In the last three decades, the prevalence of obesity has doubled with over 600 million obese adults worldwide. The gastrointestinal complications of obesity are well publicized; however, the role of the gastrointestinal tract in the development and treatment of obesity is often understated. From the pathophysiologic role of gut hormones and the microbiota, to the purposeful, anatomic derangement of the gastrointestinal tract that is utilized as a treatment for obesity, it is imperative that gastroenterologists understand the full scope of obesity in relation to the gastrointestinal system. Studies suggest that in the U.S. obesity is underrecognized and undertreated by health care providers. Given its complex sociology, pathophysiology, and treatment, obesity, like many other diseases, requires a multidisciplinary approach. Therefore, gastroenterologists must be equipped with the relevant knowledge of obesity that will empower them to properly manage their patients.
Staying true to Esther Wilkins’ pioneering vision that made her best-selling text the “Bible” for dental hygienists, Wilkins’ Clinical Practice of the Dental Hygienist, Thirteenth Edition progresses through crucial topics in dental hygiene in a straightforward format to ensure students develop the knowledge and skills they need for successful, evidence-based practice in today’s rapidly changing oral health care environment. This cornerstone text, used in almost every dental hygiene education program in the country, has been meticulously updated by previous co-authors, Linda Boyd and Charlotte Wyche, and new co-author Lisa Mallonee to even better meet the needs of today’s students and faculty, while reflecting the current state of practice in dental hygiene. Maintaining the hallmark outline format, the Thirteenth Edition continues to offer the breadth and depth necessary not only for foundation courses but for use throughout the entire dental hygiene curriculum.
1. 1 SCOPE OF BOOK n explosion of novel findings in the past decade has contrib A uted to the great progress toward understanding the biology of human cancers. Much of this progress can be attributed to our abil ity to dissect many biological processes at the molecular level. Most spectacular is the technology of molecular biology that allows identi fication and characterization of genes that participate in the genesis of human cancers. Three major groups of genes appear to play out the drama of cancer development: tumor suppressor genes, mis match repair genes, and oncogenes. The tumor suppressor genes 1 encode products that are inhibitory to cell proliferation. The loss of these inhibitors, by mutation or deletion, can unleash cells from their restraints to proliferate. Mutations in the mismatch repair 2 10 genes also have been implicated in tumorigenesis. - The inability of cells to repair spontaneously occurring mutations leads to genom ic instability and could potentially result in the accumulation of car cinogenic DNA lesions. Finally, activation of proto-oncogenes, which are normal cellular genes, into oncogenes could accelerate the 11 processes of cell proliferation. c-myc was one of the very first proto oncogenes to be identified and because it normally plays pivotal roles in both cell proliferation and cell death has enticed many to investigate the molecular mechanisms by which it transforms cells.
Awarded first place in the 2017 AJN Book of the Year Awards in the Medical-Surgical Nursing category. Learn how to become an exceptional caregiver in today’s evolving healthcare environment! Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 10th Edition offers up-to-date coverage of the latest trends, hot topics, and clinical developments in the field. Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as patient safety, NCLEX exam preparation, evidence-based practice, and teamwork. A variety of helpful boxes and tables make it easy for you to find essential information and the accessible writing style and building-block approach make even the most complex concepts easy to grasp. Best of all — a complete collection of learning and study resources helps you learn more effectively and offers valuable, real-world preparation for clinical practice. Highly readable format offers you a strong foundation in medical-surgical nursing. Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate. Informatics boxes discuss how technology is used by nurses and patients in healthcare settings. Expanded coverage of evidence-based practice helps you understand how to apply the latest research to real-life patient care. Expanded Safety Alerts throughout the book highlight patient safety issues and focus on the latest National Patient Safety Goals. UNIQUE! "Levels of Care" approach explains how nursing care varies for different levels of health and illness. Bridge to NCLEX Examination review questions at the end of each chapter reinforce key content while helping you prepare for the NCLEX examination with both standard and alternate item format questions. Unfolding case studies included throughout each assessment chapter help you apply concepts and procedures to real-life patient care. Managing Care of Multiple Patients case studies at the end of each section help you apply your knowledge of various disorders and prioritize and delegate patient care. Separate chapter on genetics focuses on the practical application to nursing care of patients. Genetics in Clinical Practice boxes address key topics such as genetic testing, Alzheimer’s disease, sickle cell disease, and genetics-related ethical issues. Genetic Risk Alerts and Genetic Link headings highlight specific genetic issues related to body system assessments and disorders.
