Managing IT infrastructure has always been challenging, and virtualization and cloud computing make this even more difficult. Authors Spielvogel, John Haworth, and Sonja Hickey explain how to manage IT infrastructure, while encouraging readers to think a different way about some of their decisions.
Clinical Overview and Pathogenesis of the Fibromyalgia Syndrome, Myofascial Pain Syndrome, and Other Pain Syndromes highlights the work of featured speakers from the MYOPAIN ?95 Third World Congress, an international meeting of the minds regarding the two soft tissue pain conditions of myofascial pain syndrome and fibromyalgia syndrome. The work compiled in this anthology advances reader understanding of these two disorders by sharing the most advanced research in this field. The authors in Clinical Overview and Pathogenesis of the Fibromyalgia Syndrome, Myofascial Pain Syndrome, and Other Pain Syndromes range from clinician investigators to basic scientists, from around the world, whose work has been an important overlap with the directions being taken by clinician investigators in each field. These authors review what has been learned about the clinical features of patient presentation and the contemporary treatments for each disorder. Authors also trace past progress of these disorders as a means for understanding their pathogenesis and to point toward future research directions. This unrivaled source allows physicians, dentists, researchers, and others working in this field to build on proven progress and prepare for the MYOPAIN ?98 meeting in Italy.
Is chronic fatigue syndrome an early process of muscle aging? Is fibromyalgia a central pain state? This book covers the latest developments in pain research as presented at the Fifth World Congress on Myofascial Pain (MYOPAIN 2001). It examines the results of a wide scope of basic and applied research on soft-tissue pain, with a strong focus on therapeutic approaches. Its three main sections explore the neurobiology of central sensitization, regional pain syndromes, and chronic widespread pain. In addition, this well-referenced book presents a fascinating chapter on the complex relationship between muscle pain and aging. Handy graphs, charts, and illustrations make the information easy to assimilate. The Clinical Neurobiology of Fibromyalgia and Myofascial Pain: Therapeutic Implications contains up-to-date information on: the brain?s reactions to states of persistent pain the physical aftermath of torture ways to define and address the emotional distress that commonly observed in chronic pain patients the mechanisms and manifestations of muscle hyperalgesia the pathophysiology of inflammatory muscle pain regional muscle pain syndromes state-of-the-art information on the pathophysiology of visceral pain and visceral-somatic pain representations a case study of a physical therapy approach to fibromyalgia using Myofascial trigger points the epidemiology of widespread pain and its development after injuries syndromes that share overlapping clinical features with fibromyalgia the connection between HPA dysfunction, ANS dysfunction, and fibromyalgia the plasticity of excitatory synaptic transmission in the spinal dorsal horn and its role in the pathogenesis of pain hypersensitivity how the central mechanisms of pain transmission relate to pharmacological systems that are responsible for generating central sensitization states what PET and MRI show us about the role that the cerebral cortex plays in the perception and modulation of pain
Packaging supportive services with housing—a pressing issue for older adults The population of older adults is expected to explode in the coming years. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities examines a crucial, complex, and often overlooked issue for policymakers and the public at large: older adults’ increasing needs for housing and supportive long-term care services. As baby boomers strive to help their parents make difficult decisions about their options, pressure mounts for policymakers to develop appropriate housing and services. This book brings together respected experts to discuss the answers to difficult questions about meeting the housing and support service needs of aging adults. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities explores in-depth the tough issues pertaining to which populations are presently being served, what their needs are, and who is being left out. You’ll learn exactly what types of services are available, who is providing them, and how are they packaged. From residential care to assisted living to institutional care, this book addresses all facets of the complicated problems of providing availability to fulfill need. This important source presents insightful analysis of the total range of issues and the challenges to progress as well as offering specific recommendations to effectively offer housing and vital long-term care supportive services to older adults. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities discusses in detail: the argument for increased development of supportive housing for older adults—and the barriers preventing it the issues related to providing a variety of housing and service options to the Medicaid population two case studies that illustrate how policies aimed at linking housing and services play out at the state and local level—and the need for strong leadership and the ability to develop key partnerships as vital aspects for success the interrelationship of factors regarding nursing home admission, the availability of subsidized housing, and Medicaid eligibility the need for care management to be holistic—including environmental care assessment, repair, and renovation management in addition to current long-term care settings creating affordable assisted living facilities for older persons receiving Medicaid services the successful components of the national Coming Home Program four case studies emphasizing different finance and regulatory approaches—providing lessons learned for developers, state agencies, and advocates of affordable assisted living This vital educational resource is also an essential reference for local, state, and national policymakers, housing officials, and long-term care providers.
