In the context of heightened climate variability, thinking about ways to redesign our urban areas with more sustainable infrastructure solutions is becoming more and more important. Green infrastructure (GI) is emerging as an alternative approach to traditional (‘grey’) infrastructure in urban planning and development. Its emergence can be understood in terms of the growing demand for infrastructure and services, increased concerns over natural resource constraints and climate change, and the negative impacts associated with traditional approaches to designing and building cities. It has been proposed that GI can provide the same services as traditional infrastructure at a similar capital cost, while also providing a range of additional benefits. However, despite the increasing examples of successful urban GI applications, traditional infrastructure continues to dominate due to the lack of systematic evidence to support GI implementation. As a result, there has been an increase in calls from policy- and decision-makers for a greater evidence base on the benefits of GI, as well as for practical guidelines on its implementation. ‘Towards applying a green infrastructure approach in the Gauteng City-Region’ is the GCRO’s third report in its ongoing research into 'Green assets and infrastructure'. The first two reports in this project series were more theoretically grounded and policy-oriented, whereas this third report is more practical in nature. The first report explored the basic principles around GI, assessed the extent of ecological features in Gauteng and the way governments in the province think about planning and maintenance of green assets. The second report responded to some of the challenges identified in the first report, and in particular the importance of government officials and practitioners in exploring how international green infrastructure plans could be applied in the Gauteng context. This third report builds on the findings of the aforementioned reports and the project’s CityLab series, which highlighted the need to build an evidence base as critical for garnering support for and as well as enhancing investment in the GI approach. Unlike the more theoretically grounded earlier reports, this report comprises four technical sections and practical reflections on how a GI approach could be incorporated into urban planning in the GCR and in other similar urban contexts.
This issue of Cardiology Clinics, edited by Drs. Palak Shah and Jennifer Cowger, will focus on Mechanical Circulatory Support. Topics include, but are not limited to, The Evolution of Mechanical Circulatory Support, Continuous-flow Device Engineering and Pump Technology, Surgical Implantation: Perspective and Techniques, Temporary Circulatory Support and ECMO, Durable MCS Candidate Selection, Perioperative Management of the Right and Left Ventricle, Quality of Life, Frailty and Cognitive Impairment in the MCS Candidate, Microbiology and Infections in VAD recipients, Gastrointestinal Bleeding, Cerebrovascular Accident, Antithrombotic Strategies and Device Thrombosis, Impact of MCS on Post-Transplant Outcomes, Hemodynamic Pump-Patient Interactions & VAD Imaging, Ambulatory Patient Management, and Imaging in VAD recipients.
Perfect for new teachers in undergraduate, postgraduate, or continuing education, as well as more experienced educators who want to assess, improve, and gain new perspectives on teaching and learning, Essential Skills for a Medical Teacher is a useful, easy-to-read professional resource. This book offers a concise introduction to the field of medical education, with key coverage of educational models and theory that can help inform teaching practice. Clear illustrations and practical tips throughout make it an excellent starting point for those new to the field of medical education or who want to facilitate more effective learning for their students or trainees. - Provides hints drawn from practical experience that help you create powerful learning opportunities for your students, with readable guidelines and new techniques that can be adopted for use in any teaching program. - Includes new coverage of "just-in-time" learning, entrustable professional activities, steps on introducing outcome/competency-based education, selecting a teaching method, programmatic assessment, self-assessment, the student and patient as partners in the education process, the changing role of the teacher, bringing about change, and the future of medical education. - Covers recent developments in our understanding of the relationship between learning and technology, as well as curriculum planning and curriculum mapping. - Offers practical advice from leading international expert Professor Ronald Harden and co-author Jennifer Laidlaw, who has designed and taught many courses for medical teachers. - Prompts you to reflect on your own performance as an educator, as well as analyze with colleagues the different ways that your work can be approached and how your students' or trainees' learning can be made more effective.
We live in unprecedented times, when what was known for thousands of years, that we are created male and female, is now up for debate. It is now controversial to see that sex is binary, that a man can never become a woman, nor a woman a man, and that men should not enter women's sports, women's bathrooms, and women's prisons, merely for saying that they are a woman. We are witnessing a rapid rise in gender confusion among young people, especially among young women and girls. The Detransition Diaries is both personal and historical. It is personal in that it recounts the stories of five women and two men who felt they were born in the wrong body and believed the lie they were told by peers, teachers, and medical professionals that they could be their "true" selves by medically and surgically altering their bodies to match the opposite sex. Their stories describe the short- and long-term harm that so-called gender-affirmative medicine did to their mental and physical health. The book is historical because it outlines the history of the "gender-affirmation" movement, including the various individuals and organizations who have peddled the idea that the sexual binary is arbitrary. The book closes with an analysis on how this dark chapter in medical abuse might end and what is needed for medicine to regain its obligation to do no harm.
The second edition of Chronic Pain now covers a vast scientific and clinical arena, with the scientific background and therapeutic options much expanded. In common with the other titles comprising Clinical Pain Management, the volume gathers together the available evidence-based information in a reader-friendly format without unnecessary detail, an
Obstetrics: Normal and Problem Pregnancies: First South Asia Edition remains your go-to choice for authoritative guidance on managing today's obstetric patient. International experts put the latest knowledge in this specialty at your fingertips, with current and relevant information on everything from fetal origins of adult disease, to improving global maternal health, to important topics in day-to-day obstetric practice. Highly readable, well-illustrated, and easy to understand, this best-selling obstetrics reference is an ideal tool for residents and clinicians. • Sweeping updates appear throughout, including four new chapters: "Vaginal Birth After Cesarean Delivery," "Placenta Accreta," "Obesity," and "Improving Global Maternal Health: Challenges and Opportunities." • New Glossary presents the most frequently used key abbreviations for easy reference. • Expanded use of bolded statements and key points, as well as additional tables, flow diagrams, and bulleted lists, facilitates and enhances the mastery of each chapter. • More than 100 images in the chapter on ultrasound provide an important resource for normal and abnormal fetal anatomy. • Collective wisdom of global experts in the field is offered.