Using a uniquely collaborative and reader-friendly approach, expert authors Donna D. Ignatavicius and M. Linda Workman cover all the latest trends, evidence-based treatment guidelines, and additional updated information needed for safe clinical practice in medical-surgical nursing. This seventh edition features an expanded emphasis on patient safety and NCLEX® Examination preparation, new ties to the QSEN priorities for patient safety, and a greater alignment with the language and focus of clinical practice. A new chapter on evidence-based practice and a wealth of effective online learning tools help solidify your mastery of medical-surgical nursing. UNIQUE! Collaborative approach presents all medical, surgical, nursing, and other interventions through the lens of the nursing process. Reader-friendly, direct writing style makes this one of the most readable medical-surgical nursing textbooks available. UNIQUE! Cutting-edge focus on the latest trends in nursing practice and nursing education prepares you for both today and tomorrow’s nursing practice. UNIQUE! Integrated tools for NCLEX preparation get you ready for your licensure examination. Chapter-opening Learning Outcomes are linked to Self-Assessment Questions for the NCLEX Examination on the Evolve website. Unique chapter-ending Get Ready for the NCLEX Examination! sections include Key Points organized by NCLEX Client Needs Categories. UNIQUE! Focus on nursing concepts helps bridge the gap between the concepts learned in Nursing Fundamentals, and disorders content learned in the medical-surgical nursing course. UNIQUE! Emphasis on clinical decision-making teaches you to apply concepts to true-to-life clinical situations. UNIQUE! Concentration on the core body of knowledge for the RN level of medical-surgical nursing practice focuses your attention on "need-to-know" content to pass the NCLEX Examination and practice safely as a beginning nurse. Rich array of effective learning aids includes: Best Practice for Patient Safety & Quality Care Best Practice for Emergency Care Patient and Family Education: Preparing for Self-Management Nursing Focus on the Older Adult Home Care Assessment Focused Assessment Common Examples of Drug Therapy Evidence-Based Practice Concept Maps Laboratory Profiles Assessment Using Gordon’s Functional Health Patterns
Based upon Max Hardonniere's own experience as a covert operative during World War II, this is the story of a young man whose acquaintance with Prime Minister Winston Churchill would lead to him being recruited and trained as a spy who would fight his own war from behind enemy lines.
Washington, D.C., is a top vacation destination for families. This comprehensive guide is the source for information on the best attractions, historic sites, parks, shops, and restaurants for both parents and teachers to visit with children.
A comprehensive guide for survey planning, study and questionnaire design, and execution and presentation of research. Topics include evidence-based practice, appetite assessment, estimating sample size, economic analysis, using DRIs to assess intake and creating consumer research nutrition messages. This book is invaluable for practicing professionals and students.
This deeply informed and lavishly illustrated book is a comprehensive introduction to the modern study of Middle English manuscripts. It is intended for students and scholars who are familiar with some of the major Middle English literary works, such as The Canterbury Tales, Gawain and the Green Knight, Piers Plowman, and the romances, mystical works or cycle plays, but who may not know much about the surviving manuscripts. The book approaches these texts in a way that takes into account the whole manuscript or codex—its textual and visual contents, physical state, readership, and cultural history. Opening Up Middle English Manuscripts also explores the function of illustrations in fashioning audience response to particular authors and their texts over the course of the fourteenth and fifteenth centuries. Kathryn Kerby-Fulton, Linda Olson, and Maidie Hilmo—scholars at the forefront of the modern study of Middle English manuscripts—focus on the writers most often taught in Middle English courses, including Geoffrey Chaucer, William Langland, the Gawain Poet, Thomas Hoccleve, Julian of Norwich, and Margery Kempe, highlighting the specific issues that shaped literary production in late medieval England. Among the topics they address are the rise of the English language, literacy, social conditions of authorship, early instances of the "Alliterative Revival," women and book production, nuns’ libraries, patronage, household books, religious and political trends, and attempts at revisionism and censorship. Inspired by the highly successful study of Latin manuscripts by Raymond Clemens and Timothy Graham, Introduction to Manuscript Studies (also published by Cornell), this book demonstrates how the field of Middle English manuscript studies, with its own unique literary and artistic environment, is changing modern approaches to the culture of the book.
