Most patients with asthma are easily diagnosed and treated with the use of an inhaler or medication. Approximately five per cent of people that suffer from asthma have ‘difficult’ or ‘refractory’ asthma, whereby they experience persistent problems that are not controlled by standard treatment methods. Part of the Clinical Focus Series, this book provides a complete overview of difficult asthma, discussing the clinical assessment and management of this complex condition. Beginning with the epidemiology and characteristics of severe asthma, the book defines current understanding of the immunological mechanisms and disease heterogeneity. It also offers insight into how the condition can affect the physical and psychological aspects of a person’s life. Separate chapters examine novel therapeutic strategies and the economic burden of refractory asthma. Key points Discusses clinical assessment and management of difficult asthma Includes epidemiology, immunology, physical and psychological effects, economic burden and novel therapeutics Internationally renowned author and editor team
Public health issues are rarely out of the news. The 9/11 terrorist attacks, the Grenfell Tower fire, new designer drugs, outbreaks of Ebola, and links between social media and mental health, occupy our thoughts and our screens. However, awareness of these events as public health issues is a recent phenomenon; for many years after the Second World War, the history of the field was eclipsed by advances in clinical science and patient care. In Practising Public Health: An Eyewitness Account, John Ashton sets the record straight. The former Regional Director of Public Health in the North West of England, and co-founder of the WHO Healthy Cities Project, shares his adventures and experiences as a leader in public health at a time of unprecedented change and challenge. He presents case studies from the frontline of public health, and tells stories that are now part of modern history. Fighting for a better public health at community, national, and international levels, John shows us how public engagement and partnership goes hand in hand with political action. The stories in this book illustrate the importance of using your imagination, challenging the status quo, and thinking on your feet when initiating change. John also reveals the thinking behind his renowned hands-on approach to public health, and explains why he insists on bridging the gap between theory and practice. Practising Public Health connects the work of nineteenth century public health giants to that of today's twenty first century pioneers, taking time to reflect over, dissect and highlight the events, decisions and people involved in its development. With case studies and story-telling, this book is ideal for undergraduate and postgraduate public health courses worldwide. It is also of high value to other health professional groups such as nurses and health visitors, social workers and community development activists, as well as politicians and policy makers.
The Oxford Dictionary of Family Names of Ireland contains more than 3,800 entries covering the majority of family names that are established and current in Ireland, both in the Republic and in Northern Ireland. It establishes reliable and accurate explanations of historical origins (including etymologies) and provides variant spellings for each name as well as its geographical distribution, and, where relevant, genealogical and bibliographical notes for family names that have more than 100 bearers in the 1911 census of Ireland. Of particular value are the lists of early bearers of family names, extracted from sources ranging from the medieval period to the nineteenth century, providing for the first time, the evidence on which many surname explanations are based, as well as interesting personal names, locations and often occupations of potential family forbears. This unique Dictionary will be of the greatest interest not only to those interested in Irish history, students of the Irish language, genealogists, and geneticists, but also to the general public, both in Ireland and in the Irish diaspora in North America, Australia, and elsewhere.
Liam Ó Duibhir charts the struggle for independence, both militarily and politically, in Donegal from before the events of Easter 1916 until the truce in 1921.Donegal has long been seen as one of the quietest counties during the War of Independence but this reputation belies an intriguing story of how republican sentiment grew in the county. From the first mention of Sinn Féin, through the conscription crisis and the success of the 1918 elections, Ó Duibhir charts the rise of the new political leadership in Donegal and how they built their own system of justice and local government.Alongside the practical politics, he also highlights the role of the IRB and the activities of the volunteers in resisting and thwarting the British efforts to retain control and impose order. Featuring new information and a fresh look at events of the period, The Donegal Awakening offers an updated account of this crucial period.