Highly readable, well illustrated, and easy to understand, Obstetrics: Normal and Problem Pregnancies remains your go-to choice for authoritative guidance on managing today’s obstetric patient. Reflecting the expertise of internationally recognized authorities, this bestselling obstetrics reference has been thoroughly revised to bring you up to date on everything from ultrasound assessment of fetal anatomy and growth, to medical complications in pregnancy, to fetal therapy...and much more! Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. Benefit from the knowledge and experience of international experts in obstetrics. Gain a new perspective on a wide range of today’s key issues - all evidence based and easy to read. Stay current with new coverage of fetal origins of adult disease, evidence-based medicine, quality assessment, nutrition, and global obstetric practices. Find the information you need quickly with bolded key statements, additional tables, flow diagrams, and bulleted lists for easy reference. Zero in on "Key Points" in every chapter - now made more useful than ever with the inclusion of related statistics. View new ultrasound nomograms in the Normal Values in Pregnancy appendix.
This book is a guide for clinicians seeking to use metabolic approaches in the care of hospitalized patients. Since a nutritional component exists for practically any disease process managed, it is important to properly address the macro- and micronutrient issues that can help facilitate a favourable clinical outcome. Metabolic medicine is a newly recognized speciality that applies proven nutritional approaches to support hospitalized patients within existing standards of care. Optimizing Metabolic Status for the Hospitalized Patient: The Role of Macro- and Micronutrition on Disease Management addresses the gap of nutrition knowledge among physicians who generally care for patients without addressing the nutritional and metabolic perspective. Features: State-of-the-art guidelines for practicing metabolic medicine in the hospital setting “Hands on” guide for day-to-day metabolic management of hospitalized patients Personal insights from one of the field’s leading practitioners, drawing upon decades of experience Historical reviews of key scientific developments This book is written by Dr Michael M. Rothkopf, Clinical Professor of Medicine at Rutgers/New Jersey Medical School. Dr Rothkopf founded the Metabolic Medicine Center at Morristown Medical Center and is the current Metabolic Medicine Consultant for the Heart Transplant, Lung Transplant, Cardiac Surgery and Wound Care Programs at RWJBH/Newark Beth Israel Medical Center. This book is directed at the physician level of hospital care. It provides value to a broad range of physicians regardless of their medical specialty or subspecialty. It will also be useful for medical students and resident physicians in training as well as nurse practitioners and physician assistants working in hospital settings.
Now in it’s fourth edition, Physiotherapy for Respiratory and Cardiac Problems continues to be an essential textbook and reference source for undergraduate and postgraduate students, and for the clinician working with patients with cardiac and respiratory problems. It strengths lie in integrating the evidence with clinical practice and in covering the whole patient lifespan - infants, children, adolescents and adults. new chapters on: critical care, surgery, and psychological aspects of care expanded evidence for clinical practice case studies multi-contributed chapters written by internationally recognised experts extensively revised text with new illustrations and photographs comprehensive reference lists which directs the reader to further sources of information Part of the Physiotherapy Essentials series - core textbooks for both students and lecturers Online image bank now available! Log on to http://evolve.elsevier.com/Pryor/physiotherapy and type in your unique pincode for access to over 300 downloadable images
In the context of heightened climate variability, thinking about ways to redesign our urban areas with more sustainable infrastructure solutions is becoming more and more important. Green infrastructure (GI) is emerging as an alternative approach to traditional (‘grey’) infrastructure in urban planning and development. Its emergence can be understood in terms of the growing demand for infrastructure and services, increased concerns over natural resource constraints and climate change, and the negative impacts associated with traditional approaches to designing and building cities. It has been proposed that GI can provide the same services as traditional infrastructure at a similar capital cost, while also providing a range of additional benefits. However, despite the increasing examples of successful urban GI applications, traditional infrastructure continues to dominate due to the lack of systematic evidence to support GI implementation. As a result, there has been an increase in calls from policy- and decision-makers for a greater evidence base on the benefits of GI, as well as for practical guidelines on its implementation. ‘Towards applying a green infrastructure approach in the Gauteng City-Region’ is the GCRO’s third report in its ongoing research into 'Green assets and infrastructure'. The first two reports in this project series were more theoretically grounded and policy-oriented, whereas this third report is more practical in nature. The first report explored the basic principles around GI, assessed the extent of ecological features in Gauteng and the way governments in the province think about planning and maintenance of green assets. The second report responded to some of the challenges identified in the first report, and in particular the importance of government officials and practitioners in exploring how international green infrastructure plans could be applied in the Gauteng context. This third report builds on the findings of the aforementioned reports and the project’s CityLab series, which highlighted the need to build an evidence base as critical for garnering support for and as well as enhancing investment in the GI approach. Unlike the more theoretically grounded earlier reports, this report comprises four technical sections and practical reflections on how a GI approach could be incorporated into urban planning in the GCR and in other similar urban contexts.
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