Shedding new light on the alternative, emancipatory Germany discovered and written about by progressive women writers during the long nineteenth century, this illuminating study uncovers a country that offered a degree of freedom and intellectual agency unheard of in England. Opening with the striking account of Anna Jameson and her friendship with Ottilie von Goethe, Linda K. Hughes shows how cultural differences spurred ten writers' advocacy of progressive ideas and provided fresh materials for publishing careers. Alongside well-known writers – Elizabeth Gaskell, George Eliot, Michael Field, Elizabeth von Arnim, and Vernon Lee – this study sheds light on the lesser-known writers Mary and Anna Mary Howitt, Jessie Fothergill, and the important Anglo-Jewish lesbian writer Amy Levy. Armed with their knowledge of the German language, each of these women championed an extraordinarily productive openness to cultural exchange and, by approaching Germany through a female lens, imported an alternative, 'other' Germany into English letters.
The award-winning author of "Suddenly Sexy" pens a hysterical novel about the lengths to which one woman will go to bring her cheating husband to justice.
In 1962, when the Cold War threatened to ignite in the Cuban Missile Crisis, when more nuclear test bombs were detonated than in any other year in history, Rachel Carson released her own bombshell, Silent Spring, to challenge society's use of pesticides. To counter the use of chemicals--and bombs--the naturalist articulated a holistic vision. She wrote about a "web of life" that connected humans to the world around them and argued that actions taken in one place had consequences elsewhere. Thousands accepted her message, joined environmental groups, flocked to Earth Day celebrations, and lobbied for legislative regulation. Carson was not the only intellectual to offer holistic answers to society's problems. This book uncovers a sensibility in post-World War II American culture that both tested the logic of the Cold War and fed some of the twentieth century's most powerful social movements, from civil rights to environmentalism to the counterculture. The study examines important leaders and institutions that embraced and put into practice a holistic vision for a peaceful, healthful, and just world: nature writer Rachel Carson, structural engineer R. Buckminster Fuller, civil rights leader Martin Luther King Jr., Jesuit priest and paleontologist Pierre Teilhard de Chardin, humanistic psychologist Abraham Maslow, and the Esalen Institute and its founders, Michael Murphy and Dick Price. Each looked to whole systems instead of parts and focused on connections, interdependencies, and integration to create a better world. Though the '60s dreams of creating a more perfect world were tempered by economic inequalities, political corruption, and deep social divisions, this holistic sensibility continues to influence American culture today.
What difference does it make to think about the economy in geographical terms? The SAGE Handbook of Economic Geography illustrates the significance of thinking the 'economy' and the 'economic' geographically. It identifies significant stages in the discipline's development, and focuses on the key themes and ideas that inform present thinking in economic geography. Organised in sections with multiple chapters, The SAGE Handbook of Economic Geography is a complete overview of the discipline that critically assesses: * Location, the quantitative revolution, the "new economic geography" * Geographies of globalization - making sense of globalization and its consequences; the geography of capitalism * Geographies of scale and place: local and global, space and place * Geographies of nature: agriculture; sustainable development; the political ecology and the social construction of nature * Geographies of uneven development: economic decline; technology; money and finance * Geographies of consumption and services: formal and informal spaces of consumption; the culture industries; performance * Geographies of regulation and governance: neo-liberalism, regulation, welfare Placing the discipline in vivid historical and contemporary context, The SAGE Handbook of Economic Geography is a timely, essential work for postgraduates, researchers and academics in economic geography.
The Captain from Connecticut is the definitive biography of the man who became a national hero as the commander of the USS Constitution in her dramatic victory over HMS Guerriere in the War of 1812. While Isaac Hull’s outstanding seamanship was in evidence throughout his career, Maloney makes the case that it is ironic that he is remembered for his tactical prowess in this famous naval battle, because he was actually the most pacific of men.