The Troubles claimed the lives of almost four thousand people in Northern Ireland, most of them civilians; forty-five thousand were injured in bombings and shootings. Relative to population size this was the most intense conflict experienced in Western Europe since the end of the Second World War. The central question posed in this book is fundamental, yet it is one that has rarely been asked: Who was primarily responsible for the prosecution of the Troubles and their attendant toll of the dead, the injured, and the emotionally traumatized? Liam Kennedy, who lived in Belfast throughout most of the conflict, was long afraid to raise the question and its implications. After years of reflection and research on the matter he has brought together elements of history, politics, sociology, and social psychology to identify the collective actors who drove the conflict onwards for more than three decades, from the days of the civil rights movement in the late 1960s to the signing of the Good Friday Agreement in 1998. The Troubles in Northern Ireland are a world-class problem in miniature. The combustible mix of national, ethnic, and sectarian passions that went into the making of the conflict has its parallels today in other parts of the world. Who Was Responsible for the Troubles? is an original and controversial work that captures the terror and the pain but also the hope of life and the pursuit of happiness in a deeply divided society.
Reading the Contemporary Irish Novel 1987–2007 is the authoritative guide to some of the most inventive and challenging fiction to emerge from Ireland in the last 25 years. Meticulously researched, it presents detailed interpretations of novels by some of Ireland’s most eminent writers. This is the first text-focused critical survey of the Irish novel from 1987 to 2007, providing detailed readings of 11 seminal Irish novels A timely and much needed text in a largely uncharted critical field Provides detailed interpretations of individual novels by some of the country’s most critically celebrated writers, including Sebastian Barry, Roddy Doyle, Anne Enright, Patrick McCabe, John McGahern, Edna O’Brien and Colm Tóibín Investigates the ways in which Irish novels have sought to deal with and reflect a changing Ireland The fruit of many years reading, teaching and research on the subject by a leading and highly respected academic in the field
Brian Moore (1921 1999) is one of the few novelists whose literary portrayal of Catholicism effectively spans the period prior to and following the Second Vatican Council. Many critics have discussed how Moore's life is reflected in his works, while others have dismissed his fictions as simple narratives in the mould of classical realism. In this timely book, Gearon contends that Moore's fictions are far more complex, as he was one of the great observers of Catholicism in all its modern and historical controversy. .
When Glasgow journalist Gerry Conway receives a phone call promising unsavoury information about Scottish Justice Minister Peter Lyons, his instinct is that this apparent scoop won't warrant space in The Tribune. But as Conway's curiosity grows and his leads proliferate, his investigation takes him from Scotland to Belfast. Shocked by the sectarian violence of the past, and by the prejudice and hatred he encounters even now, Conway soon grows obsessed with the story of Lyons and all he represents. And as he digs deeper, he comes to understand that there is indeed a story to be uncovered; and that there are people who will go to great lengths to ensure that it remains hidden. Compelling, vividly written and shocking, ALL THE COLOURS OF THE TOWN is not only the story of an individual and his community - it is also a complex and thrilling inquiry into loyalty, betrayal and duty.
The richly diverse population of the mid-Atlantic region distinguished it from the homogeneity of Puritan New England and the stark differences of the plantation South that still dominate our understanding of early America. In Many Identities, One Nation, Liam Riordan explores how the American Revolution politicized religious, racial, and ethnic identities among the diverse inhabitants of Pennsylvania, Delaware, and New Jersey. Attending to individual experiences through a close comparative analysis, Riordan explains the transformation from British subjects to U.S. citizens in a region that included Quakers, African Americans, and Pennsylvania Germans. In the face of a gradually emerging sense of nationalism, varied forms of personal and group identities took on heightened public significance in the Revolutionary Delaware Valley. While Quakers in Burlington, New Jersey, remained suspect after the war because of their pacifism, newly freed slaves in New Castle, Delaware, demanded full inclusion, and bilingual Pennsylvania Germans in Easton, Pennsylvania, successfully struggled to create a central place for themselves in the new nation. By placing the public contest over the proper expression of group distinctiveness in the context of local life, Riordan offers a new understanding of how cultural identity structured the early Jacksonian society of the 1820s as a culmination of the American Revolution in this region. This compelling story brings to life the popular culture of the Revolutionary Delaware Valley through analysis of wide-ranging evidence, from architecture, folk art, clothing, and music to personal papers, newspapers, and local church, tax, and census records. The study's multilayered local perspective allows us to see how the Revolutionary upheaval of the colonial status quo penetrated everyday life and stimulated new understandings of the importance of cultural diversity in the Revolutionary nation.
