concerning other scholars, religious faith and metaphysical topics. The different perspectives of the American and the German (European) way of living, philosophizing and doing science are frequently under discussion. The letters also touch upon personal questions of historical interest. The book offers a critical edition and the English translation of hitherto unpublished primary sources. Historians of psychology and historians of philosophy will welcome the volume as a useful tool for their understanding of some crucial developments of the time. Scholars in the history of pragmatism and of phenomenology will also be interested in the volume.
The Buffalo Trace area - Mason, Bracken, Fleming, Robertson & Lewis counties in northeastern Kentucky, and Adams, Brown & Clermont counties in southwestern Ohio - occupies a unique place in Civil War history. On the borders of North & South, East and West, Slave & Free, Union & Confederate - emotions ran high in a conflict that became known as "The Brothers War," as families and communities chose sides. As we observe the 150th anniversary of the end of this armed conflict, it makes sense to reflect on how our ancestors thought and acted during this crucial time in our national history. Their involvement might surprise you. Over 650 contemporary articles from local and national newspapers illustrate this local history, and serve to remind us of our ancestors opinions, choices and sacrifices. 356 pages.
Called to Work provides a glimpse into a unique process where God prepares and calls individuals to specific ministries. Using Acts 13:2 as a biblical example of the divine calling of Barnabas and Saul to embark on a missionary journey demonstrates the preparing and identifying of specific individuals to a prepared work assignment. Using an autobiographical format, Rev. E. James DuBois reflects on his specific calling to and from various ministries. This journey also includes accounts of a divine calling for other individuals, coworkers, students, volunteers, and prisoners. Called to Work highlights the various ways in which God uses His Word, His people, and His sovereignty over circumstances to position His workers to accomplish His purposes. Rev. E. James DuBois was privileged to serve in various significant ministries. Called to Work seeks to establish a challenge for the reader to see how God prepares and calls His people to various ministries.
Medication mishaps can and do happen in nursing homes. This highly important new book focuses on the scope of drug-related problems (DRP) of misuse and adverse reaction to medications in the nursing home environment. Experts provide practical methods for detecting DRPs, they explain a systematic approach to preventing DRPs, and they document the magnitude of DRPs in the long term care setting. Each chapter of this timely book deals with a different type of drug-related problem and includes operational definitions, prevalence of the problem, and the actions needed to detect and minimize risk and prevent recurrence. A checklist at the end of each chapter aids readers in assessing specific problems in nursing homes, home health care, day care settings, and other locations in which medications are given to the elderly. Illustrative case examples are used throughout the text. With an emphasis on awareness and change, Drug-Related Problems in Geriatric Nursing Home Patients will be invaluable for pharmacists, physicians, and nurses who work in long term care; health care planners who need to be cognizant of the scope and magnitude of medication mishaps in the nursing home; administrators who are ultimately responsible for such problems. Students and educators will find the information, and especially the checklists, timely and practical.
Chemistry and Methods of Enzymes, Third Edition focuses on the processes, methodologies, and reactions in enzyme chemistry, as well as kinetics, nucleases, esterases, and carbohydrates. The publication first underscores the general properties of enzymes, including chemical nature, occurrence, numerical characterization of enzyme concentration, kinetics of enzyme reactions, preparation of commercial enzymes, purification and preservation of enzymes, relations of vitamins to enzymes, and zymogens and kinases. The text then takes a look at esterases and carbohydrates. Topics include pectin depolymerase, heparinase, xylanase, chitinase, dextranase, trehalase, nucleotide phosphatases, glucosulfatase, and gastric lipase. The manuscript examines nucleases, nuclein deaminases, amidases, proteolytic enzymes, and hydrases. Discussions focus on enolase, aconitase, peptidases as metalloproteins, glutaminases, aspartase, urease, adenosine deaminase, and nucleoside phosphorylase. The book also elaborates on iron and copper enzymes, dehydrogenases containing coenzymes I and II, and yellow enzymes. The text is a dependable source of data for chemists and researchers wanting to dig deeper into the chemistry and methods of enzymes.
Java developers know that design patterns offer powerful productivity benefits but few books have been specific enough to address their programming challenges. With "Java Design Patterns", there's finally a hands-on guide focused specifically on real-world Java development. The book covers three main categories of design patterns--creational, structural, and behavioral--and the example programs and useful variations can be found on the accompanying CD-ROM.
Diabetes Mellitus in the Elderly keeps you up-to-date with the latest information concerning the treatment and understanding of conditions that lead to diabetes mellitus. Discussing the multi-organ involvement of this disease and the contingencies of a wholly effective treatment, this book explains both positive and negative attributes and reactions to tested methods. From Diabetes Mellitus in the Elderly, you'll receive current facts and data that will help you offer the best care to the growing number of elderly patients afflicted with this disorder. Offering you a review of studies relating to various aspects of the disease, Diabetes Mellitus in the Elderly discusses innovative information that will assist you in your practice, including: genetic and polygenic links to type 2 diabetes mellitus (2 DM) studies indicating the correlation between increased visceral body fat and old age and hyperinsulinemia, impaired glucose tolerance (IGT), and diabetes mellitus mechanisms that increase the risk of diabetes, such as insulin resistance involving skeletal muscle and malfunctioning of the liver and B-cells from the pancreas that disrupt glucose homeostasis data supporting the importance of strict glycemic control, goals of glycemic control, choice of oral agents, insulin regiments, and oral agent/insulin therapy combinations in the elderly effectiveness and performance of insulin products, such as sulfonylureas, alpha-glucosidase inhibitors, biguanides, and thiozolidinediones European studies that show acarbose may reduce glycemic fluctuations, insulin dosage, and episodes of nocturnal hypoglycemia Much of the data examined in this book offers you and your colleagues ideas for future research and contains implications for more effective treatments. Complete with charts, tables, and graphs, Diabetes Mellitus in the Elderly will inform you of new developments in the field and help you decide upon the most effective methods of treatment for your patients.
Christian tradition has largely held three theological affirmations on the resurrection of the physical body. Firstly, that bodily resurrection is not a superfluous hope of afterlife. Secondly, there is immediate post-mortem existence in Paradise. Finally, there is numerical identity between pre-mortem and post-resurrection human beings. The same tradition also largely adheres to a robust doctrine of The Intermediate State, a paradisiacal disembodied state of existence following the biological death of a human being. This book argues that these positions are in fact internally inconsistent, and so a new theological model for life after death is required. The opening arguments of the book aim to show that The Intermediate State actually undermines the necessity of bodily resurrection. Additionally, substance dualism, a principle The Intermediate State requires, is shown to be equally untenable in this context. In response to this, the metaphysics of the afterlife in Christian theology is re-evaluated, and after investigating physicalist and constitutionist replacements for substance dualist metaphysics, a new theory called "Eschatological Presentism" is put forward. This model combines a broadly Thomistic hylemorphic metaphysics with a novel theory of Time. This is an innovative examination of the doctrine of life after death. It will, therefore, be of great interest to scholars of analytic theology and philosophy of religion.
Drawing on journals, diaries, personal narratives, and unit histories, Hallas relates the story of WWI's "doughboys" -- the men behind the American rifles. He weaves from first experiences to the bloody battle at Belleau Wood to Marne and Argonne battlefields, crafting a uniquely personal and startingly real conception of how boys from America became soldiers in Europe.
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