The landmark text that has guided generations of hematologists and related practitioners―updated with the latest research findings and improved format and presentation Long revered for its comprehensiveness and extraordinary depth of detail, Williams Hematology provides essential coverage of the origins, pathophysiological mechanisms, and management of benign and malignant disorders of blood and marrow cells and coagulation proteins. The text contains a wealth of basic science and translational pathophysiology for optimal, lifelong learning. Experts in research and clinical hematology, the editors are known worldwide for their contributions to the field. This new edition contains everything that has made Williams Hematology the go-to resource for decades and has been updated with new chapters and critical new research into the molecular mechanisms responsible for hematological disorders and the impact on diagnosis and treatment. And the new format enables you to access each chapter via content modules covering key topics, with summaries, infographics, and cases―all linked to review questions for self-assessment. The full-color presentation integrates images of blood and tissue findings where they are cited in the text. NEW TO THIS EDITION: Updated and revised content reflecting the latest research and developments Convenient format that streamlines the learning process and improves retention Additional chapters added on: Immune Checkpoint Inhibitors Immune Cell Therapy: Chimeric Antigen Receptor T Cell Therapy Immune Cell Therapy Dendritic Cell and Natural Killer Cell Therapy The processes of cell death and survival Application of Big Data and Deep Learning in Hematology Williams Hematology Cases with multiple-choice questions including detailed explanations—perfect preparation for the boards Continuously updated online content with comprehensive drug therapy database and other resources
First patented in 1856, baking powder sparked a classic American struggle for business supremacy. For nearly a century, brands battled to win loyal consumers for the new leavening miracle, transforming American commerce and advertising even as they touched off a chemical revolution in the world's kitchens. Linda Civitello chronicles the titanic struggle that reshaped America's diet and rewrote its recipes. Presidents and robber barons, bare-knuckle litigation and bold-faced bribery, competing formulas and ruthless pricing--Civitello shows how hundreds of companies sought market control, focusing on the big four of Rumford, Calumet, Clabber Girl, and the once-popular brand Royal. She also tells the war's untold stories, from Royal's claims that its competitors sold poison, to the Ku Klux Klan's campaign against Clabber Girl and its German Catholic owners. Exhaustively researched and rich with detail, Baking Powder Wars is the forgotten story of how a dawning industry raised Cain--and cakes, cookies, muffins, pancakes, donuts, and biscuits.
ICON is a five-level integrated skills series that prepares students to express themselves naturally in English. The ICON series grew out of in-depth research into effective language teaching and learning techniques. From this research, the series has distilled a set of core activities that create successful learner interaction in the classroom. The series is designed to support students and teachers in both large and small classes. This workbook is designed to accompany the high beginning to low intermediate level student book.
How do lawyers construct closing arguments? How do literary critics substantiate their original claims? How do op ed writers convince others that their arguments are valid and credible? The answers are clear: Through inquiry, research, analysis, and composition. From Inquiry to Argument blends inquiry, research, and argument by interweaving a discussion of argumentation strategies with instruction in critical thinking and research skills and with writing tasks important to research and argument. This book's approach gives readers a reason to research - to find ideas and information for their arguments - and also helps them build better arguments through analysis. This book covers academic documentation in both MLA and APA styles, while also addressing informal means of citation. Numerous professional readings, as well as nine writing samples, expose readers to different types of writing and provide a base for primary research. The coverage of argument addresses such related topics as critical thinking, logic and fallacies, and the appeals, and presents Toulmin logic as a touchstone for the discussion of argument. Lawyers, business professionals, instructors of critical reading and writing, and anyone else involved with formal or informal persuasive writing and debating.
By focusing on key figures in early years education and care, this book considers the influential thinkers and ground-breaking approaches that have revolutionized practice. With contributions from the leading authorities and researchers in the field, chapters provide an explanation of the approach, an analysis of the theoretical background, case studies from practice and questions and discussion points to facilitate critical thinking. Written in an accessible style and relevant to all levels of early years courses, from undergraduate to graduate degrees, the book asks the reader to engage with debates and to develop their own views and opinions.