Discover the latest information for correctly diagnosing FMS at your practice The National Fibromyalgia Association estimates that about 10 million Americans and approximately 3% of the population worldwide suffer with fibromyalgia syndrome, yet the criteria used by doctors to diagnose fibromyalgia is 14 years out of date. The Fibromyalgia Syndrome examines the expert consensus developed by the Health Canada Fibromyalgia Syndrome Committee with the goal of helping practitioners distinguish FMS from other syndromes/illnesses that exhibit chronic body pain. The text encompasses a very broad scope of FMS, including its clinical manifestations, diagnosis, and treatment. This resource provides you with: a new approach to case definition proposed research to validate the new case definition a practical approach to assessment of severity empathetic management what is known about pathogenesis This book meets the growing need for up-to-date information about objective abnormalities in people with FMS and for an integrated approach to its diagnosis and management by primary care physicians. The Fibromyalgia Syndrome will also encourage the scientific and academic communities to actively research the clinical care of people with FMS, ensuring that more effective therapies and medications will be available in the future. These guidelines present a flexible framework that includes the 1990 American College of Rheumatology (ACR) criteria and encompasses more of the potential symptomatic expression of patients. The Fibromyalgia Syndrome provides several appendices to help you find crucial information at a moment’s notice, including: a glossary of acronyms a list of both commonly and rarely seen signs and symptoms of FMS a fibromyalgia syndrome clinical worksheet differential diagnoses of the symptoms of FMS a Symptom Severity and Hierarchy Profile (SSHP) worksheet the Pain Visual Analog Scale (PAIN VAS) and Body Pain Diagram and more The Fibromyalgia Syndrome offers proposed methods and studies to develop and validate the clinical case definition to ascertain its applicability to the clinical practice setting. With better education and increased awareness of FMS, physicians can make a diagnosis earlier in the patient’s course and initiate valuable outpatient care, lessening expensive hospitalization and associated costs.
Here in one concise volume is a complete review of localized and generalized musculoskeletal disorders. Musculoskeletal Pain, Myofascial Pain Syndrome, and the Fibromyalgia Syndrome includes the latest research findings on these disorders from medical leaders around the world. This broad-based symposium updates both researcher and clinician on the most recent advances and pioneering approaches to musculoskeletal pain, with special emphasis on the myofascial pain and fibromyalgia syndromes. Chapters represent important thinking and clinical approaches from authorities in nine countries. Myofascial pain and fibromyalgia syndromes are covered extensively by the contributors to this book. The coverage they provide on issues related to these two syndromes is multidimensional and includes epidemiology clinical features pathophysiology treatment The review chapters featured in the book span epidemiology, pathophysiology, and treatment on both myofascial pain and fibromyalgia. These report-like chapters provide brief insight of musculoskeletal pain disorders which is ideal for beginners in the field. Advanced readers will benefit from the more specific research chapters which report on fibromyalgia and myofascial pain. All readers will particularly benefit from “Consensus Document on Fibromyalgia: The Copenhagen Declaration,” a report which releases the latest definitions, research, and treatment findings for musculoskeletal disorders from the world?s leading experts. The Consensus also sets down the challenge for intensified future research. Physicians, dentists, chiropractors at all levels of practice, and expert physiotherapists will gain much insight on these disorders from this compendium of information. While dentists are probably most interested in myofascial pain, all the subjects covered are of equal interest to these medical practitioners. MORE COPYMany of the contributing authors or groups of authors have included tables, figures or illustrations, and charts to accurately and succinctly complement their research findings and presentations. A selection of only a few tables and charts reveals multidimensional topics such as these: Problems Associated With Diagnosis in Fibromyalgia Comparison of Sensitivity, Specificity, and Accuracy of the 1990 Criteria for the Classification of Fibromyalgia With Previous Criteria Sets Population Surveys of Fibromyalgia Prevalence Content Validity for Diagnostic Criteria for Masticatory Myofascial Pain Medications Tested in Controlled Therapeutic Trials in Fibromyalgia Pathobiology of Classical Diseases Versus Dynamics of Dysfunctional Syndromes Exercise and Pain Characteristics of Women With Fibromyalgia Neck Muscle Function in Cerviocobrachial Syndrome Compared to Healthy Subjects The figures are no less revealing; they highlight exciting discoveries and diagram vital discoveries which expand current understanding of musculoskeletal disorders. Here is a sample of the types of figures included: Pain Diagrams From Four Patients With Fibromyalgia Genetic Predisposition to Muscle Microtrauma Calcium Activated Muscle Damage Classification and Subsetting of Fibromyalgia Cross-Sections of a Capillary From a Tender Point of the Trapezius Muscle in a Fibromyalgia Patient General Pain on Visual Analog Scale