Spanning the decades that saw Northern Ireland move from brutal conflict to uncertain peace in the 1990s, this powerful new take on the literature of the Troubles is both a political coming-of-age novel and a fast-paced literary thriller. Aoife, a young girl growing up in 1980s Belfast, finds herself the last line of defense between the violence and her family. While her mother sinks deeper into a medicated stupor, and her father leaves the family for the comforts of the local bars, Aoife cares for her brother Damien, trying to keep him out of harm's way, while all around her friends and neighbors are swept up in the conflict. Meanwhile Cassie, a Republican paramilitary and honey trap, lures and seduces her victims, inflicting lasting damage. But her infamous tactics have their repercussions, and before long her past catches up with her.
“...ngabaya painted all this, you know when we were kids we would come here and look and sometimes the paintings would change, they were always changing.” Annie a-Karrakayny Fully illustrated, Jakarda Wuka (Too Many Stories) draws on a combined 70+ years of collaborative research involving Yanyuwa Elders, anthropologists, and an archaeologist to tell a unique story about the rock art from Yanyuwa Country in northern Australia’s southwest Gulf of Carpentaria. Australia’s rock art is recognised globally for its antiquity, abundance, distinctive motifs and the deep and abiding knowledge Indigenous people continue to hold for these powerful symbols. However, books about Australian rock art jointly written by Indigenous communities, anthropologists, and archaeologists are extremely rare. Combining Yanyuwa and western knowledge, the authors embark on a journey to reveal the true meaning of Yanyuwa rock art. At the heart of this book is the understanding that a painting is not just a painting, nor is it an isolated phenomenon or a static representation. What underpins Yanyuwa perceptions of their rock art is kinship, because people are kin to everything and everywhere on Country. Jakarda Wuka highlights the multidimensional nature of Yanyuwa rock art: it is an active social agent in the landscape, capable of changing according to different circumstances and events, connected to the epic travels and songs of Ancestral Beings (Dreamings), and related to various aspects of Yanyuwa life such as ceremony, health and wellbeing, identity, and narratives concerning past and present-day events. In a time where Indigenous communities, archaeologists, and anthropologists are seeking new ways to work together and better engage with Indigenous knowledges to interpret the “archaeological record”, Jakarda Wuka delivers a masterful and profound narrative of Yanyuwa Country and its rock art. This project was supported by the Australian Research Council and the McArthur River Mine Community Benefits Trust.
This title is directed primarily towards health care professionals outside of the United States. It examines some of the ideology and professional issues surrounding the theory and practice of mental health nursing. The author supplies an analysis that goes beyond normal factual texts, drawing on a wide range of orthodox and unorthodox professional literature from several disciplines. Dr Clarke analyses five areas - race/ethnicity, education, ethics, research, and violence - in his distinctive style. The results are enlightening and practitioners of all levels are challenged to review how they think about mental health practice. * Analysis of key subjects relevant to mental health practitioners at all levels * Provocative style to promote further debate * Wide range of references and further reading to stimulate wider study * Brings together a comprehensive range of topics in one volume to encourage understanding of broad context of practice
The Aran and Blasket Islands have been a source of inspiration for writers and artists. Liam O'Flaherty, a world renowned author, based some of his finest stories on incidents from Aran life. John Millington Synge came to Aran and the Blaskets as a visitor and found in the character of the people the material from which he created his dramas. Sean O'Sullivan, the folklorist, presents a selection of folktales, told in the natural idiom of the Seanchai or storyteller who handed his stock of tales down to the next generation.
Most patients with asthma are easily diagnosed and treated with the use of an inhaler or medication. Approximately five per cent of people that suffer from asthma have ‘difficult’ or ‘refractory’ asthma, whereby they experience persistent problems that are not controlled by standard treatment methods. Part of the Clinical Focus Series, this book provides a complete overview of difficult asthma, discussing the clinical assessment and management of this complex condition. Beginning with the epidemiology and characteristics of severe asthma, the book defines current understanding of the immunological mechanisms and disease heterogeneity. It also offers insight into how the condition can affect the physical and psychological aspects of a person’s life. Separate chapters examine novel therapeutic strategies and the economic burden of refractory asthma. Key points Discusses clinical assessment and management of difficult asthma Includes epidemiology, immunology, physical and psychological effects, economic burden and novel therapeutics Internationally renowned author and editor team
An Irish rebel secretly betrays his hunted friend to the British authorities for the price of twenty pounds in hopes of winning back his girl. But he has become an informer, the most hated of all traitors to the Irish revolutionary underworld.
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