As evidenced in interviews included in this volume, many African American filmmakers consider themselves artists first, their ethnicity being only part of what influences their work. This is the first book by an African American on contemporary African American filmmakers. Here directors and producers speak for themselves, posing challenges to current thinking in the field. Special emphasis is given to the filmmakers' productions and their experiences. Essays on historic figures reveal the rich history of the African American contribution to cinema. From Oscar Micheaux and Spencer Williams to Neema Barnett and the team of George Jackson and Doug McHenry, this revealing reference work will enlighten scholars, students, and film buffs. As early as 1899, African Americans were involved in the filmmaking industry. Oscar Micheaux took directing, writing, and producing to a higher level with the release of his first film in 1918; by 1948 he had made more than forty films. Currently, by international world cinema standards, the African American tradition rivals cinema from anywhere in the world, but these filmmakers face a quandary: whether to make films through the Hollywood system or follow an independent vision. This book presents a cross-section of filmmakers from each camp and also focuses on those who work in both arenas.
A comprehensive and readable account of the history of Hawai'i presented in three chronological units: Unit 1, Pre-contact to 1900; Unit 2, 1900¿1945; Unit 3, 1945 to the present. Each unit contains chapters treating political, economic, social, and land history in the context of events in the United States and the Pacific Region. The student book features primary documents, political cartoons, stories and poems, graphs, a glossary, maps, and timelines. The activities, writing assignments, oral presentations, and simulations foster critical thinking.
This intriguing study examines the truth behind the myths and misconceptions that defined the Roaring Twenties, as portrayed through the popular literary works of the time. This one-stop reference to the "Jazz Age"—the period that began after the First World War and ended with the stock market crash of 1929—digs into the cultural, historical, and literary contexts of the era. Author Linda De Roche examines the writing of the time to look beyond the common conceptions of the Roaring Twenties and instead reflect on the era's complexities and contradictions, including how gender and race influenced social mores. The book profiles key American literature of the time, including F. Scott Fitzgerald's The Great Gatsby, Ernest Hemingway's The Sun Also Rises, Sinclair Lewis's Babbit, Anita Loos's Gentlemen Prefer Blondes, and Nella Larsen's Passing. Filled with essays that offer historical explorations of each work as well as suggested learning activities, chapters also feature study questions, primary source documents, and chronologies. Support materials include activities, lesson plans, discussion questions, topics for further research, and suggested readings.
Coming of Age in Reference Services: A Case History of the Washington State University Libraries focuses on the triumphs, trials, ideas, and difficulties of the Holland Library and how these experiences can help other professionals enhance services for patrons. The articles, written by reference librarians at the library, discuss topics such as departmental history and culture, training reference professionals, and user education programs to give you insight into how other librarians solve problems or implement changes. From Coming of Age in Reference Services, you’ll receive advice from experienced professionals that can help you create change in your library and help you adapt to the many technological advances related to librarianship. Coming of Age in Reference Services allows you to gain first-hand experience that will guide you through problems or issues that may occur in your library. Addressing the uses and intricacies of electronic information, this book offers you information that will help you with a variety of other topics, including: training and retraining in reference skills and subject knowledge, interpersonal abilities, and thinking skills in order to improve services for the 21st century defining “Generation X,” being a member of this generation, and their growing need for information and learning opportunities exploring how long reorganization plans take to be implemented and how the library environment can enhance services for users by discussing the history of Holland Library Public Services focusing on freshman taking English 101 to better teach them how to find information through cultivating better relationships with academic departments, creating web modules to reach more students, and understanding departmental cultures integrating techniques for finding books and using encyclopedias into the University’s World Civilization course to encourage critical thinking discussing the impression of American Academic Libraries through the experiences of a Library Fellow from Lithuania Coming of Age in Reference Services leads you through the transformation of the Holland Library, allowing you to learn about the decisions, planning, and ingenuity involved in establishing a modern and more efficient information center. Containing appendices and a chronological timetable documenting the library’s history, Coming of Age in References Services offers you knowledge from experience concerning library reorganization and the ever-changing world of a successful reference librarian.
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