International experts present the latest advances in soft tissue pain diagnosis and treatment Soft Tissue Pain Syndromes: Clinical Diagnosis and Pathogenesis is a collection of the finest presentations from the 2004 International MYOPAIN Society’s Sixth World Congress held in Munich, Germany. Internationally respected experts present the state-of-the-art in pain mechanisms, myofascial pain syndrome, fibromyalgia syndrome, and inflammatory myopathies. Up-to-date innovative studies illustrate appropriate diagnosis approaches and latest practical treatments for soft tissue pain syndromes of all types. To remain effective, physicians and other health care professionals treating soft tissue pain must strive to stay current on the latest research and cutting-edge therapies. Soft Tissue Pain Syndromes explores the latest advances in clinical evaluation, investigation, and principles of management of soft tissue pain in tendons, ligaments, bursa, fascia, muscles and nerves. The book is extensively referenced and contains several figures, tables, and graphs to enhance understanding. Topics in Soft Tissue Pain Syndromes include: new developments in the understanding of myofascial trigger points (TrPs) medical and structural conditions associated with TrPs the causes of orofacial pain treatment to inactivate TrPs effective therapies for myofascial pain the latest developments in the understanding of fibromyalgia syndrome diagnostic criteria and differential diagnosis of fibromyalgia innovative nonpharmacologic therapies for fibromyalgia the metabolism of muscle cells and metabolic myopathies studies on therapies for idiopathic inflammatory myopathies (IIM) low back pain—with the latest therapies reactions in the spinal cord to a painful lesion of a muscle the latest findings in the morphopathogenetic background of muscle pain Soft Tissue Pain Syndromes is crucial reading for physicians and other health care professionals interested in the latest innovations in treating soft tissue pain.
Addressing policy related issues, providing up-to-date scientific background information and laying out pressing land management questions, this interdisciplinary volume identifies and discusses key directions of environmental change in uplands, as well as providing an outlook into future management and conservation options responding to these changes.
Did Charlotte Brontë take opium? Did the Reverend Brontë carry a loaded pistol? What, precisely, does ‘wuthering’ mean? Distinguished literary critic John Sutherland takes an idiosyncratic look at the world of the Brontës, from the bumps on Charlotte’s head to the nefarious origins of Mr Rochester’s fortune, by way of astral telephony, letterwriting dogs, an exploding peat bog, and much, much more. Also features ‘Jane Eyre abbreviated’ by John Crace, author of the Guardian’s ‘Digested Reads’ column – read Charlotte Brontë’s masterpiece in five minutes!
Love, sex, death, boredom, ecstasy, existential angst, political upheaval - the history of literature offers a rich and varied exploration of the human condition across the centuries. In this absorbing companion to literature's rich past, arranged by days of the year, acclaimed critics and friends Stephen Fender and John Sutherland turn up the most inspiring, enlightening, surprising or curious artefacts that literature has to offer. Find out why 16 June 1904 mattered so much to Joyce, which great literary love affair was brought to a tragic end on 11 February 1963 and why Roy Campbell punched Stephen Spender on the nose on 14 April 1949 in this sumptuous voyage through the highs and lows of literature's bejewelled past.
Features comprehensive updates throughout the text, including indications, techniques, potential complications in perioperative management of patients, and surgical techniques for congenital heart disease. Covers recent advances in the treatment of pulmonary hypertension, developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Features an all-new, full-color format that speeds navigation and helps clarify complex concepts. Contains 27 new chapters with an emphasis on the team approach to patient care in the ICU including creating multidisciplinary teams, quality and performance improvement, training , and challenges and solutions to developing a cohesive team environment. Includes a detailed chapter on bedside ultrasound, walking you through the techniques you’re most likely to encounter in the ICU. Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access, and to provide a more complete understanding of echocardiography, imaging modalities, pulmonary hypertension, and more. Describes the basic pharmacology and clinical applications of new pharmacologic agents. Examines issues affecting adults with congenital heart disease.
The population of older adults is expected to explode in the coming years. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities examines a crucial, complex, and often overlooked issue for policymakers and the public at large: older adults' mounting needs for housing and supportive long-term care services. Respected experts gather to discuss in-depth the answers to difficult questions about meeting the housing and support service needs of aging adults. This important source presents insightful analysis of the issues and clear identification of the challenges to progress as well as offering specific recommendations to effectively offer housing with vital long-term care services for older adults.
The most comprehensive and understandable treatise on fibromyalgia that I have had the pleasure to review. It deals in a very practical way with questions I hear in my office every day. I plan to use this book for my patients.--Glenn A. McCain, M.D., Southeast Arthritis Care Center, Charlotte, North Carolina
This book will assist you to understand the fundamentals of HRD and how HRD fits into the broader category of knowledge management. Presented in a clear and accessible style, the book focuses on understanding the essential theoretical concepts and developing practical HRD skills.
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